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I'm sick, but I'm feeding


Strong weakness, headache, high fever ... How bad I am! Immediately the baby cried - it's time to feed, ... and can it be, is it dangerous? No matter how wonderful breastfeeding has been organized, however good it may turn out, many face such a problem as the illness of a nursing mother. It is not a secret to anyone that only 20 years ago, the recommendations of our doctors in these cases were unambiguous - it's impossible to breast-feed in case of illness! However, since the mid-1980s, the attitude towards breastfeeding has undergone strong changes. Practically, the composition of breast milk and its protective properties were also re-examined. At the same time, all the methodological omissions of past years were taken into account. By 1989, modern views on the feeding of children, including in various diseases of the mother, were set forth in the WHO Bulletin "Feeding children of the first year of life: the physiological basis." Over 10 years, these principles are guided by doctors around the world. Sometimes our mothers are not always familiar with these principles and are trapped in obsolete ideas. What should a modern woman know about breastfeeding with a mother's illness? To begin with, let's try to identify the different situations in which a nursing woman can get sick. It can be an exacerbation of a chronic illness that a woman already has been sick for a long time, it could be an accident or injury, and finally, a woman can become infected with any viral or bacterial infection. Forewarned is forearmed
Let us first consider the case of exacerbation of any chronic disease. It is not superfluous to recall that such diseases do not fall from the sky, and for sure the lactating woman faced the need to do something about it during pregnancy. It is pregnancy, and even better the period before its onset should be used to develop tactics of behavior during exacerbation of attacks. If the disease is serious, then first of all it can complicate the course of the pregnancy itself. With some diseases, it becomes simply impossible. If a woman has found the opportunity to become pregnant, therefore, she can and feed with this disease. So, if you are something to be sick, but are going to feed you remember the first rule. Chronic diseases do not interfere with lactation. Most known diseases are compatible with breastfeeding. Only very serious conditions of the mother, threatening her life require the cessation of breastfeeding. And more often - for a while. I will quote the WHO bulletin on feeding children of the first year of life: "It's amazing how lactation continues reliably, despite numerous problems related to the health of the mother. Breastfeeding is contraindicated only in case of severe maternal disease, for example, in cases of heart failure or serious diseases of the kidneys, liver or lungs ... "Then the question arises, and what to treat exacerbations or seizures? If a woman takes her health seriously, then a certain tactic of treatment has already been worked out during pregnancy. It is not always the doctors who help the pregnant woman count on the fact that she will feed for a long time. Often, treatment is delayed until delivery, to resume it when the woman gives birth. It is necessary to discuss with your doctor in advance the possibility of treatment during lactation. Some of them expect that the woman will feed only a few months, and do not take this into account. Tell your doctor that you are going to feed for a long time, at least 2 years, hence the tactics of treatment throughout the period of pregnancy and lactation should be gentle. Thus, you can formulate a second rule for those who are sick during breastfeeding: Most of the commonly used medicines are safe for the baby and can be taken while breastfeeding, but it is better to choose a remedy in advance to be sure of it. Expecting for a long period of sparing treatment, it is not superfluous to take advantage of the possibilities of physiotherapy, homeopathy, acupuncture, etc. In particular, the competent use of complex homeopathic preparations can prevent or significantly ease the course of seizures in many diseases. Even if the mother lives in a city where there is no homeopathic pharmacy, complex preparations can be ordered in the online store or by mail. And if you take care of this in advance, then by the time this situation arises, you will always have a safe and reliable product at hand. Let's formulate the third rule: It is necessary to use the non-medicinal methods of treatment and homeopathy as much as possible - it is much safer for the mother and the child. The misfortune came suddenly
Indeed, no one is immune from surprises: accidents, injuries, the need for urgent surgery. Well, my mother did not know, she did not notice that her tooth is being destroyed or appendicitis is aggravated! In caring for a child, it is sometimes difficult to notice that something is wrong with health. Do not let go of your hands and immediately tell the doctor that you are breast-feeding. Ask also how compatible are the means that he uses, with lactation and after what time they are excreted from the body. Most often, even with such a sudden trouble a child from the chest is not necessary to take. In extreme cases, he can skip feeding for several hours. If the mother was not ready for this situation, then of course she might not have any expressed milk in order for the baby to be fed in her absence. Allow relatives to feed the child several times with a milky mixture and try to solve all their problems as soon as possible. With mini operations, even after using general anesthesia, the baby can be fed 6-12 hours after the end of the operation. After tooth extraction, mini-abortion, opening abscesses and abscesses can be fed after 6 hours. At the same time, it is better to express the first portion of milk. For longer operations, after 12 hours. At the same time it should be about 3 times. In advance, consult with your doctor about post-operative antibiotic therapy and choose with him such that are compatible with breastfeeding. Such antibiotics are also quite a few (for example, antibiotics of the penicillin series, many cephalosporins of the first and second generation, many macrolides). Categorically contraindicated in breastfeeding antibiotics that affect bone growth or hematopoiesis (eg, derivatives of fluoroquinolone, levomycetin). Almost always they can pick up a suitable substitute. Let's formulate the following rule for such situations: With a single use of the medicine, for which the mother is not sure of the safety for the baby, one should consult a doctor or pharmacist. If this is not possible, you can not feed 12 hours during this time from the body to withdraw most of the medicines. Unfortunately, not all diseases can be cured by using a medicinal product once or by performing a simple operation. There are situations when mum needs urgent hospitalization, serious chemotherapy and takes it, alas, not one day. Many mothers hearing about this attempt to immediately quit feeding, and upon their return from the hospital the child becomes a complete artificial person.
However, there is no need to wean the baby forever. Here is what the WHO bulletin recommends in these cases: "If there is an urgent need for a medicine harmful to the breastfed baby, the feeding should be temporarily interrupted, while lactation should be maintained." It is much easier to organize a temporary excommunication of the baby from the breast than to deprive its for ever the benefits that breast milk carries. For 2-3 weeks the baby is fed with a mixture, preferably using not a bottle with a pacifier, but any other method - a spoon, a small cup, using a penicillinic vial or a plastic syringe without a needle. In case of temporary excommunication, it is better for the mother not to take part in the care of the child, so as not to mislead him - he will not be able to understand why the mother that is next to her does not put it to her chest. If the mother is really seriously ill, then to maintain lactation it will be enough to express her breasts 3-4 times a day, since the production of milk with serious ailments and lack of sucking is greatly reduced. In situations where the mother's state of health does not suffer much, it is necessary to express more often, however, it is enough 6 times a day. This is not such a big sacrifice, for the sake of happiness, to put the child back to his breast after the end of the treatment. After completion of therapy, the child quickly returns back to the "chest" and the lactation volume is restored within 1-3 days. Therefore, the following rule for treatment during breastfeeding will look like this: If you need to use medicines that are incompatible with breastfeeding, use the temporary excommunication of the baby from the breast. These ubiquitous infections
If you can not infect a child with a toothache or an injured finger, then when it comes to an infectious disease, many are still convinced that the mother will necessarily infect the child and should definitely be weaned from the breast. There is also the notion that such infection can be prevented if you wear a gauze bandage on your mother and give milk to your child after pre-boiling. For modern concepts of breastfeeding, this behavior is simply ridiculous. If the mother is sick, much earlier than any clinical signs of the disease begin to appear, the child is already receiving milk, the causative agent of the disease, specific antibodies to this pathogen, split fragments of the pathogen to produce their own antibodies to it, plus a full immune defense against possible concomitant complications . When a mother or doctors treating her discover her illness, the child is either already sick or actively immunized. The exclusion of breastfeeding in this case leads to the deprivation of the child of the only unique medication that he personally receives, which he receives with the mother's milk. Boiling milk will destroy not only the causative agent of the disease, but all the protective factors of milk. And the gauze dressing, dressed after the disease is detected, does not protect from pathogens in milk. It is not necessary to excommunicate neither the already ill child, nor one who is still healthy. It is the mother's milk that gives the child the opportunity to effectively immunize and avoid the disease, despite the fact that he received the pathogens every day. Excommunication of a healthy child at the time of illness of the mother exposes him to the danger of getting sick, while depriving him of effective immune protection. In clinical studies, with the example of diseases of influenza, measles, chickenpox, etc., it is shown that a child who finds himself without immune protection gets sick more often, but recovers more slowly than a child who is not weaned. Exemption from the breast of a child who has already fallen ill, as shown by studies of children infected with staphylococcus, streptococcus, mumps, influenza, etc., will deprive him of many antimicrobial factors of breast milk, and feeding substitutes will cause the growth of intestinal pathogens. Neither is desirable for a child already at risk. In addition, both the mother and the child should receive adequate treatment, which is easier to arrange when the child receives the medication directly through the mother's milk. In some cases, the early infection of a child with microorganisms, the carriers of which is the mother, plays an important role in the formation of his immune defense. In particular, in the mother's milk, in most cases postpartum mastitis is detected by Staphiloccocus aureus (staphylococci). These are common microorganisms living on the skin and in the mouth of the mother. A few hours after birth, the mother gives them a child, without any negative consequences for him, so if there is mastitis, the child is no longer dangerous. Detection of CMV (cytomegalovirus) in a nursing mother does not lead to a child's disease, but, on the contrary, serves as a primary immunization against this viral disease. Thus, we can formulate the following rule, for mothers breast-feeding when an infection is found, there is no reason to wean the baby from the breast if the mother finds the infection, regardless of which causative agent caused it. Moreover, excommunication of the child from the breast in this situation exposes him to the danger of contracting the same disease that his mother is afflicted with. How can I treat a breastfeeding mother from an infection? Depending on the situation, which depends on the type of pathogen and the state of the mother. High temperature can and should be reduced if the mother does not tolerate it well. It should be remembered that high temperature is one of the ways to protect the body. To reduce the temperature, one can apply any remedy that was found in the house once, however, if the drug should be repeated, it is better to stop on paracetamol preparations. Usual remedies for the common cold, cough, sore throat, etc., so-called symptomatic agents are safe for use during lactation. To treat viral infections (colds, flu, etc.), in addition to febrifugal and symptomatic agents, special antiviral drugs based on interferon preparations can usually be used. It is better that such a prescription is prescribed by a doctor, although some of them, for example "influferron", can be used independently. Most of them are also compatible with lactation. To treat bacterial infections (otitis, tonsillitis, pyelonephritis, mastitis, etc.), antibiotics should be prescribed. Using the same principles as described above, antibiotics compatible with breastfeeding can always be selected. If the nursing mother will know that by continuing to feed her baby even during illness, she can provide him with immune protection, this will help her not only to continue the feeding, but will also be a good incentive for a speedy recovery. Therefore, summing up the above, you can once again tell all breastfeeding mothers - do not stop breastfeeding during illness! If doctors insist on this, consult a few. Another source of information - lactation consultants, we have accumulated a huge statistical material on breastfeeding in different situations. Major MB, a lactation consultant.
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I'm sick, but I'm feeding

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  7. Questions you may have
    FEEDING SLEEPING SLEEP Our ten-month-old kid refuses to sleep in the morning and usually does not sleep more than half an hour during the day. I know that he needs to sleep, and me too. Help! Everyone, both parents and children, needs a dream. Since you can not force a child to sleep, you can create conditions that will lead to the child falling asleep. At the age of about one year the child will be able to give up
  8. Vizer VA .. Lectures on therapy, 2011
    On the topic - almost completely cover the difficulties in the course of hospital therapy, the issues of diagnosis, treatment, in the presentation, laconic and quite affordable. Allergic diseases of the lungs Joint diseases Reiter's disease Sjogren's disease Bronchial asthma Bronchoectatic disease Hypertonic disease Glomerulonephrosfamiditis Herniasis of the esophagus Destructive lung diseases
  9. ALLERGIC DISEASES OF LUNGS
    In recent decades, there has been a significant increase in the number. patients with allergic diseases of the bronchopulmonary apparatus. Allergic lung diseases include exogenous allergic alveolitis, pulmonary eosinophilia, drug
  10. EXOGENOUS ALLERGIC ALVEOLITES
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  11. TREATMENT
    1. General measures aimed at dissociation of the patient from the source of antigen: compliance with sanitary and hygienic requirements in the workplace, technological improvement of industrial and agricultural production, rational employment of patients. 2. Drug treatment. In the acute stage - prednisolone 1 mg / kg per day for 1-3 days, followed by a decrease in dose in
  12. CHRONIC EOSINOPHILE PNEUMONIA
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  14. LITERATURE
    1. Diseases of the respiratory system: A guide for physicians: In 4 volumes. Ed. N.R.Paleeva. T.4. - M .: Medicine. - 1990. - P.22-39. 2. Silvestov VP, Bakulin MP Allergic lesions of the lungs // Klin.med. - 1987. - № 12. - P.117-122. 3. Exogenous allergic alveolitis / Ed. AG Khomenko, S. Mueller, V. Shilling. - M.: Medicine, 1987. -
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