It is well known that breast milk is rich in nutrients, proteins, fats, minerals and vitamins, and contains many antibodies and anti-infection factors that can be easily digested and absorbed by babies, strengthening their resistance and making it the ideal food choice.
1. Physical factors of the mother.
1. Breastfeeding increases the risk of infection in babies when the mother is infected with a disease.
Breastfeeding should be avoided in cases of active tuberculosis or a positive bacterial test. Breastfeeding can be done after ensuring no infectiousness. Anti-tuberculin therapy is usually recommended after 2 weeks.
2) All types of hepatitis.
Breastfeeding is not recommended during acute hepatitis infection. However, for healthy carriers with only hepatitis B or positive hepatitis B surface antigen, mothers can breastfeed normally. Infants can be immunised with hepatitis B immunoglobulin and hepatitis B vaccine within 6 hours of birth, and active and passive immunisation of the newborn.
3) HIV infection.
Breast milk is one of the routes of HIV transmission and breastfeeding should be avoided.
4) Human T-lymphotropic virus infection.
Breastfeeding should be avoided when positive for human T-lymphotropic virus type I or I.
5) Chickenpox virus infection.
Mothers should be isolated from their infants and should not breastfeed them if they are in labour from 5 days before to 2 days after delivery. Take care not to come into contact with varicella lesions. Express breast milk and then bottle feed.
6) Herpes virus infection.
If herpes occurs in the breast, breastfeeding should be avoided. If herpes lesions occur in other locations, bottle feeding can be done by pumping with a breast pump, but do not touch the lesions while pumping.
2. Breastfeeding can be hazardous to the health of the mother and baby if the mother has a serious illness.
1) Heart disease
Breastfeeding can affect the mother’s rest. For mothers with heart failure, breastfeeding is not recommended and may increase the risk of heart failure.
2) Kidney disease.
Breastfeeding is not recommended for mothers with renal insufficiency as it can increase organ burden and damage.
3) Severe chronic illness requiring long-term medication.
This condition includes epilepsy, tumours, hyperthyroidism, etc. The medication can affect the baby through the milk and breastfeeding is not recommended. Special care should be taken to stop breastfeeding when undergoing radioisotope screening and treatment.
2. Physical factors in infants.
1. The infant has a metabolic disease.
Galactosemia is a congenital defect in the enzyme galactose-phosphate uridyltransferase. It is caused by abnormal galactose metabolism in infants who have consumed lactose-containing breast milk. Excessive accumulation of galactose-1-phosphate galactitol in the blood can cause damage to the infant’s nervous system and liver and kidney system. Severe vomiting, diarrhoea, jaundice and liver and spleen enlargement may occur after ingestion. For infants with confirmed galactosemia, breastfeeding of lactose-free formula should be stopped pku diet.
Infants with phenylketonuria are born with a deficiency of phenylalanine hydroxylase. Breastfeeding causes phenylalanine and phenylketone to accumulate in the body, damaging the infant’s central nervous system. Watch the level of phenylalanine in the blood. It is recommended to avoid breastfeeding special formulae that do not contain phenylalanine.
3) Maple diabetes.
A maple diabetes is a branching keto acid dehydrogenase defect that causes ? A clear leucine. It is a disorder of isoleucine metabolism, leading to a build-up of ketoacids in the blood and urine, which can easily cause brain damage. These babies often have difficulty feeding. Vomiting. Hypoglycaemia. Convulsions and neurological symptoms. For these children, it is recommended that they be breastfed in small amounts, given amino acid formulas, and have their blood amino acid levels checked and their diet adjusted.
Two common special conditions.
1. Can you breastfeed with mastitis?
When mastitis is abscessed, can breastfeeding continue in combination with medication safety. Measure the location of the abscess wound and the mother’s concern about the discharge of pus from the affected side of the breast. When there is no abscess and the temperature is below 38.5°C, breastfeeding can be safely combined with regular sucking to help unblock the breast and restore the body temperature.
2. Do I have to stop breastfeeding for breast milk jaundice?
Breastfeeding jaundice requires an assessment of the baby’s condition. If the baby is in good spirits, eats, sleeps, pulls well in all areas and weighs normally, you can continue to breastfeed; if the baby is growing slowly, breastfeeding should be suspended and breastfeeding resumed after the jaundice has dropped.