When breast feeding, women are not recommended to take most medications. First of all, this is due to the fact that the necessary studies for this category of patients have not been carried out. In addition, all medications taken by the mother penetrate the child's body, often causing undesirable side effects. Antibiotics for breastfeeding, too, in most cases are not recommended for admission to the mother.
The degree of adverse effect of the drug on the child's body is determined by many factors. The main ones are:
- toxicity of the drug;
- the amount of the drug that enters the baby's body;
- features the impact of funds on the developing organs of the child;
- the duration of excretion of the drug from the baby's body;
- duration of the lactating mother;
- individual susceptibility of the baby to this product;
- risk of allergic reactions.
The most commonly used antibiotics do not belong to very toxic drugs that have a severe effect on the mother and child.
Modern pharmaceuticals offer antibiotics for breastfeeding, which penetrate into mother's milk in very low concentrations. These are antibacterial drugs that belong to the following groups:
- penicillins - Penicillin, Ampiox, Amoxicillin, Amoxiclav, Ampicillin;
- aminoglycosides - Gentamicin, Netromycin;
- cephalosporins - Ceftriaxone, Cefotaxime, Cefazolin.
These drugs have low toxicity for the child.
Antibiotics, which belong to the macrolide group, can be used in breastfeeding. These drugs have the ability to penetrate breast milk, but they are considered to be of low toxicity to a child who is breastfeeding. Macrobend antibiotics include Macroben, Sumamed, Erythromycin. But when they receive a mother, there is a possibility that the child will develop unwanted complications. Most often it can be allergic reactions, diarrhea, a violation of the normal microflora of the stomach and intestines( dysbacteriosis), reproduction of fungal infection( thrush).If the baby develops an allergic reaction, the mother should stop taking the antibacterial drug or temporarily stop breastfeeding. In order to prevent dysbiosis in a child, he is prescribed probiotics( Lineks, Bifidum Bacterin).
Taking antibiotics while breastfeeding, the mother should try to minimize the risk of side effects of the drug in the child. For this, you need to take the medicine during the baby's feeding or immediately after the end of the feeding. Since the concentration of antibiotic in breast milk reaches a maximum almost immediately after its administration, it will significantly decrease to the next reception.
Prohibited antibiotics in breastfeeding
There is a fairly large group of antibacterial drugs that can not be categorically taken by nursing mothers.
In no case should it be taken with breastfeeding antibiotics of the following names.
1. Tetracyclines - cause growth retardation of the baby, dysplasia of the teeth and bones, have a negative effect on the liver.
2. Nitroimidozal( Tinidazole, Metronidazole) - may cause diarrhea in the baby, vomiting.
3.Sulfanilamidy - promote the development of gastrointestinal bleeding in a child, damage to the bone marrow, have a negative impact on the cardiovascular system.
4.Levomitsitin - can cause toxic damage to the bone marrow of a newborn.
5. Clindamycin - sometimes causes the baby gastrointestinal bleeding.
In the case when the nursing mother needs to undergo treatment with antibacterial drugs that are contraindicated in breastfeeding, it is necessary to temporarily stop breastfeeding. Usually the duration of the course of therapy is 7-10 days. During this period, the mother must express milk so that lactation does not stop. After this, you can continue to breastfeed your baby.
Antibiotics for breastfeeding can be quite dangerous for a child's health. Therefore, the mother must together with the doctor choose the safest drug. Only an experienced specialist can prescribe a therapy that will be safe for mom and her baby.