As we all know, breast milk is rich in nutrients, including protein, fat, minerals and vitamins, as well as a variety of antibodies and anti-infective factors. It is easily digested and absorbed by infants and can enhance the resistance of infants. It is the most ideal food choice. In this case, mothers are advised to breastfeed as much as possible.
1. The mother's physical factors.
1. The mother is in a period of infection, and breastfeeding increases the risk of infection in the baby.
If you have active tuberculosis or a positive bacterial test, you should avoid breastfeeding. Breastfeeding can be done after ensuring that it is not infectious. It is generally recommended that anti-tuberculin therapy be carried out after 2 weeks.
2) Various hepatitis.
Breastfeeding is not recommended during acute hepatitis infection. However, for healthy carriers who are only positive for hepatitis B or hepatitis B surface antigen, the mother can breastfeed normally. Infants can be injected with hepatitis B immune globulin and hepatitis B vaccine within 6 hours of birth, and active and passive immunization of newborns pku diet.
3) HIV virus infection.
Breast milk is one of the ways HIV is transmitted and breastfeeding should be avoided.
4) Human T lymphocyte virus infection.
Breastfeeding should be avoided when human T-lymphocyte virus type I or type I is positive.
5) Varicella virus infection.
If the mother is from 5 days before delivery to 2 days after delivery, she should be isolated from the baby and cannot feed herself. Be careful not to touch chickenpox lesions. After expressing your breast milk, feed it from a bottle.
6) Herpes virus infection.
If herpes is in the breast, avoid breastfeeding. If the herpes lesions are elsewhere, you can use a breast pump to pump out the bottle, but do not touch the lesions while pumping.
2. The mother is seriously ill, and breastfeeding will endanger the health of the mother and child.
1) Heart disease
Breastfeeding can interfere with a mother's rest. For mothers with heart failure, not recommending breastfeeding may increase the risk of heart failure.
For mothers with renal insufficiency, breastfeeding increases organ burden and damage, and breastfeeding is not recommended.
3) Serious chronic diseases require long-term medication.
The disease includes epilepsy, tumor, hyperthyroidism, etc. The drug will affect the baby through milk. Breastfeeding is not recommended. Special care should be taken to stop breastfeeding while undergoing radioisotope testing and treatment.
2. The physical factor of the baby.
1. The baby has a metabolic disease.
Galactosemia is a congenital defect of galactose-uridine phosphate converting enzyme. Infants who consume lactose-containing breast milk can cause abnormal galactose metabolism. Excessive accumulation of galactose-1-phosphate galactitol in the blood can cause damage to the nervous system, liver and kidney systems of infants. Severe vomiting, diarrhea, jaundice, hepatosplenomegaly and other symptoms may occur after eating. Breastfeeding of lactose-free formula should be discontinued in infants with confirmed galactosemia.
Infants with phenylketonuria are born deficient in phenylalanine hydroxylase. Breastfeeding can cause phenylalanine and phenylacetone to build up in the body, damaging the baby's central nervous system. Pay attention to the amount of phenylalanine in your blood. It is recommended to avoid breastfeeding special formulas that do not contain phenylalanine.
3) Maple diabetes.
Maple diabetes mellitus is a chorismate dehydrogenase deficiency that causes ?leucine. Isoleucine metabolism disorder leads to the accumulation of ketoacids in blood and urine, which can easily cause brain damage. These infants often have feeding difficulties, vomiting, hypoglycemia, convulsions, and neurological symptoms. For these children, it is recommended to breastfeed a small amount, give amino acid milk powder, pay attention to check the amino acid concentration in the blood, and adjust the diet.
Two common special cases.
1. Can I breastfeed with mastitis?
Can breastfeeding continue to be combined with drug safety in mastitis abscesses. Measure the location of the abscess wound and the mother's concerns about the discharge of pus in the milk from the affected side. When there is no abscess and the body temperature is lower than 38.5 ℃, breastfeeding can be assured, so that the baby sucks frequently, helps to unclog the breast and restore body temperature.
2. Should I stop breastfeeding for breast milk jaundice?
Breast milk jaundice requires evaluation of the baby. If the baby's mental state is good, eating, sleeping, and pulling are good, and the weight is normal, breastfeeding can be continued; if the baby's growth and development is slow, breastfeeding should be suspended, and breastfeeding should be resumed after the jaundice subsides.