Health

New guidelines say breastfeeding is safe after anaesthesia

ANI | August 01, 2020 10:00 AM
Representative image

Bristol [UK], August 1 (ANI): Breastfeeding is safe after the mother has had anaesthesia, as soon as she is alert and able to feed, suggest new guidelines published by the Association of Anaesthetists.

The guidelines published in the journal Anaesthesia come at the start of World Breast Feeding Week (1-7 August).

"The guidelines say there is no need to discard any breast milk due to fear of contamination, since the evidence shows that anaesthetic and non-opioid painkiller drugs are transferred to breast milk in only very small amounts," explain the authors who include Dr Mike Kinsella of the Association of Anaesthetists Safety Committee, based at St Michael's Hospital, Bristol, UK, and colleagues. "For almost all of these drugs, there is no evidence of effects on the breastfed infant."

However, they caution that drugs such as opioids and benzodiazepines should be used with caution, especially after multiple doses and in babies up to 6 weeks old (corrected for gestational age). "In this situation, the infant should be observed for signs of abnormal drowsiness and respiratory depression, especially if the woman is also showing signs of sedation," they explain. "Techniques that reduce opioid usage are preferable for the breastfeeding woman. Local and regional anaesthesia have benefits in this regard, and also have the least interference with the woman's ability to care for her infant."

They also add that codeine should not be used by breastfeeding women following concerns of excessive sedation in some infants, related to differences in metabolism.

More generally, the guidelines say that any women with an infant aged 2 years or younger should routinely be asked if they are breastfeeding during their preoperative assessment so that it can be explained to them that breastfeeding will be safe after their surgery. They say: "Where possible, day surgery is preferable to avoid disrupting normal routines. A woman having day surgery should have a responsible adult stay with her for the first 24 hours. She should be cautious with co-sleeping, or sleeping while feeding the infant in a chair, as she may not be as responsive as normal."

They conclude: "In summary, the pharmacological aspects of anaesthesia and sedation require little alteration in breastfeeding women. However, supportive care for the woman in the peri-operative period, and accurate advice, will ensure minimal disruption to this important part of childcare." (ANI)

Have something to say? Post your comment
Must Read
Cabinet approves to levy special ID fee on Petrol, Diesel @ Rs.0.25 per litre and @ Rs.0.25 per hundred rupees of value of purchase of immovable property within state
Cabinet approves to levy special ID fee on Petrol, Diesel @ Rs.0.25 per litre and @ Rs.0.25 per hundred rupees of value of purchase of immovable property within state
Jalandhar Commissionerate Police successfully averts clash between farmers and BJP leaders
Jalandhar Commissionerate Police successfully averts clash between farmers and BJP leaders
Former Union Home Minister and Congress stalwart Sardar Buta Singh passes away
Former Union Home Minister and Congress stalwart Sardar Buta Singh passes away
Punjab farmers protesting against Central agri laws shut power supply to Jio towers
Punjab farmers protesting against Central agri laws shut power supply to Jio towers
Punjab: SAD workers provide free fuel to farmers on way to Delhi
Punjab: SAD workers provide free fuel to farmers on way to Delhi
Punjab CM congratulates PAU for no. 2 ICAR ranking among Agriculture Universities
Punjab CM congratulates PAU for no. 2 ICAR ranking among Agriculture Universities
Punjab: 24 DSP officers Transferred
Punjab: 24 DSP officers Transferred
Decks cleared by Capt Amarinder Cabinet to set up Punjab Innovation Mission & Fund
Decks cleared by Capt Amarinder Cabinet to set up Punjab Innovation Mission & Fund
Social needs linked to low health-related quality of life among African-American cancer survivors, finds study
Social needs linked to low health-related quality of life among African-American cancer survivors, finds study
'Harry Potter' star Rupert Grint makes Instagram debut, shares adorable first photo of infant daughter
'Harry Potter' star Rupert Grint makes Instagram debut, shares adorable first photo of infant daughter
Gold loans helped Indians weather COVID-19 pandemic: World Gold Council
Gold loans helped Indians weather COVID-19 pandemic: World Gold Council
Anil Kapoor pens heartwarming birthday wishes for son Harrshvardhan, terms him 'friend and confidant'
Anil Kapoor pens heartwarming birthday wishes for son Harrshvardhan, terms him 'friend and confidant'