New guidelines say breastfeeding is safe after anaesthesia


New guidelines published by the Association of Anaesthetists in the journal Anaesthesia, to coincide with the start of World Breast Feeding Week (1-7 August) say that breastfeeding is safe after the mother has had anaesthesia, as soon as she is alert and able to feed.

“The guidelines say there is no need to discard any breast milk due to fear of contamination, since evidence shows that anaesthetic and non-opioid painkiller drugs are transferred to 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 , 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 , 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 and sedation require little alteration in women. However, for the woman in the peri-operative period, and accurate advice, will ensure minimal disruption to this important part of childcare.”


Pregnant and lactating women with COVID-19: Scant clinical research


Provided by
AAGBI

Citation:
New guidelines say breastfeeding is safe after anaesthesia (2020, August 1)
retrieved 1 August 2020
from https://medicalxpress.com/news/2020-08-guidelines-breastfeeding-safe-anaesthesia.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.



Related posts:

Hong Kong media mogul and activist Jimmy Lai arrested for 'collusion with foreign powers'
Belarus president Lukashenko looks set to win re-election, prompting protests
Macron denounces 'cowardly' attack in Niger
US tops 5 million confirmed virus cases, to Europe's alarm
UK might stop official Covid death count over claims of 'exaggeration': Telegraph
Brazil makes grim milestone—100,000 deaths from COVID-19
New Zealand marks 100 days of virus elimination
US passes 5 million confirmed coronavirus cases
Masks in class? Many questions as Germans go back to school
Beirut protestors call for fall of government on second day of demonstrations
Protesters in Poland denounce arrests of LGBT activists
Six French tourists among eight killed by gunmen in Niger, local governor says
Brazil Reaches Milestone of More Than 100,000 Covid-19 Deaths and 3 Million Cases
Following One Contact Tracer on the Trail of the Virus
Europe swelters under a heatwave complicated by Covid-19 restrictions
Belarus opposition figures detained as Lukashenko faces challenge in presidential vote
Nagasaki marks 75th anniversary of atomic bombing
Afghanistan to release 400 'hard-core' Taliban as precondition to peace talks
Video of Uighur handcuffed to bed in quarantine centre refocuses attention on Chinese persecution
Lukashenko faces challenge in Belarus presidential vote, opposition figures detained
Trump signs orders extending economic relief for Americans amid pandemic
Brazil's coronavirus death toll surpasses 100,000
Macron hosts Trump for UN-backed virtual donor conference on Lebanon
Addition of sintilimab to pemetrexed and platinum improved progression-free survival
Phase 3 eXalt3 study shows significantly longer progression-free survival
CheckMate 743 shows that dual immunotherapy, nivolumab + ipilimumab
Brazil near 100,000 deaths from COVID-19
South Africa coronavirus deaths top 10,000: government
Schools face big virus test as students return to classroom
Bayern and Barcelona win places in the Champions League quarter-finals
Paris makes masks mandatory as virus toll crosses 722,000
NSD2 enzyme appears to prevent cellular senescence
Potentially predictive humoral immune response markers in COVID-19 patients
A Birthday at the Cemetery
Scientists look beyond antibodies in virus immunity hunt
Parents of College Students Worry, Should They Stay or Go?
Paris makes masks compulsory outdoors in busy areas from Monday
What to do when anxiety affects your sleep
C.D.C. Closes Some Offices Over Bacteria Discovery
Belarus opposition candidate's campaign manager detained before presidential vote
Venezuela sentences two American ex-soldiers to 20 years over failed ‘invasion’
Novel approach reduces SCA1 symptoms in animal model
Investigators recover 'black box' flight recorders from Air India crash
New test better predicts which babies will develop type 1 diabetes
Treatment option improves chances of survival for babies with rare cerebrovascular disorder
Beirut blast deals fresh blow to a government struggling with popular discontent
Modifying BACTRAC protocol provides first chance to study local leukocyte populations during stroke
UK calls on France to help crack down on migrants crossing English Channel
Big jump in Italy's daily new cases driven by travel
Deadly blast rocks military base in Somali capital Mogadishu
Second person dies from plague in China's Inner Mongolia
Lebanese to protest political leadership in aftermath of Beirut explosion
Coronavirus deaths in Latin America hit global high
Lyon hold off surging Ronaldo to beat Juventus, reach Champions League quarter-finals
Chinese fishing fleet raises fears on protected Galapagos Islands
Pinpointing the cells that keep the body's master circadian clock ticking
Genetic cause of congenital malformation discovered
Belarus opposition leader sees ‘longing for change’, but predicts rigged presidential vote
Three major scientific controversies about coronavirus
International probe into Beirut blast would ‘dilute the truth’
Children reveal what they really think of adults – in their own research paper
Mauritius in ‘environmental crisis’ as oil leak from grounded ship threatens coastline
New neural network helps doctors explain relapses of heart failure patients
Vaccines through microneedle skin patches
Sugar-based signature identifies T cells where HIV hides despite antiretroviral therapy
US schools reopen in virus hotspots
Latin America is now region with most COVID-19 deaths
Ireland announces local lockdowns as virus cases rise
A New Hampshire Poet Laureate Lifts Her City’s Covid-19 Advisories
Preston becomes latest UK city to face virus lockdown
Fewer Hip Fractures May Reflect a Drop in Smoking Rates
The governor of Beirut Marwan Abboud: 'This is like a genocide against the Lebanese people'
Cuomo clears New York schools statewide to open, carefully
Why the Coronavirus is More Likely to ‘Superspread’ Than the Flu
Forced evacuations as glacier the size of a football pitch threatens Italian valley
US reports show racial disparities in kids with COVID-19
Unidentified gunmen kill about 20 in attack on cattle market in eastern Burkina Faso
Need to Take the MCAT? You'll Still Have to Do It in Person
Indian serum institute to make 100 million virus vaccine doses
Covid-19 Live Updates: Global Tracker
Intranasal vaccine platform has potential for more effective vaccines, fewer side effects
At least 14 killed as Air India Express plane skids off runway in India
US imposes sanctions on Hong Kong leader Lam and other Chinese authorities
Newly discovered mutation could point to heart disease therapeutic target
Misinformation spreads after Lebanon blast: Missile, drone, nuclear warhead?
What's the difference between quarantine and isolation?
Lebanon's Hezbollah leader 'categorically denies' storing arms at Beirut blast site
Ukraine’s prisons go up for sale
New reporter mouse strain offers powerful genetic tool to identify P2X2-expressing cells
Cochlea-Implantate: Erhalt des Restgehörs - Biermann Medizin
Is Your Child an Orchid, a Tulip or a Dandelion?
Study finds parents can help kids eat healthier by knowing their own sense of self-control
Protein PPP1R1B: Neues Wirkstoffziel beim Pankreaskarzinom entdeckt
Five-Minute Coronavirus Stress Resets - The New York Times
Humans use the visual part of their brain when hearing sounds in the dark, even if they were born wi...
Ältestes Enzym der Zellatmung isoliert
The strange history of the cargo that caused the Beirut blast
‘Godspell’ in 2020: Masks, Partitions and a Contactless Crucifixion
Belarus police arrest Deutsche Welle correspondent before vote
Hong Kong offers universal virus testing, with Beijing's help

Leave a Reply

Your email address will not be published. Required fields are marked *

Next Post

Fushë Kosovë, gjenden laptopë, bizhuteri e syze të vjedhura

Sat Aug 1 , 2020
Dje në rrugën ‘Dardania’ në Fushë Kosovë është arrestuar një burrë nën dyshimin për vjedhje nëpër lokacione të ndryshme. Sipas raportit policor gjatë kontrollit në shtëpinë e të dyshuarit janë gjetur dhe sekuestruar si prova materiale: një llaptop, iped, bixhuteri, syze, parfume të ndryshme, makinë për prerje dhe tharje të […]