Journal List > Hanyang Med Rev > v.30(1) > 1044070

Bae: Maternal Diseases and Breastfeeding

Abstract

Breast-milk is the best nutritional choice for infants. However, due to maternal disease, decisions about permanently stopping breastfeeding or temporarily suspending breastfeeding are very important in infants' health. Therefore, based on the review of this article, breastfeeding must be safely considered in case of specific maternal diseases, focusing on the infectious diseases (viral infections: HIV, HHTLV-1, CMV, and some bacterial infections) for infants' health. Whereas, when the mother has non-infectious infant maternal diseases, other than infectious maternal diseases, necessitating drugs or drug contaminants, other proper guidelines in other reviews must be established.

Figures and Tables

Table 1
Acceptable Medical Reasons for Use of Breast-milk Substitutes
hmr-30-60-i001

From WHO/UNICEF: Baby-Friendly Hospital Initiative. Revised, updated and expanded for integrated car, 2009. Available from: URL: http://www.who.int/nutrition/topics/bfhi/en/index.html

Table 2
Factors to Prove Infection Transmission through Breast Milk
hmr-30-60-i002

From Lawrence RM, Lawrence RA. Breast milk and infection. Clin Perinatol 2004;31:501-28.

Table 3
Breastfeeding Issues for Selected Viral Maternal Infections (from ref. 1)
hmr-30-60-i003

This is slected, limited list intended to consider some important viruses that cause infection in the neonate or infant and possible issues related to breastfeeding and breast milk

Abbreviations: BF, breatfeeding; BM, expressed breast milk; HBV, hepatitis B virus; LBW, low birth weight; PCR, polymerase chain reaction; PI, period of infection; VLBW, very low birth weight; VZV, varicella-zoster virus

aViruses that cause a various of clinical illness in the infant and the mother; the specific illnesses are too numerous to list

bFor breasfeeding and non-breasfeeding situations; does not include all possible or reported modes of transnission (airborne, body fluids, contant, droplet, food-borne)

cDoes not include all possible times of transmission.

dNotes the appropriateness of breastfeeding or use of breat milk when the mother a specific viral infection.

eRefer to the text for more explanation.

fCMV-positive breast milk should be avoided in these infants if they lack CMV-IgG. They are at greater risk to develop CMV-related disease.

gBreast-fed infants who have received hepatitis B vaccine with or without hepatitis B immunoglobulin as indicated by maternal hepatitis are at no greater risk for HBV infection than formula-fed infants (who also should have received hepatitis B vaccine with or without hepatitis B immunoglobulin as indicated by maternal hepatitis B status).

hPalivizamab is indicated for certain children at high risk for respiratory syncythial virus infection, regardless of feeding mode

From Lawrence RM, Lawrence RA. Breast milk and infection. Clin Perinatol 2004;31:501-28.

Table 4
Risk Factors for HIV Transmission during Breastfeeding*
hmr-30-60-i004

*Also referred to as postnatal transmission of HIV (PNT) from WHO/UNICEF: Baby-Friendly Hospital Initiative. Revised, updated and expanded for integrated car, 2009. Available from: URL: http://www.who.int/nutrition/topics/bfhi/en/index.html

Table 5
Breastfeeding Issues for Selected Bacterial Maternal Infections
hmr-30-60-i005

This is a selected, limited list intended to consider some important bacteria that cause infecion in the neonate or infant and possible issues to breastfeeding and breast milk.

Abbreviations: BF, breastfeeding is appropriate; MB, expressed brest milk is appropriate; IV, intravenous; NA, Not applicable; PI, period of infectivity; TB, tuberculosis.

aBacteria that cause various clinical illesses in the infant and the mother; specific illnesses are too numerous to list.

bFor breastfeeding and non-breastfeeding situations; does not include all possible or reported modes of transmission (airborne, body fluids, contact, droplet, food-borne).

cDose not include all possible times of transmission. If "NA" the timing of infection is not associated frequently with pregnancy, delivery, or neonates and infants.

dNotes the appropriateness of breastfeeding or use of breast milk when the mother has specific bacterial infection.

eRefer to the text for explanation

From Lawrence RM, Lawrence RA. Breast milk and infection. Clin Perinatol 2004;31:501-28.

Table 6
Breastfeeding Issues for Selected Maternal Infections
hmr-30-60-i006

This is a selected, limited list intended to consider some important organisms that cause infection in the neonate or infant and possible issuse related to breastfeeding and breast milk.

Abbreviations: BF, breastfeeding; BM, expressed breast milk; NA, not applicable; PCR, polymerase chain reaction; PI. period of infection; SARS, severe acute respiratory syndrome.

aOrganisms that cause various clinical illnesses in the infant and the mother; specific illnesses are too numerous to list.

bFor breastfeeding and non-breastfeeding situations; does not include all possible or reported modes of transmission (airborne, body fluids; contact, droplet, food-borne).

cDoes not include all possible times of transmission. If "NA," the timing of infection is not associated frenquently with pregnancy, delivery, or neonates and infants.

dNotes the appropriateness of breastfeeding or use of breast milk when the mother has an infection with that specific organism

eRefer to the text for more explanation

From Lawrence RM, Lawrence RA. Breast milk and infection. Clin Perinatol 2004;31:501-28.

Table 7
Approach to a suspected infection in a breastfeeding mother
hmr-30-60-i007

From Lawrence RM, Lawrence RA. Breast milk and infection. Clin Perinatol 2004;31:501-28.

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