Which is not a C/I for breast feeding?
Ans: d (Active hepatitis B infection)Ref: William's Obstetrics, 23rd ed., ACOG GuidelinesBreast feeding is recommended by all the nursing mothers immediately in about 30 min post delivery in cases of a normal delivery and usually within 4 hours in cases of a cesarean section unless some obvious contra-indication exists.Breast milk provides all the necessary nutrients that are needed for the growth and adequate development of a baby for the initial 6 months. Hence exclusive breast feeding is recommended.The first secretions on the initial 2-3 days is called as "colostrum" and it contains a very high quantity of immunoglobulins and hence it is recommended to commence breast feeding as early as possible.Active hepatitis B infection is not a contraindication for breast feeding provided the infant has received the anti-HbsAg immunoglobulins and would be vaccinated soon.The immunoglobulins offer significant protection against the virus. Similarly, even active HCV infection is not a contraindication for breast feeding as the risk of viral transfer for HCV is only 4%.Listed contra-indications are: Active TB infectionPatient on treatment for breast cancer Patient taking uncontrolled levels of alcohol Patients on certain drugs Patients having active HIV
Intake of tetracycline
Puerperial mastitis
Intake of lithium carbonate
Active hepatitis B Infection
Miscellaneous (Gynae)