How to bring down the temperature of a nursing mother quickly. Why does the temperature rise in a nursing mother and how to reduce it. Acceptable means to reduce the temperature during lactation

The temperature in the mother during breastfeeding is dangerous because most of the diseases that lead to the onset of fever require medication. However, they can enter the baby's body with milk and cause unpleasant consequences.

More recently, when a fever appears, the doctor would recommend that a nursing woman temporarily transfer the baby to artificial mixtures until she fully recovers. According to modern experts, weaning a baby from the breast is not necessary at all. Then a reasonable question arises: how to bring down the high temperature during breastfeeding. The solution to this problem depends on the cause that caused the temperature increase.

There are several reasons why a mother is so unwell as a high temperature. The most common include:

• SARS.

• Laktostasis.
• Poisoning.
• Infections.

With SARS, a woman feels sore throat, general weakness, she is worried about coughing, nasal congestion, sneezing. Also, with this disease, the lymph nodes increase in patients.

With lactostasis, the breast skin turns red, becomes hot to the touch, seals are found in the affected mammary glands. A nursing mother feels general weakness, her pressure decreases. Lactostasis can turn into mastitis: it is in this case that the mother's temperature rises to 39.5-40 0 C.

Poisoning is manifested by nausea, diarrhea, pain in the head and abdomen. The skin of the patients is pale, there is general weakness, drowsiness.

Symptoms of infectious diseases differ depending on which organs are affected by the infection.

Temperature reduction methods

First of all, you need to consult a doctor and describe the symptoms in detail to him. After making an accurate diagnosis, the doctor will prescribe treatment.

You can bring down the temperature during breastfeeding not only with the help of drugs, but also with traditional medicine. In some cases, it is worth giving preference to folk recipes, since they are not capable of harming the health of the mother and baby.

Traditional medicine

If the cause of the fever was a cold, then you can use raspberries, currants, medicinal herbs or lemons to lower it.

In cases where a woman does not know how to bring down the temperature, it is recommended to treat with cool compresses applied to the forehead. The most common means for preparing a compress is table vinegar. It must be diluted with boiled water and treated with elbow joints, knee bends, armpits, and neck.

It should be remembered that pregnant women should not wipe themselves with alcohol at a high temperature: this contributes to the rapid penetration of alcohol into milk, which can cause poisoning of the baby.

Do not use folk remedies for a long time if they do not bring results. Perhaps the high temperature was provoked by causes that require serious treatment.

Medicines

Permitted medications for pregnant women include:

• "Nurofen".
• "Paracetamol".

• "Ibuprofen".

"Nurofen" and "Paracetamol" in the form of tablets are considered the most effective and safe, because they have a minimum number of side effects. It is necessary to take such funds, strictly observing the doses recommended in the instructions.

Another effective and safe antipyretic are preparations produced in the form of candles. The composition of such candles includes "Paracetamol" and "Ibuprofen". The advantage of suppositories is that their active substances do not pass into breast milk. However, when using this method of treatment, it should be borne in mind that they are not as effective as tablets.

Treatment of high temperature should include not only pharmacological preparations and traditional medicine, but also warm drinks: water, rosehip broth, compotes. Drinking plenty of liquids helps to quickly eliminate infections that cause fever from the body.

If the cause of the fever is mastitis or lactostasis, then in this case, drinking plenty of water for a nursing mother will be contraindicated: you need to drink liquids only when you want.

It must be remembered that it is impossible to take antipyretics without a prescription from the attending physician, since many of them are strictly prohibited for women with hepatitis B. When taking permitted funds, a woman may not stop feeding the baby. In this case, it is advisable to drink the medicine immediately after feeding. In this case, the level of active ingredients of the drug in the mother's blood will have time to decrease before the next feeding.

Scientists have proven that the mother’s high temperature is not capable of harming the baby; with milk, special antibodies will get into his body, helping to develop stable immunity.

Feeding with mother's milk, a patient with mastitis or lactostasis, will not harm the child. On the contrary, the process of feeding in this case helps to improve the condition and speedy recovery of the patient.

If the body temperature does not exceed 38.5 0 C, then it is advisable not to knock it down.

What drugs can not be taken with HB

It is not recommended for mothers to use combined antipyretics during breastfeeding: many drugs based on Paracetamol contain substances whose mechanism of action on the body of infants has not been studied. These drugs include:

• "Rinza".
• "Terra Flu".
• "Coldrex" and others.

In this regard, the use of "Paracetamol" with HB is allowed only in its pure form.

It is also not recommended to treat fever in nursing women with Aspirin because of the risk of developing topical damage to the liver and brain of the head in the baby. This drug must be taken very carefully: only a single use of Aspirin is allowed only in cases where there is no other, safer remedy in the home medicine cabinet.

If there is a need to take potent antibiotics, the baby is temporarily transferred to milk formulas. During this period, the mother needs to express milk to maintain lactation.

If during lactation there are questions: how to bring down the temperature of the mother during breastfeeding and what you can drink from the temperature, then it is best to opt for safe folk remedies. If the temperature does not subside, and the symptoms of the disease do not go away, then you need to seek help from your doctor.

For a nursing mother, an increase in body temperature can be an unpleasant surprise. A woman will certainly have a question: are there safe methods to lower the temperature? What are the reasons for the high readings of the thermometer and how to fix the problem during breastfeeding?

Causes of fever in a woman while breastfeeding

There are a number of factors that can trigger a rise in body temperature in a breastfeeding woman. They can be conditionally divided into postpartum (occurring immediately after childbirth) and general, that is, those that may appear throughout the entire period of breastfeeding.

Postpartum cause of elevated body temperature can be:

General conditions accompanied by an increase in body temperature during breastfeeding:

Video: mother's temperature during breastfeeding

Normal temperature for a breastfeeding mother

Young mothers should be aware that throughout the entire period of breastfeeding, body temperature can reach values ​​​​of 37–37.5 degrees. Especially often, a slight increase in temperature occurs at the stage of lactation formation described above and each time directly during feeding with a rush of a large amount of milk.

The process of milk arrival is accompanied by an increase in body temperature. This is a physiological norm.

Correct temperature measurement

In order to get the correct value on the thermometer, it must be taken into account that when measuring in the armpit, the result will be slightly higher due to the close proximity of the mammary gland, in which milk is intensively flowing.

It is necessary to measure the temperature in the armpit at least 30 minutes after feeding or pumping.

Measurements can be made without standing for half an hour after emptying the chest, in the elbow bend.

For the first 2 months after the birth of a child, it is advisable for a young mother to measure body temperature in the elbow area.

Is it worth bringing down the temperature of 37-38 degrees

You should know that rising temperature is a natural reaction of the immune system to an inflammatory process or a virus. Most microorganisms harmful to humans die at this temperature. That is why it is important at this stage not to interfere with the natural struggle of immunity and not to take measures to reduce body temperature.

The actions of a young mother at a temperature of 38 degrees and above

Temperatures above 38 degrees must be reduced. First of all, it is necessary to analyze the general condition to determine the reason for its increase.

Causes of the pathological condition and methods of treatment

The actions of a nursing mother with an increase in temperature due to various reasons:

When a woman finds it difficult to determine the root cause of fever, as well as in all the cases described above, it is strongly recommended to consult a doctor to prescribe adequate and safe treatment.

The use of antipyretic drugs

The active ingredient of Paracetamol does not have a negative effect on the child, although it passes into breast milk. The drug is taken as an antipyretic and analgesic. Available in the form:

• tablets. Take no more than four grams of the tablet preparation per day, which should be divided into three doses;
• rectal suppositories for children. Candles in the absence of tablets, it is permissible for a woman to enter, but not more than 0.5 grams up to four times a day;
• syrup for children Paracetamol in syrup is used in a volume of up to 40 milliliters per day, divided into several doses.

When using children's forms of drugs, first calculate how much of the drug will be identical to one tablet in terms of the content of the active substance. After all, taking children's dosages may be ineffective for an adult woman.

Paracetamol is an excellent choice for pain relief and fever reduction in breastfeeding mothers

To reduce the effect on breast milk, the minimum dose of the drug should be taken. The final dosage should be determined by the doctor.

Paracetamol is also available under the trade names:

• Paracet;
• Panadol;
• Efferalgan,
• Rapidol.

According to the instructions, Ibuprofen is compatible with breastfeeding. At the same time, in addition to antipyretic properties, it relieves pain during lactostasis, mastitis, headache during acute respiratory infections and acute respiratory viral infections.

Ibuprofen is available in the form of tablets, suspensions, suppositories. No more than 1200 mg of a tablet is allowed per day, but the doctor should recommend the exact dosage and regimen.

In the form of suspensions and rectal suppositories, the product is labeled "for children". For adults, children's dosages are not effective.

Ibuprofen is compatible with breastfeeding, but it can be taken by nursing mothers only after consulting a doctor

Less than 1% of the accepted dose of the drug penetrates into the mother's milk. After three hours, the active substance will practically not be in the milk. Therefore, some mothers, for their own peace of mind, take a pill immediately after feeding and maintain this period of time until the next meal of the baby.

Ibuprofen is available under the trade names:

• Nurofen;
• Faspik;
• Brufen;
• Ibusal;
• Ibuprom and others.

Decrease in temperature by non-drug means

There are ways to reduce the temperature that are not associated with taking medication.

Drinking regime

The immune system fights viruses and bacteria. As a result of this counteraction, harmful organisms are destroyed. Their decay products are toxic. Drinking plenty of water naturally helps to flush them out.

Any fluid from the gastrointestinal tract will enter the blood only when its temperature is equal to the temperature of the stomach. That is, a cold drink, before entering the blood, must warm up inside the body, hot - on the contrary, it will not be absorbed until it cools down.

Drinking plenty of water will help bring down the fever.

You can drink any drinks that are allowed to be consumed while breastfeeding.

Bed rest

Rest is an additional measure in the fight against elevated body temperature. Since the body does not waste energy on physical activity, all internal resources are directed to overcome the disease.

Cool compress on the forehead

A compress will help speed up the process of lowering the temperature, as well as relieve pain. You can apply a towel soaked in cool water to your forehead. It is allowed when breastfeeding and the use of compresses with table vinegar.

One way to reduce body temperature in a nursing mother is to use an vinegar compress.

It is believed that vinegar helps to reduce the temperature due to its ability to quickly evaporate. The effect is achieved because the temperature of the surface from which evaporation occurs decreases.

Table vinegar is diluted with cool water in a ratio of 1: 1, stirred and applied to the forehead. You can use apple cider vinegar, which has a less pungent odor compared to classic.

Body massage

Sponging is a method that is often resorted to when necessary to reduce body temperature. As in the case of a compress on the forehead, you can use cool water for the procedure or dilute it in a 1: 1 ratio with vinegar. With a soft towel or a piece of cotton cloth wipe the whole body, bypassing the chest. Particular attention should be paid to the places of accumulation of large vessels. This is the neck, bends of the elbows and knees, inguinal region.

Inadmissible actions when the temperature rises

Often, elevated body temperature causes chills. At this moment, warming up is a natural human desire. And many mothers make a common mistake - they artificially increase the temperature.

Warm clothes and warm blankets

A stuffy environment can provoke a violation of heat transfer. The result will be an even higher temperature. Therefore, light, preferably cotton, loose clothing should be preferred. If a feeling of severe chills haunts, you can hide yourself with a light blanket.

Hot drinks

The higher the heat, the more fluid the body needs. Water must flow not only in the required volume, but also a certain degree of heat. Hot drinks can cause a fever. Therefore, we remember the main rule: the liquid consumed and body temperature should be approximately the same.

Warm rubbing

In addition to the fact that thermally influencing the body is, in principle, strictly prohibited during elevated temperatures, most often warming rubbings are alcohol-containing. Their use is unacceptable during breastfeeding, since alcohol is very quickly absorbed into the bloodstream through the skin and enters the baby's body with milk.

Whatever provoked an increase in body temperature in a nursing mother, it is necessary to immediately find out the cause and begin to eliminate it. Harmless procedures that eliminate the possibility of harm to mother and baby, aimed at reducing symptoms, can be carried out before consulting a doctor. However, in order to avoid mistakes that can lead to negative consequences, an appeal to a doctor is still necessary. First of all, for the correct diagnosis and determination of treatment tactics.

Of course, after the birth of a baby, mom has no time not only to get sick, but even to get enough sleep. But sometimes the body's defenses give up their positions, and the disease takes its toll. In this case, the question immediately arises - is it possible to breastfeed at a temperature? Many mothers worry that microbes or a virus will get to the baby with milk. However, most doctors agree that the temperature of a nursing mother is not a reason to refuse breastfeeding. The main thing is to understand the causes and start treatment.

Before you begin to solve the problem, you should find out its source.

The temperature in a nursing mother can rise for several reasons, requiring a completely different approach to treatment:

• a slight increase (up to 37-37.5 degrees) is often accompanied by ovulation and the second phase of the menstrual cycle. This is not dangerous and does not require intervention;
• also slight fluctuations in temperature during lactation (within 37 degrees) can cause stress and severe overwork. In this case, you need to allow yourself to rest and sleep;
• immediately after childbirth, an increase in temperature may indicate inflammation in the uterus. If it is accompanied by pain in the lower abdomen, it is better to immediately consult a doctor;
• quite often, after the birth of a baby, the mother may experience an exacerbation of chronic diseases, which also causes fever;
• one of the most common reasons for the increase in the "rate" is ARVI or acute respiratory infections. They are accompanied by sore throat, runny nose, cough and general malaise;
• very often during breastfeeding, the temperature causes lactostasis or mastitis, which occurs due to stagnation of milk. With cracks and abrasions on the nipples, purulent complications begin due to a connected bacterial or fungal infection. Also, the cause of mastitis can be skin diseases or problems in the endocrine system;
• food poisoning can also be accompanied by an increase in temperature. In parallel, there is pain in the abdomen, nausea, vomiting, diarrhea.

Each of these causes affects the health of the baby in different ways and requires different treatment. A sharp increase in the thermometer is an unequivocal signal for an urgent visit to the doctor. If you miss the initial stages of mastitis or postpartum complications and do not treat them on time, serious drug therapy may be required, in which there can be no talk of HB. Yes, and after it, it is most likely that it will not be possible to continue natural feeding, as the child will get used to the bottle.

Temperature in a nursing mother: what to do

First of all, you need to remember that the temperature during HB is not a reason to panic. Having found signs of malaise in yourself, you need to take care to minimize its consequences and get rid of the disease as quickly as possible with safe means for the baby.

Another important point is the correct measurement. During the feeding period, it often happens that when measured in the armpit, the thermometer can give slightly increased readings. To get accurate information, it is better to measure the temperature in the elbow or in the groin. Also, some doctors advise keeping a thermometer in the mouth - it is placed under the tongue, closer to the frenulum, where the blood vessels pass.

If you suspect lactostasis or mastitis, you need to put a thermometer in both armpits in turn. Lactostasis can often form without an increase in temperature or with a slight increase in temperature - up to 37 degrees, and the difference between the two "armpits" can be significant. But an increase to 38 degrees and above, without a large spread between the two sides, may indicate mastitis.

It is best to take the temperature 20-30 minutes after feeding or pumping. A mercury thermometer must be kept for at least 5 minutes, and an electronic one will tell you when enough is enough.

Call a doctor and find out the reason

The first step when the temperature rises is to find out the cause. To do this, it is best to consult a doctor - only he will be able to determine the source of the ailment for sure and suggest the best method of treatment. Self-diagnosis and self-treatment are fraught with the wrong choice of drugs and the deterioration of the condition of not only the mother, but also the baby.

If fever during breastfeeding is caused by infectious diseases (flu, colds, SARS), then sometimes folk remedies are enough. But if they do not help for a long time, the doctor will prescribe a stronger medication.

home remedies for fever

At the very beginning of the disease, when a nursing mother has a temperature of up to 38 degrees, she does not need to be knocked down. In this case, it is rather useful, since it is with an increase in body temperature that a special protein begins to be produced - interferon, which fights viruses.

If the cause of the fever was a virus or a cold, you need to provide the body with support. Drink more (but not honey or raspberries, they increase the heat. You don’t need to wrap yourself up, you should not be hot or cold, but comfortable. Ginger, cranberries, lemon help well, they will simultaneously strengthen the immune system, speeding up recovery.

The body has two ways to "reset" excess temperature - through heating the inhaled air and sweat. Therefore, when the temperature rises, it is often recommended to drink plenty of water - so that there is something to sweat, and cool air in the room - so that there is something to warm.

It is better to drink not just water, but “healthy” drinks - berry fruit drinks, tea with jam, compotes, decoctions of medicinal herbs. Of the latter, they have proven themselves well:

• chamomile - relieves inflammation;
• linden - has a diaphoretic effect;
• currant leaves and berries - have a strong antiviral effect.

Herbal teas, berry compotes and fruit drinks can be drunk only if they are not allergic. If such drinks have not yet been introduced into the diet of a nursing mother, then they should be taken carefully and in small portions, following the rules for introducing new products for breastfeeding.

Wiping with warm water also helps well - it is warm, not cold! You can add a little apple cider or, in the absence of such, table vinegar to the water. Wipe the skin of the arms, legs, palms and feet, back and chest. You can put a compress on your forehead. It is better to postpone rubbing with alcohol for later - it easily penetrates into milk through the skin.

If the temperature during breastfeeding was caused by lactostasis or mastitis, drinking plenty of water is contraindicated for the mother, as it provokes a rush of milk. You should not go to extremes and generally refuse to drink - you can drink when thirst appears, but do not be zealous.

With lactostasis, pumping or breastfeeding helps to bring down the temperature. But with some forms of mastitis, feedings have to be abandoned for a while. Only a doctor can determine the form of the disease.

What is possible at a temperature for a nursing mother

If you can’t bring down the temperature during breastfeeding with the help of folk remedies, you have to turn to medical treatment. Ideally, it should be prescribed by the attending physician, taking into account all the characteristics of the body of both the mother and the baby, as well as the diagnosis.

As a rule, at a high temperature, nursing mothers are prescribed Ibuprofen, Nurofen or Paracetamol. They are considered the safest during this period, as they are quickly excreted from the body. You need to take the tablets immediately after feeding, so that by the time of the next application, the active substances of the drugs have already left the mother's milk and blood. Be sure to follow the recommended dosage, it is indicated in the instructions or doctor's prescription.

Also, suppositories containing paracetamol or ibuprofen can help a nursing mother from temperature. With this use, their active substances practically do not enter the milk, therefore they are safer for the baby. But at the same time, suppositories are less effective than tablets.

An important rule is that the pill can only be taken if the temperature rises above 38 degrees. You need to drink medicines with plain water, not tea or coffee. If no effect is observed within three days, you should consult a doctor for a more appropriate treatment.

Antipyretic, prohibited with HB

There are many complex preparations that allow you to quickly bring down the temperature with a cold and get rid of the symptoms of the disease. These include funds such as "Coldrex", "Teraflu" and the like. It is forbidden to use them during breastfeeding, as they contain many substances that are dangerous for the baby.

If the mother has a high temperature during breastfeeding, it is strictly forbidden to take aspirin and preparations containing it. It is very toxic to a child and can cause topical damage to the liver and brain.

If there is nothing in the home medicine cabinet other than Aspirin or Coldrex, you should not hope for "maybe it will carry over" and take them. It is better to urgently send relatives to the pharmacy for a safe medicine or try folk remedies.

Is it possible to breastfeed with a temperature

The most important question that worries a sick mother is whether it is possible to feed a child at a temperature. The answer to it is unequivocally positive - it is not worth stopping lactation due to temperature.

If the mother's high temperature was caused by a viral infection, this means that she was sick a few days before the onset of fever (incubation period), and through close contact with the baby, she managed to transmit the virus to him. With an increase in temperature in the mother's body, the production of antibodies starts, especially a lot of them are concentrated in milk. Therefore, by continuing to feed, you can prevent the illness in the baby or help him overcome it faster and easier.

In addition, a sharp refusal to feed becomes a huge stress for the child, especially against the background of illness. Because of this “betrayal” and more affordable milk from a bottle, the baby may completely refuse to breastfeed in the future. And if earlier sick mothers were recommended to transfer the baby to the mixture, today doctors (including Dr. Komarovsky) advise mothers to calmly continue natural feeding even during illness.

You can breastfeed your baby even if the temperature was caused by lactostasis or mastitis (with the exception of some of its forms) - this helps to bring down the fever and alleviate the mother's condition.

Summing up, we can say that the temperature does not interfere with continuing breastfeeding at all, and sometimes it helps to cope with the disease. The main thing is to carefully approach the choice of treatment, carefully observe the dosage and rules of administration. Mother's milk is the most important source of not only nutrition, but also the antibodies necessary for the baby, which should be abandoned only in the most extreme cases.

An increase in body temperature is the first sign of a protective reaction of the body. This is how our body tries to cope, for example, with viruses and infection, or indicates that malfunctions have been detected in the work of some organs and systems. It is worth noting that the change in body temperature can depend on many factors that are not necessarily related to the state of health, for example:

• with age;
• time of day;
• impact on the environment;
• pregnancy
• individual characteristics of the body and so on.

If an increase in temperature is considered as a symptom of inflammation (say, a cold), then certain groups of anti-inflammatory, antipyretic drugs are used for therapeutic purposes. Unfortunately, most known drugs are not applicable during lactation.

Chemicals that get into the blood will also get into the mother's milk, and therefore into the baby's body. This can cause serious damage to the baby: from an allergic reaction to toxic poisoning, or even much worse. Then the question arises, how can a nursing mother bring down the temperature with a cold?

What can bring down the temperature of a nursing mother?

Following the rise in temperature come fatigue, body aches, headache, feeling sleepy. In this state, it is more difficult for a woman to care for a baby. But something needs to be done, but what if it really is a virus? If nothing is done, will things get worse?

First you need to accurately set the temperature. During lactation in women, the temperature in the armpit is slightly higher than usual. Therefore, it must be measured at the elbow bend. If a nursing mother has no other symptoms besides the temperature, and her indicator does not exceed 38.5, you can not try to bring down the temperature with medicines. Try to rest, sleep, let the body overcome the malaise on its own. A wet cold compress on exposed skin will help perfectly, including with an vinegar solution on the forehead. Wipe the temples, elbows and knees, neck, armpits with a swab moistened with acetic solution. Evaporating, the vinegar cools perfectly.

You can try traditional remedies - raspberries, honey, lemon, sea buckthorn, currants, medicinal herbs. Natural products are safe for the baby, and their composition will help improve the mother's condition.

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If these remedies do not bring relief, paracetamol is allowed during breastfeeding. This is the safest medicine that is prescribed even for pregnant and lactating women. The drug can be used in the traditional form (tablets) or in the form of suppositories, syrup, which is also effective. The main properties of the drug:

• antipyretic;
• analgesic;
• moderately anti-inflammatory;
• inhibition of excitability of the thermoregulation center;
• inhibition of the synthesis of inflammatory mediators.

Paracetamol is not the only drug allowed while breastfeeding. A nursing mother with a cold can try to bring down the temperature with nurofen (ibuprofen). It is better to refrain from taking other traditional drugs of a similar type of action.

If the temperature cannot be brought down, and the general condition worsens, it is recommended to consult a doctor. Strong fever may need to be brought down with antibiotics, then feeding will have to be stopped for a while: express milk as much as possible before antibiotic therapy, then do not forget about prebiotics.

Few people manage to avoid ailments after childbirth: the woman’s immune defense is weakened, and the baby, sucking on mother’s milk, draws useful elements from the body. An increase in body temperature is a signal of possible threats to the health of a nursing mother. The situation is complicated by the fact that substances from antipyretic drugs with breast milk penetrate the baby's body, so swallowing pills to bring down the temperature is undesirable. Folk remedies are also unsafe. How and what to be treated - let's put it on the shelves.

Why does a breastfeeding mother have a fever

The reaction of the body to external stimuli or to changes in the internal organs often manifests itself in the form of an increase in body temperature, or hyperthermia. This condition occurs if the mercury column on the thermometer under the arm exceeds 37.

In nursing mothers, indicators from 36.4 ° C to 37.3 ° C are considered the norm. An important detail - in the first two months after childbirth, it is wrong to place a thermometer in the armpit when measuring temperature, the result will be inaccurate. Near the armpits in the mammary glands, work is in full swing to produce breast milk, which affects the thermometer readings. Place the thermometer in the crook of your elbow - this way you will get the correct figures for the total body temperature.

During lactation, hyperthermia in a nursing mother is usually caused by:

• viral diseases - SARS, rotavirus infection (intestinal flu);
• bacterial infections - tonsillitis, tonsillitis, pneumonia, sinusitis;
• lactostasis - stagnation of milk in the mammary glands, mastitis - inflammation of the mammary glands;
• complications after childbirth - inflammation of the sutures, including those imposed after a caesarean section, pathologies in the uterus (for example, endometriosis - an overgrowth of the epithelial tissue of an organ) or in the vagina;
• exacerbation of chronic or the emergence of new diseases of internal organs - cystitis, pyelonephritis;
• food poisoning.

The formation of lactation, which occurs in the first days after the birth of a child, can also cause a woman's temperature to rise, but not to high values ​​\u200b\u200b(37.5 ° C). However, when there is a sharp temperature jump to 38 ° C and above, medical attention is needed. The first 6 weeks of the baby's life, the gynecologist continues to observe the mother, simultaneously consulting with other specialists - a general practitioner, pediatrician, infectious disease specialist. Later, the woman comes under the control of the local therapist.

The onset of breast milk production may be accompanied by hyperthermia, but this does not pose a danger to mother and baby.

SARS

In a wet autumn or cold winter, catching an acute respiratory viral infection is easy. Even taking into account the fact that the circle of communication of a nursing mother is temporarily limited, home or a girlfriend on “carriage” walks can infect.

Given the general weakness of the body after childbirth, it is unlikely to provide adequate resistance to an aggressive virus. Therefore, it often jumps to 38 ° C and above. Feeling worse. A woman asks a logical question - how to continue breastfeeding in this state; The answer is unequivocal - continue as usual. Arguments:

• for a baby, there is no food better than breast milk; only from the mother's nutrient fluid, the child will receive an optimally balanced complex of useful substances necessary for growth and development;
• antibodies from the mother’s body, which have already begun to be produced in response to the infection, will get to the child with breast milk and protect him from viruses; the baby's immune system in the fight against pathogenic microbes will harden and become stronger.

While breastfeeding, the mother is required to wear a medical mask so as not to infect the baby.

The doctor called to the house, if necessary, will prescribe the patient antipyretic drugs that are allowed to be taken during lactation, or tell you how to quickly and safely bring down the temperature with improvised means.

Almost all antiviral drugs are prohibited during breastfeeding, so the main task of therapy is to relieve the patient of the symptoms of the disease. Warm drink, nose drops recommended by the doctor, gargling will alleviate the woman's condition.

Already on the 3-4th day after infection, the temperature returns to normal, and on the 7th day the infection passes. However, if the column on the thermometer does not slip for several days, it is likely that SARS has caused complications.

Infections caused by bacteria

Often appear as complications of a viral infection, one of the symptoms is a high fever that lasts more than 3 days. Angina with bronchitis can occur on its own; in this case, the disease develops rapidly, the temperature rises sharply.

With an infection caused by pathogenic bacteria, you need the help of a doctor who will prescribe a course of antibiotics to a nursing mother. Some antibacterial drugs can be used with caution while breastfeeding.

With a bacterial infection, it is important to bring down the temperature and drink antibiotics allowed during lactation.

If an omniscient girlfriend or an experienced neighbor advises resorting to folk remedies, be careful: among medicinal herbs there are a lot of allergens that, once in breast milk, will harm the health of the baby. You should not flatly refuse traditional medicine, but after choosing a remedy, first get the doctor's approval.

In exceptional cases, when the health of a nursing mother is at risk, the doctor prescribes drugs that are not compatible with breastfeeding. The course of admission, as a rule, is short-term, and while the mother is drinking pills, the baby is transferred to artificial mixtures. In order not to interrupt lactation, it is better for a woman to express herself.

Laktostasis and mastitis

Lactostasis appears when the mother irregularly puts the baby to the breast or when the baby grabs only part of the nipple with her mouth and does not empty the breast completely. Milk accumulates in the glands, the ducts are clogged. A woman sees and feels:

• tightness in the chest;
• redness of the skin at the site of compaction;
• pain with light pressure on the "lump" in the chest;
• an increase in temperature - because inflammation occurs.

To eliminate the stagnation of milk, it is enough to establish proper feeding of the baby. The child is the mother's main assistant in this matter: the more diligently sucks milk, the faster the seal resolves.

If no action is taken, after 2-3 days, lactostasis is likely to turn into infectious mastitis. The dairy environment is favorable for the reproduction of the causative agent of mastitis - which penetrates inside through cracks in the nipples. Mom:

• temperature jumps up to 40 °C;
• chills, intense thirst;
• the diseased chest enlarges, hardens, becomes like a stone;
• the outflow of milk is very difficult, the baby barely sucks drop by drop.

Launched lactostasis turns into mastitis; the inflammatory process develops intensively

When there is no treatment or it is inadequate, mastitis passes into a purulent stage - traces of pus appear in breast milk. Up to this point, breastfeeding was not prohibited. Now, in order not to infect the child, the mother has to wean the baby from the breast.

The World Health Organization recommends that breastfeeding mothers with purulent mastitis should not stop breastfeeding because studies have shown that breastfeeding is safe. In addition, pus is a dead bacterial flora.

Most Russian doctors are skeptical about this approach. However, they agree with WHO regarding treatment: relatively safe antibiotics (Cephalexin, Amoxicillin) will help to deal with staphylococcus aureus. With mastitis, it is necessary to bring down the temperature - analgesics with antipyretic action (Paracetamol,) will help here.

Complications after childbirth

In the first 5-6 weeks after childbirth, stitches that are applied after a caesarean section or with ruptures after a normal birth can make themselves felt. Even in the capital's maternity hospitals, when “suturing up” a woman in labor, the medical staff sometimes uses coarse materials that cause a lot of inconvenience to the woman and cause inflammation of the internal organs. It happens that the seams diverge.

As a result, the patient has:

• pain in the affected area;
• specific discharge from the vagina with a putrid odor;
• purulent discharge in the area of ​​​​the seam (with caesarean);
• temperature rise.

The help of a gynecologist with such complications is necessary, since the inflammatory process will not go away without therapy, it will affect neighboring organs. Removing the remnants of the suture material and medicines allowed for nursing mothers will solve the problem.

chronic diseases

The weakened immunity of a nursing mother contributes to the return of chronic sores - even those that “slept” in the body during pregnancy. And now the woman again feels the forgotten symptoms of bronchial asthma, herpes, cystitis. The course of the disease is getting worse.

Sometimes there are new diseases - ovarian cyst rupture, appendicitis and other pathologies of internal organs. All cases are characterized by hyperthermia.

Appendicitis is accompanied by pain in the right side and fever

You can’t hesitate: when the temperature rises to 38 ° C and above, you need to seek medical help. Accurate diagnosis and timely prescribed therapy will help to avoid complications.

The issue of continuing breastfeeding in case of exacerbation of chronic diseases is decided by the attending physician. Of course, in acute situations, when the patient is admitted to the hospital, the baby is temporarily transferred to the mixture.

food poisoning

Signs of intoxication of the body with food speak for themselves:

• nausea, vomiting;
• diarrhea - with severe poisoning, you have to visit the toilet 20-30 times a day;
• sharp pains in the abdomen;
• hyperthermia.

Similar symptoms are characteristic of intestinal flu (infection caused by rotaviruses). Safe antipyretics prescribed by your doctor will help you feel better. It is not recommended to stop breastfeeding: mother's antibodies in breast milk will protect the baby from infectious agents.

If the poisoning is severe, you need to call an ambulance; mother will be treated in a hospital.

When You Shouldn't Breastfeed With a High Temperature

It is problematic to continue breastfeeding if the temperature has jumped to 40 ° C. First of all, the serious condition of the woman does not allow her to put the baby to her breast. And studies have shown that at high temperatures, the taste of breast milk changes, so the baby is likely to refuse to suck on his own.

However, it should be understood that hyperthermia does not affect the quality of milk: the nutrient liquid does not sour and does not burn out. Mother's milk cannot be spoiled.

When there is no strong heat, the baby can be safely applied to the chest. In the case of purulent mastitis, the mother has the right to follow the recommendations of the WHO, but the doctor will most likely advise not to take risks and suspend breastfeeding.

It is forbidden to breastfeed if a woman:

• AIDS;
• exacerbated tuberculosis;
• syphilis;
• heart failure;
• chronic diseases of internal organs - for example, renal failure; if the pathology is not severe, the doctor decides on breastfeeding;
• hepatitis B or hepatitis C (at the discretion of the doctor).

In exceptional cases, the doctor has to prescribe medications that are not compatible with lactation to the patient. Regular pumping will help out, thanks to which the production of milk in the mammary glands will continue. After stopping the drug, wait 3-4 days until the remnants of the medicinal substances leave the body, and then give the baby a breast.

Antipyretics during lactation: which can be taken, which are not

The World Health Organization names only two drugs for hyperthermia that are not prohibited for nursing mothers: Paracetamol and Ibuprofen.

Paracetamol and its derivatives

A drug called Paracetamol is available in every home first aid kit. It is a non-narcotic analgesic with antipyretic and weak anti-inflammatory effects. The active substance of the drug is called the same as the drug itself; released in a dosage of 350, 500, 650 mg.

Cheap and safe: to bring down the temperature, nursing mothers can take Paracetamol tablets

The maximum concentration of the active substance in the body occurs 40 minutes after taking a Paracetamol tablet and lasts 2 hours. It is recommended to take up to 4 tablets per day, but it is better for a nursing mother to check the dosage with a doctor. The course of admission is 5-7 days. If taken longer, there will be a threat of impaired kidney and liver function.

The instructions for the drug indicate that the active substance passes into breast milk, but no toxic effect on the child's body has been identified. During lactation, it is recommended to use with caution, since potential risks for the baby are still possible.

Paracetamol analogues contain the same active ingredient; the difference lies in the addition of auxiliary components, in the speed of impact on the body and in price. At the same time, drugs cope with the task of lowering the temperature and alleviating pain in the same way, and you will not find cheaper Paracetamol (16 rubles per pack) among them.

Excipients in the preparations increase the risk of allergic reactions in the patient, and also expand the list of side effects and contraindications. By the way, the drug Paracetamol has no excipients, so there is virtually no “side effect”.

Table: antipyretic drugs with paracetamol

Another popular drug with paracetamol - Efferalgan - should not be taken by nursing mothers, since the effect of drug excipients on the child, as in the case of Fervex, has not been studied.

Photo gallery: Paracetamol analogues for nursing mothers

Panadol is allowed during lactation, but it fights hyperthermia, not inflammation
In rare cases, the doctor prescribes Coldrex Hotrem to a nursing mother.

Ibuprofen and its derivatives

Ibuprofen, one might say, is a “relative” of Paracetamol - it acts on the body in a similar way:

• relieves inflammation;
• lowers the temperature
• relieves pain.

The remedy is prescribed for respiratory tract infections, arthritis, neuralgia and other pathologies that are accompanied by fever. The active substance is ibuprofen, there are no auxiliary substances. The drug is produced in tablets of 200 and 400 mg, you need to swallow 2-4 tablets per day (of course, the doctor can change the dosage for a nursing mother). The course of treatment is 2-3 weeks.

The concentration in the body of ibuprofen reaches its highest values ​​2 hours after ingestion. Among the adverse reactions:

• dizziness;
• sleep disturbance;
• nausea, vomiting;
• diarrhea;
• skin rash;
• angioedema.

Like the substance paracetamol, ibuprofen passes into breast milk. The instruction does not prohibit the drug Ibuprofen for nursing mothers with one condition - no more than 4 tablets per day (200 mg each). If the dose is increased, you will have to stop breastfeeding.

Ibuprofen has had side effects, but the drug is allowed for nursing mothers in limited doses

Pharmacies also sell other drugs with ibuprofen. Some medications are also allowed while breastfeeding.

Table: antipyretics with ibuprofen

Nurofen acts quickly to bring down the temperature, 1-2 tablets are often enough for a nursing mother

In order for the substances from the preparations to reach the child's body in a low concentration, try to drink the pills immediately after feeding the baby; then by the next feeding, the content of the drug in breast milk will have time to decrease.

Rectal suppositories

Some antipyretics with paracetamol and ibuprofen are also available in the form of rectal suppositories (suppositories). This dosage form is intended primarily for children, however, doctors prescribe suppositories for nursing mothers because:

• substances from drugs do not penetrate into breast milk (according to other sources, they still penetrate);
• affect the body gently;
• have a longer lasting effect.

As for children, the period of use of suppositories is limited to three days. In principle, this period is enough for women who are breastfeeding to achieve a therapeutic effect.

Cefekon children's rectal suppositories will help bring down the temperature of both the baby and his mother

Before using rectal suppositories, empty the intestines.

Why Breastfeeding Moms Shouldn't Take Aspirin

In fact - the trade name of acetylsalicylic acid (or salicylic ester of acetic acid). The drug has earned a reputation as a leader among antipyretics, it is known and widely used throughout the world.

However, salicylic acid is an enemy for babies; having got into the body of crumbs with mother's milk, the medicinal substance:

• reduces blood clotting, causes hemorrhagic diathesis, internal bleeding;
• reduces the protective properties of the mucous membranes of the stomach and intestines;
• provokes diseases of the kidneys and liver;
• impairs hearing;
• causes bronchial asthma.

It is especially dangerous if the mother takes Aspirin in the first six months of the baby's life.

What else to bring down the temperature

Means from the category of "grandmother's recipes" are better to be postponed until the end of lactation: many medicinal herbs are strong allergens, so it is more expensive to bring down the temperature with decoctions and infusions.

If the temperature is low, a cool compress will help. Drink more - up to two liters of fluid per day. Rubbing the body with a solution of vinegar (1 part vinegar to 3 parts water) is a primitive but effective method. Just do not use vodka for such a procedure - it, of course, will quickly deal with hyperthermia, but it is contraindicated for a nursing mother: even with external use, alcohol penetrates into the bloodstream, which means that traces will also be in breast milk.

If the temperature stubbornly does not give up, the well-known pediatrician Yevgeny Komarovsky advises to alternate antipyretic drugs. For example, Ibuprofen did not help - after two hours, take Paracetamol. But, of course, do not get carried away with pills.

Video: Dr. Komarovsky about medicines for expectant and nursing mothers