What antibiotics to take for nursing mothers. Treatment with antibiotics while breastfeeding. Breastfeeding after antibiotics

Every woman can get sick, whether she is pregnant, lactating or "ordinary", but not everyone is allowed to be treated with antibiotics. Despite the fact that a woman in a “special” period of life - pregnancy and breastfeeding - is highly discouraged from using medicines, it happens when immediate treatment is required and antibiotics cannot be dispensed with.

In fact, it is quite rare to avoid the use of strong antibacterial drugs, since they are by far the main pharmaceutical agent to fight disease. Therefore, the topic of drug use is quite relevant.

There is a risk in any case, but is it possible to avoid unpleasant consequences? Yes, you certainly may. Here we will find out how compatible antibiotics and breast-feeding. Let's look at the advice of the famous pediatrician Komarovsky and learn a lot of useful information.

Why are antibiotics prescribed for HB?

Why are such drugs prescribed at all, if everyone has long known that during breastfeeding they can lead to a violation of lactostasis, or even worse, a violation of the health of the child? Antibiotics are required in order to treat various pathologies. They are usually called pathogenic microbes and bacteria. For example, you can designate cystitis, pneumonia, pyelonephritis, mastitis, infections urinary tract, endometritis and so on.

The degree of safety of a drug can be determined using their active substances: how much they penetrate into the body, into breast milk, and what negative consequences they have. Many antibiotics can cause various negative reactions, side effects from toxicosis. Even worse, they affect a young, not fully strengthened, children's body.

However, in modern world There are a number of antibiotics that are acceptable during breastfeeding. They have a milder effect on the body of mother and baby. In any case, the instructions always contain a relative compatibility clause. medicinal substance with a period breastfeeding. According to this criterion, antibiotics can be divided into:

prohibited drugs during lactation;
permitted during breastfeeding;
conditionally permitted - are used in certain cases when a nursing mother has severe symptoms that cannot be cured by other means;
drugs whose nature during lactation is unknown, that is, manufacturers have not conducted studies on patients in such a category of people as pregnant women and nursing mothers.

I must say that the last two options are acceptable when treatment with other means no longer helps, and the disease progresses. In this case, the desired effect of the drug prevails over its possible harm.

It is necessary to act only in accordance with the recommendations of the doctor. Only he can prescribe a remedy as close as possible to safe treatment during GW.

Drugs allowed during lactation

Those antibacterial agents that are allowed to be used by women during breastfeeding include:

penicillin group: penicillin, ampicillin, ampiox, amoxicillin;
cephalosporins: cefoxitin, cefazolin, cephalexin;
macroliths: azithromycin, vilprafen, sumamed, erythromycin.

It is believed that a number of these antibiotics can only penetrate into the milk of a nursing mother in small quantities, and therefore they are considered safer medicines.

Interesting on the net:

What could be the consequences?

When it comes to the safety of drugs, it is important to be aware of the consequences of their use. Despite the fact that there are acceptable drugs for hepatitis B, there is always a chance of getting a negative reaction of the body in a baby. The following disorders may occur:

bleeding;
diarrhea;
dysfunction of the kidneys and liver;
bacterial diseases such as thrush;
skin rash;
dysbacteriosis and reduction in the volume of beneficial microflora;
slowing down the production of vitamin K, which leads to the absence of the coagulation factor prothrombin in the baby's intestines, thereby increasing the risk of bleeding;
worsening immune systems s;
the impossibility of rapid absorption of calcium and vitamins D.

As can be seen from the list, all of these disorders are very serious, and their treatment requires immediate hospitalization of the child. Therefore, care in choosing an antibiotic should be the highest!

Dangerous antibiotics for nursing!

We have already talked about which antibiotics are allowed during lactation. Another important question What medications should definitely not be taken while breastfeeding.

First of all, these include a group of aminoglycoside antibiotics: amikacin, gentamicin, neomycin, kanamycin and others. These drugs differ from others in increased toxicity, so their appointment to nursing mothers should be only in the most extreme cases. It is prescribed for the treatment of:

sepsis;
mastitis;
peritonitis;
abscess of internal organs.

If you take such antibiotics, you can get a number of serious side effects: from hearing loss to injury optic nerve. Therefore, before prescribing aminoglycosides, the doctor must fully examine the situation of the patient and, in case mandatory application drugs, explain all the possible consequences.

In addition to aminoglycosides, there are a number of other antibacterial agents, the use of which in the course of treatment is in no way compatible with breastfeeding:

chloramphenicol (can cause cyanosis, worsening the hematopoietic function of the bone marrow);
tetracycline (leads in children to impaired education bone tissue);
lincomycin;
ciprofloxacin;
metronidazole (violates protein metabolism);
clindamycin (same effect as metronidazole);
a group of antibiotics fluoroquinolones (used in case of a urological infection, they can damage the interarticular cartilage in a baby and negatively affect its growth).

The only thing that can be advised to nursing mothers, if the doctor prescribes similar antibiotics, is to temporarily stop breastfeeding. In this case, you will have to switch to an artificial mixture, since after treatment it will also take time to completely remove toxins from the woman's body. In all other cases, always choose the safer alternative treatment option.

We will find out the opinion of a specialist, Dr. Komorowski, on the account of which drugs should be used during lactation and which should not. We suggest watching a video where the pediatrician talks about the features of certain drugs, about the possibility of their negative impact, and also gives useful information about alternative treatment options for various diseases.

Many myths and judgments revolve around taking antibiotics. To someone without similar drugs just do not get out of the disease. And someone felt the negative impact of such funds and now actively scolds them everywhere.

But is it possible to take antibiotics while breastfeeding a priori, we will try to find out in detail.

From this article you will learn:

This term refers to a series medical preparations responsible for suppressing the negative effects of microbes on the human body.

However, the true meaning of the term lies in the fact that it is correct to consider antibiotics only drugs that are produced as a result of the use of living microorganisms that can suppress or kill other similar or opposed "creatures".

There are also synthetic antibiotics - derived by artificial means from inanimate materials. They do not have such a pronounced effect, but at the same time they have a smaller number of contraindications.

The use of these drugs themselves is not very harmful to humans. But the consequences that are inflicted on the body as a result of the destruction of beneficial microflora can also result in greater discomfort over time than from a disease in which antibiotics were used.

When are lactation antibiotics taken?

It is known that these drugs are not able to fight against viral infections. And ARVI is the most common cause diseases accompanied by discomfort, malaise, fever. If you defeated a nursing mother similar affliction, she should not take medicines, with the exception of homeopathic immunostimulants that have no contraindications for lactation.

Together with mother's milk, antibodies from her body come to the child, and breast baby is reliably protected from acute respiratory infection.

If mother was struck inflammatory disease, for example, mastitis, pyelonephritis, pneumonia, tonsillitis, then it will be difficult for her to do without antibiotics.

For the treatment of inflammatory processes during breastfeeding, women are prescribed antibiotics. penicillin series. Some of the first and second generation cephalosporins are also acceptable, but they may cause allergic rashes on the baby's skin. Some macrolides are also prescribed by doctors to nursing mothers, but their effect on the body infants has not been studied, and the annotations to the drug indicate that they are contraindicated in HB.

What groups of drugs have contraindications for breastfeeding

Some drugs pass into breast milk in a very short time. high concentration and can cause negative reactions on the part of the baby's body, so they are forbidden to be taken by a nursing mother. Others may cause irreversible effects.

Of the most common antibiotics while breastfeeding the following are prohibited:

Levomecithin(after taking the drug by nursing women, some babies had bone marrow lesions).
Tetracycline(it can cause growth retardation and destruction of the dental foundation).
Erythromycin(penetrates into the mother's milk 20 times more than into her blood, thereby entering the baby's body in an unacceptable volume).
clidamycin(capable of causing bleeding in the gastrointestinal tract).

How to use?

The description of the rules should begin with the note that only a therapist or a narrow specialist should prescribe an antibiotic to a nursing mother.

No matter how hard it is for a woman, she has no right to risk the baby’s health and even her life by prescribing treatment on her own or listening to the advice of pseudo-medics from her inner circle.

Antibiotics should be treated in full accordance with the course described. If you take the first few servings, and quit the drug as soon as the first signs of healing appear, then you can only accustom pathogenic bacteria to an antibiotic, develop their immunity to it and fix them in their own body.

Self-reducing the dosage of antibiotics for hepatitis B is another way leading to the adaptation of pathogens to your body. They quickly "get sick" from the microorganisms attacking them from antibiotics and continue their aggression inside the body of a nursing mother.

The drug should be taken either during or immediately after breastfeeding. This is how it turns out to avoid getting a high concentration of the drug in the milk. The breast is already empty, and while the milk begins to intensively fill the mammary gland, a significant part of the drug will already be absorbed into the blood.

Should I give up lactation because of antibiotics?

The harm that can be caused to an infant's body by refusing breastfeeding exceeds the harm from antibiotics.

If you stop breastfeeding during the treatment with antibiotics, then the mammary glands will overfill. The mother will either have to engage in regular breast emptying, which is difficult during illness, or risk getting mastitis as a complication.

If you refuse lactation forever and transfer the baby to artificial feeding means to consciously accept that the child will no longer receive antibodies to various diseases, beneficial microflora, factors for the recovery of the body after any stressful situations for it.

It's no secret that the choice of any medicine for breastfeeding women requires special approach and extreme caution, especially when we are talking about antimicrobials. Expectant mothers should understand that now they are responsible not only for their own health, but also for the health of their baby, so an independent choice of the drug is unacceptable. Antibiotics for nursing mothers should be prescribed only by the attending physician.

When choosing the optimal remedy, it is necessary to take into account not only the sensitivity of the pathogen, the severity of the patient's condition, localization inflammatory process and the presence of special contraindications on the part of the mother, but also:

the ability of an antibiotic to penetrate and be excreted from breast milk;
the toxicity of the drug for the baby and the possible negative impact on its further development;
duration of treatment for the mother;
probability of development allergic manifestations and others unwanted effects from the selected therapy, both on the part of the child and on the part of the mother;
individual sensitivity to the medicine of the mother and baby.

The choice of drug should be balanced and justified. Antibiotics during lactation should be administered with the utmost caution, under constant control doctor. When a child has allergic rash, candidiasis or diarrhea, breastfeeding should be temporarily suspended. In such a situation, the doctor should explain to the young mother that, subject to the rules for maintaining lactation ( light massage, the use of products that stimulate lactation, regular, including night pumping, etc.), she will be able to return to breastfeeding only after the end of the course of antibiotic therapy.

Antibiotics compatible with breastfeeding must meet all of the above requirements. Penicillins are considered the safest for the baby. These antibiotics pass into breast milk in small doses, however, they have low toxicity to the baby and rarely cause unwanted effects from treatment. The risk of side effects on the part of the child, when the mother is treated with these drugs, is about 8%.

When prescribing cephalosporins, it is preferable to temporarily stop breastfeeding.

Also, if necessary, it is permissible to use macrolides. However, despite the fact that they are the antibiotics of choice in the treatment of pregnant women (due to their minimal toxicity and good tolerance), when administered to breastfeeding women, the risk of developing allergies and dysbacteriosis in a baby is higher than when treated with aminopenicillins or some cephalosporins.

Prohibited antibiotics during lactation

Breastfeeding women are strictly prohibited from taking:

tetracycline preparations (Tetracycline ® , Doxycycline ®);
derivatives of 5-nitroimidazole (Metronidazole ® , Ornidazole ® , Tinidazole ®);
fluoroquinolones (Ciprofloxacin ® , Levofloxacin ®);
Aminoglycosides (Gentamicin ® , Amikacin ®);
Sulfonamides (Biseptol ®);
Levomycitin ® ;
Lincosamides (Clindamycin ® , Lincomycin ®).

These drugs are in in large numbers pass into breast milk, are highly toxic to the baby and often cause severe complications.

Permitted antibiotics while breastfeeding

Amoxicillin (, Flemoxin Solutab ®);
(Ampicillin Renewal®);

When prescribing cephalosporins, the question is raised about the temporary cessation of breastfeeding. From this group of drugs, breastfeeding drugs are prescribed:

(Rofecin ® , Lendacin ®);
(Cefazolin-Teva ®);
(Klaforan ®).

If necessary, macrolides are prescribed (also, it is necessary to resolve the issue of temporary transfer bottle-fed baby):

Azithromycin ();
Josamine();
Midecamycin ();

Due to more high risks development of complications in a child (macrolides in more penetrate into breast milk than aminopenicillins and cephalosporins), these drugs are used less frequently.

It is important to remember that what less age baby, the higher the likelihood of developing allergic reactions, gastrointestinal disorders, etc. To prevent dysbacteriosis, the child is prescribed probiotics (Linex Baby ®).

What antibiotics during breastfeeding can be taken with angina?

The drugs of choice are aminopenicillins and cephalosporins.

Amoxil ®

Amoxicillin is a semi-synthetic aminopenicillin with a wide range antibacterial effect on pathogenic microflora. The activity of the agent extends to diphtheria corynebacteria, enterococci, listeria, streptococci, Helicobacter pylori, peptostreptococci, meningococci and gonococci.

Intermittent sensitivity to the drug have: Escherichia coli, Haemophilus influenzae, Proteus, Moraxella, pneumococci and fusobacteria.

Amoxicillin is not effective against Staphylococcus aureus, Klebsiella, chlamydia, mycoplasma, rickettsiae, citrobacter, serrations and enterobacter. Also, it must be taken into account that the antibiotic is completely destroyed by bacterial penicillinases.

The antibiotic has good digestibility and almost complete absorption. Absorption of Amoxil ® does not depend on food intake. Peak plasma concentrations are reached within one to two hours after taking the drug.

The antibiotic effectively accumulates in the mucous membranes, bone tissue, sputum and intraocular fluid. Indicators of antimicrobial concentrations in bile exceed the concentration in plasma.

Disposal medicinal product excreted by the kidneys. Liver failure does not affect the excretion of the drug and does not require dose adjustment.

The drug is effectively used for infections respiratory system, gastrointestinal tract, skin and PZhK.

The tool has a wide range of dosages, so the frequency of administration and dose are selected individually, depending on the severity of the patient's condition and the localization of the inflammatory process.

As a standard, adults are prescribed from 0.25 to 0.5 grams of Amoxil ® every eight hours, or from 0.5 to 1 gram twice a day (for breastfeeding, the second option is preferable). Maximum daily dose is six grams.

Tablets should be taken cold boiled water without breaking or chewing. For the period of treatment with amoxicillin, it is recommended to increase fluid intake.

Contraindications to the appointment of an antibiotic are:

individual intolerance to beta-lactams;
Infectious mononucleosis;
lymphocytic leukemia;
history of pseudomembranous colitis.

It is used with caution in renal failure.

The antibiotic is able to penetrate into breast milk in small doses, but it is of low toxicity and rarely provokes the development of undesirable effects.

Ampicillin ®

it antibacterial drug related to aminopenicillins. It has a wide spectrum of activity, including streptococci (including pneumococcus), enterococci, meningococci, gonococci, shigella, coli, salmonella, proteus, bordetella, and some strains of hemolytic bacillus. The drug is completely inactivated by penicillinase, so it is not prescribed for the treatment of diseases caused by strains that produce beta-lactamase.

Ampicillin during lactation is used for infections:

ENT organs and. breath. systems;
genitourinary system;
skin and pancreas.

Also, the drug can be prescribed for septicemia and tank. endocarditis.

The antibiotic has high acid resistance and good digestibility at oral intake. Significant plasma concentrations are reached within two hours after ingestion. Utilization from the body is carried out mainly by the kidneys, a small part is excreted in the bile.

Ampicillin during breastfeeding is contraindicated in patients with:

individual intolerance to beta-lactams;
infectious mononucleosis;
severe dysfunctions of the kidneys and liver;
leukemia.

Wed should be taken half an hour before or two hours after a meal. The duration of treatment and dose are calculated individually.

At infectious diseases ENT organs and respiratory tract medium degree severity, prescribe 0.25 g of antibiotic every six hours. At severe course it is recommended to take 0.5-1 grams every six hours.

For infections urinary system appoint 0.5 grams three times a day.

Due to the fact that Ampicillin must be taken three to four times a day, it is prescribed to nursing mothers less often than amoxicillin, which can be taken twice a day.

Rules for taking antibiotics while breastfeeding

Antibiotics should be selected strictly individually. It must be understood that taking the drug, which was advised by relatives, friends, etc., may not only not help, but also significantly aggravate the mother's condition and negatively affect the baby.

Only a qualified specialist should prescribe an antibiotic, its dosage, frequency of administration and duration of the course.

It must be understood that reducing the prescribed dose will not reduce the likelihood of complications in the baby, but will only nullify the effectiveness of treatment and provoke the growth of antibiotic-resistant flora. The same applies to the issue of reducing the course of treatment. For a complete recovery, the antibiotic should be canceled no earlier than 48 hours after the stabilization of the patient's condition.

In order to minimize the amount of antibiotic that enters the baby's body with breast milk, it is necessary to drink tablets immediately after the end of feeding.

How many days after taking antibiotics can I breastfeed my baby?

It is important to remember that all antibiotics when breastfeeding should be used strictly as directed and under medical supervision!

If the baby has allergic reactions, stool disorders or candidiasis oral cavity, natural feeding is immediately stopped. In such a situation, the child must be temporarily transferred to artificial feeding. And mothers are encouraged to express milk to maintain lactation.

The timing of the return to breastfeeding depends on the period of withdrawal of the drug taken. If penicillins (ampicillin ® , amoxicillin ®) or cephalosporins (ceftriaxone ® , cefazolin ® , cefotaxime ® ) were used and natural feeding had to be suspended due to the development of undesirable effects in the child, then breastfeeding can be resumed only 48 hours after drug withdrawal.

When using azithromycin ® , it must be taken into account that it is able to maintain therapeutic concentrations for up to seven days.

It often happens that a nursing mother has to take medications. In some cases, one dose of medication is enough, in another, a long course of treatment is needed, it all depends on the complexity of the disease. What antibiotics can be taken with hepatitis B so as not to harm the baby, their indications and contraindications?

Breastfeeding is important physiological process during which the mother gives everything to the baby useful material leaving your body defenseless. At this time, a woman can catch a cold, get sick with a sore throat, bronchitis.

Doctors advise taking antibiotics for:

acute intestinal infection;
purulent mastitis;
postoperative complications;
sinusitis, laryngitis, bacterial etiology, pharyngitis;
diseases of the urinary tract.

The effect of antibiotics on the body of the baby

The degree of influence of the drug used can be determined by reading the instructions and consulting a pediatrician.

Factors that increase the effect of antibiotics on the baby's body:

Individual intolerance to the drug by the mother or child, side effects.
The level of toxicity of the composition of the drug taken.
The possibility of an allergy.
Compatibility or incompatibility with lactation.
For what period of time the drug is excreted from the mother's body.

If a nursing mother decides to take medications, it is necessary to coordinate the actions with the doctor, thoroughly study the instructions so that taking antibiotics does not harm the baby's body. You should also consult with your doctor about how to continue breastfeeding after antibiotics.

Permitted drugs for lactation

There are antibiotics compatible with breastfeeding. This means that when they are taken, they pass into the mother's milk to a small extent and do not harm the small body.

Penicillin and its derivatives

These are acceptable drugs for HB, the appointment is prescribed by a doctor, if necessary. You can drink, but when taking it, it is important to observe the reaction of the body. To negative factors relate allergic reactions and diarrhea.

Ampicillin

Doctors allow Ampicillin when taking an antibiotic is necessary for the health of the mother and its benefit exceeds potential risk for the baby. The drug passes into milk in small amounts.

Sometimes the issue of stopping breastfeeding while taking Ampicillin and transferring the child to artificial feeding is solved.

Amoxicillin

The drug is allowed during breastfeeding without stopping breastfeeding, since the amount of medicine that enters breast milk is below the norm allowed for the treatment of infants. However, in some infants it may cause diaper dermatitis, diarrhea and candidal stomatitis.

Oxacillin

It is prescribed for cystitis, cholecystitis, sinusitis. The appointment of the drug is possible only if necessary. Oxacillin enters the mother's milk in small quantities, however, when prescribing a medicine, the doctor may advise transferring the child to the mixture.

Flemoklav Solutab

When conducting studies, no negative effects of the drug on the baby's body were revealed.

Cephalosporin group

Medications This group, cephalosporins, are not toxic to the body of the mother and child. During breastfeeding, they do not affect the baby. But when taking it, it is important to know that they prevent the absorption of calcium, vitamin D, K. A deficiency of the latter leads to a decrease in blood clotting, which may cause bleeding.

Cefazolin

The drug may be prescribed for infectious lesions lower and upper respiratory tract, diseases of the biliary and Bladder, with mastitis, ENT diseases.

Cefuroxime

Prescribing the drug is possible only if the benefit to the woman's health outweighs the potential risk of drug exposure to the child. Indications for admission are ENT diseases, cystitis, pyelonephritis. Caution should be taken with an ulcer.

Cefotaxime

It has a bactericidal, antimicrobial effect. It is prescribed for infectious diseases of the upper and lower respiratory tract, infections of the small pelvis, bones and joints. In breast milk, a small concentration of the active agent can be observed.

cefepime

An antibacterial agent has a bactericidal effect. It is prescribed for the treatment of pneumonia, diseases caused by infections.

macrolides

When taking antibiotics for HB in breast milk, there is increased concentration constituent components, however great harm They don't bring a baby. Drops, tablets are prescribed if the mother is allergic to cephalosporins and drugs penicillin group.

Erythromycin

Caution should be taken with damage to the kidneys, liver. If possible, it is recommended to transfer the child to artificial feeding.

Josamycin

It is prescribed for oral administration in infectious and inflammatory diseases: diphtheria, ENT diseases, pneumonia, bronchitis, infectious skin lesions.

Clarithromycin

The influence of the constituent components on the body of an infant with HB has not been studied, therefore, when prescribing the drug, it is recommended to stop lactation.

Spiramycin

Despite small doses of penetration into mother's milk, antibiotics for hepatitis B are indicated only in case of potential benefit to the woman. It is advisable to feed the child with mixtures.

Azithromycin

Available in tablets or capsules. While taking antibiotics, it is advisable to transfer the child to artificial feeding.

Roxithromycin

It is prescribed for diseases that carry infectious nature. Active ingredients pass into mother's milk.

How to take antibiotics during lactation?

To avoid side effects when taking antibiotics, it is important:

Do not self-medicate. A suitable drug must be prescribed by a doctor.
Rules for taking antibiotics. Medications are recommended to be taken during breastfeeding or immediately after it in order to increase the interval of drug exposure between feedings.

You can not independently adjust the dosage of the drug, since lowering the dose may be ineffective for treating the disease.

Medications that should not be taken

Some medications are contraindicated for oral administration while breastfeeding, as they may cause negative impact on the baby's body, even lead to disability.

For example, Levomycetin, penetrating into the body of a newborn, affects the brain. Sumamed can cause a number of diseases of the digestive, endocrine, excretory and immune systems. Furazolidone, Bioparox can cause nausea, vomiting, headache.

Taking antibiotics while breastfeeding should be prescribed by a doctor. Only in this case it is possible to avoid the negative impact of medicines on the baby's body.

Nothing causes frustration in a nursing mother like illness and the need to take antibiotics. No matter how hard mom tries to protect herself, anyone can get sick. Sometimes a cold passes without consequences. But situations arise when the infection becomes bacterial, and even when breastfeeding, the mother cannot do without a course of antibiotics. During lactation, a woman is responsible for her health and for the health of the baby. Specialists identify a list of drugs prohibited and permitted during breastfeeding.

Are antibiotics compatible with hepatitis B?

All medicines taken while breastfeeding can pass into the body of the baby with breast milk.

When contacting a specialist for advice, you must mention that you are a mother with baby. Is it possible to take antibiotics during breastfeeding, and in what doses, the doctor decides exclusively, since breastfeeding and some groups of antibiotics are not compatible.

Indicators that allow the inclusion of an antibiotic in the list of permitted and compatible with breastfeeding:

the ability to have an active effect on bacteria;
minimal penetration into milk;
quick withdrawal;
minimum toxicity to the child and safety.

When is antibiotics required?

When bacterial infection a mother who is breastfeeding is forced to switch to taking antibiotics. Be sure to prescribe antibiotics even during lactation with:

infection after childbirth;
mast;
diseases respiratory organs(pneumonia) or ENT diseases (tonsillitis);
intestinal infection;
inflammations urinary system, inflammation of the kidneys (pyelonephritis).

A woman who needs to start taking antibiotics from the prohibited list has to stop breastfeeding and switch to artificial mixtures. But during the period of antibiotic treatment, measures are taken to preserve lactation.

Impact on the child's body

Once in the baby's body along with breast milk, antibiotics can cause bad sleep and nervousness

In the vast majority of cases, antibiotics have a negative effect on the child. Penetrating into the blood and milk, enter the body of the baby. The consequences may be as follows:

poisoning;
allergic manifestations;
sleep disturbance;
digestive problems;
dysbacteriosis;
weak immunity;
accumulation of antibiotics in the body due to a weak excretory system;
impaired renal function;
poor absorption of calcium;
influence on the liver and the development of pathologies.

Therefore, the type of drug, compatibility with feeding, dosage is chosen by the doctor, based on the following indicators:

toxicity of active ingredients;
impact on the development of the baby and on the functioning of its internal organs;
side effects on the child's body of the active substance or components of the drug;
the risk of allergic reactions;
individual sensitivity of the child to the components of the drug;
the time of withdrawal of the active ingredient from the body;
feeding compatibility.

Antibiotics prohibited in HB

Ideally, antibiotics and breastfeeding are hardly compatible concepts. In situations where antibiotics from the permitted list do not cope with the disease, the doctor decides to prescribe antibiotics that are prohibited during lactation.

Important! At right approach to the problem, the implementation of all recommendations, after passing treatment course, the woman resumes breastfeeding.

The list of prohibited drugs includes:

Most antibiotics should not be taken while breastfeeding

Aminoglycosides. The active components of this group of drugs enter the milk in some quantities, but even small volumes can adversely affect the hearing organs and the functioning of the kidneys. Therefore, drugs such as Amikacin, Streptomycin, Canomycin and the like are not compatible with lactation.
Tetracyclines. These include Tetracycline, Doxycycline. The active ingredients of these drugs have the ability to penetrate deeply into milk. negative impact on the baby's body is the appearance of compounds with calcium, which leads to failures in the development of bones, tooth enamel.
Fluoroquinolones, drugs in large volumes enter the milk, then into the baby's body, disrupting the development of the baby's cartilage tissue.
Lincomycin has the ability to quickly penetrate into milk, affects the functioning of the intestines.
Clindomycin, its penetration into the body causes pseudomembranous colitis.
Sulfonamides affect the metabolism of bilirubin in the baby's body, such processes lead to the appearance of jaundice.

Permitted antibiotics

If it becomes necessary to take a course, a nursing mother is primarily interested in the question: what antibiotics can still be taken during breastfeeding.

Due to the ingestion of a small amount into the milk of a nursing woman, they do not cause significant harm to the child. The list of permitted drugs includes Penicillins, Cephalosporins, Macrolides. In these preparations, it is noted that the doctor decides the degree of risk and the need for a course of treatment.

Nevertheless, specialists do not have a single consent in taking approved drugs, therefore, during the course, close attention is paid to the condition of the baby. When negative consequences the course of admission is stopped, the further course is carried out according to the recommendations of a specialist.

Penicillin and its derivatives

Antibiotics of the penicillin group are compatible with breastfeeding. These include Ampicillin, Augmentin, Amoxiclav, Ospamox, etc. These drugs are prescribed for their activity on the causative agent of the disease. They have minimal penetration into milk, the least toxic. But they can cause allergic manifestations, both in the mother herself and in the baby. In addition to allergies, they can cause diarrhea.

Cephalosporin group

Cephalosporins, these include Cephradine, Cefuroxime, Ceftriaxone. Similar to penicillin, harmless to both mother and child. They do not have a high penetration into milk and have no toxicity. During the course of treatment, allergic manifestations and diarrhea sometimes occur.

macrolide preparations

Macrolides include: Erythromycin, Macropen, Azithromycin, Vilprafen, Sumamed, Clarithromycin. Even with deep penetration they do not cause negative influences on a child. These drugs are a good substitute for allergic manifestations to drugs of the penicillin group.

Features of taking antibiotics for nursing mothers

So that antibiotics during lactation have a minimal effect on the child's body, and at the same time, positive result from the course of treatment, certain rules have been developed:

The need for admission, the type of drug, the dosage is prescribed only by a specialist.
Do not change the dosage, reducing it. The effectiveness of treatment is reduced, while there may be an aggravation of the situation and worsening of the condition.
Reception is made during feeding or after. It is recommended to take it before a long interval in feeding, so that the peak of the accumulation of active ingredients falls on a longer break. If the reception is once a day, then after the evening feeding.
For supporting normal flora intestines and ensuring its full functioning, probiotics are prescribed.

Is it worth giving up lactation because of antibiotics?

During the period of taking antibiotics, you may have to temporarily stop breastfeeding and resort to expressing milk.

Any mother knows that milk is the most valuable nutrition for a child. Therefore, in no case should you stop breastfeeding, do everything necessary to return to feeding after taking a course of antibiotics. As a rule, the course of treatment lasts up to seven, in exceptional cases up to ten days.

To preserve milk while taking prohibited antibiotics, you must:

Express milk regularly at the frequency of feeding, after three (four) hours.
Be sure to perform night pumping. It is at night, from three in the morning to eight in the morning, that the maximum production of prolactin, the hormone responsible for lactation, occurs.
Use of breast pumps is allowed.
If possible, freeze the supply of milk, make the maximum supply. For proper freezing, there are certain recommendations.
When switching to temporary artificial feeding the choice of mixture is carried out in consultation with a specialist. When feeding, use a nipple with a small hole so that the baby does not get used to light sucking. Subsequently, he may refuse to breastfeed.

Restoring breastfeeding after taking antibiotics

Restoration of feeding occurs only after complete withdrawal active ingredients from a woman's body. The period of concentration in the blood depends on the ability to bind to plasma protein. The smaller it is, the slower the components of the drug are excreted. The instructions for the drug indicate the period of the drug in the body.

The smaller the baby, the easier it is to return to feeding. For a quick return, it is necessary to be with the child as much as possible constantly. Constant communication contributes to the production of prolactin and oxytocin, lactation hormones. It is the baby, with active sucking, that is able to resume milk production. Since the resumption of lactation is very important process, it is necessary to postpone all affairs and focus exclusively on it. Rest, minimum excitement and stressful conditions. Strict rejection of pacifiers and bottles. With regular sucking, the baby satisfies his hunger, even if at first small degree, and develops a sucking reflex.

To return to breastfeeding, you need to balance your diet and daily routine. Introduce foods that promote increased milk production into the diet, increase the amount of protein foods, consume at least two liters of fluid.

Products that promote lactation include:

carrot juice, drink freshly prepared, preferably after meals, for better assimilation vitamins;
infusion of dried fruits, with the addition of dates;
dates in their pure form;
herbal teas with fennel, anise, oregano, lemon balm, cumin, dill;
tea with ginger and honey (the use of bee products is carried out under close attention, since honey is a powerful allergen);
drinks from berries, especially lingonberries;
nuts (walnuts and almonds);
porridge, broccoli.

During the feeding period, it is worthwhile to approach the intake of any drugs with utmost care, since this negatively affects the quality of milk, the condition of the baby and his health. The need for antibiotics is decided solely by the doctor, taking into account all the risks. But subject to all the rules and recommendations, the process treatment will pass effectively and you can start breastfeeding.