Contraindications to breastfeeding: children suspected or diagnosed with galactosemia, whose mother has active tuberculosis, HIV/CMV infection, whose mother is receiving isotope radiotherapy, or has been exposed to radioactive substances (milk contains radioactive substances), whose mother is receiving antimetabolic drugs or drugs that can be secreted through milk, and other chemotherapy drugs (until it is completely eliminated), whose mother is taking drugs and drinking alcohol, and is infected with HSV (the other side can continue feeding without infection).
Breast milk jaundice
Breast milk jaundice is a common phenomenon in newborns and early infants. Many people don't know whether a baby with breast-feeding jaundice can breastfeed.
Early-onset breast milk jaundice
If it is a baby with early-onset breast milk jaundice, it is necessary to give the baby a small amount of breastfeeding many times, and pay attention to avoid eating sugar water by mistake, so that the number of breastfeeding is reduced, which is not conducive to the secretion of milk.
Late-onset breast milk jaundice
If it is late-onset breast-feeding jaundice, the serum bilirubin < 1.5 mg/dl can continue breast-feeding and strengthen monitoring; Blood bilirubin 1.5-20 mg/dl, stop breastfeeding for 2-3 days and continue breastfeeding. At this time, bilirubin may rebound slightly to 1-3 mg/dl, and then continue to decline and fade. Blood bilirubin > 20 mg/dl plus phototherapy.
Breast milk boiling
Some people mistakenly think that since breast milk jaundice is related to breast milk, they boil breast milk and heat it before feeding the baby, thinking that this can reduce jaundice. In fact, it is not good for the baby with breast milk jaundice, but it will bring adverse effects to the baby because of the loss of nutrients after breast milk is boiled.
Cytomegalovirus infection
Whether mothers or babies infected with cytomegalovirus (CMV) can breastfeed is still controversial. Most scholars believe that if CMV detoxification is detected in breast milk, it is recommended to stop breastfeeding for infants who are diagnosed or highly suspected of CMV infection.
HBsAg positive
For HBsAg positive mothers, if newborns are injected with hepatitis B immunoglobulin within 12 hours after birth, they can continue breastfeeding.