Anesthesia and Breastfeeding More often than not, breastfeeding and anesthesia are compatible. The American Society of Anesthesiologists published the following recommendations for nursing parents requiring surgery: All anesthetic and analgesic drugs transfer to breastmilk; however, only small amounts are present and in very low concentrations considered clinically insignificant.
Because pain interferes with successful breastfeeding, lactating people should not avoid pain medicines after surgery. When possible, spinal or epidural anesthesia consisting of local anesthetic and a long-acting narcotic, should be used for cesarean delivery to reduce overall post-operative pain medication requirements.
Patients should resume breastfeeding as soon as possible after surgery because anesthetic drugs appear in such low levels in breastmilk. A nursing parent having day surgery should have a responsible adult stay with them for the first 24 hours post surgery. The nursing parent should be cautious with bedsharing, or sleeping while feeding the infant in a chair, as they may not be as responsive as normal.
Breastfeeding support should be accessible for lactating women undergoing surgical and medical procedures. Depending on the length of time before the baby is able to breastfeed again, the mother may need to express for her comfort and to maintain her milk supply. Ask beforehand if you will be given medications after your surgery.
Check that these will be compatible with breastfeeding. The mother will in most cases be able to breastfeed up until the time of surgery. If you need to fast for surgery, the anaesthetist will be able to arrange for you to receive fluids by a drip to help keep you hydrated and protect your milk supply.
Once you are conscious, breastfeeding is usually safe - discuss this with your surgeon and anaesthetist. However, you may feel woozy and even nauseous. You will need someone your partner, family member or a friend to be with you to care for your baby.
No responsibility can be taken by the author or the Breastfeeding Network for the way in which the information is used. Clinical decisions remain the responsibility of medical and breastfeeding practitioners. The data presented here is intended to provide some immediate information but cannot replace input from professionals.
Some people become very anxious about undertaking dental procedures and prefer to be sedated prior to the filling or extraction. The drug normally used is midazolam which is injected. This drug is also used in several other procedures such as colonoscopy, endoscopy or other explorative surgery. Two expert panels advocate waiting for at least 4 hours after a single intravenous dose of midazolam e.
However, no waiting period or discarding of milk might be necessary before resuming breastfeeding after a single dose of midazolam in the mothers of infants over 2 months of age. Hale reports that in a study of five lactating women who received a single 2 mg IV dose, milk levels of midazolam were exceedingly low after 7 hours.
Midazolam is so rapidly redistributed to other tissues from the plasma compartment, milk levels will invariably be exceedingly low. For healthcare professionals: Midazolam has a very rapid onset of action and excretion.
0コメント