Breastfeeding Contraindications – Step 2 CK

Flashcards covering key contraindications for breastfeeding, important phrases, and policies regarding maternal and neonatal health.

HIV infection

Breastfeeding is completely contraindicated in HIV-positive mothers in the U.S.

Untreated Active Tuberculosis

Breastfeeding is contraindicated until the mother has been treated for at least 2 weeks and is non-infectious.

Active Varicella Infection

Breastfeeding is contraindicated if the mother develops a rash within 5 days before or 2 days after delivery.

Herpetic Breast Lesions

Localized lesions on the breast lead to stopping breastfeeding from the affected side only.

HTLV-1 or HTLV-2 infection

HTLV-positive mothers should not breastfeed.

Illicit drug use

Active use of substances like cocaine, PCP, or heroin contraindicates breastfeeding.

Maternal Febrile Illness

Breastfeeding can continue with precautions during maternal febrile illnesses like influenza.

Radiation Therapy

Breastfeeding should be paused while the mother is undergoing active chemotherapy or radiation therapy.

Galactosemia

Breastfeeding is contraindicated in newborns with galactosemia; a soy-based formula is required.

PKU (Phenylketonuria)

Partial breastfeeding may be allowed with special monitoring for infants with PKU.

Hepatitis B

Breastfeeding is allowed if the infant is vaccinated and the mother's nipples are not cracked.

Hepatitis C

Breastfeeding is generally allowed unless the mother has cracked or bleeding nipples.

Methadone-maintained mothers

Mothers who are stable on methadone maintenance therapy can breastfeed.

Temporary Hold on Breastfeeding

Used for specific cases like maternal chemotherapy, radiation, and certain medications.

Key Phrase: 'Maternal febrile illness'

Indicates that breastfeeding can continue with hygiene precautions.

Key Phrase: 'Active illicit drug use'

Indicates that breastfeeding is contraindicated.

Key Phrase: 'Herpetic breast lesions'

Indicates that the mother should pump and discard milk from the affected side.