Last update: Dec. 28, 2020

Maternal Surgical Intervention

Low Risk for breastfeeding


Moderately safe. Probably compatible.
Mild risk possible. Follow up recommended.
Read the Comment.

Una intervención quirúrgica, sea con anestesia general, epidural, regional o local, no contraindica la lactancia.
La madre puede dar el pecho hasta antes de entrar en quirófano y puede volver a darlo tan pronto como despierte de la anestesia.

La mayoría de anestésicos se excretan en pequeña concentración en la leche y/o son de eliminación muy rápida, lo que permite amamantar tan pronto la madre esté despierta, alerta y se encuentre en condiciones y capaz de sostener a su bebé (Mitchell 2020, Oliveira 2019, Fischer 2019, Reece 2017, Cobb 2015, Dalal 2014, Kranke 2011, Sønderskov 2011, Dahl 2011, Nitsun 2006, Lang 2003, Lee 1993).

La pequeña cantidad de calostro obtenida por el recién nacido en las primeras tomas hace aún más superfluo el esperar a amamantar tras una cesárea.

El inicio temprano de la alimentación de la madre tras el despertar de la anestesia mejora las condiciones para la lactancia (Al-Takroni 1999).

La cirugía y la anestesia aumentan los niveles de prolactina (Lawrence 2016 p65 y p606, Morgan 1976). Si va a durar muchas horas la intervención, se puede extraer previamente leche, e incluso mientras dura la intervención para evitar molestias.

Las intervenciones plásticas sobre la mama pueden posteriormente disminuir la producción de leche (Lawrence 2016 p231).


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Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

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References

  1. Mitchell J, Jones W, Winkley E, Kinsella SM. Guideline on anaesthesia and sedation in breastfeeding women 2020: Guideline from the Association of Anaesthetists. Anaesthesia. 2020 Nov;75(11):1482-1493. Abstract
  2. Oliveira MRE, Santos MG, Aude DA, Lima RME, Módolo NSP, Navarro LH. [Should maternal anesthesia delay breastfeeding? A systematic review of the literature]. Rev Bras Anestesiol. 2019 Mar - Apr;69(2):184-196. Abstract
  3. Fischer A, Ortner C, Hartmann T, Jochberger S, Klein KU. [Which medications are safe while breastfeeding? : A synopsis for the anesthetist, obstetrician and pediatrician]. Wien Med Wochenschr. 2019 Mar;169(3-4):45-55. Abstract
  4. Reece-Stremtan Sarah, Campos Matilde, Kokajko Lauren, and The Academy of Breastfeeding Medicine. Breastfeeding Medicine. ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017. Breastfeed Med. 2017 Nov;12(9):500-506. Full text (link to original source) Full text (in our servers)
  5. Lawrence RA, Lawrence RM. Breastfeeding. A guide for the medical profession. Eighth Edition. Philadelphia: Elsevier; 2016
  6. Cobb B, Liu R, Valentine E, Onuoha O. Breastfeeding after Anesthesia: A Review for Anesthesia Providers Regarding the Transfer of Medications into Breast Milk. Transl Perioper Pain Med. 2015;1(2):1-7. Abstract Full text (link to original source) Full text (in our servers)
  7. Dalal PG, Bosak J, Berlin C. Safety of the breast-feeding infant after maternal anesthesia. Paediatr Anaesth. 2014 Abstract
  8. Kranke P, Frambach T, Schelling P, Wirbelauer J, Schaefer C, Stamer U. [Anaesthesia and breast-feeding: should breast-feeding be discouraged?]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2011 Abstract
  9. Dahl JB. [Infants can be breastfed immediately after general anesthesia of the mother]. Ugeskr Laeger. 2011 Abstract
  10. Sønderskov ML, Albrechtsen CK, Bille AB, Henneberg S, Afshari A. [Most anaesthetics can be used without damaging effects of the breastfed child]. Ugeskr Laeger. 2011 Abstract
  11. Nitsun M, Szokol JW, Saleh HJ, Murphy GS, Vender JS, Luong L, Raikoff K, Avram MJ. Pharmacokinetics of midazolam, propofol, and fentanyl transfer to human breast milk. Clin Pharmacol Ther. 2006 Abstract
  12. Lang C, Geldner G, Wulf H. [Anesthesia in the breast feeding period. Excretion of anesthetic agents and adjuvants into breast milk and potential pharmacological side-effects on the suckling infant]. Anaesthesist. 2003 Abstract
  13. Al-Takroni AM, Parvathi CK, Mendis KB, Hassan S, Qunaibi AM. Early oral intake after caesarean section performed under general anaesthesia. J Obstet Gynaecol. 1999 Abstract
  14. Lee JJ, Rubin AP. Breast feeding and anaesthesia. Anaesthesia. 1993 Jul;48(7):616-25. Review. Abstract Full text (link to original source) Full text (in our servers)
  15. Morgan L, Barrett A, Beswick F, Hollway T, Raggatt PR. Prolactin concentrations during anaesthesia. Br Med J. 1976 Abstract Full text (link to original source)

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