Last update May 21, 2021

Maternal Gonorrhea

Very Low Risk

Safe. Compatible. Minimal risk for breastfeeding and infant.

Sexually transmitted infectious disease caused by the bacteria Neisseria gonorrhoeae.

It can be transmitted during passage through the birth canal. Postnatal transmission through contact with the mother or her partner is very rare. Transmission through human milk has not been documented (Lawrence 2004).

Gonorrhea is not a contraindication to breastfeeding (OWH 2015).

The antibiotics used for its treatment (ceftriaxone, cefixime, azithromycin or doxycycline) are compatible with breastfeeding (Fantasia 2013).

If the treatment is done with intramuscular or intravenous ceftriaxone, no separation time between mother and baby is necessary and breastfeeding can begin immediately. With other treatments, a 24-hour separation is convenient and, meanwhile, expressed breast milk can be administered (Lawrence 2016, p791).
Newborns of mothers diagnosed with gonorrhea, still asymptomatic, should receive a dose of intramuscular or intravenous cefrtriaxone (Red Book 2018 p364).

Hygienic prevention measures (hand washing) must be taken to the extreme.

See below the information of these related products:

  • Azithromycin ( Safe. Compatible. Minimal risk for breastfeeding and infant.)
  • Cefixime ( Safe. Compatible. Minimal risk for breastfeeding and infant.)
  • Ceftriaxone Sodium ( Safe. Compatible. Minimal risk for breastfeeding and infant.)
  • Doxycycline (Possibly safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

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.

Other names

Maternal Gonorrhea is also known as


Maternal Gonorrhea belongs to this group or family:


  1. Lawrence RA, Lawrence RM. Breastfeeding. A guide for the medical profession. Eighth Edition. Philadelphia: Elsevier; 2016
  2. OWH-Oficina para la salud de la mujer. Infecciones de transmisión sexual, embarazo y lactancia materna. Folleto informativo. 2015 Full text (link to original source) Full text (in our servers)
  3. OWH-Office on Women's Health. Sexually Transmitted Infections, Pregnancy, and Breastfeeding. Fact Sheet. 2015 Full text (link to original source) Full text (in our servers)
  4. Fantasia HC. Updated treatment guidelines for gonorrhea infections. Nurs Womens Health. 2013 Jun-Jul;17(3):231-5. Abstract
  5. (Red Book). Pickering LK, Baker CJ, Kimberlin DW, Long SS, eds. Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, Red Book 2012
  6. Lawrence RM, Lawrence RA. Breast milk and infection. Clin Perinatol. 2004 Sep;31(3):501-28. Review. Abstract

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