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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.
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