Last update May 21, 2021

Maternal hospitalization

Very Low Risk

Safe. Compatible. Minimal risk for breastfeeding and infant.

It is important to consider breastfeeding when a nursing mother is admitted to the hospital, be it for a medical, surgical or psychiatric problem (Lawrence 2016 p604), respecting the maternal desire to breastfeed (AEP 2018, Ares 2017). The mother must inform the hospital health personnel that she is breastfeeding (ABA 2017).
The benefit of maintaining breastfeeding is greater than the assumed risk of admitting the child with its mother (AEP 2018, Ares 2017).

Whenever the mother’s clinical situation allows it, it is necessary to facilitate the joint accommodation of mother and infant in a single room. The convenience of the mother being admitted to the Obstetrics or Pediatrics wards to facilitate mother and baby care can be assessed. A family member or person designated by the mother can take care of the infant (AEP 2018, Ares 2017, SJHC 2013).

If joint admission is not possible, it is necessary to facilitate the infant’s periodic access and/or breast milk expression, to feed the infant, maintain milk production and avoid discomfort and problems (fever, pain, congestion, mastitis) that occur if nursing mothers do not empty their breasts regularly (Ares 2017, Lawrence 2016 p605).
A rough weaning is not advisable, neither for the mother nor for the infant (ABA 2017).

Scientific sources (APILAM: e-lactancia.org, Lactmed, Hale) should be consulted regarding the compatibility of breastfeeding with the medications required by the mother. Very few medications require breastfeeding to stop (ABA 2017).


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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

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Group

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References

  1. Hale TW. Medications & Mothers' Milk. 1991- . Springer Publishing Company. Available from https://www.halesmeds.com Consulted on March 17, 2022 Full text (link to original source)
  2. LactMed. Drugs and Lactation Database (LactMed). Internet. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/ 2006 - Consulted on March 15, 2022 Full text (link to original source)
  3. APILAM. e-lactancia.org. APILAM: Asociación para la promoción e investigación científica y cultural de la lactancia materna; 2002- actualizado 29 dic 2020; acceso 29 Diciembre, 2020. Disponible en http://e-lactancia.org None 2020 Full text (link to original source)
  4. AEP. Madres que amamantan y que precisan ingreso en el hospital, medicamentos o pruebas especiales. En Familia. Noticias. 2018 Full text (link to original source) Full text (in our servers)
  5. Ares Susana, Díaz Marta- Comité de Lactancia Materna de la AEP. Recomendaciones para profesionales sanitarios que atienden madres lactantes que precisan ingreso, pruebas u otras circunstancias especiales. Folleto informativo. 2017 Full text (link to original source) Full text (in our servers)
  6. ABA - Australian Breastfeeding Association. Breastfeeding and hospitalization. 2017 Full text (link to original source) Full text (in our servers)
  7. Lawrence RA, Lawrence RM. Breastfeeding. A guide for the medical profession. Eighth Edition. Philadelphia: Elsevier; 2016
  8. SJHC - St. Joseph´s Health Care When You are Admitted to Hospital and Breastfeeding Information for Mothers and Families. Fact sheet 2013 Full text (link to original source) Full text (in our servers)

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e-lactancia is a resource recommended by Asociación Española de Bancos de Leche Humana of Spain

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