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Infectious-contagious disease caused by the measles virus. Airborne transmission.
Infants born to mothers with measles during lactation should be isolated from the mother until 72 hours after the onset of the rash and receive standard immunoglobulin (Ig). Breast milk can be expressed and administered to the infant; secretory IgA is secreted into breast milk within 2 days after the onset of the rash in the mother. (Lawrence 2016 p442, Red Book 2021-24)
The infant should be given a dose of standard immune globulin within 6 days of possible transmission from the mother, unless the infant has already received at least one dose of measles vaccine at 12 months or older. (Red Book 2021-2024 p511)
Three infants younger than 1 month, whose mother had measles and were given a dose of Ig, did not contract measles, despite continuing to be breastfed . (Casalegno 2014)
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