Last update Aug. 16, 2022

Maternal Monkeypox

High Risk

Poorly safe. Evaluate carefully. Use safer alternative or interrupt breastfeeding 3 to 7 T ½ (elimination half-lives). Read the Comment.

We are working on a comment for this product.

Se transmite desde animales (roedores) a humanos (Jamieson 2005) y entre humanos por contacto directo (lesiones de la piel, respiración, saliva, fómites y sexual) y a través de la placenta. Se desconoce si el virus se excreta en la leche materna. La enfermedad es contagiosa mientras hay síntomas (dos a cuatro semanas). (WHO/OMS 2022)

Dado el modo de contagio (saliva, respiración, piel), si la madre está infectada y el lactante no, es conveniente aislar al lactante y no amamantar. Extraer leche y desecharla. (RCPCH 2022, Khalil 2022, RCOG 2022)

La situación socio-económica y sanitaria debe tenerse en cuenta para decidir aislar a madre y bebé y no amamantar, ya que, en los países de ingresos bajos y medianos, los beneficios de la lactancia materna pueden superar el riesgo de infección neonatal por viruela del simio. (Khalil 2022)

Si madre y lactante están infectados (lo que debe ser frecuente, ya que las lesiones cutáneas típicas aparecen después de la fiebre) se debe valorar la conveniencia de que sigan juntos y mantener lactancia materna (RCPCH 2022), que podría aportar defensas al lactante. Todo ello depende del estado clínico de madre y lactante. 

Las vacunas existentes son las de la viruela, son de virus vivos y están contraindicadas en menores de un año, embarazadas y personas inmunocomprometidas o con dermatitis atópica. (Rizk 2022). 

Los antivirales Tecovirimat o Brincidofovir y la gammaglobulina humana antivariólica están indicados  solo en casos graves. (Rizk 2022, CDC 2022)


See below the information of these related products:

  • Brincidofovir (Possibly safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)
  • Tecovirimat (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.

Group

Maternal Monkeypox belongs to this group or family:

References

  1. Khalil A, Samara A, O'Brien P, Morris E, Draycott T, Lees C, Ladhani S. Monkeypox and pregnancy: what do obstetricians need to know? Ultrasound Obstet Gynecol. 2022 Jul;60(1):22-27. Consulted on July 17, 2022 Abstract Full text (link to original source)
  2. RCPCH. Royal College of Pediatrics and Child Health. Monkeypox outbreak 2022 - guidance. Resources. 2022 Consulted on July 16, 2022 Full text (link to original source) Full text (in our servers)
  3. Mother to Baby. Viruela del Mono. Hoja informativa. 2022 Consulted on July 13, 2022 Full text (link to original source) Full text (in our servers)
  4. Rizk JG, Lippi G, Henry BM, Forthal DN, Rizk Y. Prevention and Treatment of Monkeypox. Drugs. 2022 Jun 28. Consulted on July 13, 2022 Abstract
  5. OMS. Viruela símica. Temas de Salud. 2022 Consulted on July 13, 2022 Full text (link to original source) Full text (in our servers)
  6. WHO. Monkeypox. Health Topics. 2022 Consulted on July 13, 2022 Full text (link to original source) Full text (in our servers)
  7. RCOG. Royal College of Obstetricians & Gynaecologists. New paper provides best practice for managing monkeypox in pregnancy. News. 2022 Consulted on June 17, 2022 Full text (link to original source)
  8. Jamieson DJ, Jernigan DB, Ellis JE, Treadwell TA. Emerging infections and pregnancy: West Nile virus, monkeypox, severe acute respiratory syndrome, and bioterrorism. Clin Perinatol. 2005 Sep;32(3):765-76. Review. Abstract

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