Last update July 16, 2023
Very Low Risk
Toxoplasmosis is one of the most widespread infections in the world, with a prevalence of 11-25% depending on the country (Red Book 2021-24, Abarca 1997). It is caused by the Toxoplasma gondii parasite which is hosted in cats. The infected animal, through its droppings, contaminates water, fruits and vegetables and infects other animals and people.
Human infection occurs due to contact with infected cats, the consumption of unwashed fruits and vegetables, contaminated goat’s milk and the consumption of undercooked meats, among others.
The infection usually presents with mild symptoms even in infants, except in immuno-compromised persons and in the case of congenital infection during pregnancy, which is very serious.
Toxoplasmosis is not transmitted through breast milk. (CDC 2021)
The parasite is transmitted through the milk of various animals (Chiari 1984), but transmission through breast milk has not been documented (CDC 2021, Lawrence 2016 p465, Capobiango 2015), although it has been suggested in a few cases (some very old) as a probability. (Brasil 2006, Bonametti 1997, Langer 1963)
Given the absence of evidence of its transmission through milk, the benignity of postnatal infection and the presence of antibodies against Toxoplasma in breastmilk, there is no reason to contraindicate breastfeeding in mothers who have suffered from toxoplasmosis in the past, during pregnancy or at the time of breastfeeding. (CDC 2021, Lawrence 2016 p 225, 466 and 789, Bonametti 1997)
The medication for the treatment of toxoplasmosis is usually compatible with breastfeeding (Lawrence 2016 p789).
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.
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Thank you for helping to protect and promote breastfeeding.
e-lactancia is a resource recommended by Academy of Breastfeeding Medicine - 2012 of United States of America
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM