Hanyang Med Rev.  2010 Feb;30(1):60-67. 10.7599/hmr.2010.30.1.60.

Maternal Diseases and Breastfeeding

• Bae CW

• KMID: 2053734
• DOI: http://doi.org/10.7599/hmr.2010.30.1.60

Abstract

Breast-milk is the best nutritional choice for infants. However, due to maternal disease, decisions about permanently stopping breastfeeding or temporarily suspending breastfeeding are very important in infants' health. Therefore, based on the review of this article, breastfeeding must be safely considered in case of specific maternal diseases, focusing on the infectious diseases (viral infections: HIV, HHTLV-1, CMV, and some bacterial infections) for infants' health. Whereas, when the mother has non-infectious infant maternal diseases, other than infectious maternal diseases, necessitating drugs or drug contaminants, other proper guidelines in other reviews must be established.

Keyword

Breast milk; Breastfeeding; Infection; Transmission by breastfeeing; Maternal diseases

MeSH Terms

Breast Feeding
Communicable Diseases
HIV
Humans
Infant
Milk, Human
Mothers

Reference

1. Lawrence RM, Lawrence RA. Breast milk and infection. Clin Perinatol. 2004. 31:501–528.

2. Lawrence RA, Howard CR. Given the benefits of breastfeeding, are there any contraindications? Clin Perinatol. 1999. 26:479–490.

3. WHO/UNICEF: Baby-Friendly Hospital Initiative. Revised, updated and expanded for integrated car. 2009. Available from: URL: http://www.who.int/nutrition/topics/bfhi/en/index.html.

4. Richardson BA, John-Stewart GC, Hughes JP, Nduati R, Mbori-Ngacha D, Overbaugh J, Kreiss JK. Breast-milk infectivity in human immunodeficiency virus type 1-infected mothers. J Infect Dis. 2003. 187:736–740.

5. Taha T, Nour S, Li Q, Kumwenda N, Kafulafula G, Nkhoma C, Broadhead R. The effect of human immunodeficiency virus and breastfeeding on the nutritional status of African children. Pediatr Infect Dis J. 2010. 01. 5. [Epub ahead of print].

6. McIntyre J. Use of antiretrovirals during pregnancy and breastfeeding in low-income and middle-income countries. Curr Opin HIV AIDS. 2010. 5:48–53.

7. Slater M, Stringer EM, Stringer JS. Breastfeeding in HIV-positive women: What can be recommended? Paediatr Drugs. 2010. 12:1–9.

8. Dworsky M, Yow M, Stagno S, Pass RF, Alford C. Cytomegalovirus infection of breast milk and transmission in infancy. Pediatrics. 1983. 72:295–299.

9. Maschmann J, Hamprecht K, Dietz K, Jahn G, Speer CP. Cytomegalovirus infection of extremely low-birth weight infants via breast milk. Clin Infect Dis. 2001. 33:1998–2003.

10. Hamprecht K, Maschmann J, Vochem M, Dietz K, Speer CP, Jahn G. Epidemiology of transmission of cytomegalovirus from mother to preterm infant by brestfeeding. Lancet. 2001. 357:513–518.

11. Kim JH, Chung EJ, Park HK, Moon SJ, Oh SH. Postnatal cytomegalovirus infection in an extremely premature infant transmitted via breast milk: A case report. Korean J Pediatr. 2009. 52:1053–1058.