MADRID, 3 (EUROPA PRESS)
New guidelines published by the American Association of Anesthetists in the magazine ‘Anesthesia’, which coincide with the start of World Breastfeeding Week (1-7 August), ensure that breastfeeding is safe after the mother you have undergone anesthesia as soon as you are awake and able to feed.
“The guidelines say that breastfeeding need not be ruled out for fear of contamination, as evidence shows that non-opioid anesthetics and pain relievers transfer to breast milk in very small amounts,” said Dr. Mike Kinsella of the Committee. Association of Anesthetists, based at St Michael’s Hospital, Bristol, UK, and colleagues – For almost all of these drugs, there is no evidence of effects in the infant. “
However, they caution that drugs such as opiates and benzodiazepines should be used with caution, especially after multiple doses and in infants up to 6 weeks of age (corrected for gestational age).
“In this situation, the baby should be observed for signs of abnormal drowsiness and respiratory depression, especially if the woman also shows signs of sedation,” they explain. Techniques that reduce the use of opiates are preferable for the nursing woman. Local and regional anesthesia has benefits in this regard, and they are also those that least interfere with a woman’s ability to care for her child. “
They also add that breastfeeding women should not use codeine due to concerns of excessive sedation in some babies, related to differences in metabolism.
More generally, the guidelines say that women with a baby 2 years and younger should be routinely asked if they are breastfeeding during their preoperative evaluation, so that they can be explained that breastfeeding will be safe after surgery.
“Whenever possible, day surgery is preferable to avoid disrupting normal routines,” they say. “A woman undergoing day surgery should have a responsible adult stay with her for the first 24 hours. She should be careful sleeping together or sleeping while feeding. baby in a chair as it may not be as responsive as normal. “
The authors conclude that “in summary, the pharmacological aspects of anesthesia and sedation require little alteration in breastfeeding women. However, supportive care for women in the perioperative period and accurate counseling will ensure minimal interruption in this important part of child care. ”