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Can anything be transmitted through breast milk?

The Complexities of Breast Milk Transmission
Breast milk is often hailed as the gold standard for infant nutrition, providing essential nutrients and antibodies that support a baby’s growth and immune system. However, the question of whether anything harmful can be transmitted through breast milk is a critical concern for new mothers and healthcare providers alike.
Infectious Diseases and Breast Milk
While breast milk is generally safe and beneficial, certain infectious diseases can indeed be transmitted through it. Notably, HIV and human T-lymphotropic virus I (HTLV-I) are two significant viral infections that can be passed from mother to infant via breastfeeding. These viruses can lead to serious health complications for the child, making it crucial for mothers who are HIV-positive to consult healthcare professionals about safe feeding options.
Other infections, although less common, can also be transmitted through breast milk. For instance, group B streptococci has been reported to cause infections in infants, albeit rarely. Such cases highlight the importance of monitoring maternal health during pregnancy and after childbirth.
COVID-19 and Breast Milk
The emergence of COVID-19 raised urgent questions about its transmission, particularly concerning breastfeeding. Recent studies have provided reassuring insights: research from the University of California San Diego School of Medicine indicates that the COVID-19 virus is unlikely to be transmitted through breast milk. In a study involving 64 samples of breast milk, the infectious virus was not detected, suggesting that breastfeeding does not pose a risk of transmitting COVID-19 to infants .
This finding is significant, especially as it alleviates concerns for mothers who may be infected with the virus. The consensus among health experts is that the benefits of breastfeeding, including the transfer of antibodies and other protective factors, outweigh the risks associated with potential transmission of infections.
Conclusion: A Balancing Act
In summary, while breast milk is a vital source of nutrition and immunity for infants, it is not without risks. Certain infections can be transmitted through breast milk, necessitating careful consideration and medical guidance for mothers with specific health concerns. However, the evidence suggests that breastfeeding remains a safe and beneficial practice for most mothers, even in the context of the COVID-19 pandemic. As always, open communication with healthcare providers is essential for ensuring the health and safety of both mother and child.

What STDs can be passed through breast milk?

The risk for transmission from mother to child varies significantly if the maternal infection is a primary infection (eg, herpes simplex virus [HSV], HIV1), a secondary (reactivation) infection (eg, HSV, CMV) or a chronic infection (eg, hepatitis B, HIV1, HTLV-I) during pregnancy or lactation.

What illnesses can be transmitted through breast milk?

The concern is about viral pathogens, known to be blood-borne pathogens, which have been identified in breast milk and include but are not limited to hepatitis B virus (HBV), hepatitis C virus (HCV), cytomegalovirus (CMV), West Nile virus, human T-cell lymphotropic virus (HTLV), and HIV.

Should I stop breastfeeding if I vape?

Mothers who use tobacco or e-cigarettes can breastfeed their infants but should be encouraged to quit. If they are unable to quit, breastfeeding still provides numerous health benefits, and breast milk remains the recommended food for an infant.

Do they test babies for STDs at birth?

Health Services
Infant tests for HIV and syphilis are considered expedited when specimens are collected within two hours of birth and testing results are returned within six hours of collection.

What can be transferred into breast milk?

Almost any drug that’s present in the blood will transfer into breast milk to some extent. Most medications do so at low levels and pose no real risk to most infants. There are exceptions, though. Some drugs can be found in high levels in breast milk.

What can pass to baby through breast milk?

Small amounts of any medicine you take may pass through your breast milk to your baby. Generally, the amounts are very low and very few medicines are unsafe while you’re breastfeeding.

What passes through to breast milk?

Almost any drug that’s present in the blood will transfer into breast milk to some extent. Most medications do so at low levels and pose no real risk to most infants. There are exceptions, though. Some drugs can be found in high levels in breast milk.

What illnesses should you not breastfeed?

When Should I Not Breastfeed My Baby?

  • If the mother has been infected with HIV or has AIDS.
  • Many medications taken by the mother may pass onto the baby via breast milk.
  • Mothers with cancer who are taking cancer chemotherapy medications also cannot breastfeed their babies.

Can a mother pass illness through breast milk?

Influenza, or flu, does not spread to infants through breast milk. The transmission rates of other respiratory illness during breastfeeding are low.

What substances can pass through breast milk?

A woman’s lifestyle may affect her breast milk, and have an impact on the baby. During breastfeeding, it is important for a woman not to consume alcohol, smoke, or take drugs. These substances are known to pass through the breast milk.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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