Home » Blog » Breastfeeding » Can you handle chemo while breastfeeding?

Can you handle chemo while breastfeeding?

Can You Handle Chemotherapy While Breastfeeding?
The intersection of chemotherapy treatment and breastfeeding is a complex and sensitive topic that raises significant health concerns for nursing mothers. As cancer treatments often involve potent medications that can affect both the mother and child, understanding the implications is crucial for those facing this challenging situation.
Chemotherapy and Breastfeeding: The Risks
Most medical experts strongly advise against breastfeeding while undergoing chemotherapy. Many chemotherapy drugs, particularly those classified as cytotoxic agents, can transfer into breast milk in potentially harmful concentrations. For instance, drugs like cyclophosphamide and methotrexate are known to appear in high levels in breast milk, posing risks to nursing infants. These medications can interfere with normal cell division, which is particularly dangerous for a developing child.
The consensus among healthcare providers is clear: breastfeeding during chemotherapy is generally considered contraindicated. The Oncology Nursing Society emphasizes the importance of patient and staff safety, aligning with the view that handling or administering chemotherapy while breastfeeding can be hazardous. Furthermore, the Drugs and Lactation Database notes that while some sources suggest a temporary cessation of breastfeeding for a few days post-treatment, the prevailing recommendation is to avoid breastfeeding altogether during the course of chemotherapy.
Alternatives and Recommendations
For mothers who are breastfeeding and facing cancer treatment, the most prudent course of action is often to wean their child before starting chemotherapy. This decision is not made lightly, as it involves weighing the emotional and physical health of both mother and child. Consulting with healthcare providers is essential to navigate this decision effectively. They can provide tailored advice based on the specific chemotherapy regimen and the individual circumstances of the mother.
In some cases, if a mother has already begun chemotherapy and is unable to wean, healthcare professionals may suggest alternative feeding methods, such as formula feeding, to ensure the infant’s safety.
Conclusion
In summary, while the emotional bond of breastfeeding is invaluable, the potential risks associated with chemotherapy drugs passing into breast milk necessitate a cautious approach. Mothers undergoing cancer treatment should prioritize their health and that of their child by seeking professional guidance and considering weaning before starting chemotherapy. This decision, while difficult, is crucial for ensuring the safety and well-being of both mother and baby during a challenging time.

Is it safe for babies to be around chemo patients?

Some people having chemotherapy worry about the safety of family and friends. There is little risk to visitors, including children, babies and pregnant women, because they aren’t likely to come into contact with any chemotherapy drugs or body fluids.

How long should you stay away from people after chemo?

This is especially important: During cold and flu season, when more people are sick. During your nadir, the period of time beginning about 7-12 days after you finish each chemotherapy dose-and possibly lasting for 5-7 days-is when you may be at the greatest risk for infection.

Is it safe to sleep next to someone who just had chemotherapy?

Yes, it is generally safe to be around someone on chemotherapy, but precautions are necessary. Avoiding contact with their bodily fluids, maintaining good hygiene, and staying away if sick are important to protect their weakened immune system.

How long after chemo should you wait to have a baby?

Many organizations suggest that women postpone pregnancy for 6-12 months after finishing chemotherapy, so that they have time to recover and do not conceive with an oocyte that was maturing during treatment.

Why can’t you use the same toilet as a chemo patient?

Other people and pets could be exposed to the drug waste for a few days if they come into contact with any of your body fluids. Here are things you can do to help keep your family, visitors, and pets safe during this time: If possible, have children use a different toilet than the one you use.

What are the hardest days after chemo?

“If you’re on a strong chemo regimen, usually the day after is when you’ll experience the worst symptoms,” says Iheme. “By worst, I mean you’ll experience the most fatigue, weakness and nausea. Normally, three or four days after chemo, your symptoms will get better.”

How long does chemo stay in breastmilk?

For example, for Cytoxan, the half life is 1.3-16 hours, so it would be safe to breast feed 5 days after treatment. For Adriamycin, the half life is 24 hours, but there is metabolite with a half life of 48 hours, so after 14 days it would be safe to breast feed.

Is it safe to be around chemo patients while breastfeeding?

The use of PPE has been shown to reduce the risk of exposure significantly [3]. However, the ONS also states that one remains at risk of exposure even while wearing PPE. Studies have shown drugs being excreted into breast milk. They recommended that lactating mothers not handle these drugs [13].

Can you administer chemo while breastfeeding?

Lactating mothers should also avoid working in high-risk chemotherapy areas. All staff involved in handling and administering chemotherapy must undergo appropriate training and education for safe handling of cytotoxic drugs.

What is the 7 day rule for chemotherapy?

What is the 7-day rule in chemotherapy? Chemotherapy cycles may be planned in such a way that there will be 5 days of chemo with 2 days of rest, all within 7 days (roughly). Maintaining drug levels: 7-day rule helps ensure that there is enough chemo in the body to fight cancer.

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.

Leave a Comment