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Does dental anesthesia affect breast milk?

Understanding the Impact of Dental Anesthesia on Breast Milk
When it comes to dental procedures, many breastfeeding mothers often find themselves concerned about the effects of anesthesia on their breast milk and, consequently, their infants. This concern is not unfounded, as the transfer of medications into breast milk can be a critical issue for nursing mothers. However, recent insights suggest that the traditional advice surrounding this topic may be overly cautious.
Local Anesthesia and Breastfeeding
Local anesthesia, commonly used in dental procedures, typically involves agents like lidocaine. Research indicates that the amount of local anesthetic that enters breast milk is minimal and not considered harmful to infants. A study highlighted that mothers who receive local anesthesia without adrenaline can safely continue breastfeeding immediately after their dental treatment. This finding is significant because it alleviates the fears that many mothers have about the potential effects of anesthesia on their babies.
Outdated Practices: “Pump and Dump”
Historically, healthcare providers often advised mothers to “pump and dump” their breast milk for a period following anesthesia to prevent any potential adverse effects on their infants. This practice, however, is increasingly viewed as outdated. A review of current practices suggests that while caution is always warranted, the actual risk posed by local anesthetics is negligible. The recommendation to discard breast milk after receiving anesthesia is not supported by recent evidence, which indicates that the benefits of breastfeeding outweigh the risks associated with the minuscule amounts of medication that may be present in breast milk.
Concerns About Systemic Effects
While local anesthesia is generally safe, some mothers may still worry about the systemic effects of anesthesia on their infants, particularly if they have undergone more extensive procedures requiring sedation. In such cases, the type of anesthesia used and the duration of the procedure can influence recommendations. However, for routine dental work, the consensus remains that breastfeeding can continue without interruption.
Conclusion: A Reassuring Perspective
In summary, mothers undergoing dental procedures while breastfeeding can generally do so with confidence. The evidence suggests that local anesthesia poses minimal risk to infants, and the outdated practice of “pumping and dumping” is no longer necessary. As always, mothers should consult with their healthcare providers to address any specific concerns, but the current understanding supports the safety of breastfeeding after dental anesthesia. This reassurance allows mothers to prioritize their dental health without compromising their breastfeeding journey.

How long after local anaesthetic can you breastfeed?

It is entirely safe to breast feed after local anaesthetic. The amount of lidocaine that will be present in your breast milk is too small to be harmful to the baby. If you wish to breast feed from that breast you may decide to express and throw away the milk from that breast for up to 12 hours after the procedure.

Does dental anesthesia affect baby?

Regular and emergency dental care, including the use of local anesthetics and radiographs, is safe at any stage during pregnancy.

Is oral anesthetic safe while breastfeeding?

There have been many studies done on the transfer of lidocaine into breast milk. All conclude that lidocaine transfer to milk is minimal and probably safe to use during breastfeeding. The dose of lidocaine in dental procedures is minimal and should pose no harm to the breastfed infant.

Can you have dental sedation and breastfeed?

Sedation/general anaesthetic
You can breastfeed after a general anaesthetic or sedation as soon as you are awake and alert.

Can anesthesia pass through breast milk?

Drugs used during anaesthesia and after surgery pass in low levels into milk and women can breastfeed as normal after: Anaesthetics: propofol, thiopental, etomidate, ketamine, sevoflurane, isoflurane, desflurane, nitrous oxide and halothane. Sedatives: midazolam, single dose diazepam.

How long after anesthesia can I discard breast milk?

Based on extensive research, the current recommendation is that a mother can continue to feed her infant breast milk immediately following her surgical procedure or when she feels well enough to nurse or express her milk.

Can I breastfeed after oral sedation?

In summary, the evidence suggests that after a single episode of sedation with midazolam, the level of the drug in breastmilk poses very little risk to the breastfed child and that breastfeeding can therefore be resumed as soon as the mother feels able.

How long should you not breastfeed after anesthesia?

Based on extensive research, the current recommendation is that a mother can continue to feed her infant breast milk immediately following her surgical procedure or when she feels well enough to nurse or express her milk.

How long does dental anesthesia stay in breastmilk?

If you are having surgery with local anesthetic
It is often used in dental procedures. These medications are poorly absorbed and do not transfer to human milk. Nursing may resume as soon as you feel able.

Is it okay to get dental work done while breastfeeding?

Most dental treatments and drugs are safe to use during nursing. However, a few considerations must be considered: Anaesthesia: The type of anesthesia you get might have an impact on your ability to breastfeed. Local anesthesia is typically safe since it does not reach your bloodstream in large quantities.

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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