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Does magnesium sulfate affect breast milk?

The Impact of Magnesium Sulfate on Breast Milk
Magnesium sulfate is a medication commonly used in various medical settings, particularly during labor to prevent seizures in women with preeclampsia and to manage certain fetal conditions. However, its effects on breastfeeding and breast milk composition have raised questions among new mothers and healthcare providers alike.
Magnesium Levels in Breast Milk
Research indicates that the administration of intravenous magnesium sulfate does lead to an increase in magnesium concentrations in breast milk. Specifically, studies show that after treatment, breast milk magnesium levels are significantly elevated for up to 24 hours following the cessation of the magnesium infusion. After this period, the magnesium levels in breast milk return to baseline, comparable to those of mothers who did not receive the treatment.
Despite this temporary increase, the implications for breastfeeding infants appear to be minimal. The oral absorption of magnesium by infants is generally poor, meaning that even if breast milk contains higher magnesium levels, it is unlikely to significantly affect the infant’s serum magnesium levels . This is reassuring for mothers concerned about the potential impact of magnesium sulfate on their breastfeeding infants.
Safety for Breastfed Infants
The consensus among healthcare professionals is that maternal magnesium therapy, particularly when administered intravenously, is not expected to pose a risk to breastfed infants. Infants nursing from mothers treated with magnesium sulfate have shown only slight increases in their own magnesium levels, which are not considered clinically significant. This suggests that the benefits of magnesium sulfate treatment for the mother do not come at the expense of the infant’s health.
Moreover, guidelines indicate that breastfeeding can typically resume shortly after the administration of magnesium sulfate, with some hospitals allowing breastfeeding as soon as six hours postpartum, depending on the duration of magnesium treatment.
Conclusion
In summary, while magnesium sulfate does increase magnesium levels in breast milk temporarily, the overall impact on breastfeeding infants is minimal. The poor absorption of magnesium by infants means that maternal magnesium therapy is unlikely to affect their serum magnesium levels significantly. Therefore, mothers receiving magnesium sulfate can generally feel confident about continuing to breastfeed without concern for adverse effects on their infants. This understanding is crucial for supporting maternal health while ensuring the safety and well-being of newborns during the critical early days of breastfeeding.

What are nursing implications for magnesium sulfate?

Be sure to closely monitor the patient’s blood pressure and cardiac rhythm. Magnesium sulfate relaxes the central nervous system, decreases hyperreflexia and may result in decreased deep tendon reflexes. The patient should be assessed for skeletal muscle weakness and hypotonia.

Does magnesium interact with milk?

Although magnesium is found within milk, it may not be in your best interest to consume a magnesium supplement with a glass of milk. Magnesium and calcium have a complicated relationship. Both minerals have overlapping transport systems within the body, so when consumed together they compete for absorption.

Does magnesium sulfate affect baby?

Side effects in babies
Mag should not be given for longer than five to seven days during pregnancy, as long-term mag therapy can cause low calcium in a baby’s bones.

What does magnesium do to a newborn?

“The evidence from this study supports the use of magnesium sulphate for reducing brain inflammation and improving myelination in preterm infants deprived of oxygen,” he said.

Does magnesium affect breasts?

In our study, doubling of magnesium is associated with greater breast density, which could be a reflection of estradiol effects on breast tissue, magnesium reabsorption, and subsequent effects of the latter on normal cell proliferation (13).

What does magnesium sulfate do postpartum?

Magnesium sulfate can help prevent seizures in women with postpartum preeclampsia who have severe signs and symptoms. Magnesium sulfate is typically taken for 24 hours. After treatment with magnesium sulfate, your health care provider will closely monitor your blood pressure, urination and other symptoms.

Is it okay to breastfeed while on magnesium sulfate?

In this case, you may have to pump, which can make breastfeeding difficult for other reasons. If you have severe preeclampsia, you may be treated with magnesium sulfate, which can cause nausea and make it more challenging to feed. Also, when a baby is born early, it can take longer for your milk to come in.

What are the side effects of magnesium sulfate for the mother?

The ‘well recognised’ and more commonly reported maternal adverse effects of magnesium sulphate include flushing, increased warmth and sweating due to the peripheral vasodilatory effects of magnesium, and nausea, vomiting, headaches, muscle weakness, blurred vision, and intravenous (IV) or intramuscular (IM) site pain …

Does magnesium affect breast milk?

Oral absorption of magnesium by the infant is poor, so maternal magnesium hydroxide is not expected to affect the breastfed infant’s serum magnesium. Magnesium oxide supplementation during pregnancy might delay the onset of lactation, but it can be taken during breastfeeding and no special precautions are required.

Is Epsom salt ok when breastfeeding?

Don’t worry, mama – There is substantial research that shows Epsom salt does not harm breastfeeding babies. In fact, Epsom salt baths can help relieve other breastfeeding discomforts such as engorgement. It’s also a nice way to pamper yourself—and you definitely deserve that!

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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