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Does radiation affect breastfeeding?

Understanding the Impact of Radiation on Breastfeeding
Breastfeeding is a vital aspect of infant care, providing essential nutrients and fostering a strong bond between mother and child. However, when a mother undergoes radiation therapy, particularly for conditions like breast cancer, concerns about the safety of breastfeeding arise. This article delves into the implications of radiation exposure on breastfeeding, drawing from expert opinions and recent findings.
Radiation Therapy and Breastfeeding
Radiation therapy is commonly used to treat various cancers, including breast cancer. While it can be effective in targeting cancerous cells, it also raises questions about its effects on lactation. Experts generally recommend caution when it comes to breastfeeding during radiation treatment. Specifically, it is advised that mothers refrain from breastfeeding during the course of radiotherapy. The primary concern is that the suckling action of the infant may exacerbate skin toxicity in the treated breast, potentially leading to increased discomfort and complications for the mother.
Despite these concerns, research indicates that lactation can still be possible after radiation therapy. Studies show that at least 50% of women who have undergone such treatment can still produce breast milk, although the volume may be reduced. The extent of lactation success is often linked to the type of surgery performed and the radiation dose received. Additionally, biochemical changes in the milk have been observed, which could affect its composition.
Breastfeeding During Cancer Treatment
For mothers undergoing chemotherapy alongside radiation, the situation becomes even more complex. While some treatments may allow for breastfeeding, others may not. Institutions like Memorial Sloan Kettering Cancer Center provide guidance on this matter, emphasizing the importance of consulting healthcare providers to assess the safety of breastfeeding during various cancer treatments.
In cases where mothers are receiving treatment for brain tumors or other conditions requiring radiation, the recommendations can vary. Some experts suggest that breastfeeding may be temporarily halted during acute treatment phases, particularly if there is a risk of radiation exposure to the infant.
Safety Considerations in Radiation Emergencies
In scenarios involving radiation emergencies, such as nuclear incidents, the Centers for Disease Control and Prevention (CDC) advises that mothers consider temporarily stopping breastfeeding until they can ensure the safety of their environment. If evacuation is not possible, continuing to breastfeed may still be the best option, depending on the circumstances.
Conclusion
The intersection of radiation therapy and breastfeeding is a nuanced topic that requires careful consideration. While radiation can impact a mother’s ability to breastfeed, many women can still produce milk post-treatment, albeit in reduced quantities. It is crucial for mothers undergoing such treatments to engage in open discussions with their healthcare providers to navigate the complexities of breastfeeding safely. Ultimately, the health and well-being of both mother and child should remain the top priority.

How long to pump and dump after radiation?

At 9 hours, 97% of the radioisotope remaining in the tissues would be decayed away. (6) It is likely that after 12 hours, almost all radioisotope would be decayed to almost background levels. Recommend pumping and dumping of breastmilk after the procedure for at least 12 hours to avoid all radiation.

Is it safe to be around radiation patients while breastfeeding?

Radioactive material can be passed to babies: Through breast milk of mothers with internal contamination. Through contaminated water mixed with infant formula. While being held and fed if their caregiver has radioactive material on their skin or clothing (external contamination)

How long does radiation stay in your body after radiation therapy?

So, how long does radiation stay in the body after treatment? It depends on the type of therapy. People with chronic exposure to gamma rays and similar therapies (like the technicians who operate X-ray machines) may retain radiation for weeks or months.

What can’t you do after radiation?

It’s important not to rub, scrub or scratch any sensitive spots. Also avoid putting anything that is very hot or very cold—such as heating pads or ice packs—on your treated skin.

How long does it take for your breast to heal after radiation?

It often takes 3 to 4 weeks for skin reactions to heal. If you have any questions or concerns, don’t hesitate to contact your radiation oncologist or nurse.

Which trimester is most sensitive to radiation?

Radiation risks are most significant during organogenesis and the early fetal period, somewhat less in the second trimester, and least in the third trimester; During the period of <25 weeks post conception, the central nervous system (CNS) is particularly sensitive to radiation.

How does radiation affect the baby?

Depending on the stage of fetal development, the health consequences of exposure at doses greater than 0.5 Gy can be severe, even if such a dose is too low to cause an immediate effect for the mother. The health consequences can include growth restriction, malformations, impaired brain function, and cancer.

Is it safe to hold a baby after radiotherapy?

Yes, it is perfectly safe to be around and hold children, babies and pregnant women while you are having your course of radiation therapy treatment.

Does radiation damage breast?

In time radiotherapy can cause the breast tissue to change shape or shrink in size a little. This can happen to your natural breast tissue or a reconstructed breast. After radiotherapy, the skin on the breast might feel thicker. And the breast might feel hard and less stretchy.

Is it safe for babies to be around radiation patients?

Avoid direct or indirect contact, including shared living space with infants and young children (e.g., consider having children stay outside the home or with other family members) for a specific period of time, in general a few days, but patients should ask their health care providers.

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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