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From:
Cindy Garrison <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 11 Jan 2018 09:53:39 -0500
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Hi Sally,


We have come across this multiple times in the hospital where I work.  The American College of Radiology has a good statement.  One place it can be found (from infant risk.com) https://www.infantrisk.com/sites/default/files/files/Radiocontrast%20Breastfeeding.pdf


The important thing to remember is that it is a *contrast* dye, meaning they need it to *not* be absorbed so that they can see the contrast where they are looking.  That, in turn, means (according to the ACR) only extremely small amounts (less than 1%) *might* be absorbed into the mother's system and only 1% of that (according to the ACR) of that would find its way into the mammary tissue.


Cindy Garrison BS IBCLC

practicing in Pittsburgh, PA


> On January 11, 2018 at 12:00 AM LACTNET automatic digest system wrote:
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>     There are 3 messages totaling 110 lines in this issue.
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>     Topics of the day:
>     1. MRI (2) 2. Staph aureus on nipples
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>     ---------------------------------------------
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>     Date: Wed, 10 Jan 2018 14:22:13 +0000
>     From: sally etheridge
>     Subject: MRI
> 
>     A mother has just contacted me because she has to have an MRI scan to c heck her heart. She had a letter from the hospital to say she will need to refrain from breastfeeding for 48 hours following the procedure. I can't find any evidence to support this, and haven't come across this before. Has anyone else?
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>     Sally Etheridge IBCLC
>     Programme Lead
>     Leicester Mammas CIC
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>     ---------------------------------------------
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>     Date: Wed, 10 Jan 2018 11:16:09 -0500
>     From: Kim Kuopus
>     Subject: Staph aureus on nipples
> 
>     Hi all!
> 
>     Excuse the ignorance of my question... PTP I have a pt I thought had yeast on her nipples, cultured the nipples for verification. Culture came back positive for staph aureus. Mom is now panicky and wanting to quit breastfeeding. I put her on Mupirocin cream. She has no abscess, no systemic symptoms, no breast pain. Nipples are red, slightly shiny with white curds.... She is asking me questions I do not know the answer to. I did some research and am not finding the answers I need. She has concerns of transferring staph aureus to her infant. Since it is on her own skin I stated she may have transferred it to her infant, who is one month old. Infant is healthy with no ill symptoms. I explained to her the prevalence of staph aureus in the community. I discussed pumping and not breastfeeding until nipples are healed. She had concerns of staph aureus being in her breastmilk, I offered to culture her milk. She has declined at this time. She would like a systemic antibiotic instead of topical mupirocin. I explained that since she is symptom free, no fevers, abscesses etc an antibiotic is not indicated at this time. She asked about feeding her freshly EBM to her infant. I can't find much info on this? I feel the acidity of the gut and the antimicrobial properties of the milk would decrease the amount of staph her infant would be exposed to? I thought possibly freezing the milk for a time period would kill some of the staph if she was really concerned? Does flash pasteurizing kill staph? I do not know these answers and after some searches am not finding concrete answers. So, any info related to this case greatly appreciated!
> 
>     Also, where else do you go to find evidence based answers to breastfeeding questions? I use UpToDate which is not rich in breastfeeding resources, Lactnet, and google scholar for peer reviewed articles....
> 
>     Thanks! This site IS rich in breastfeeding answers and I thank you all who share their wisdom for all to benefit.
>     Kim Kuopus FNP, IBCLC
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>     ---------------------------------------------
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>     Date: Wed, 10 Jan 2018 11:30:15 -0500
>     From: Patricia Young
>     Subject: Re: MRI
> 
>     Need to know what contrast they are using. Pat in SNJ
> 
> 
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