I looked quickly in Ruth Lawrence's book, 1994 edition, which is sitting
here by my computer, with the other tomes I have surrounding me, and on pp.
478-479, there is a table of infectious disease and bf. For Tuberculosis,
inactive disease, baby does not need to be isolated from mother, mother CAN
visit nursery (does baby need to be in there is the question? Not, I
think.)....Mother CAN breastfeed...for treatment for infant, she says....
"Consider BCG if followup in doubt", anf contact with pregnant woman is
allowed.

For mother with active TB, baby must be isolated from mother, mother cannot
visit nursery, mother cannot bf until treatment is established, and Infant
needs prophylactic treatment. May not have contact with pregnant women.

This is in conflict to what your client was told by the OB.  Ask the OB for
references. If the information you give is correct, the OB should have
references to back up recommendation to not bf, which in itself has serious
repercussions.  You are not the one on the defense, here.

Turn the tables and ASK FOR REFERENCES.

Kathelen

 "Today, I had a mom tell me that her OB
doc said she could not bf because she had "non-contagious" TB and was sick
often with sinus infections.  This is a new one on me.  From the
information I was able to get from this mom, it sounded as if she had a
positive skin test, nothing shown on CXR, on no meds.  From what I remember
reading, I see no reason for this mom not to bf.  I am in a tizzy now
because I can't find my bf bible (Breastfeeding and Human Lactation).  I
have searched the archives and found posts on TB meds, but nothing I can
relate to this."

Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
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