In a message dated 7/12/2005 12:32:00 PM Pacific Standard Time, [log in to unmask] writes: Can anyone help me locate the most recent references re this issue? I've tried to navigate the CDC website but did not find anything re breastfeeding and Lyme. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX It is on the CDC site. Lyme Disease, nor the antibiotics used to treat it, are NOT contraindications to breastfeeding. Remember: doxycycline can turn milk brown or black - still OK milk. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4807a1.htm Routes of Transmission Humans acquire B. burgdorferi infection from infected ticks at the time the tick takes a blood meal (28); Lyme disease is not spread by person-to-person contact or by direct contact with infected animals. Transplacental transmission of B. burgdorferi has been reported (29,30), but the effects of such transmission on the fetus remain unclear. The results of two epidemiologic studies document that congenital Lyme disease must be rare, if it occurs at all (31,32). Transmission in breast milk has not been described. B. burgdorferi can be cultured from the blood in some patients with early acute infection, and it is able to survive for several weeks in stored blood. However, at least one study has found that the risk for transfusion-acquired infection is minimal (33). Nancy Nancy E. Wight MD, IBCLC, FABM, FAAP Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital Medical Director, Sharp HealthCare Lactation Services San Diego, CA [log in to unmask] *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html