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: > > > There are 3 messages totaling 110 lines in this issue. > > Topics of the day: > 1. MRI (2) 2. Staph aureus on nipples > > Lactnet Archives are at: > LACTNET Archives http://community.lsoft.com/archives/lactnet.html > To Manage your Subscription, ie go nomail, index, etc, go to: > http://community.lsoft.com/archives/lactnet.html > > Thanks! > > LACTNET Facilitators > Kathleen B. Bruce RN, BSN, IBCLC > Rachel Myr, midwife, IBCLC > Kathy Koch PhD > Linda Pohl > Karleen Gribble PhD > Norma Ritter, IBCLC > Nina Berry PhD > > Questions to [log in to unmask] mailto:[log in to unmask] .com > > *********************************************** > > Archives: http://community.lsoft.com/archives/LACTNET.html > To reach list owners: [log in to unmask] mailto:[log in to unmask] .com > Mail all list management commands to: [log in to unmask] mailto:[log in to unmask] .com > COMMANDS: > 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail > 2. To start it again: set lactnet mail > 3. To unsubscribe: unsubscribe lactnet > 4. To get a comprehensive list of rules and directions: get lactnet welcome > > > > --------------------------------------------- > > 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? > > > Sally Etheridge IBCLC > Programme Lead > Leicester Mammas CIC > 07580159278 > > *********************************************** > > Archives: http://community.lsoft.com/archives/LACTNET.html > To reach list owners: [log in to unmask] mailto:[log in to unmask] .com > Mail all list management commands to: [log in to unmask] mailto:[log in to unmask] .com > COMMANDS: > 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail > 2. To start it again: set lactnet mail > 3. To unsubscribe: unsubscribe lactnet > 4. To get a comprehensive list of rules and directions: get lactnet welcome > > > > --------------------------------------------- > > 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 > > *********************************************** > > Archives: http://community.lsoft.com/archives/LACTNET.html > To reach list owners: [log in to unmask] mailto:[log in to unmask] .com > Mail all list management commands to: [log in to unmask] mailto:[log in to unmask] .com > COMMANDS: > 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail > 2. To start it again: set lactnet mail > 3. To unsubscribe: unsubscribe lactnet > 4. To get a comprehensive list of rules and directions: get lactnet welcome > > > > --------------------------------------------- > > 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 > > > > *********************************************** > > Archives: http://community.lsoft.com/archives/LACTNET.html > To reach list owners: [log in to unmask] mailto:[log in to unmask] .com > Mail all list management commands to: [log in to unmask] mailto:[log in to unmask] .com > COMMANDS: > 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail > 2. To start it again: set lactnet mail > 3. To unsubscribe: unsubscribe lactnet > 4. To get a comprehensive list of rules and directions: get lactnet welcome > > > > --------------------------------------------- > > End of LACTNET Digest - 8 Jan 2018 to 10 Jan 2018 (#2018-11) > ************************************************************ > *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome