Here’s an article.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5471709/
Holly Mcspadden, IBCLC
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From: Lactation Information and Discussion <[log in to unmask]> on behalf of Pamela Morrison <[log in to unmask]>
Sent: Sunday, November 1, 2020 11:05:50 AM
To: [log in to unmask] <[log in to unmask]>
Subject: Scorpion Sting and breastfeeding
Naomi,
Thank you very much for your suggestions. The mother who was stung was
from Zimbabwe, with few resources there but she did manage to speak to her
doctor in the end, who said that breastfeeding would be fine.
In the meantime, I contacted an Australian group, and I did some digging
around myself, and found that most reported bites have occurred in Brazil,
but the research there is almost exclusively confined to the effects on the
baby in pregnancy. But there were also these two sources:
1.https://apc01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fe-lactanciya.org%2Fen%2Fsynonyms%2F3643-scorpion-sting&data=04%7C01%7C%7C0438c7f106cb40415a2108d87e8018ba%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637398435921486834%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=MFHC0U3BkpQAB2J%2F6mhPHocmChc2AcQmEa%2FruNNwtz4%3D&reserved=0 The insect venom
is a complex mixture of polypeptides, amines, proteinaceous enzymes
(proteases, phospholipases, hyaluronidase), histamine and other
substances.Most of them cannot pass into milk because of its high molecular
weight. Some that would pass into the milk do it in very small amounts, yet
due to its proteinaceous nature it is readily inactivated in the
gastrointestinal tract of the infant and not absorbed, except in premature
babies and during the immediate neonatal period, which may show an
increased permeability of the intestine. It has been reported a mild
allergic-like reaction in a 12-days-old newborn who was breastfed one hour
after the mother had been chopped on the lip by a bee that caused to her a
widespread reaction in the face (Kaya 2012). Topical or systemic products
that can be used to treat insect bites (like repellents, antihistamines,
epinephrine, corticosteroids, nonsteroidal antiinflammatory, antibiotics,
etc.) are compatible with breastfeeding. Whenever necessary, it should be
used 2nd generation antihistamine (e.g. Loratadine, Cetirizine) due to a
lacking sedative effect.The antivenoms or antivenin sera, that can be
applied in certain severe cases, are specific immunoglobulins obtained from
serum of horses or other animals that due to their high molecular weight do
not pass to milk. Given the absence of problems or low risk for the infant
when a mother has been bitten by mosquitoes, wasps, bees, spiders or other
insects, interruption of breastfeeding is not recommended. Only in case of
widespread reaction in the mother or infants under one month of life, it
may be prudent to wait for about 3 hours to resume breastfeeding.
Incidentally, it has been used bee venom, specifically one of its peptides,
Melittin, to increase milk production in various breedings (Choi 2001,
Grandison 1984).
2. US Government information on scorpion venom, Sample records for *scorpion
venom intoxication, *
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Many thanks.
Pamela
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