I want to reply to the post about scabies.   The only way for the baby to contract scabies is through physical contact which would be the only risk of continued breastfeeding until treated.   The mites would not transmit through milk and the Elimite, since topical, would be minimally transferred to the milk, if at all.   In short, MAY want to pump and feed until treated but no reason at all to stop breastfeeding.   Just to note that usually scabies is treated with all over cream and then repeated in one week b/c the eggs can live under the skin for that amount of time.   I would never recommend stopping breastfeeding for that entire time though.  The chances the baby gets scabies from the contact of breastfeeding are just as great as the contact from bottle feeding, diaper changing or just holding baby in general so really the advice to stop breastfeeding doesn't make sense.   She could wrap the baby in a blanket while feeding if she was really worried.  The cream for treating is approved in ages 2 months and up.

And, in my practice, we always gave prescriptions to all people who live in the household to prevent spread and reinfection.

Rebecca Stepaniak, MD, IBCLC

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