Dear friends,
This (Lawrence's recommendations) is not in tone with the recommendations of WHO in the booklet ''Acceptable medical reasons for use of breast-milk substitutes'' as an annex to the 10 steps.
It isn't logical either because most probably mom has been having these bugs before someone noticed or diagnosed and thus has been sharing with her child already. But sharing antibodies as well.
WHO only gives very rare indications for separation and/or milk replacement in cases of maternal illness, instead most often argues to keep mom and baby together and treat both appropriately.
Wamrly,
Gonneke, IBCLC, MOM in southern Netherlands
--- On Tue, 10/27/09, Dawn Kersula <[log in to unmask]> wrote:
Okay, Arly -- the sixth edition (2005) says the same. S. pyogenes in the
table of therapies states mom can go back to breastfeeding after 24 hours of
antibiotics. The discussion in the body of the text seems to wander from
sore throat to "sever invasive infection with bacteremia, necrotizing
fasciitis, myositis, or system illness...acute rheumatic fever...puerperal
sepsis". "In the situation of maternal illness (extensive cellulitis,
necrotizing fasciitis, myositis, pneumonia, TSS, mastitis) it is appropriate
to separate the mother and infant until effective therapy (penicillin,
ampicillin, cephalosporins, erythromycin) has been given for 24 hours.
Breastfeeding should also be suspended and may resume after 24 hours of
therapy.
I don't know anyone who has ever followed this advice.
Dawn Kersula RN etc in Vermont
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