Medication during breastfeeding is similar to medication during pregnancy in many ways. Side effects affect the fetus and the newborn and can have unwanted effects.In the case of the fetus, this effect can also lead to congenital anomalies, while the newborns and the products of the newborn during breastfeeding can only have side effects, but in some cases they can be serious. A similar situation exists in the lack of credible scientific knowledge in all cases with medication guided by defensiveness, or fierce fear.
Contergan, the intõ exampleVirtually every medicine in your medical and patient information leaflet contains terms that are ubiquitous or encourage you to make an appointment with your doctor. In many cases, they are also the cause of unfair treatment, even in the most impassioned treatment.
Since the Contergan scandal, it is a known fact that a drug that is harmless in animal testing can cause serious harm in a human fetus. This intimate example has fundamentally defined our daily practice to this day.
The drug "Contergan" was launched in 1957 to relieve the risk of premature pregnancy in women. The drug was marketed in about 50 countries (not licensed in Hungary), with a prescription-only, non-prescription nausea suppressant. It was one of the most sought after drugs at the end of the '50s, until it was discovered that taking the drug caused fetal damage.
In countries where the drug has had great success, a previously unknown fetal developmental malformation has occurred: infant infants were born. Many of them were associated with other deformities (deafness, blindness), resulting in deaths of about 50 percent within a couple of months. In 1961, a link was made between medicine and developmental disorders, and until 1962, medicine was banned in every country.
The tragedy called attention to the fact that the active ingredient of the drug was found in the aphid (formerly thought that aphrodisiac was a kind of aphrodisiac from this point of view) and that it also had to influence every medicine.
For all drug treatments it is important to consider the benefits and risks of the currency. This is especially true in situations where the treatment side effects are due to the adverse effects of the developing fetus or the dying, growing neonate. The first and most important aspect of prudent weighing is that whether treatment is really justified.
Banable illnesses, colds, and influenza illnesses spontaneously heal without any drug treatment, and it is obvious that treatment in such cases is not absolutely necessary. At the same time, without treatment with a serious condition, the risk of death can be even more serious in the case of medical images that seriously compromise the health of the patient. Because a wide variety of diseases are found between two conditions, the need for treatment should always be a serious medical decision.
The next aspect is the precise determination of the duration of treatment and the dose of the drug.
Treatment with a short or low dose may not lead to healing, but treatment with an excessively long time or a high dose may not only cause the fetal or neonatal side effects, but also the maternal side effects.
AlternatнvбkNowadays, a very wide spectrum of drugs can be achieved. The great opportunity to choose also has its benefits. When treating pregnant or infant patients, the attending physician should always try to choose a safe drug protocol. It is fundamentally true that, with the exception of some rare and severe diseases, medication can continue during breastfeeding without further ado. Some medications may have side effects, so they may require pediatric care.
Side effects may occur more frequently in premature or low-birth weight babies and in the first six weeks after birth, so extra care is usually needed in these cases.
It is important that you follow not only the phrasebooks that are not useful and not applicable in practice, individual screening in each case - the result of your birth, genetic, neonatological consultation - let the decision be made. In some cases, it may be necessary to temporarily suspend breastfeeding during drug treatment. In this case, we recommend the maintenance of milk production with continuous milking of milk, artificial nutrition of the newborn, followed by natural breastfeeding after the treatment. because breast milk is the most beneficial diet of the newborn.