Why does the need for medication become a barrier to breastfeeding? A narrative review

Publication date: Available online 16 December 2017
Source:Women and Birth
Author(s): Alyson K. McClatchey, Alison Shield, Lynn H. Cheong, Sally L. Ferguson, Gabrielle M. Cooper, Gregory J. Kyle
ProblemThe need for medication during lactation can contribute to the early cessation of breastfeeding.BackgroundBreastfeeding women may require medication for acute or chronic health conditions. For some women this need for medication can become a barrier to breastfeeding; this is despite the fact that the majority of medications are considered to be compatible with lactation.AimThis narrative review aims to investigate factors relating to medicines safety that could contribute to medication unnecessarily becoming a barrier to breastfeeding.MethodsA selective literature search using PubMed, Scopus and Google Scholar was conducted over a 6-month period using the search terms "breastfeeding", "lactation", "medication" and "information". Articles were assessed to identify whether they addressed the impact of medication use on the decision to breastfeed.FindingsFifty six articles were identified as having appropriate discussion about decision making for the safe use of medication during lactation. Themes identified included variable and conflicting safety advice for medicines; difficulty interpreting risks associated with medicine use; societal pressures faced by the breastfeeding woman; and the varied knowledge and training of health professionals involved in the care of breastfeeding women.ConclusionPoor quality of information about medicine safety during lactation can contribute to confusion in giving recommendations. This confusion can result in early cessation of breastfeeding or insufficient health care for the breastfeeding woman.



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