Last update: July 31, 2018

Maternal Toxoplasmosis

Very Low Risk for breastfeeding


Safe. Compatible.
Minimal risk for breastfeeding and infant.

Toxoplasmosis is one of the most widespread infections in the world. It is caused by the Toxoplasma gondii parasite which is hosted in cats. The infected animal, through its droppings, contaminates water, fruits and vegetables and infects other animals and people.
Human infection occurs due to contact with infected cats, the consumption of unwashed fruits and vegetables, contaminated goat’s milk and the consumption of undercooked meats, among others.
The infection usually presents with mild symptoms even in infants, except in immuno-compromised persons and in the case of congenital infection during pregnancy, which is very serious.
 

The parasite is transmitted through the milk of several animals, but it has never been possible to confirm infection through breastmilk (CDC 2018, Lawrence 2016 p 465, Capobiango 2015), although it has been suggested in a few cases (some very old) as a probability (Brazil 2006, Bonametti 1997, Langer 1963).

Given the absence of evidence of its transmission through milk, the benignity of postnatal infection and the presence of antibodies against Toxoplasma in breastmilk, there is no reason to contraindicate breastfeeding in mothers who have suffered from toxoplasmosis in the past, during pregnancy or at the time of breastfeeding (CDC 2018, Lawrence 2016 p 225, 466 and 789).

The medication for the treatment of toxoplasmosis is usually compatible with breastfeeding (Lawrence 2016 p 789).


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Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

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References

  1. CDC. Centres for Disease Control and Prevention. Toxoplasmosis and Breastfeeding. 2018 Full text (link to original source) Full text (in our servers)
  2. Lawrence RA, Lawrence RM. Breastfeeding. A guide for the medical profession. Eighth Edition. Philadelphia: Elsevier; 2016
  3. Capobiango JD, Mitsuka-Breganó R, Monica TC, Ferreira FP, Reiche EM. Acute toxoplasmosis in a breastfed infant with possible transmission by water Rev Inst Med Trop Sao Paulo. 2015 Abstract Full text (link to original source) Full text (in our servers)
  4. Brasil. Secretaria de Vigilância em Saúde. Surto intra familiar de toxoplasmose, Santa Vitoria do Palmar-RS, julho de 2005. Bol Eletrôn Epidemiol. 2006;6(3):1-7. 2006 Full text (link to original source) Full text (in our servers)
  5. Bonametti AM, Passos JN, Koga da Silva EM, Macedo ZS. Probable transmission of acute toxoplasmosis through breast feeding. J Trop Pediatr. 1997 Abstract
  6. Langer H. Repeated congenital infection with toxoplasma gondii. Obstet Gynecol. 1963 Abstract

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