Last update: Aug. 19, 2019
Moderately safe. Probably compatible.
Mild risk possible. Follow up recommended.
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Whether a mother has been diagnosed and treated during pregnancy, or, diagnosed after birth: It makes no sense to wean the baby. On the first instance, the mother is not contagious any longer. On the second one, the baby has been already exposed to infection.
On cases when diagnosis were attained later than 15 days before delivery: Treat the mother, delay breastfeeding and infant-to-mother contact for 15 days. Meanwhile, milk must be pumped-out and given to the infant if the mother does not have active lesions on the breast.
Except on those rather rare cases of mammary tuberculosis abscesses, TB bacilli have not been found in breast milk. Anti-TB therapy is compatible with breastfeeding.
The infant must undergo a tuberculin skin test (PPD), chest x-Ray examination, and receive chemoprophylaxis (adjust isoniacid given to the child to the lowest dose since it is largely secreted into breast milk).
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.
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