Last update: July 20, 2017
Minimal risk for breastfeeding and infant.
It is a cutaneous infestation due to a parasite (Sarcoptes scabiei). Highly contagious through a close and maintained contact.
At diagnosis in the mother or infant it is highly probable that both are affected which is a reason for regarding separation as be useless.
Treatment used in the mother with topical Permethrin, Benzyl benzoate or oral Ivermectin is compatible with breastfeeding (see Permethrin, Benzyl benzoate or Ivermectin). One application of Permethrin or one oral dose of Ivermectin are both considered to be curative.
If scabies is diagnosed at birth it would be appropriate to take the infant away from the mother for the first day to allow initiation of effect of treatment while stimulating the production of milk by means of a milk pump and giving the milk to the infant by spoon or finger-feeding method.
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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