Printed from: Anaesthesia & Sedation for Breastfeeding Parents https://www.breastfeeding-anaesthesia.info/ 4 Antibiotics - most are safe in breastfeeding although some may cause gut symptoms in breastfeeding babies. It is recommended that some antibiotics are avoided e.g. doxycyline, ciprofloxacin, and high doses of metronidazole. Radiological contrast - almost all safe in expressing except Technitium containing contrast which requires breastmilk to be expressed and disposed of for 12 hours. Frequently Asked Questions 1. I am breastfeeding my 5 month old daughter and am due to have a colonoscopy next week with midazolam and fentanyl sedation. I have been told I need to "pump and dump" for 24 hours afterwards. Is this correct? This is very unlikely to be required. Unless your baby has significant health issues you can continue to breastfeed as usual following the procedure. Please read the above advice and make sure you stay well hydrated as the bowel preparation required can cause dehydration which may affect your milk supply. 2. I am due to have my gallbladder removed next week and I am expressing breastmilk for my 2 week old child who was born 6 weeks early and had some pauses in her breathing in the first few days in the newborn unit. What should I do? Please discuss this with the doctors caring for your baby. The general advice is to feed your baby or express as close to the start of your operation as possible. After the procedure you can continue to express and either store that milk for when your baby is older or mix it with milk you have expressed prior to the operation. 3. I am due to have a major operation next week and am breastfeeding my one year old son. I would like to continue feeding if I can. Please can you help? Please let the doctors caring for you know that you are currently breastfeeding. You may wish to express some milk in advance if possible to have some stored for your son if required. You will most likely be able to continue breastfeeding after the operation but discuss this with your healthcare team. 4. I am due to have an MRI this week and am breastfeeding my 3 month old. I've been told I need to express and dispose of the milk for 24 hours afterwards. Is this required? No, MRI contrast does not require you to dispose of your breastmilk. You can continue to breastfeed as usual. 5. I need a minor procedure done on my foot. Even though I know it's safe to breastfeed after general anaesthesia I'm wondering if there are any other options? You may be able to have your procedure done under regional anaesthesia (blocking nerves). Please discuss this with the anaesthetist who will be caring for you.
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