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Antibiotics for postpartum women - what to drink is not harmful
After giving birth, you still need to be careful when using antibiotics, especially if you are breast-feeding. These are detailed instructions on antibiotics for postpartum women from Pharmacist Dang Thi Thuan Thao - Department of Pharmacy (Tu Du Hospital).
Why should consider when using antibiotics for women after giving birth?
Antibiotics are not suitable for treating viral infections such as coughs and colds . However, in a few cases, mothers still need to use antibiotics for treatment. The drug can pass through breast milk. Most antibiotics can reduce a child's bowel movements leading to diarrhea. A few babies develop upset stomachs or upset stomachs. The effects of the drug on a nursing infant may be limited in the following ways:
Indication of oral malabsorption drugs.
Avoid breastfeeding around the time the drug reaches peak concentrations in the mother.
Assign drugs that have local effects.
Antibiotic classes for postpartum women and their effects on babies
Group g
Penicillins and cephalosporins are excreted in breast milk in very small amounts. Hence it is compatible with breast-feeding. Breastfed babies can have side effects to this group of antibiotics. An example is diarrhea caused by antibiotics, which changes the microbiota.
Trimethoprim-sulfamethoxazole (Bactrim, Septra) can be used during lactation. However, use is limited in mothers born prematurely before 2 months because this drug may increase bilirubin in breastfed infants.
The Tetracycline group
In the past tetracycline contraindicated for use on lactating women. Because this drug can get on the baby's immature teeth (even when not present). If the treatment duration is short then this is not considered an issue. Because the drug complexes with calcium in milk and is not absorbed by the baby. In the case of long-term treatment such as acne treatment should be avoided.
Drugs in the same group are: Tetracycline, Oxytetracycline, Minocycline, Doxycycline
Metronidazole
Metronidazole (brand-name Flagyl) is often indicated in vaginal infections. This drug has been linked with rodent cancer risk. However, there are no studies showing that this cancer is related in humans. The most severe cases were the babies passing loose stools while breastfed using Flagyl.
Fluconazole
Fluconazole (brand name Diflucan) is often prescribed for nipple infections in nursing mothers. This drug passes through breast milk. However, breastfed babies only absorb about 5% of the usual pediatric dose.
Limited information is available for antifungal drugs such as clotrimazole (Gyne-Lotrimin) or miconazole (Monistat), which pass in low concentrations of breast milk, so the indications are less risky in the nursing infant.
Other birthdays
Ciprofloxacin (Ciproxin) is less likely to cause problems in babies when given short treatment to mothers. Quinolone drugs should be prescribed only if the benefits and risks are weighed.
Other antibiotics are preferred such as trimethoprim or nitrofuratoin to treat urinary tract infections.
Nitrofurantoin (Furadantin, Macrodantin) only a small amount is excreted in breast milk. But it can cause hemolytic anemia caused by G6PD deficiency in a newborn (a rare condition that occurs in infants).
Vancomycin and teicoplanin are used to treat MRSA-resistant infections. The side effects of these drugs are likely to get worse.
Antibiotics are not used when mothers are breastfeeding
There is a little antibiotic that is prescribed and should not be indicated during lactation, that is chloramphenicol. This drug through breast milk can cause skeleton chemistry and cause "gray syndrome in the baby". This is a serious disorder. The liver enzyme function is destroyed, causing the child to suffer from low blood pressure, lack of oxygen, cyanosis and eventually death.
Antibiotics such as doxycycline (Vibramycin) or minocycline (Minocine) should be avoided during breastfeeding. Because these drugs pass through breast milk and are well absorbed in breastfed babies and can be toxic (staining teeth, reducing bone growth).
Above is information about antibiotics for postpartum women. However, the mother absolutely should not arbitrarily use antibiotics. You should see the doctor if you are sick so the doctor should weigh the risks for your baby before taking the medicine.
See more:
The principles of using antibiotics for parents' safety need to remember
Instructions for the correct use of antibiotics for babies and young children
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