New guidance on supporting a mother who is breastfeeding if she requires anaesthesia and/or sedation

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A new consensus document on anaesthesia and sedation in breastfeeding women has been produced by members of a Working Party established by the Association of Anaesthetists of Great Britain and Ireland and has been informed by the Unicef UK Baby Friendly Initiative and endorsed by the RCM and RCOG.

The authors discuss how breastfeeding mothers who require anaesthesia or sedation can sometimes receive inconsistent information from health professionals regarding the passage of drugs into breastmilk, which can potentially result in the interruption of feeding, discarding of breastmilk or early cessation of breastfeeding. Based on the evidence, the authors note that breastfeeding is acceptable to continue after anaesthesia and should be supported as soon as the woman is alert and able to breastfeed, and that breastmilk should not be discarded. This document reviews the pharmacokinetics of drugs commonly used during anaesthesia so that professionals can undertake a risk‐benefit discussion with the woman and provides guidance on the development of local policies for staff.

Ten key recommendations on anaesthesia and sedation in breastfeeding women are provided, including that breastfeeding support should be accessible for lactating women undergoing surgical and medical procedures and that patient information leaflets and additional resources should be available containing information on the compatibility of anaesthetic agents and analgesics during breastfeeding.

For more information on breastfeeding, see our range of helpful resources. You can read the consensus document in its entirety here:  https://onlinelibrary.wiley.com/doi/full/10.1111/anae.15179

The infographic below by the  Association of Anaesthetists provides additional detail on the guidance:

(c) Association of Anaesthetists