Find breastfeeding and chestfeeding help HERE.
 

“I’m breastfeeding, but I need to have surgery. Help!”

Are you breastfeeding and have a surgery coming up? Read on for helpful information about breastfeeding after surgery.

Anesthesia and Breastfeeding

More often than not, breastfeeding and anesthesia are compatible. The common suggestion for the lactating parent to “pump and dump” for 24 hours post-surgery is not in line with current evidence. Generally, the nursing parent can resume breastfeeding once they are awake, stable, and alert after anesthesia has been given.

The following are considered compatible with breastfeeding:

Midazolam
Fentanyl (single dose IV)
Ondansetron
Dexamethasone
Metoclopramide
Propofol
Etomidate
Volatile anesthetics Succinylcholine
NMBAs Neostigmine/glycopyrrolate Lidocaine
Bupivicaine

The following should be monitored closely or avoided: 

Morphine- Monitor closely
Hydromorphone- Monitor closely
Ketamine- No Data
Meperidine- Avoid

Reference: Anesthesiology 10 2017, Vol.127, A15. doi:10.1097/ALN.0000000000001867

More information

Anesthesia and Breastfeeding Hand Out, LLL USA

Breastfeeding when mom has surgery, KellyMom

Does Anesthesia Affect a New Mom’s Ability to Breastfeed?, American Association of Nurse Anesthetists

Easing the Distress of Major Surgery, LLL USA blog

My Baby Is Having Surgery, LLLI

 

IS YOUR CONCERN OR QUESTION NOT COVERED HERE?

Please contact a local LLL Leader with your specific questions.

Medical questions and legal questions should be directed to appropriate health care and legal professionals.