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Front. Pediatr. | doi: 10.3389/fped.2018.00278


  • 1Ospedale Madonna Delle Grazie, Italy

When addressing the compatibility of breastfeeding with certain maternal conditions, we need to differentiate between “contraindication” and “obstacle”. Failure to distinguish between the two confuses new mothers and their families, and engenders misconceptions about breastfeeding advice by health professionals. Health conditions that may simply impede the initiation and duration of breastfeeding are often wrongly referred to as true contraindications to breastfeed, under the assumption that they might harm the health of the mother and/or that of the nursing infant. Here, we discuss several topics, including breast surgery, prolactinoma, concurrent new pregnancy, hormonal contraception, and use of medications and contrast agents, that continue to raise controversy. While most conditions appear to be compatible with breastfeeding, the major determinants of a woman’s final choice of whether to nurse her infant or not are the attitude of health professionals and the state of mind of being an informed mother.

Keywords: Breastfeeding (BF), Contraindication, Maternal health, Reproductive Health, maternal infections, Cytomegalovirus, Chemical substance

Received: 02 Jul 2018; Accepted: 13 Sep 2018.

Edited by:

Guido E. Moro, Associazione Italiana delle Banche del Latte Umano Donato (AIBLUD), Italy

Reviewed by:

Aakash Pandita, Sanjay Gandhi Post Graduate Institute of Medical Sciences, India
Ulrich H. Thome, Leipzig University, Germany  

Copyright: © 2018 Davanzo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Riccardo Davanzo, Ospedale Madonna Delle Grazie, Matera, Italy,