Breastfeeding Through Illness: What You Should Know
Breastfeeding is one of the best ways to provide your baby with the nutrients and immune protection they need, even during times of illness. Whether you or your baby are unwell, continuing to breastfeed is often not only safe but also beneficial. This post, based on guidance from the Academy of Breastfeeding Medicine (ABM), will help answer common concerns and provide practical tips for breastfeeding through colds, flu, or other health issues.
Can I Breastfeed If I’m Sick?
The short answer is yes! Most illnesses, including common colds, flu, and mild infections, do not require you to stop breastfeeding. In fact, breastfeeding while sick is one of the best ways to protect your baby.
Here’s why breastfeeding through illness is encouraged:
Antibody Transfer: Your body produces antibodies to fight off the illness, and these antibodies are passed to your baby through breast milk, giving them extra protection.
Nutritional Benefits: Breast milk remains the most complete source of nutrition for your baby, even if you’re unwell.
Comfort for Baby: Breastfeeding can soothe and comfort your baby, especially if they are also feeling under the weather.
Exceptions to Breastfeeding While Sick
While most illnesses don’t require you to stop breastfeeding, there are rare exceptions, such as:
Active tuberculosis (before treatment begins)
Certain infections like HIV (depending on location and medical guidance)
Specific medications that may pass into breast milk and harm your baby
Always consult your healthcare provider if you’re unsure.
What About Breastfeeding If My Baby Is Sick?
When your baby is unwell, breastfeeding becomes even more important. Breast milk provides hydration, nutrients, and immune-boosting properties that can help your baby recover more quickly.
Benefits for a Sick Baby:
Hydration: Breast milk helps keep your baby hydrated, especially if they have a fever or diarrhea.
Easier Digestion: Breast milk is gentle on a baby’s stomach, making it ideal if they’re experiencing nausea or digestive issues.
Immune Support: Your breast milk changes in composition to meet your baby’s needs, producing more antibodies and immune-boosting factors when your baby is sick.
How to Manage Breastfeeding While Ill
If you’re unwell, it’s essential to take care of yourself while continuing to breastfeed. Here are some practical tips:
Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you’re experiencing fever or vomiting.
Rest When Possible: Rest is crucial for your recovery. Consider breastfeeding in a side-lying position to conserve energy.
Manage Symptoms Safely: Use medications that are compatible with breastfeeding. Most over-the-counter cold and flu medications are safe, but always check with your doctor or a lactation consultant.
Practice Hygiene: Wash your hands frequently, use a mask if you’re coughing or sneezing, and avoid touching your baby’s face to reduce the risk of spreading germs.
What About Medications?
Many medications, including those for colds, flu, and other common illnesses, are compatible with breastfeeding. The Academy of Breastfeeding Medicine advises that most medications do not require you to stop breastfeeding.
Safe Medication Use Tips:
Opt for medications with a shorter half-life.
Avoid combination medications with multiple active ingredients.
Consult the LactMed database or a lactation consultant to verify medication safety.
What If My Baby Refuses to Nurse While Sick?
It’s common for sick babies to nurse less due to congestion or fatigue. Here’s how you can encourage them:
Clear Congestion: Use a saline nasal spray and a nasal aspirator to help your baby breathe more easily during feedings.
Offer Smaller, Frequent Feeds: Sick babies may prefer shorter, more frequent breastfeeding sessions.
Pump if Needed: If your baby isn’t nursing as usual, pump to maintain your milk supply and provide expressed milk if necessary.
Key Takeaways for Breastfeeding Through Illness
Breastfeeding Protects Your Baby: Breast milk provides antibodies and immune support to help your baby fight off illness.
You Don’t Need to Stop: Most maternal illnesses are not a reason to wean or stop breastfeeding.
Consult When in Doubt: If you’re unsure about breastfeeding during illness, medications, or symptoms, seek advice from your healthcare provider or a lactation consultant.
Final Thoughts
Breastfeeding through illness may seem challenging, but it’s one of the most beneficial things you can do for your baby. Whether you or your baby are sick, continuing to nurse offers comfort, hydration, and immune protection. With proper care and guidance, you can navigate this time while safeguarding your breastfeeding journey.
Have questions or concerns? Reach out to a lactation consultant or your healthcare provider—they’re here to help!