24 answers

Should I Pump and Dump?

I am hoping for some advice on what you wise mommies would recommend. I have been diagnosed with mastitis and after trying to get rid of it holistically for several weeks, I HAD to get antibiotics- "Keflex". I have read the insert and it has lots of warnings and does get transferred to the breast milk. Doc says baby "should be fine" with it. I don't know if I should dump the milk while I am on the antibiotics, or feed it to him. Secondly, he currently will not nurse anyway- takes one look at my breast and cries inconsolably. I think two reasons- he is having a hard time with some molars coming in and also I think because of the mastitis, the milk has been very hard to extract. So I am pumping every few hours to keep the milk moving as I was instructed, but my little guy has not actually nursed in more than a day. Does anyone know if the risks of the antibiotics are outweighed by the benefits of the milk? Or would it be safer to feed him formula until I am no longer on antibiotics? This is such unfamiliar territory that I am a bit scared. Thanks for any experience you can share.

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So What Happened?™

I was very touched by the many compassionate and helpful responses I got to my question. This website is so awesome! Thank you wonderful mamas for sharing your stories and experience!
I started by nursing him while on the antibiotics, but he quickly broke out in a rash on his neck and bottom. So- I pumped and dumped for the rest of the course of antibiotics. Our pediatrician said there was no need to give him formula at all, since he had already begun eating my home-made organic :) baby food three times a day (about 36oz). He has done fine with that and water. I also did a little soul searching and realized that the six weeks of mastitis was sort of a last straw for me emotionally and physically, so I never went back to breastfeeding him. Sometimes I miss it, but then there are new sweet parts, like learning that he loves it when I just rock him and stroke his head and hair.
Thanks again for your help in making my decision!

Featured Answers

I would pump (to keep it flowing) and then dump (to be safe). Formula will suffice in the meantime.

1 mom found this helpful

I'm not a doctor, but I would not give him the antibiotic milk. Do what you have to to get him enough nutrition. Most babies do really well with formula, but at 11 months I would give him some soft food too.

1 mom found this helpful

More Answers

I would rather be safe than sorry. Check with a lactation consultant because she may know some modifications you could do to keep your child on-track for breast-feeding. I also had a med issue while breast-feeding. The doctor said it'd probably be ok. Contacted a pregnancy and delivery nurse who looked it up in the manuals and said since it transfers to the milk then why take a chance on them discovering 10 years down the road that you shouldn't have been breast-feeding while on this med. I thought that made sense to me. Good luck!

1 mom found this helpful

S.,

According to Medications and Mother's Milk by Thomas Hale, Keflex is a very low risk to lactation: L1 (medications are scored from 1 to 5, 5 being contraindicated for breastfeeding and 1 being safest) it says to watch baby for diarrhea and that you should watch for thrush. Please don't dump or introduce formula. You are doing a great job. Make sure you get some yogurt or probiotics in your system and make sure you are getting enough rest. You're awesome!!!!

M.

1 mom found this helpful

I'm not a doctor, but I would not give him the antibiotic milk. Do what you have to to get him enough nutrition. Most babies do really well with formula, but at 11 months I would give him some soft food too.

1 mom found this helpful

Hi!

When I was breastfeeding my son, I had 4 breast infections! They were so painful and I had to take Keflex twice. I went ahead and kept breastfeeding. My doctor assured me it was okay and I trusted that. Sometimes that is all we can do. I did not want to give him formula and he was not ready for milk. I read alot about it and consulted a couple of pediatricians and they all said the milk is more important and the medication is transferred in such small doses that it is not harmful. I know how much mastitis hurts and I applaud you for continuing to breastfeed. I could not take the pain and mine because chronic, so I had to stop BF at 6 months. Good luck to you!
E.

1 mom found this helpful

I'm guessing you trust your doctor since you chose him/her. I would just try to feed baby as usual since your doctor believes it will be fine. If it was proven to be unwise or harmful to nurse while taking antibiotics they would tell you to absolutely not do it. Many doctors prescribe pain relievers, such as Vicodin, for the first week or two after giving birth. They say it is fine to nurse and that is a narcotic! The baby does not get the full dose of what you are taking in the milk that they drink. Good luck with your decision!

1 mom found this helpful

I got mastitis 3 times with my oldest who is now 4. It is horrible so I feel for you. I had to go on antibiotics the first time it happened. My daughter would not nurse either so I had to pump and dump. Oh the pain!

I wish you the best.

D.

1 mom found this helpful

Hi S.. I am a mother of 2 beautiful girls. Danerys is 2 1/2 and Indigo is 10 months old. Like you, my husband and I started late. I'm 37 years old. My husband is a chiropractor and so we practice as holistically and as organically as much as possible. I even gave birth to my second baby at home with a midwife, with no drugs. With my first daughter, I developed very bad mastitis. I was given antibiotics right away. I also questioned the effect on my baby as I still nursed her on my other breast. I developed a rash from the antibiotics. But, I still nursed her. She seemed to be fine and I stopped the antibiotics as soon as the infection was gone. I didn't take it for the full time recommended. I think, even with the antibiotics in your system, breast milk is still best. If you are still able to pump, I would suggest not wasting that milk (even with antibiotics in your system) and give it to your baby. What we did was we gave our baby a small amount (just a dab on my pinky) of probiotics to counter the effect the antibiotics might have. You can get this at Whole Foods Market. We had the baby suck on my pinky to get the probiotics in her system at least once a day. In fact, we still do this up to this day, for both babies. And they are very healthy, thank God! Good luck and take care!

1 mom found this helpful

S.,
I had three breast infections while nursing my daughter, at 2mths, 4mths & 5 1/2mths. I took Keflex for all three. You have no worries about your son being affected. I didn't see any changes in my daughter's behavior to lead me to believe she was being harmed. She is an active & happy 14mth old who's great at puzzles and say a dozen words.

However I think it affected my milk supply, contrary to what my doctor told me. Especially in the infected breast, but I was determined to nurse my daughter until she was one. It was a struggle but I did it. I nursed her until I was empty, sometimes that meant she nursed for 2 minutes, then I supplemented with a bottle. Some books, websites & other mothers may tell you to nurse more often & not to supplement but I couldn't handle listening to my daughter cry for food. It broke my heart. My milk did come back.

I also took Fenugreek, which is a natural herb supplement which helps increase your milk supply. You can get it at Whole Foods. It comes in pill or tea form. I thought the tea was disgusting so I took the pills.

1 mom found this helpful

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