See on Scoop.it – amplia-mente
Hari Cheryl Sachs, MD, FAAP
OPEN ACCESS
amplia-mente‘s insight:
En este artÃculo el Comité de Lactancia Materna de la Academia Americana de Pediatria establece una serie de recomendaciones para los médicos, sobre qué medicación se transmite a través de la leche materna, en que proporciones, como afecta al lactante y como advertir a las madres de dicho proceso. Aunque en algunos casos la medicación o las drogas de abuso consumidas, pueden ser transmitidas a los lactantes a través de la leche materna, no siempre es necesario interrumpir la ingesta de dicha medicación o el proceso de lactancia.
Se pone en conocimiento de los médicos la aplicación LactMed, para móviles, donde se pueden consultar que sustancias se transmiten a través de la leche materna y en que proporciones.
Si con toda esta información la madre continua tomando la medicación o utilizando drogas de abuso al mismo tiempo que mantiene la lactancia a su hijo, ¿deberÃamos incluirlo como un tipo de maltrato infantil?
En mi opinión, si a sabiendas que se puede transmitir por la leche materna la madre no interrumpe su consumo estarÃamos claramente ante un caso de maltrato a ese niño y por tanto deberÃa ser penado por la ley igual que otras formas de este delito.
Abstract
Many mothers are inappropriately advised to discontinue breastfeeding or avoid taking essential medications because of fears of adverse effects on their infants. This cautious approach may be unnecessary in many cases, because only a small proportion of medications are contraindicated in breastfeeding mothers or associated with adverse effects on their infants. Information to inform physicians about the extent of excretion for a particular drug into human milk is needed but may not be available. Previous statements on this topic from the American Academy of Pediatrics provided physicians with data concerning the known excretion of specific medications into breast milk. More current and comprehensive information is now available on the Internet, as well as an application for mobile devices, at LactMed (http://toxnet.nlm.nih.gov). Therefore, with the exception of radioactive compounds requiring temporary cessation of breastfeeding, the reader will be referred to LactMed to obtain the most current data on an individual medication. This report discusses several topics of interest surrounding lactation, such as the use of psychotropic therapies, drugs to treat substance abuse, narcotics, galactagogues, and herbal products, as well as immunization of breastfeeding women. A discussion regarding the global implications of maternal medications and lactation in the developing world is beyond the scope of this report. The World Health Organization offers several programs and resources that address the importance of breastfeeding (see http://www.who.int/topics/breastfeeding/en/).