Lactation Station
By Ashley D. Hoseclaw, MSN, RN, IBCLC

This time of year, a common question I receive from breastfeeding mothers is, “Can I breastfeed while I’m sick?” Unfortunately, moms don’t get the day off for sickness, so let’s discuss how to navigate illness while continuing to nurse your child.
In the instance of common colds and viral illnesses, they are not passed through breast milk, and it is encouraged that you continue to breastfeed. Typically, once a woman realizes she is sick, her baby has already been exposed to her illness, so it is mutually beneficial to continue breastfeeding. Providing breastmilk can even help to prevent baby from becoming sick, as antibodies and important nutrients are passed through mother’s milk.

Nursing mothers should rest as much as possible, stay well hydrated and treat the symptoms of their illness. Though I always recommend ladies consult with their primary care provider, it is generally safe for mothers to take some common, over the counter medications such as acetaminophen and ibuprofen, which can combat fever, aches, and pains. If an illness requires antibiotics, make sure your prescribing provider knows you are breastfeeding. Many antibiotics can be taken safely while continuing to provide breastmilk to your baby. Use antihistamines and decongestants with caution; if the medication can dry mucus, it could negatively impact your milk supply. Always consult your doctor or pharmacist. In addition to rest and hydration; vitamin C, zinc, nasal saline, probiotics, and a humidifier can help ease your symptoms and prevent further problems, while waiting for illness to run its course.
If you find that you are too sick to breastfeed, express your breastmilk if you are able and allow someone else to feed it to baby. Remember to wash hands well before handling your breast pump or preparing a bottle for baby. Don’t be afraid to ask for help. Enlisting the help of your partner or other family and friends to care for baby will allow your body time to rest and recover.

You may notice a dip in your supply during and after illness, especially if you weren’t able to nurse or pump as often as usual. This supply decrease is usually temporary and will return to your baseline after you are recovered. Show yourself some grace! Your body is busy fighting illness, making milk for your child, along with all its other usual functions. Listen when your body is telling you it needs rest. Further, observe your little ones closely. What is just a common cold to us can be much more threatening to infants. If they become sick, they should be seen by a pediatric provider promptly. Perhaps the best recommendation, wash your hands often and stay home if you are sick! Also, don’t accept guests when they have been sick, even if they believe it to just be allergies. Infants are not able to fight off illness and recover as quickly as those with a more mature immune system. It’s better to miss a holiday gathering or family event than to take a chance with your child’s health.