Hi mbak Wanda,

Yang lagi kena campak mbak Hany mamanya Maya, bukan?
Ada 2 artikel yang bahas tentang kasus ini.  Saya coba
posting ya, mbak.  Intinya, saat ibu sakit, nggak
apa-apa untuk memberi ASI (menyusui/memberi ASI 
perah) kepada si kecil (kecuali untuk penderita HIV). 

Bahkan kalau si ibu menderita penyakit menular atau
infeksi virus 'mild' (campak termasuk kategori ini,
kan?), si anak juga bahkan sudah terekspos sebelum ibu
sadar ia sedang menderita infeksi virus.  ASI ibu
tidak akan men-transfer penyakitnya ke anak, justru
ASInya punya antibodi spesifik, mengalir melalui ASI
dan akan mencegah si kecil tertular.

Di artikel ke-2, disebutkan bahwa kalau pun ibu
terkena campak (measles)dan efek penularannya justru
pada saat melahirkan, dicoba untuk mengurangi pengaruh
infeksi terhadap bayi dengan mengisolasi ibu dari
baby-nya, tapi ia tetap bisa memberikan ASI perahnya
sampai masa penularannya hilang dan ia bisa kembali
menyusui anaknya dengan normal.  Artikel ke-2 nya saya
posting di e-mail terpisah ya, mbak supaya nggak
terlalu panjang :)

take care untuk mbak Hany,
Sylvia - Jovan's mum with 28-week-'bump'

-------------------------------------------------------

http://www.kellymom.com/health/illness/mom-illness.html#main

SHOULD BREASTFEEDING CONTINUE WHEN MOM IS SICK?
By Kelly Bonyata, IBCLC
Page last modified: 03/22/2005 
Written: 02/24/2002 

It is very, very rare for a mom to need to stop
breastfeeding for any illness. There are only a few
very serious illnesses that might require a mom stop
breastfeeding for a period of time or permanently. Per
Dr. Ruth Lawrence, "HIV and HTLV-1 are the only
infectious diseases that are considered absolute
contraindications to breastfeeding in developed
countries" (Lawrence & Lawrence 2001). 

During any "ordinary" illness such as a cold, sore
throat, flu, tummy bug, fever, mastitis, etc. you
should continue to breastfeed. Just remind your doctor
you are nursing so that if medications are needed he
can prescribe something that is compatible with
breastfeeding. Most medications are safe to take while
breastfeeding, and for those that are not recommended
there is almost always an alternative medication that
is safe. 

If mom has food poisoning, breastfeeding should
continue. As long as the symptoms are confined to the
gastrointestinal tract (vomiting, diarrhea, stomach
cramps), breastfeeding should continue without
interruption as there is no risk to the baby. This is
the case with most occurences of food poisoning. If
the food poisoning progresses to septicemia, meaning
the bacteria has passed into mom's bloodstream (mom
would most likely be hospitalized), see this guidance
from Dr. Ruth Lawrence: 

"Maternal infections of the genitourinary or
gastrointestinal tract do not pose a risk to infants
except in the rare circumstances when septicemia
occurs and bacteria might reach the milk. Even in this
event, continued breastfeeding while the mother
receives appropriate antibiotic therapy that is
compatible with breastfeeding is the safest course for
the infant. If the infecting organism is especially
virulent or contagious (e.g., an invasive group A
streptococcal infection causing severe disease in the
mother), breastfeeding should continue after a
temporary suspension during the first 24 hours of
maternal therapy. Prophylactic or empiric therapy for
the infant, against the same organism, may be
indicated." [source: Lawrence RM & Lawrence RA. Given
the Benefits of Breastfeeding, what Contraindications
Exist? 
Pediatric Clinics of North America 2001
(February);48(1): 235-51.]

The best thing you can do for your baby when you're
sick is to continue to breastfeed. When you have a
contagious illness such as a cold, flu, or other mild
virus, your baby was exposed to the illness before you
even knew you were sick. Your milk will not transmit
your illness to baby, but it does have antibodies in
it that are specific to your illness (plus anything
else you or baby have been exposed to) - they'll help
prevent baby from getting sick, or if he does get
sick, he'll probably not be as sick as you. 

Withholding your breastmilk during an illness
increases  the possibility that baby will get sick,
and deprives baby of the comfort and superior
nutrition of nursing. 
You can also take measures to prevent baby from
getting sick by doing the usual things to prevent the
spread of illness: washing hands often, avoid
sneezing/coughing on baby, limiting face-to-face
contact, etc . 
When you're sick, it can help to just tuck baby into
bed beside you and nurse lying down whenever baby gets
hungry. If baby starts getting sick and not wanting to
nurse, then see Baby refuses to nurse when sick. 
-------------------------------------------------------

--- wanda <[EMAIL PROTECTED]> wrote:

tadi mba hany ( anggota milis juga ), nitip
pertanyaan. kebetulan sejak rabu dia kena campak,
kondisi sekarang udah kena ke badan semua,
tp si kecilnya masih ASI.....kira2 aman gak yah....?

<deleted>


                
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