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pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


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Is it allowed to take Infantile colic during lactation?
Is it safe for a nursing mother and a child?

The causes of infant colic are not well understood, yet it is known that it is not a disease with spontaneous disappearance around 3-5 months of age. Infant colic, as a source of anxiety, is a risk factor for cessation of breastfeeding (Howard 2006). There is a controversy on whether breastfeeding affects the frequency of infant colic, for some authors breastfeeding would pose a preventive and / or curative factor (Saavedra 2003, Howard 2006, Canivet 2008, Yalçın 2011, Cohen 2012). However for others it does not (Clifford 2002, Johnson 2015). It has not been well established whether maternal feeding would affect infant colic in spite that some authors recommend a variety of modifications of maternal diet (Aksoy 2016). There is some level of consensus on that some cases of colic may improve by suppressing cow's milk from mother’s diet (Jakobson 1983, Kenny 2016, Vandenplas 2016), yet the latter is not shared by others (Evans 1981, Carranza 2010, Pärtty 2015). Parent smoking may be a factor for increased risk (Reijneveld 2005). Based on several well-designed studies, meta-analysis and opinion by experts it is well known the ineffectiveness of the use of probiotics (Sung 2013 and 2014, Pärtty 2015), herbal teas, body manipulations or acupuncture (Savino 2014). Likewise, allowing the baby to burping after a feeding, (Kaur 2015) is not effective on treating or preventing infant colic.Trying to manage it with the use of herbal teas increases the risk for stopping breastfeeding (Jain 2015). Whatever case, suppression of breastfeeding should be never recommended (Toca 2015, Morais 2016, Vanden Plas 2016).

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

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