Dr. Chapa’s Clinical Pearls. Does BDP Cause Adverse Preg Outcomes?
May 29, 2024
Exploring the dilemma of breastfeeding during pregnancy, concerns include cultural taboos, maternal nutritional depletion, and the risk of preterm birth. The podcast reviews the latest data on breastfeeding during pregnancy, addressing potential risks like miscarriage, FGR, and PTB. Recommendations, considerations, and challenges of continuing breastfeeding during pregnancy are discussed, emphasizing evidence-based support and proper nutrition for lactating pregnant women.
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Patient Story: Breastfeeding Dilemma
- Dr. Chapa saw a patient disappointed she had to stop breastfeeding entering her third trimester with her second child.
- The concern was breastfeeding triggering oxytocin release, risking preterm birth due to short interpregnancy interval.
BDP Prevalence and Guidelines
- Breastfeeding during pregnancy (BDP) is more common globally, especially in developing areas.
- The American Academy of Pediatrics recommends exclusive breastfeeding for six months, continuing for up to two years or beyond.
BDP Safety in Average-Risk Pregnancies
- Systematic review (2023) found BDP is unrelated to miscarriage or adverse pregnancy outcomes in average risk women.
- Caution advised for women with high risk pregnancies, especially with history of preterm birth.