TY - JOUR T1 - Radiological contrast media in the breastfeeding woman: a position paper of the Italian Society of Radiology (SIRM), the Italian Society of Paediatrics (SIP), the Italian Society of Neonatology (SIN) and the Task Force on Breastfeeding, Ministry of Health JF - Eur Radiol Y1 - 2014 A1 - Cova, Maria Assunta A1 - Stacul, Fulvio A1 - Quaranta, Roberto A1 - Guastalla, Pierpaolo A1 - Salvatori, Guglielmo A1 - Banderali, Giuseppe A1 - Fonda, Claudio A1 - David, Vincenzo A1 - Gregori, Massimo A1 - Zuppa, Antonio Alberto A1 - Davanzo, Riccardo KW - Adult KW - Breast Feeding KW - Contrast Media KW - Female KW - Humans KW - Infant KW - Italy KW - Neonatology KW - Practice Guidelines as Topic KW - Radiology KW - Societies, Medical AB -

OBJECTIVES: Breastfeeding is a well-recognised investment in the health of the mother-infant dyad. Nevertheless, many professionals still advise breastfeeding mothers to temporarily discontinue breastfeeding after contrast media imaging. Therefore, we performed this review to provide health professionals with basic knowledge and skills for appropriate use of contrast media.

METHODS: A joint working group of the Italian Society of Radiology (SIRM), Italian Society of Paediatrics (SIP), Italian Society of Neonatology (SIN) and Task Force on Breastfeeding, Ministry of Health, Italy prepared a review of the relevant medical literature on the safety profile of contrast media for the nursing infant/child.

RESULTS: Breastfeeding is safe for the nursing infant of any post-conceptional age after administration of the majority of radiological contrast media to the mother; only gadolinium-based agents considered at high risk of nephrogenic systemic fibrosis (gadopentetate dimeglumine, gadodiamide, gadoversetamide) should be avoided in the breastfeeding woman as a precaution; there is no need to temporarily discontinue breastfeeding or to express and discard breast milk following the administration of contrast media assessed as compatible with breastfeeding.

CONCLUSIONS: Breastfeeding women should receive unambiguous professional advice and clear encouragement to continue breastfeeding after imaging with the compatible contrast media.

KEY POINTS: • Breastfeeding is a well-known investment in the health of the mother-infant dyad. • Breastfeeding is safe after administration of contrast media to the mother. • There is no need to temporarily discontinue breastfeeding following administration of contrast media.

VL - 24 IS - 8 U1 - http://www.ncbi.nlm.nih.gov/pubmed/24838733?dopt=Abstract ER -