When is breastfeeding contraindicated?

Breastfeeding is contraindicated in certain infections because of the potential risk of transmitting the infection to the infant. For instance, if a mother is infected with HIV, active tuberculosis, or certain viruses like herpes simplex lesions on the breast, these pathogens can be passed through breast milk or through direct contact, posing serious health risks to the newborn. Healthcare providers generally recommend alternative feeding methods in such cases to ensure the safety and health of the infant.

In contrast, other options may not warrant the same level of absolute contraindication. For example, a mother who has had a mastectomy can often still breastfeed, especially if there was sufficient breast tissue left. While a low milk supply can be a concern for successful breastfeeding, it does not render breastfeeding contraindicated but rather may require additional supports or interventions. Additionally, maternal fatigue does not prevent breastfeeding but indicates a need for rest and support to facilitate the feeding process.