What to Do If You Get Scabies While Breastfeeding? - Dermatology

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Scabies


If a breastfeeding mother is infected with scabies, what should she do? The baby is seven months old and breastfed daily, and currently, there are no symptoms observed in the baby.
A friend recommended the medication Benzyl Benzoate cream.
Is it necessary to go to a clinic or hospital to purchase it?

Miss Wang, 30~39 year old female. Ask Date: 2020/09/12

Dr. Wu Yuxin reply Dermatology


Only some hospitals have them.

Reply Date: 2020/09/12

More Info


If you suspect that you have contracted scabies while breastfeeding, it is essential to take appropriate steps to manage the condition effectively while ensuring the safety of your baby. Scabies is a highly contagious skin condition caused by tiny mites that burrow into the skin, leading to intense itching and a rash. Here’s what you should do:
1. Consult a Healthcare Professional: The first step is to consult your healthcare provider or a dermatologist. They can confirm the diagnosis of scabies through a physical examination and possibly a skin scraping. It is crucial to get a professional diagnosis rather than self-diagnosing based on symptoms alone.

2. Treatment Options: The most common treatment for scabies is topical scabicide, such as permethrin cream or benzyl benzoate. These medications are effective in killing the mites and are generally safe for breastfeeding mothers. However, it is essential to follow your healthcare provider's recommendations regarding the use of these medications, especially while breastfeeding.

3. Application of Medication: If prescribed a topical treatment, apply it as directed. Typically, you will need to apply the cream to the entire body from the neck down and leave it on for the recommended duration before washing it off. Ensure that you wash your hands thoroughly after applying the medication to avoid transferring it to your baby.

4. Preventing Transmission: Scabies is highly contagious, so it is vital to take precautions to prevent spreading it to your baby or others. Wash all bedding, clothing, and towels in hot water and dry them on a hot cycle. Items that cannot be washed can be sealed in a plastic bag for at least 72 hours to kill the mites.

5. Monitoring Your Baby: While your baby may not show symptoms, it is essential to monitor them for any signs of scabies, such as itching or a rash. If you notice any symptoms, consult your pediatrician for advice on how to proceed.

6. Over-the-Counter Options: While some over-the-counter treatments may be available, it is advisable to consult your healthcare provider before using any medication, including those like 百滅寧 (Baimiening), to ensure they are safe for breastfeeding mothers and effective against scabies.

7. Follow-Up Care: After treatment, follow up with your healthcare provider to ensure that the scabies has been effectively treated. If symptoms persist or worsen, further evaluation may be necessary.

8. Emotional Support: Dealing with scabies can be stressful, especially for a breastfeeding mother. Seek support from friends, family, or support groups to help manage any anxiety or stress related to the condition.

In summary, if you suspect you have scabies while breastfeeding, consult a healthcare professional for diagnosis and treatment. Use prescribed medications as directed, take precautions to prevent transmission, and monitor your baby for any signs of infection. With proper care, both you and your baby can remain healthy and safe.

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