Can You Breastfeed While Taking Low-Dose Aspirin Postpartum? - Obstetrics and Gynecology

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Is it safe to breastfeed while taking Berkey (Aspirin) postpartum?


Hello doctor, due to a specific medical condition, I need to take a low dose of Bokey daily during pregnancy and postpartum.
Can I breastfeed after giving birth while taking this medication? Thank you.

Ting, 30~39 year old female. Ask Date: 2024/02/22

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2024/02/22

More Info


When it comes to breastfeeding while taking low-dose aspirin postpartum, it is generally considered safe. Low-dose aspirin, often prescribed for various conditions such as cardiovascular issues or to prevent blood clots, is not known to have significant adverse effects on breastfeeding or on the nursing infant. The American Academy of Pediatrics (AAP) categorizes low-dose aspirin as compatible with breastfeeding, meaning that the benefits of taking the medication usually outweigh any potential risks.

Aspirin works by inhibiting the enzyme cyclooxygenase, which plays a role in the production of prostaglandins. Prostaglandins are involved in inflammation, pain, and fever responses. While aspirin can pass into breast milk, the amount is typically very low, and studies have shown that it does not significantly affect the nursing infant. However, it is always best to consult with your healthcare provider regarding your specific situation, especially considering your special medical condition that requires you to take this medication.

In terms of breastfeeding management while on aspirin, there are a few considerations to keep in mind:
1. Timing of Medication: If you are concerned about the timing of your medication in relation to breastfeeding, you might consider taking aspirin just after a feeding. This way, the concentration of the drug in your milk will be lower during the next feeding. However, the actual difference in levels is minimal, and many mothers find it unnecessary to time their doses around breastfeeding.

2. Monitoring Your Baby: While low-dose aspirin is generally safe, it is important to monitor your baby for any unusual symptoms. If you notice any changes in your baby's behavior, feeding patterns, or if they seem unusually lethargic, consult your pediatrician.

3. Consulting Healthcare Providers: Always keep an open line of communication with both your obstetrician and pediatrician. They can provide personalized advice based on your health history and the specific reasons for your aspirin prescription.

4. Alternative Pain Management: If you are taking aspirin for pain management, discuss with your doctor if there are alternative medications that may be safer or more effective while breastfeeding. Acetaminophen (Tylenol) is often recommended as a safer alternative for pain relief during breastfeeding.

5. Hydration and Nutrition: Ensure you are well-hydrated and maintaining a balanced diet while breastfeeding and taking medication. This will support both your health and your milk supply.

In conclusion, low-dose aspirin is generally safe for breastfeeding mothers. However, it is crucial to have ongoing discussions with your healthcare providers to ensure that your treatment plan is appropriate for your unique health needs while also supporting your breastfeeding journey. Always prioritize your health and your baby's well-being by seeking professional guidance tailored to your situation.

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