International Board of Certified Lactation Consultant (IBCLC) Practice Exam

What is crucial for breastfeeding mothers who have undergone chemotherapy?

1. They should not breastfeed while on chemotherapy

2. They can only breastfeed if they feel well

3. They can breastfeed if the treatment does not include cyclophosphamide

4. They can pump and feed if they are on other medications

The correct answer is: They should not breastfeed while on chemotherapy

For mothers who have undergone chemotherapy, the primary concern revolves around the safety of the infant. When a mother is receiving chemotherapy, the medications used can affect her milk. Many chemotherapy agents are known to pass into breast milk, potentially exposing the breastfeeding infant to harmful substances. As a result, advising mothers not to breastfeed during chemotherapy is crucial to protect the child's health. This recommendation is based on concerns regarding the safety of the infant, as exposure to these drugs, which may be classified as contraindicated while breastfeeding, could lead to adverse effects. While other options may seem valid under certain circumstances, they do not adequately prioritize the well-being of the infant when the mother is undergoing active treatment with chemotherapy drugs. Thus, the guiding principle in these scenarios is to avoid breastfeeding entirely while the mother is receiving such treatments.