Rotavirus during lactation in mother than to treat. Intestinal infections and breastfeeding. Mom's serious condition: inpatient treatment

So how to behave correctly during infectious diseases, and does the disease always mean refusal to breastfeed?

It needs to be known

All diseases during breastfeeding are perceived by a woman as very serious and are an indication for the rejection of breastfeeding. Breastfeeding consultants say that there are few situations in which it is actually necessary to stop breastfeeding. In other situations, feeding can and should be continued, and in parallel, treat mommy. Temporary weaning is practiced less often, for this period, mom needs to express herself, according to the rules.

There are situations when the specialists conducting the treatment simply do not have sufficient knowledge in the field of breastfeeding, it is with this fact that the doctor's advice on stopping feeding is associated. Thus, doctors simply relieve themselves of responsibility. Those doctors who support breastfeeding will always look for all possible solutions to the problem, and will prescribe those drugs that can be used during breastfeeding. Fortunately, modern pharmacy has a number of drugs that can be interchanged. Thanks to this, it is possible to choose those drugs that will be effective in treatment and will be compatible with breastfeeding.

Even those warning labels in the annotation to the drug about the prohibition of breastfeeding at the time of taking the medicine do not say anything. The fact is that manufacturers are not at all obliged to conduct studies on the combination of a drug with breastfeeding. In most cases, breastfeeding is quite compatible with taking medications, which is confirmed by many years of research conducted by doctors and lactation consultants.

In addition, there are also studies that were conducted by WHO. These studies can provide independent advice on the compatibility of breastfeeding and medication. As studies have shown, in fact, there are very few drugs that are not compatible with breastfeeding.

Which diseases are dangerous and which are not?

If we are talking about infectious diseases, then most mothers believe that without fail, the baby will become infected, so it is necessary to postpone feeding or even finish it. Some mothers take some measures to prevent infection in the form of wearing protective bandages and boiling expressed milk, and then only give the baby. All these manipulations are not needed, there is no benefit from them, only harm.

Of course, wearing a mask reduces the concentration of viruses when sneezing, but the transmission of the pathogen itself begins long before the first symptoms of the disease appear. Each disease has its own latent, incubation period, when there are no symptoms of the disease yet. It turns out that by the time the mother finds out that she is sick, the baby will already have received most of the pathogens.

If a nursing SARS

In the event that a nursing mother has a cold, then by the time the first symptoms appear, the baby already receives specific antibodies to the infectious agent. Antibodies come with mother's milk already in the first minutes of the disease, when the mother does not even suspect that she is sick, these antibodies protect the baby from the disease. With milk, fragments of a virus or microbe enter the body of the baby, which are safe for the child, which allows the baby's immune system to actively develop its own defenses. In addition, breast milk contains all the protective factors that protect the intestinal mucosa.

It turns out that if the mother has the first symptoms of the disease - a runny nose, sore throat, fever, and the baby has not yet fallen ill, then this indicates active immunity to the disease. If you stop feeding, then the child automatically loses active protection, and the most ideal “cure” for the disease.

Breast-feeding does not need to be stopped in sick or healthy babies, it is women's milk that will replace most medications, is the main food at the time of illness, supports the intestinal microflora. Even if the mother and the baby are sick at the same time, the baby receives adequate doses of medicines with breast milk, which are necessary for additional support.

Common mistake moms make is boiling milk before giving milk to the baby. Such actions are not justified and even harmful to the baby. Boiling, of course, will destroy the pathogen, but it will also destroy almost all the beneficial factors contained in milk - vitamins, trace elements, because of this, the nutritional value of milk is also sharply disturbed.

How to treat a cold?

Treatment directly depends on the causative agent of the disease - viruses or microbes. Elevated body temperature must be brought down only with poor tolerance, and if it rises higher than 38.5º. In other cases, it is not advisable to bring down the temperature, since an increase in body temperature is a protective reaction of the body, and a universal remedy in the fight against viruses.

In order to bring down the temperature, take any antipyretic once, but it is best to use paracetamol or ibuprofen - these drugs can be used several times. Aspirin can be used once, and then only if nothing else was found in the home medicine cabinet.

With regards to symptomatic therapy, cough medicines, colds, sore throats - these drugs are used almost without restriction. You can also use the methods of traditional medicine, homeopathy, but only under the supervision of a doctor who supports breastfeeding. Preparations based on interferon - influenzaferon, genferon, kipferon - are allowed to be taken independently. As for other drugs, it is best to consult with a leading specialist.

For bacterial infections such as tonsillitis, otitis, pneumonia, bronchitis, antibiotics are selected that are compatible with breastfeeding, and the shortest possible course is selected. In addition, during the period of illness, mom must strictly observe all hygiene measures and wear a mask.

Intestinal infections

Intestinal infections are an extensive group of diseases, the clinical picture of which is characterized not only by intestinal manifestations - nausea, vomiting, diarrhea, but also by manifestations of intoxication - fever. In some cases, intestinal infections can penetrate into the blood, and therefore there is a theoretical possibility of infecting the child, for example, from the blood, the pathogen can enter the milk. It turns out that it is impossible to say unequivocally whether it is necessary to stop breastfeeding or not. It all depends on the diagnosis made to the mother, how the disease proceeds, how the nursing mother tolerates it, and how pronounced the intoxication is.

In the presence of any intestinal infection, the mother must carefully observe basic hygiene measures, wash her hands thoroughly after each visit to the toilet, almost all intestinal infections are transmitted by the fecal-oral route, with dirty hands.

So, for example, if a mother has hepatitis A, breastfeeding is not prohibited, but the baby needs to be given a special drug that protects the baby from infection - a standard immunoglobulin against hepatitis. If a mother has hepatitis B, breastfeeding does not have any restrictions. Immediately after birth, the baby must be injected with hyperimmune immunoglobulin to hepatitis B, after which they are vaccinated against hepatitis B, according to the scheme, with revaccination courses. Even with hepatitis C, there is no need to quit breastfeeding, hepatitis C is transmitted through the blood, and in order to prevent infection, personal hygiene and protection measures must be observed - when feeding, use silicone nozzles that are worn on the nipple.

With especially dangerous intestinal infections - typhus, dysentery, salmonellosis and chronic hepatitis - recommend temporary weaning, for the period of weaning, expressed milk must be sterilized. In acute intestinal infections - rotavirus, enterovirus, including poisoning, etc. - in the case of a satisfactory condition of the mother, feeding can be continued.

In case of temporary cessation of breastfeeding

Often, as soon as mothers find out that a temporary cessation of breastfeeding is coming, they try to transfer the baby to a mixture, or even stop breastfeeding. If temporary weaning is known in advance, then it is best to create a “bank” of reserve milk, and for that period until breastfeeding is not possible, feed the baby with expressed, reserve milk. It's better than formula feeding your baby anyway.

In the event that this is not possible, then the mother needs to maintain lactation until breastfeeding can be restored. When a mother cannot breastfeed, the baby must be fed from a cup, a syringe without a needle, from a special spoon, but not from a bottle. After the mother is able to breastfeed the baby, lactation returns to normal and feeding continues at a normal pace.

At the time of illness, it is best for the mother not to participate in the care of the child, or to minimize communication, the baby may be offended that the mother is next to the baby, but does not give the baby a breast. For the period of weaning the child from the breast, it is necessary to express milk every 3 to 4 hours a day, and about 2 to 3 times a night. It is worth remembering that hormones that stimulate lactation are best released at night. As soon as the baby returns to breastfeeding, lactation is restored to its previous volumes in 3 to 5 days.

If a chronic disease worsens

If a nursing woman has exacerbated chronic diseases, then there is also no need to stop breastfeeding. In most cases, lactating women are faced with the need to treat a chronic disease during pregnancy, ideally, treatment should take place even before the onset of pregnancy - the planning period. It is during this period that the leading doctor should develop a treatment strategy in case of a recurrence of the disease at the time of breastfeeding.

Most chronic diseases do not require weaning the baby, the only exception being chronic diseases that can threaten the life of the mother. But even such cases require only temporary weaning.

Sometimes, treatment during pregnancy can be postponed until the baby is born, and then treatment is resumed. In this case, the mother should immediately discuss the issue with the doctor about the possibility of breastfeeding the baby during treatment.

It is necessary to immediately indicate to doctors the intention to breastfeed for a long time before self-weaning, based on this, the chosen treatment method should be as sparing as possible. If you count on a long term treatment, then you can use the means of homeopathy, physiotherapy, etc. In addition, the competent use of complex homeopathic remedies can significantly and significantly reduce and alleviate the course of attacks in chronic diseases.

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Rotavirus is also called the intestinal flu. The initial stage of the disease is very similar to the common cold. In this case, there are symptoms of impaired functioning of the intestinal tract. Children are most susceptible to the formation of pathology. However, rotavirus is often diagnosed in a nursing mother or pregnant woman. This is due to the fact that a woman during such periods has a weakened immune system. When a disease occurs during breastfeeding, you must carefully follow the recommendations of the doctor. Self-medication in this case is unacceptable and can be extremely dangerous.

In this article you will learn:

Factors provoking rotavirus in a mother during breastfeeding

For successful treatment of rotavirus, the root cause of the disorder must first be established. The formation of the disease occurs after the pathogen enters the body. The microorganism is resistant to the action of the external environment. The only thing that the bacterium is afraid of is direct sunlight and disinfection.

Rotavirus is transmitted by the fecal-oral route. The main root causes of the formation of the disease are described in the table.

The greatest accumulation of rotavirus is observed in public places. Mothers during breastfeeding have a weakened immune system and can easily pick up the disease where there is a large crowd of people.

The outbreak of the epidemic occurs in the summer-autumn period. However, a nursing mother has a high risk of infection regardless of the time of year, so preventive measures must be carefully followed.

Associated symptoms

The initial stage of rotavirus is asymptomatic. The first day a nursing mother may not even be aware of the presence of the disease. Primary signs usually begin to form after 12-18 hours. The incubation period lasts 2-6 days.

With this disease, vomiting and nausea are always observed.

The general condition of the nursing mother is significantly deteriorating. There is vomiting and nausea. There is a strong pain syndrome in the abdominal cavity. A clear sign of rotavirus is watery fecal matter that has a yellow-green color.

After a few days of the course of the disease, the feces become more gray. Additional foreign impurities are possible. Rotavirus in hepatitis B is acute. The state of the mucous membrane of the intestinal tract is disturbed. Nutrients are not fully absorbed.

In the intestinal tract of a nursing mother, osmotic pressure increases. It is for this reason that the stool becomes thinner than usual. With rotavirus, a woman also complains of a severe headache. The temperature rises sharply to 38-39 degrees. Appetite is greatly reduced, which is unacceptable with HB. A breastfeeding mother faces a breakdown. For a weakened immune system, this becomes a real blow.

Rotavirus provokes attacks of aggression, apathy and irritability. Possibly depression.

The woman also notes discomfort when swallowing. The urge to defecate occurs up to 10 times a day. When infected, the baby has the following symptoms:

• diarrhea;
• frequent vomiting;

If the child is infected, then he may develop diarrhea

• chills;
• refusal to feed;
• tearfulness and anxiety;
• dark urine;
• runny nose.

When infected from the mother, the baby does not sleep well and constantly cries.

Possible risks for the baby

• dehydration of the body;
• acetonemic syndrome;
• convulsions;
• disorders in the functioning of the nervous system.

The child will be sleepy and lethargic all the time

A rotavirus intestinal infection received by a child during breastfeeding can cause dehydration. The condition is a consequence of the loss of large amounts of fluid due to frequent vomiting and diarrhea. If untreated, this leads to death in the baby.

Acetonemic syndrome is a violation of the metabolic process as a result of dehydration of the body. Acetone and acetoacetic acid accumulate in the bloodstream. In this case, the gag reflex in the baby is enhanced. Pathological drowsiness and lethargy appear. An unpleasant odor is felt from the oral cavity.

Convulsions in a child are a consequence of a strong increase in body temperature. The condition needs urgent medical attention. It is also possible to disrupt the functioning of the nervous system, which provokes the appearance of fainting and dizziness.

Therapeutic methods

First of all, the treatment of rotavirus with hepatitis B is to take drugs to enhance the protective functions of the body. Syrups and tablets containing paracetamol may also be recommended. This will help eliminate inflammation and normalize body temperature. It is important to prevent dehydration. To do this, drink enough liquid.

In this case, it is useful for nursing mothers to eat sour-milk products.

A nursing mother must adhere to the strictest diet. It is allowed to consume cereals cooked in water, strong tea, sour-milk products and pre-dried white bread. Milk is strictly prohibited. Also excluded:

• legumes;
• cabbage;
• greenery;
• cucumbers;
• fresh bread;
• berries.

Self-medication of rotavirus while breastfeeding is strictly prohibited. Treatment can only be selected by a doctor. The mother does not need to stop breastfeeding. The only thing that is required is to follow the recommendations of the doctor.

To eliminate diarrhea, you can use enterosorbents. The drug will help remove all toxic substances from the body. The drug is absolutely safe for both mother and child.

If you want to know how to protect yourself from rotavirus, then watch this video:

Preventive measures for mother and child

Preventive measures are an effective way to avoid infection with rotavirus. For breastfeeding women, doctors recommend:

Breast milk is rightfully considered the reference food for children of the first year of life, therefore, if a nursing mother falls ill, the question will certainly arise whether it is possible to breastfeed with rotavirus. After all, every newly-made mother seeks to provide her baby with useful and high-quality breast milk, and not to infect the child with her own disease. It is not difficult to become infected with rotavirus, it often does not depend on the lifestyle and living conditions of a person. Not all diseases can adversely affect the quality composition of milk, but when it comes to rotavirus infection, this situation should be dealt with in more detail.

What is rotavirus

Rotavirus is a specific virus belonging to the reovirus family, the causative agent of rotavirus infection. The harmful organism got its name because of its shape: rotavirus resembles a wheel with spikes, and in Latin the wheel is “rota”. Visible only under a microscope.

This infectious disease is the most common cause of diarrhea in children. In the people, this infection is often called intestinal flu, although it has nothing to do with influenza strains. This is due to the fact that the manifestations of the disease are similar to intestinal upset, and the epidemics of rotavirus infection coincide with influenza outbreaks. This acute intestinal disease is dangerous because infectious agents are extremely resistant to low temperatures, as well as to various kinds of antiseptics and disinfectants.

The action of rotovirus is directed to the intestinal mucosa. By exerting its harmful action, it leads to a number of intestinal disorders.

Symptoms of the disease in adults and children

The disease manifests itself differently in adults and children. This is due to the fact that the stomach of an adult contains more hydrochloric acid secreted by parietal cells, which has a detrimental effect on the pathogen. When the virus enters the stomach through the mouth, a significant part dies.

The second level of protection in the body of an adult is the presence of immunoglobulins that have arisen earlier in response to a disease. But if, nevertheless, the disease struck a person, then her symptoms will be as follows:

• General weakness and lethargy.
• Liquid mushy or watery stools.
• Discomfort in the throat and pain when swallowing.
• The maximum number of stools per day is 3.

It follows from this that with unexpressed similar symptoms in a nursing mother, she may not notice that she is sick. Moreover, the manifestations of the disease will disappear on their own within three days. But this does not mean that the woman has recovered, she is still a carrier of the virus and can infect her child through breast milk.

With a child, things are different. Since the defense mechanism against this infection has not yet been formed, and hydrochloric acid is not enough to neutralize the bacillus, it is easier for the baby to get infected and get sick. After a three-day incubation period in childhood, the disease will manifest itself with the following symptoms:

• Frequent vomiting.
• Frequent loose stools.
• Fever.
• Clay chair.
• Heat.
• Lack of appetite, refusal to eat.
• Frequent whims and crying, complaints of the child.
• Darkening of the urine.
• Nasal congestion.

The virus also has a pathological effect on the mucous epithelium of the pharynx, so that the baby may also have a sore throat. This is also one of the factors why a child may refuse treats.

Methods of infection

It is quite easy to catch rotavirus. Most often it is transmitted through dirty hands. A pathogenic microorganism enters the environment with the feces of an infected person, and then, if the rules of personal hygiene are violated, a healthy person becomes infected. Moreover, it is enough just to rub your eye or run a dirty hand over your face.

The main types of infection:

• Through household items of a sick person (towels, dishes).
• Bathing in public reservoirs (with swallowing water).
• Eating unwashed fruits and vegetables.
• Drinking unboiled water and raw milk.
• Contact with the skin of an infected person.

It is easy for a nursing mother to become infected, because immunity after childbirth and during lactation is significantly reduced. Therefore, when breastfeeding, it is especially worthwhile to observe the rules of personal hygiene and wash your hands once again.

Diagnostic methods

For an accurate diagnosis, you need to seek medical help. A competent gastroenterologist will establish a diagnosis based on the following examinations:

• Interview with the patient, collection of anamnesis.
• Fecal analysis.
• Blood analysis.

In addition to the main fact (the presence of a virus in the patient's feces), changes in the blood test indicate the disease: an increase in the level of leukocytes and ESR.

According to such examinations, the doctor will make the correct diagnosis and prescribe the appropriate treatment.

Rotavirus in breastfeeding

The main question of interest to mothers with an infection is whether the virus can be transmitted through breast milk to their child, and how do rotavirus and HB interact in general? And also, is it worth stopping lactation for the duration of treatment? At the moment, official medicine gives an unequivocal answer - you can. If it so happened that mommy contracted this disease, this does not mean that breastfeeding is now contraindicated.

If the baby is accustomed to his mother's breast from birth, then it is not advisable to wean him for the duration of treatment. There are a number of reasons for this:

1. Breast milk contains antibodies against this disease, helping the immune system to actively fight.
2. Breast milk is a storehouse of nutrients for the baby, so the benefits far outweigh the risk of possible infection.
3. Milk protects the baby's body from other diseases.
4. After a pause in breastfeeding, it is not always easy to restore lactation.

Subject to basic safety rules, the mother does not transmit rotavirus to the newborn. But for this, direct contact of a sick mother and a healthy child should be excluded (that is, do not kiss on the nose, do not give the baby your spoon, etc.), wear a medical mask.

Principles of treatment

Unfortunately, there is no drug that specifically kills rotavirus. Therefore, it is proposed to treat an intestinal disorder in a complex way, eliminating all its symptoms. The medicinal effect of drugs should be directed to the elimination of:

• Diarrhea.
• dehydration.
• Vomiting.
• Imbalance of vitamins, salts and minerals.
• Elevated temperature.

Enterosorbents are often prescribed: Sorbex, Enterosgel, activated carbon.

All these drugs are well compatible with lactation, so they are safe for mom and baby.

To eliminate vomiting, domperidone and metoclopromide are used.

If the disease is accompanied by an increase in body temperature, in this case, children's syrups of Ibuprofen and Paracetamol will help.

Conclusion

Rotavirus infection is a dangerous disease that leads to the development of many problems with the gastrointestinal tract and various complications. Therefore, if you suspect the appearance of the first symptoms of a viral infection, you should definitely consult a doctor. If the disease caught you during lactation, do not despair! After all, with the right approach, the infection of the mother will not affect the baby in any way.

Take care of your health!

Intestinal infections are one of the most common ailments worldwide. They are often diagnosed in both children and adults. Sometimes it is enough to take simple measures and get rid of the disease, but in some cases, emergency medical care is required.

How to treat an intestinal infection at home?

Absolutely all children with such a diagnosis are subject to urgent hospitalization, since the risk of rapid development of dehydration is high.

Adults are hospitalized only in case of moderate and severe form of the disease, as well as in the case when a person is contagious and cannot be isolated (living in an orphanage, in a hostel, etc.).

If an intestinal infection is accompanied by fever, bed rest is indicated, with diarrhea - semi-bed rest.

The patient is shown table No. 4 according to Pevzner. In the acute period, you can use: slimy first courses, weak meat broths, fish and meat (mashed, boiled, low-fat), steam omelet, cereals, crackers, biscuit cookies, baked apples without peel. Milk, spices, seasonings, canned food, smoked meats, green onions, garlic, radishes, alcohol are excluded from the diet. They are gradually transferred to the general table over 3-4 weeks. Refractory fats and milk are poorly absorbed for another 3 months.

How can you treat an intestinal infection: rehydration therapy

This option involves replenishing fluid loss and detoxifying the body.

It is carried out in 2 stages:

• the first is the elimination of symptoms of dehydration;
• the second is to make up for continuing losses.

The liquid is drunk in the absence of vomiting and the urge to it, otherwise parenteral administration is prescribed. At home, the required volume of rehydration fluid is calculated as follows: adults - 30 ml / kg of body weight per day, children - 30-50 ml / kg. They drink little by little, but often, literally every 15 minutes, several sips.

You can use a solution of Regidron, Enterodez or Citroglucosolan. Droppers are placed only in a hospital, while controlling the water-salt exchange.

How to properly treat an intestinal infection?

1. Drugs against diarrhea: enterosorbents (white coal, Filtrum, Laktofiltrum, Enterosgel, Polyfepam), Smecta, Baktisubtil, Hilak-forte;
2. Probiotics (Acipol, Acilak, Linex, Bion3, Bifidumbacterin forte, Bifistim, Bifiform);
3. Special antiseptics (Enterol, Intestopan, Intetrix, Enterofuril, Entero-sedive);
4. Enzymes - Creon, Ermital, Pacreatin, Mezim, Mikrazim;
5. Antibacterial drugs from fluoroquinols are prescribed only by a doctor.

Rehydration therapy should begin at the first sign of illness. The same applies to enterosorbents. In a viral infection, antiseptics and antibiotics will not help, but they will prevent a secondary bacterial infection. On the third day after the start of antibiotic therapy, probiotics are started to restore normal microflora.

How to treat rotavirus and mild intestinal infection?

Rotaviruses are a group of viral infections that cause the flu. Most often, these affect children. The disease is contagious, transmitted through infected products, through household contact, coughing / sneezing.

intestinal syndrome

The first signs of infection appear after five days. The acute period lasts 3-7 days, and the recovery period lasts 4-5.

Rotavirus

It manifests itself sharply: the temperature rises sharply, repeated vomiting, cramping abdominal pain and rumbling, diarrhea. The chair in the first day is liquid, yellow in color, then it becomes gray-yellow, clay-like. A runny nose, cough, sore throat and sore throat may appear. In adults, the symptoms are more like a banal indigestion.

How to treat rotavirus infection?

There is no specific therapy. Medical measures are aimed at stopping the symptoms. In the absence of appetite, do not force the patient to eat; it is better to offer light chicken broth or homemade berry jelly. Eat and drink - only in small portions, otherwise an attack of vomiting may occur. It is forbidden to consume dairy products, as they contribute to the reproduction of pathogenic bacteria.

Rehydration therapy is the main method of preventing dehydration. It is recommended to drink water or saline solutions (ex. common salt solution). Liquid drink 50 ml every 30 minutes. Acute intestinal injury requires intravenous fluids, but this is done only in a hospital for severe disease. Sorbents will help remove toxins from the body (eg activated carbon, Smecta, Enterosgel).

Also prescribe antidiarrheal drugs (Enterol, Enterofuril). Digestive disorders can be corrected with the help of enzymes (Pancreatin, Mezim).

The temperature below 38 ° C is reduced only if it is poorly tolerated. Children put candles (pr. Cefekon) or give syrups (Nurofen, Panadol). You can also use stripping and rubbing.

When the appetite returns, prescribe means to restore the microflora - Bifiform, Linex, Acipol, Baktisubtil.

What and how to treat an intestinal infection in pregnant women?

It is imperative to treat the disease in order to avoid the development of complications. With a mild course, toxins are removed from the body with the help of absorbents - activated carbon, Polysorb, Enterosgel, Smecta.

Salt solutions will help replenish fluid volume and avoid dehydration. You can’t starve, so after stopping vomiting, you need to drink a cup of tea, eat low-fat broth with crackers, or mucous decoction and liquid porridge.

Treatment of pregnant women in a hospital is carried out only in severe cases, when vomiting and diarrhea do not stop, the temperature rises. The hospital puts in drips to remove toxins. Therapy often involves the use of antibiotics. Most often it is amoxicillin, cefotoxime and penicillins.

To compensate for the loss of vitamins and trace elements, appropriate preparations are prescribed. Antiseptics such as Baktisubtil can be used. To normalize the microflora, Bifiform, Linex, and enzymes are prescribed.

Rotavirus is an infectious disease that affects the natural intestinal microflora. Breast milk, colostrum after childbirth is a source of nutrition for young children in the first year of life. Intestinal flu, in which pathogenic bacteria spread, negatively affects the baby's gastrointestinal tract.

Features of the disease

Rotavirus infection is a pathology characterized by the ingress of pathogenic bacteria, microbes, viruses. Harmful microorganisms negatively affect the intestinal mucosa. The stomach flu (rotavirus, rotavirus, gastroenteritis) is contagious. Carrying out simple disinfecting procedures does not contribute to the destruction of viruses. The period of exacerbation of rotavirus infection is the end of winter and the beginning of spring.

Causes of the disease

Intestinal flu is easily transmitted from a sick person to a healthy person. The following causes influence the occurrence of signs of rotavirus:

• lack of hygiene procedures;
• contact with contaminated surfaces in public places;
• the use of dirty vegetables, fruits;
• drinking unboiled cow's milk, raw water;
• use of common household items, dishes, towels with an infected person;
• ingress of water from reservoirs.

Dirty hands are the main way pathogenic bacteria enter the body when the palm comes into contact with the eyes, mouth, and skin of the face. Intestinal flu can be transmitted by airborne droplets in crowded places.

Contact with a sick person through dishes, clothes (fecal-oral variant of the virus) guarantees the occurrence of rotavirus. Physical contact is the main mode of infection between a nursing mother and an infant.

Symptoms

The incubation period of the disease is one week. Signs of rotavirus infection in a nursing mother are different from the manifestations of intestinal flu in a child. In an adult with a developed digestive system, the stomach contains enough hydrochloric acid to reduce the content of pathogenic viruses and bacteria. With previously transferred rotavirus, middle-aged people produce immunoglobulin, which prevents the penetration of harmful microorganisms.

The main symptoms that a mother has are:

• weakness;
• liquid, watery feces several times a day;
• pain, itching during swallowing.

The absence of pronounced symptomatic signs in an adult leads to untimely diagnosis of the disease. Manifestations of rotavirus without special treatment disappear after 3 days, but the person is a carrier of intestinal flu.

The main symptoms of an infectious pathology in a child who is on breastfeeding include:

• regular discharge of vomit;
• frequent discharge of liquid feces of a clayey consistency of a gray-yellow color;
• abdominal cramps, increased gas formation;
• excretion of dark urine;
• feverish state;
• runny nose;
• sore throat, cough;
• hyperthermia;
• decreased cravings for food;
• crying, irritability, nervousness.

Signs of intoxication, lesions of the intestinal tract appear within 1-2 days after a pathogenic infection enters the body. The acute period of rotavirus in a child is observed for 3-5 days. The treatment time until complete recovery is 6-7 days.

Diagnostics

If during an exacerbation of an intestinal infection during breastfeeding, characteristic signs of the disease are observed, it is necessary to donate blood and feces for laboratory testing. A high level of leukocytes, an accelerated process of erythrocyte sedimentation are evidence of intoxication of the body. Fecal sampling is carried out to establish a polymerase chain reaction for RNA-containing viruses. An obligatory stage of diagnostics is examination of the patient. The defeat of the mucous membrane of the nasopharynx, congestion, cough - signs of rotavirus.

Intestinal infection in HB

Rotavirus can initially infect both the child and the mother. Often the entry of pathogenic viruses occurs from an adult with whom the infant is in close contact throughout the day. The possibility of resuming HB with rotavirus depends on the source of infection.

Mother

A woman who is breastfeeding a baby is advised to continue the lactation period. The mother should avoid tactile contact with the newborn, do not touch things belonging to the baby, wear a protective mask to avoid airborne transmission of rotavirus. It is possible to breastfeed if rotavirus is detected, since milk is not a source of infection for the child. Refusal of natural feeding is possible if the mother takes antibiotics in the acute form of the disease. To carry out proper breastfeeding during pregnancy, it is recommended to study medical articles.

Child

The main reasons for the absence of contraindications to breastfeeding with rotavirus in the mother are:

• the content in breast milk of antibodies that restore the baby's immune system;
• the intake of useful vitamins that prevent the occurrence of concomitant diseases;
• lactation crisis.

Mother's milk contains trace elements that allow you to restore the baby's body during the transition of infection, intoxication, as after carbon monoxide poisoning. The fluid that is secreted from the chest prevents dehydration due to the frequent release of vomiting and feces.

Refusal to breastfeed can lead to an abrupt end to lactation in the mother, which will negatively affect the physical and mental health of the child.

Methods of treatment

When breastfeeding, the mother needs to be careful about the prescribed therapy. It is effective to treat rotavirus with complex procedures aimed at eliminating diarrhea, vomiting, signs of intoxication and dehydration, lowering body temperature, and restoring intestinal microflora. Methods of therapy are determined by the doctor. Features of treatment for a mother who is breastfeeding a baby are the use of medications, the organization of a healthy diet, compliance with the rules of personal hygiene.

Medications

The main drugs prescribed for the treatment of rotavirus are:

• enterosorbents;
• electrolytes;
• antiemetic drugs;
• antipyretic drugs.

Medications are non-toxic, therefore safe for the mother during lactation and a small child. Enterosorbents Sorbeks, Enterosgel, Smecta remove toxins and pathogenic bacteria from the body. Electrolyte drugs are used to restore the acid-base balance, disturbed due to the washing out of beneficial microorganisms during the release of loose stools with rotavirus. To maintain the level of water and salt in the body, the baby is given intravenous injections of plasma-substituting solutions. Prokinetics Domperidone, Metoclopramide stop the frequent release of vomit.

Lifestyle

With rotavirus, it is necessary to isolate from others, to refuse to place a place of mass congestion of people. Compliance with bed rest and following a healthy diet contribute to the rapid recovery of the body. Rotavirus is not a reason to stop breastfeeding.

During the treatment of rotavirus, a nursing mother should follow a diet:

• the use of cereals, soups, boiled meat and fish;
• refusal of legumes, peas, berries, laxative fruits, fatty, spicy, salty foods;
• compliance with the drinking regime.

If a child is sick with intestinal flu, it should be given more liquid in the form of water, unsweetened compotes. When introducing complementary foods during a disease with rotavirus, it is recommended to give preference to natural fruit and vegetable puree from apples and carrots.

Prevention measures

Rotavirus epidemic, observed from January to April, is observed in many regions of Russia: Sverdlovsk region, Nizhny Novgorod, Nizhny Novgorod region, Vladimir region, Kemerovo region, Saratov region, Sakhalin region, Stavropol Territory, Chelyabinsk region, autonomous regions, Moscow region, Irkutsk region , Krasnoyarsk Territory, Krasnodar Territory, Kirov Region, Bryansk, Kaliningrad Region, Komi Republic, Volgograd Region, Republic of Bashkortostan, Tatarstan, Ivanovo, Tula, Kaluga Regions.

To avoid infection, healthy people should follow the preventive measures:

• do not visit public places during the spread of rotavirus in the territorial district;
• wash your hands regularly;
• thermally process products;
• use boiled water;
• carry out wet cleaning, ventilate the room.

The child most often becomes infected with rotavirus from a sick mother through the fecal-oral route. It is recommended to regularly wash bath accessories, bed linen, treat dishes from which the baby eats with boiling water, wash hands before each breastfeeding. Diseases of the stomach in case of non-compliance with preventive measures are dangerous for the baby with serious consequences.

The information on our website is provided by qualified doctors and is for informational purposes only. Do not self-medicate! Be sure to contact a specialist!

Gastroenterologist, professor, doctor of medical sciences. Prescribes diagnostics and conducts treatment. Expert of the group on the study of inflammatory diseases. Author of more than 300 scientific papers.