E3265. Breastfeeding Recommendations for Nursing Mothers in Radiology
  1. Kristin Shute; Penn State Health Milton S. Hershey Medical Center
Breastfeeding guidelines and recommendations are scarcely taught to medical students, residents, and attending physicians, leaving the education up to individuals confronted with the topic or that have personal interest. Due to a lack of formal education, many physicians give recommendations that are incorrect, which can be detrimental to baby, mom, and their breastfeeding relationship. Radiologists do not interact with breastfeeding mothers very often, but it is pertinent to be able to give correct information and recommendations when the question arises.

Educational Goals / Teaching Points
The goal is to improve knowledge and provide correct, updated guidelines for breastfeeding mothers who present in radiology. The audience will become familiar with recommendations following administration of iodinated contrast, gadolinium-based contrast, and medications used for local procedures, as well as moderate sedation for interventional procedures.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Recommendations for breastfeeding mothers undergoing radiologic studies requiring pharmacologic medication administration will be discussed. The common medications that are used and will be discussed include; iodinated contrast, gadolinium-based contrast, lidocaine (subcutaneous and intra-articular), intra-articular steroids, fentanyl, midazolam, and Iodine-131 (I-131).

Up-to-date guidelines and resources have been provided to better equip the radiologist to provide their breastfeeding patients with appropriate recommendations. It is of utmost importance to give the correct guidelines to patients in radiology that are best for mom, baby, and their breastfeeding relationship.