Breastfeeding with Alpha-Gal
Breastfeeding with Alpha-Gal Allergy
Can you breastfeed with Alpha-Gal allergy (Alpha-gal syndrome)?
Yes! Alpha-gal allergy is a response of the immune system (an allergic reaction) and not an infection that can be spread. Your baby will not “catch” it during pregnancy or through breastmilk.
Other tick-borne illnesses like Lyme Disease, Rocky Mountain Spotted Fever, and more are infections. If you have an active infection during pregnancy or while breastfeeding, please talk to your doctor about getting treated and if the baby will need additional testing or monitoring. Most antibiotics are safe to take during breastfeeding- you can use InfantRisk https://www.infantrisk.com/ or the LactRX app to check if you have concerns, or speak with your doctor or pharmacist. If you are told to “pump and dump” you can always label that milk and set it aside while you confirm if it is safe to give to baby.
Products to be aware of-
Lanolin- often found in nipple ointments like Lansinoh- this is derived from sheep's wool. It may cause a skin reaction for some people. Plant based creams like Motherlove or EarthMama do not contain lanolin and are a safer option.
Gelatin- some capsules of medications or supplements are gelatin, these may contain beef or pork byproducts.
Dairy products- these could be found in supplements, foods, medications. You can learn more at FARE’s website- https://www.foodallergy.org/living-food-allergy/food-allergy-essentials/common-allergens/milk
Not everyone with Alpha-gal allergy will have reactions to lanolin, gelatin, or dairy products, but it is something to be aware of.
Formula supplementation-
Some families may need to supplement with formula, or choose to combo-feed (feed with both breastmilk and formula). If you are reactive to dairy, you may want to use caution if preparing formula from cow or goats milk. If your baby is drinking cow or goat’s milk based formula, be mindful of residual formula in the baby’s mouth if you are also latching. You may not have any reaction to contact at all, but it is something to consider. Feel free to book a consultation with me to discuss if you are needing or choosing to supplement and want to discuss your individual risks with alpha-gal.
Epi Pen-
If I need to use my Epi-Pen (epinephrine auto-injector) can I still breastfeed? YES- epinephrine (adrenaline) is used up in the body very quickly. If you are having a reaction and need epinephrine please use it, your milk is safe to feed your baby when ever you feel able to feed after your reaction. You may want someone else to feed and care for the baby if you are not well, the biggest priority is your health and that the baby is cared for and everyone is safe.
Antihistamines-
Can you take antihistamines for a reaction? Yes- BUT regular use of antihistamines may decrease your milk supply. However, the medication itself is not harmful to your baby or the milk itself. Just like needing an Epi-Pen- your health and safety are priority. If you have concerns about low milk supply, I am happy to help!
Bug repellent and lactation- Most commercial bug repellents are safe to use while breastfeeding. Avoid spraying younger babies and wait for it to dry on your own skin before picking up baby, and avoid spraying your breast tissue directly.
Consider permethrin treated clothing or blankets, Lemon Eucalyptus, or picardrin containing sprays.
You can learn more about repellent types and use during pregnancy and lactation here- https://www.infantrisk.com/content/insect-bites-and-repellant-sprays-pregnant-women#:~:text=Picaridin%20does%20not%20adversely%20affect,the%20label%20of%20the%20product.
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This information is for general educational purposes, and should not take the place of medical advice from your own doctor. View full disclaimers here