Thursday 21 March 2019

If a patient is nursing can she receive IV contrast?

If a patient is nursing can she receive IV contrast?

The answer as shown from the best available literature is yes but if a patient is apprehensive then a 24 hour delay would be advisable.

"Because of the very small percentage of iodinated contrast medium that is excreted into the breast milk and absorbed by the infants gut, we believe that the available data suggest that it is safe for the mother and infant to continue breast feeding after receiving such an agent."

Manuel on Contrast Media 
ACR Version 5.0

"If the mother remains concerned about any potential ill affects to the infant, she may abstain from breast feeding for 24 hours with active expression and discarding of breast milk from both breast during that period."

Manuel on Contrast Media
ACR Version 5.0

"Consequently the use of iodinated contrast agents in nursing mothers is considered safe." 

Guidelines for Use of Medical Imaging During Pregnancy and Lactation Tremblay E et al.
RadioGraphics 2012; 32:897-911

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