Breastfeeding and Magnetic Resonance Contrast

02/08/2017 16:11

Like the iodinated contrast media used in computed tomography (CT), the gadolinium contrast applied in magnetic resonance imaging (MRI) studies have a plasma half-life ("in the blood") of approximately 2 hours and are almost completely eliminated from the bloodstream in patients with normal renal function within 24 hours.

Equally similar to computed tomography (iodinated) contrast media, the resonance contractor (gadolinium) is excreted in breast milk. However, it is likely that most of the gadolinium excreted in breast milk is in its stable form.

For better understanding, in rough statistical terms, less than 0.04% of the intravascular dose ("in the vein") of contrast administered to the mother is excreted in breast milk within the first 24 hours. Noting that less than 1% of the contrast medium ingested by the infant is absorbed through the gastrointestinal tract ("through the baby's gut"). Therefore, the expected systemic dose absorbed by the infant through breast milk is less than 0.0004% of the total dose administered to the mother. Thus, the amount ingested by the baby is much smaller than the allowable dose for use in newborns. Thus the likelihood of an adverse effect of such a small fraction of gadolinium absorbed from breast milk is remote .

Even the taste of milk can be altered, despite theoretical concerns, no complications have been confirmed.

Thus, because of the very small percentage of contrast media that is excreted in breast milk and absorbed by the infant's intestine, we believe that the data available in the current medical literature suggest that it is safe for the mother and the infant continue breastfeeding even after performing a contrast study.

However, for those mothers who remain unsafe, in the final analysis, it may be recommended to temporarily suspend breastfeeding for a period of 12 to 24 hours in mothers with normal renal function, discarding the milk formed during this period with the help of a suction pump as directed by your obstetrician / gynecologist. Breast milk before the test can be used to feed the baby during this time.

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