Breastfeeding parents often wonder if they can continue to nurse their baby safely when experiencing shingles. In most situations, individuals can continue to breastfeed without risk, as the virus responsible for shingles does not transmit through breast milk.
What Shingles Is
Shingles, also known as herpes zoster, results from the reactivation of the Varicella-Zoster Virus (VZV), the same virus that causes chickenpox. After recovering from chickenpox, VZV remains dormant in nerve cells and can reactivate later in life. The condition typically manifests as a painful rash with fluid-filled blisters, usually appearing on one side of the body or face.
Is Breastfeeding Safe with Shingles?
Breastfeeding is safe for the baby even when the mother has shingles because the virus does not pass into breast milk. Breast milk provides numerous benefits, including antibodies that can help protect against various illnesses. If the mother has immunity to chickenpox, these antibodies can offer passive protection to the infant. The primary concern is preventing the baby from direct contact with the rash.
Important Precautions When Breastfeeding
Meticulous handwashing with soap and water is important before and after touching the baby or the rash, and before each breastfeeding session. Keeping the shingles rash covered with clothing or a bandage helps prevent direct skin-to-skin contact between the baby and the lesions.
If the rash is located on the breast or nipple, direct latching on that specific breast should be avoided. A mother might consider pumping and discarding the milk from the affected breast to maintain milk supply and prevent discomfort. Alternatively, she might temporarily offer formula or donor milk for feeds until the rash heals. Consulting a healthcare provider is important for personalized guidance.
When to Consult Your Doctor
Consult a doctor promptly if the shingles rash is widespread or involves the face, particularly near the eyes. Medical attention is also important if pain is severe and unmanageable, or if the mother has a weakened immune system. Seeking medical advice is especially important if the rash is on the breast or nipple, as this location requires careful management to ensure both maternal comfort and infant safety. A doctor can also discuss antiviral medications for shingles and advise on which treatments are compatible with breastfeeding.