A breastfeeding mother asks which prescribed analgesic should generally be questioned because it may cause excessive sedation or breathing problems in the infant. Which medicine is the concern?

Correct answer: A. Codeine

  • A. Codeine
  • B. Paracetamol
  • C. Ibuprofen
  • D. Lidocaine gel

Explanation

Codeine is generally avoided during breastfeeding because maternal metabolism can produce high levels of morphine, causing infant sedation and respiratory depression. Paracetamol and ibuprofen are commonly compatible when used as prescribed, while topical lidocaine has limited systemic absorption.

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Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.

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