الحامل

السؤال ما حكم أن ترضع الأم طفلها وهي حامل مع العلم أن طفلي يكمل سبعة أشهر بعد أسبوع وأنا حامل في الشهر الثاني؟

وجزاكم الله خيرا ونفع بكم الأمة

الفتوىالحمد لله والصلاة والسلام على رسول الله وعلى آله وصحبه أما بعد:

فلا حرج على الأم أن ترضع ولدها وهي حامل، وقد أخرج مسلم والترمذي والنسائي وأبو داود وأحمد ومالك وغيرهم عن جدامة بنت وهب الأسدية أنها سمعت رسول الله صلى الله عليه وسلم يقول : ” لقد هممت أن أنهى عن الغيلة حتى ذكرت أن الروم وفارس يصنعون ذلك فلا يضر أولادهم .” قال في لسان العرب 11/511: الغيل: اللبن الذي ترضعه المرأة ولدها وهي تؤتى… وقيل: الغيل أن ترضع المرأة ولدها على حَبَل . انتهى.

ومن الناحية العلمية لم تلاحظ أضرار تلحق المرضع بسبب وطئها ولا الجنين ولا الطفل المرضع، ولذا لا يجوز حرمان الطفل من لبن أمه بحجة الغيلة.

الادلة العلمية

Breastfeeding and pregnant mothers

breastfeeding and pregnant mothers Arine Valstar 11.09.2000

Re: breastfeeding and pregnant mothers Gulnara Semenova 14.09.2000

From: Arine Valstar, Arine.Valstaratfao.org

Date: 14.09.2000

Subject: breastfeeding and pregnant

There are reported beliefs from culture to culture that pregnancy can “spoil” breastmilk causing diarrhoea in breastfed infant, or that nobody can be fed by colostrum twice, therefore upcoming milk belongs only to a new baby, that if women continue breastfeeding throughout new pregnancy she will be punished by God, or sprits can steel the soul of breastfed child, etc, etc.

Many health professionals have concerns that breastfeeding during pregnancy can cause spontaneous abortion due to oxytocin releasing or about depletion of the women’s stores, etc.

There was not apparent evidence suggesting that breastfeeding/nipple stimulation can cause spontaneous abortion in a normal pregnancy. I remember a very small study, which showed almost the same number of miscarriages in both groups among those who continued breastfeeding throughout the pregnancy and those who did not breastfed. I read sometimes ago in a textbook on medical physiology, that uterine musculature sensitivity to oxytocin is varies, its enhanced by oestrogen and inhibited by progesterone( what actually is happening during early stages of pregnancy) and that only in a late stages of pregnancy uterus becomes very sensitive to oxytocin, possibly due to an increase in uterine prostaglandins. Uterine contractions also occur during sexual activity, which most couples continue during pregnancy anyway.

Re maternal stores depletion.

In Australia or in the USA where the population is well nourished, or in many cases is overweighted/obese there is no problem with breastfeeding during pregnancy and even with tandem feeding. Speaking about weight loss during breastfeeding some studies reported that about 30% of women from affluent societies do not achieve pre-pregnancy weight even if they breastfeed for 6 months and need another 3 months of breastfeeding to get rid of fat stored during pregnancy. Food intake is usually much high than recommended, so with western women there is no real problems of depletion, unless in a very special circumstances or in submarginal population. Colostrum will appear again right after delivery. We have plenty of literature on breastfeeding management during pregnancy and about tandem feeding

With Somalian’s and other undernourished population the situation is not as simple, health providers must ensure that the woman will feed herself well, as her stores might become depleted during overlapped pregnancy and lactation. As usually the best approach is prevention- to teach how to use effectively the Lactation Amennhorea Method and after mother resumes menstruation or baby is starting complementary food or when baby is older than 6 months to encourage mother to use other effective contraception methods.

IT was some evidence that infants born from overlapped pregnancies/lactation are about 100 grams less weighted at birth. Therefore a good maternal nutrition should be ensured when breastfeeding and pregnancy overlaps. Also important is to ensure that mothers can decrease physical activity and to have a good sanitation, etc, etc.

Re the length of lactation, usually at least up to 6 months of age of the current child, it means almost throughout the pregnancy, later it depends on the baby’s needs, big baby can continue a comfort suckling in a tandem with the new baby. Make sure that the new baby gets breastmilk first.

In Lawrence” When the infant at the breast in only a few months old when pregnancy occurs, there is some rationale to continue breastfeeding for the benefit of the infant until it is time to wean to solids and other liquids at 6 months of age or so. This child will be a year old when the new infant arrives and, if still at the breast, may have demands in excess of the mothers ability to provide”

Some mothers complain about a breast pain as pregnancy is progressing and that the nipples become hypersensitive if they continue to feed during pregnancy. In such cases they tend to wean before a new baby born.

WHO -EURO in its booklet “Breastfeeding how to support success” do not recommend to wean a baby during pregnancy.

If women is from a high risk pregnancy group and has a risk of miscarriage because of a nipple stimulation, then she might be consulted by doctor and they have to decide what is in the best interests of the infant. Early weaning might be more harmful for a current baby, both psychologically and nutritionally and of course by increased risk of infection., especially in a third world sanitary conditions and in an emergency/ refugee situation

In ACC/SCN “…One should consider not only the health of the mother and her foetus but that of the older infant being breastfed. Whether to wean the child or not might depend partly on the age and health of the breastfed child and on the nutritional status of mother. If the child is more than say 18 months of age and in good health, then the mother might be encouraged to wean the child to encourage adequate foetal growth and maternal fat reserves. Alternatively the child might be younger and malnourished. If the mother is able, perhaps she should continue breastfeeding in these cases. If the mother decides to continue breastfeeding,for whatever reason, then she should be encouraged to eat substantially more, particularly energy rich foods. Clearly no satisfactory answer to the problems posed by overlap can be given presently. The safest course is to avoid it through effective family planning programmes”

Sent from my iPhone