If the mother has otitis media, will the breastfed baby also get otitis media?

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Otitis media is not only common in adults, newborn babies are more likely to suffer from otitis media. If a baby cries and scratches his ears, he may have otitis media. Acute otitis media in infants and young children is a common infectious disease. Its incidence is second only to colds in clinical practice, and it is also the most common complication after colds. Statistics from the United States show that the disease for which American pediatricians prescribe antibiotics the most is acute otitis media.



If a mother has otitis media, will her breastfed baby also get otitis media?

Otitis media is generally not contagious. Otitis media generally refers to suppurative otitis media, secretory otitis media and middle ear cholesteatoma, which are mostly caused by Eustachian tube dysfunction caused by various reasons. For example, suppurative otitis media and middle ear cholesteatoma will be accompanied by tympanic membrane perforation and purulent discharge. Even if a normal human ear canal is exposed to secretions through cross-contact, it will not cause otitis media infection through the intact eardrum unless there is a perforation of the eardrum. Secretory otitis media is mostly secondary to upper respiratory tract infection. It is an intact, closed, non-infectious inflammation of the tympanic membrane, and is not contagious unless it is a secondary upper respiratory tract infection.


Generally speaking, if the mother needs to stop breastfeeding because she has an inflammatory disease, it means that the mother’s inflammatory disease is serious and there are pathogens, inflammatory metabolites and treatment requirements. The drug enters the breast milk through the blood circulation. Otitis media can be caused by different causes, and respiratory inflammatory diseases are the most common. Otitis media at this time is only a component of respiratory inflammation and will not affect breastfeeding alone. Whether to stop breastfeeding depends on the nature of the respiratory disease, Severity, treatment plan.



A baby suffering from otitis media is mainly related to the baby’s usual feeding posture.

Because the baby’s ears are not yet fully developed, the Eustachian tube is short, low and straight, the physiological isthmus has not been formed, and the Eustachian tube muscle contraction is weak. The opening of the nasopharynx is low, so fluid from the nasopharynx easily flows into the middle ear. When breastfeeding, mothers usually choose to hold the baby horizontally or let the baby lie down to feed. When the baby overflows and chokes, the milk will flow back into the nasopharynx, thus causing the baby to breastfeed. The Eustachian tube enters the middle ear causing otitis media.


Because the opening of the Eustachian tube is close to the proliferative bodies in the nasopharynx, and the proliferative bodies in infants and young children are larger, if infection occurs, the proliferative bodies will Due to increased inflammation, the nearby Eustachian tube, which opens into the ear, is easily affected and may become infected, swollen and blocked, leading to otitis media. In addition to the inflammation and swelling of proliferative bodies involving the Eustachian tube, diseases such as hypertrophy of proliferative bodies, tumors in the nasopharynx, choanal polyps, hypertrophy of the inferior turbinate, and nasopharyngeal adhesions can also cause mechanical compression of the Eustachian tube, resulting in Blockage, causing otitis media; in addition, the way to blow your nose is incorrect. When you have a cold, a blocked nose, and a lot of nasal discharge, if you blow your nose too hard, nasal secretions can be squeezed into the Eustachian tube, and thenEntering the middle ear cavity can also cause otitis media.


How should new parents feed their newborns correctly?
1. When feeding a newborn, the baby should lie reclining in the mother's arms. The child's upper body should be at an angle of 30-45 degrees. Do not lie on the bed to feed. When feeding the baby with a bottle, the child's position should be on a slope. position, the bottom of the bottle is higher than the nipple to prevent air inhalation.
2. The interval between feedings should not be too long; do not feed the baby when he is very hungry, as this may cause him to choke on the milk; do not coax the baby when he is feeding, and do not feed when the baby is crying.
3. If the mother has sufficient milk and the milk output is rapid and large, she should gently press the areola with her fingers to slow down the milk output; if she is feeding with a bottle, the nipple hole should not be too large, and she can turn the bottle upside down. The milk should be dripping, not flowing.
4. After feeding, burp the baby in time. Hold the newborn upright, put the baby's head against you, use the palms of your hands to gently pat the baby's back, from bottom to top, to help the baby burp. When the baby is resting, the head should be slightly elevated by 15 degrees, or the baby should lie on his side for 15-25 minutes. Never sleep on his stomach.

What are the bad habits that induce otitis media?

Lying down to drink milk or water will cause milk to flow into the nasal cavity; often picking out the baby's ears may inadvertently injure the baby's ears. Tympanic membrane; Water got into the ear when bathing and washing hair; Pinch the nose and forcefully pour medicine; When you have a cold, take the child to places with large pressure changes, such as flying; Cover the mouth and nose when sneezing; Touch the child when slapping the face ear.

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