These include the infant with
galactosemia, 53,54 the infant whose mother uses illegal drugs, 55 the infant whose mother has untreated active tuberculosis, and the infant in the United States whose mother has been infected with the human immunodeficiency virus.56, 57 In countries with populations at increased risk for other infectious diseases and nutritional deficiencies resulting in infant death, the mortality risks associated with not breastfeeding may outweigh the possible risks of acquiring human immunodeficiency virus infection.58 Although most prescribed and over-the-counter medications are safe for the breastfed infant, there are a few medications that mothers may
need to take that may make it necessary to interrupt breastfeeding temporarily.
Further testing would
need to be done to determine if Naomi had classic or Duarte
galactosemia, was simply an unaffected carrier, or if the test was a false positive — common in the summer months when Naomi was born.