{"id":500003,"date":"2026-02-25T21:02:29","date_gmt":"2026-02-25T21:02:29","guid":{"rendered":"https:\/\/emanaesthesia.org.uk\/staging\/?page_id=500003"},"modified":"2026-04-13T19:21:40","modified_gmt":"2026-04-13T18:21:40","slug":"pregnancy-and-breastfeeding","status":"publish","type":"page","link":"https:\/\/www.emanaesthesia.org.uk\/backup\/guidance\/pregnancy-and-breastfeeding\/","title":{"rendered":"Pregnancy and Breastfeeding"},"content":{"rendered":"\n<div class=\"wp-block-cover alignfull is-light\" style=\"min-height:420px;aspect-ratio:unset;\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" class=\"wp-block-cover__image-background wp-image-710548 size-large\" alt=\"\" src=\"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-content\/uploads\/2026\/04\/Designer-4-1024x683.png\" data-object-fit=\"cover\" srcset=\"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-content\/uploads\/2026\/04\/Designer-4-1024x683.png 1024w, https:\/\/www.emanaesthesia.org.uk\/backup\/wp-content\/uploads\/2026\/04\/Designer-4-300x200.png 300w, https:\/\/www.emanaesthesia.org.uk\/backup\/wp-content\/uploads\/2026\/04\/Designer-4-768x512.png 768w, https:\/\/www.emanaesthesia.org.uk\/backup\/wp-content\/uploads\/2026\/04\/Designer-4.png 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim\" style=\"background-color:#cadae6\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-704e782a wp-block-group-is-layout-constrained\">\n<h1 class=\"wp-block-heading has-text-align-left has-text-color has-link-color wp-elements-f11d8832de28da68801ab7ba681d3cfb\" style=\"color:#ffffff;font-size:clamp(25.984px, 1.624rem + ((1vw - 3.2px) * 1.877), 44px);font-weight:700\">Pregnancy and Breastfeeding<\/h1>\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-4a9c2564a8c0d4b66f6da0626f68c902\" style=\"color:#ffffff;font-size:clamp(14px, 0.875rem + ((1vw - 3.2px) * 0.417), 18px);\"><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-0ad74189 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-fill\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button\" href=\"https:\/\/rcoa.ac.uk\/media\/49971\" style=\"border-radius:4px;color:#ffffff;background-color:#0A4D8C\" target=\"_blank\" rel=\"noreferrer noopener\">RCoA Guide<\/a><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-30bfb831 wp-block-group-is-layout-constrained\" style=\"background-color:#F3F4F6;padding-top:16px;padding-bottom:16px\">\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-a89b3969 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#overview\">Overview<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#adjustments\">Adjustments<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#rotaplanning\">Rota planning<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#breastfeeding\">Breastfeeding<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#resources\">Resources<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-5fb0786f wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"overview\">At\u2011a\u2011Glance<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-13e2ef3f wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-c2fa4475 wp-block-group-is-layout-constrained\" style=\"border-color:#E5E7EB;border-style:solid;border-width:1px;border-radius:8px;background-color:#F9FAFB;padding-top:16px;padding-right:16px;padding-bottom:16px;padding-left:16px\">\n<h3 class=\"wp-block-heading\">When to notify?<\/h3>\n\n\n\n<p>Notify by 25 weeks to secure maternity leave\/pay; paid time off for antenatal care applies.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-c2fa4475 wp-block-group-is-layout-constrained\" style=\"border-color:#E5E7EB;border-style:solid;border-width:1px;border-radius:8px;background-color:#F9FAFB;padding-top:16px;padding-right:16px;padding-bottom:16px;padding-left:16px\">\n<h3 class=\"wp-block-heading\">Risk hot spots<\/h3>\n\n\n\n<p>Unscavenged nitrous, high\u2011turnover inhalational lists, prolonged standing (&gt;3 h), manual handling, ionising radiation, certain scrubs (iodine) and infection exposures.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-c2fa4475 wp-block-group-is-layout-constrained\" style=\"border-color:#E5E7EB;border-style:solid;border-width:1px;border-radius:8px;background-color:#F9FAFB;padding-top:16px;padding-right:16px;padding-bottom:16px;padding-left:16px\">\n<h3 class=\"wp-block-heading\">Breastfeeding and Anaesthesia<\/h3>\n\n\n\n<p>Modern guidance supports \u201csleep and keep\u201d (no routine \u201cpump &amp; dump\u201d) after GA; plan expressing breaks and storage.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-143fdc38 wp-block-columns-is-layout-flex\" style=\"padding-top:16px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<h2 class=\"wp-block-heading\" id=\"adjustments\">Practical adjustments (by exposure)<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li><strong>Anaesthetic gases<\/strong>: prioritise well\u2011scavenged theatres; consider TIVA; avoid high\u2011turnover paeds\/ENT facemask lists if possible.<\/li>\n\n\n\n<li><strong>Radiation<\/strong>: stand back; use wrap\u2011around lead + thyroid shield; extension lines; choose lower\u2011exposure lists if feasible.<\/li>\n\n\n\n<li><strong>Manual handling\/standing<\/strong>: avoid heavy pushing\/pulling; limit prolonged standing; request seating and help for transfers.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li><strong>Infection<\/strong>: adhere to local IPC guidance; consider redeployment away from specific high\u2011risk exposures where advised.<\/li>\n\n\n\n<li><strong>Bone cement<\/strong>: ensure vacuum mixing\/ventilation; keep distance during mixing.<\/li>\n\n\n\n<li><strong>Iodine scrubs<\/strong>: avoid routine povidone\u2011iodine during pregnancy; use alternatives as per Trust policy.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<h2 class=\"wp-block-heading\" id=\"rotaplanning\">Training &amp; rota planning<\/h2>\n\n\n\n<p>Agree a personalised plan with your ES\/TPD. Many trainees step off nights in the third trimester; timing can be earlier or later based on individual need. Use KIT\/SPLiT days and SuppoRTT for a confident return.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<div class=\"wp-block-group has-border-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-c2fa4475 wp-block-group-is-layout-constrained\" style=\"border-color:#E5E7EB;border-style:solid;border-width:1px;border-radius:8px;background-color:#F9FAFB;padding-top:16px;padding-right:16px;padding-bottom:16px;padding-left:16px\">\n<h3 class=\"wp-block-heading\">Quick links<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.eastmidlandsdeanery.nhs.uk\/policies\/ltft\">HEEM \u2013 LTFT Policy<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\" style=\"padding-top:8px;padding-bottom:8px\">\n<h2 class=\"wp-block-heading\" id=\"breastfeeding\">Breastfeeding at work<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li><strong>Clinically<\/strong>: most anaesthetic\/analgesic agents transfer to milk in very small amounts; routine \u201cpump &amp; dump\u201d is not required.<\/li>\n\n\n\n<li><strong>On shift<\/strong>: plan expressing every 3\u20134 h; arrange fridge storage; schedule breaks into theatre lists.<\/li>\n\n\n\n<li><strong>Facilities<\/strong>: request a private room (not a toilet), power outlet, handwashing and a fridge\/freezer for milk.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\">Tip: express\u2011friendly lists<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Choose day\u2011case or shorter lists where breaks can be planned.<\/li>\n\n\n\n<li>Flag your needs to theatre coordinator at the start of the list.<\/li>\n\n\n\n<li>Carry a labelled cool bag in case fridge access is limited.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"resources\">Resources &amp; policy links<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>RCoA:&nbsp;<a href=\"https:\/\/www.rcoa.ac.uk\/documents\/reasonable-adjustments-policy\/13-special-arrangements-pregnancy\" target=\"_blank\" rel=\"noreferrer noopener\">Special arrangements for pregnancy (reasonable adjustments)<\/a><\/li>\n\n\n\n<li>RCoA:&nbsp;<a href=\"https:\/\/www.rcoa.ac.uk\/sites\/default\/files\/documents\/2025-11\/RiskPregnantBreastfeeding2025_0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Risk assessment for pregnant &amp; breastfeeding anaesthetists (2025)<\/a><\/li>\n\n\n\n<li>Association of Anaesthetists:&nbsp;<a href=\"https:\/\/anaesthetists.org\/Guidelines-and-publications\/Guidelines\/Guidelines-for-anaesthesia-and-sedation-in-patients-who-are-breastfeeding\" target=\"_blank\" rel=\"noreferrer noopener\">Guideline \u2013 anaesthesia &amp; sedation in breastfeeding<\/a><\/li>\n\n\n\n<li>HSE:&nbsp;<a href=\"https:\/\/www.hse.gov.uk\/mothers\/worker\/index.htm\" target=\"_blank\" rel=\"noreferrer noopener\">New &amp; expectant mothers at work \u2013 your health &amp; safety<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Brief guide and links for LTFT training in Anaesthetics (East Midlands).<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":710011,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-no-title","meta":{"footnotes":""},"class_list":["post-500003","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/pages\/500003","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/comments?post=500003"}],"version-history":[{"count":3,"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/pages\/500003\/revisions"}],"predecessor-version":[{"id":710799,"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/pages\/500003\/revisions\/710799"}],"up":[{"embeddable":true,"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/pages\/710011"}],"wp:attachment":[{"href":"https:\/\/www.emanaesthesia.org.uk\/backup\/wp-json\/wp\/v2\/media?parent=500003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}