If a breastfed baby or child needs to have a general anaesthetic, how long before their surgery do they need to stop breastfeeding? I’m researching the instructions given to parents by NHS services across the country. It appears that most hospitals say the last breastfeed should be at least 4 hours prior to surgery, but I have found two that allow breastfeeding until 3 hours prior to surgery. I am copying and pasting the relevant sections below as I find them. Sometimes the policies only give a time of day and not the number of hours prior to surgery – in this case I have used as a reference point the time that water can be given up to – it’s standard that water can be given 1 or 2 hours prior to surgery, so if the time mentioned in relation to breastmilk is, say, 1 hour prior to that of water, then I’m assumed they’re saying that breastmilk can be given until 3 hours prior to surgery.
1) Instructions to breastfeed up to 3 hours before surgery:
Children over 1 year of age
Up to 6 hours before the anaesthetic, children can have food and milk products.
Up to 1 hour before the anaesthetic, children can have clear fluid only
Babies under 1 year
If on solids, foods as above
Up to 4 hours before the anaesthetic, babies can have formula feeds
Up to 3 hours before the anaesthetic, babies can have breast milk.
Up to 1 hour before the anaesthetic babies can have water only.
(This policy appears to assume that only babies under 1 year are breastfed.)
Your child may have breastmilk before 5:30am.
Your child may only drink water or squash (not fruit juice) until 6:30am.
2) Instructions to stop breastfeeding at least 4 hours before surgery:
■ Four hours before, babies can have breast milk.
If you are breastfeeding, you may continue to breastfeed your baby until 04.30 hours (4.30am). Your child may safely continue to drink clear fluids from the following list until 06.30 hours (6.30am) on the morning of surgery:
Water (not fizzy)
Blackcurrant juice (such as Ribena, C-Vit)
Clear Apple juice only (no pulp).
We give the following timings in clinic depending on if we expect the operation to be in the morning or afternoon. Please be aware that this may change. You will be given final instructions when you are phoned by the nurse the day before surgery.
Children having surgery in the morning:
- Normal dinner the night before.
- Miss breakfast in the morning.
- Water till 6.30am
- Breastfed babies may feed till 4am on the day of surgery.
Children having surgery in the afternoon
- Light breakfast on the day of surgery to be completed by 6.30am
- Water till 11am
- Breastfed babies may feed till 8am on the day of surgery
You can breastfeed your baby up to four hours before the operation.
7:30am admission for the morning operating list:
• 2.30am is the latest your child can have any food and most drinks – this includes milk, formula milk feed, fizzy drinks, thickened drinks, smoothies, fruit juice and sweets.
• 4.30am is the latest that breast milk can be given.
• 7.30am is the latest your child can have water or clear diluted squash such as Robinsons or similar, please give them a drink at this time
12noon admission for the afternoon operating list:
• 7.30am is the latest your child can have any food and most drinks – this includes milk, formula milk feed, fizzy drinks, thickened drinks, smoothies, fruit juice and sweets.
• 9.30am is the latest that breast milk can be given.
• 12.30pm is the latest your child can have water or clear diluted squash such as Robinsons or similar, please give them a drink at this time
Up to 4 hours before the anaesthetic, children can have breast milk.
- Elective surgery commences at 08.00, therefore:
Patients on the morning list may drink water up till 6am, and breast milk up till 4am.
This SOP recommends the following fasting times for those admitted within the scope of this SOP; • Six hours for food • Four hours for breast milk • One hour for clear fluids
For MORNING Operations STOP TAKING AT: Food or milk 2:30 am Breast milk 4:30 am Water or squash (not juice) Arrival to hospital
|Babies can have breast milk||4 hours|
Children: 6 hours for solid food and formula milk, 4 hours for breast milk, 1 hour for clear fluids.