How can a nursing mother get rid of lice and nits? - briefly
Apply a 1 % permethrin or pyrethrin shampoo to the scalp, follow the label‑specified exposure time, rinse, and comb the hair with a fine‑toothed nit comb; repeat the treatment after 7–10 days to eradicate newly hatched lice. Wash all clothing, bedding, and personal items in hot water or seal them in plastic bags for two weeks to prevent re‑infestation.
How can a nursing mother get rid of lice and nits? - in detail
A lactating mother facing head‑lice infestation should adopt a multi‑step approach that eliminates both adult insects and their eggs while protecting the infant.
First, select a treatment that is safe for breastfeeding. Over‑the‑counter pediculicides containing 1 % permethrin or 0.5 % pyrethrin are considered low‑risk because only a small amount is absorbed through the scalp and the medication is not transferred through breast milk. Apply the product according to the package directions, leaving it on the hair for the specified time before rinsing thoroughly.
Second, remove nits manually. After the chemical treatment, use a fine‑toothed lice comb on wet, conditioned hair. Start at the scalp, pulling the comb through each section slowly. Wipe the comb on a white towel after each pass to detect attached eggs. Repeat the combing process at least twice a day for one week to catch newly hatched lice.
Third, treat the environment. Wash all bedding, towels, and clothing worn within the previous 48 hours in hot water (≥ 60 °C) and dry on high heat. Items that cannot be laundered should be sealed in a plastic bag for two weeks or placed in a freezer at –18 °C for 24 hours. Vacuum carpets, upholstered furniture, and car seats to remove stray insects and eggs.
Fourth, schedule a follow‑up. A second application of the pediculicide is recommended 7–10 days after the first, targeting any lice that survived the initial treatment. If symptoms persist beyond two weeks, consult a healthcare professional for alternative therapies such as benzyl alcohol lotion or prescription ivermectin, which have documented safety profiles for breastfeeding women.
Finally, prevent re‑infestation. Advise family members to avoid sharing hats, hairbrushes, and pillowcases. Conduct regular inspections of the scalp, especially after contact with school or daycare environments, and repeat the combing routine if any live lice are observed.