>
>2.
>>" Breastfeeding mothers should avoid the use of alcoholic 
>>beverages, because alcohol is concentrated in breast milk and its 
>>use can inhibit milk production. An occasional celebratory single, 
>>small alcoholic drink is acceptable, but breastfeeding should be 
>>avoided for 2 hours after the drink."
>
>Where is the evidence that ethanol is _concentrated_ in breastmilk? 
>I have always been taught that levels in milk are the same as in 
>blood (i.e. negligible, unless mother is moderately to severely 
>intoxicated).


I recently did a lit. search on this for a magazine article, and 
there is no evidence that alcohol is *concentrated* in breastmilk 
that I can see.

Levels are the same as in blood and in fact, once in the milk, 
alcohol is diffused  out of the milk back into the bloodstream. 
Pumping and dumping is pointless as the body does a very good job of 
processing the alcohol.

It is very wrong of the AAP to get this so badly wrong. Can someone 
tell them? I don't think I am that person!

Heather Welford Neil
NCT bfc, tutor, UK

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