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Date: | Fri, 4 Jan 2008 10:55:13 EST |
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Dear Friends:
Alcohol is one of those areas where values are used to make recommendations.
This abstract is interesting...."The acute health risks for infants exposed
to alcohol through their mother's milk under the current exposure scenario
are low."
_Alcohol_ (http://www.sciencedirect.com/science/journal/07418329)
_Volume 37, Issue 3_
(http://www.sciencedirect.com/science?_ob=PublicationURL&_tockey=#TOC#4960#2005#999629996#622897#FLA#&_cdi=4960&_pubType=J&_auth=y&_ac
ct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=cb4d1a13ba9a0efdcf541da8
ae8f405e) , November 2005, Pages 143-150
Chien et al.
Abstract
This study examined the effects of exposure to ethanol through cultural
practices by lactating mothers. Specifically, the pharmacokinetics of alcohol in
Chinese lactating mothers was investigated after they consumed chicken soup
flavored with sesame oil and rice wine (CSSR), a typically prescribed diet
during the postpartum “doing-the-month” period. Experimental findings were
employed to estimate the potential ethanol dose to neonates and determine
associated health risks. Twenty-three lactating mothers were examined. Informed
consent was obtained from each subject. The target alcohol dosage was 0.3 g/kg.
Milk and blood samples were collected at fixed time intervals from each
subject following exposure to CSSR, and alcohol levels were determined. Acute
health risks to infants were estimated by comparing the potential infant dosage to
an established criterion dose. Blood alcohol level peaked at 20 min after
exposure to CSSR and decreased almost linearly thereafter. Alcohol in milk
reached a plateau roughly at 20–40 min after exposure to CSSR and then decreased.
Alcohol pharmacokinetics among subjects varied widely. The coefficients of
variation in subject alcohol concentrations were 16.5–46.2% (mean, 30.0%) for
blood and 32.8–57.6% (mean, 44.4%) for milk. Mean maximal alcohol
concentration in blood (30.2 ± 5.0 mg/dl) was achieved at 23.5 ± 7.6 min and in milk
(31.6 ± 10.3 mg/dl) at 31.7 ± 12.7 min. Potential infant doses were 3.0–58.8 mg
(mean, 13.4 mg), and the predicted time required for milk alcohol level to
return to zero level was 175 min. The acute health risks for infants exposed
to alcohol through their mothers' milk under the current exposure scenario are
low (hazard index < 0.2). Nursing infants at least 3 h after ingesting a
diet containing alcohol would further reduce potential health risks.
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My objection to cautions about alcohol ingestion ("to reduce potential
risks") is that there are no data showing that alcohol in human milk hurts
babies.........except for that one case report where the mother was drinking over 7
units a day! Folks that drink moderately can drive and breastfeed and
whatever else they want to do.
This notion of "reducing potential risk" leads people to tell mothers to
wean if any drug is prescribed or anesthesia is used (I've had moms tell me they
were told to pump and dump for 2 days after an out-patient surgical
procedure) or if they get their hair colored or get mastitis. Doesn't Jack Newman call
this "Weaning on the altar of ignorance"?
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
craniosacral therapy practitioner
_www.myspace.com/adonicalee_ (http://www.myspace/adonicalee)
**************Start the year off right. Easy ways to stay in shape.
http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489
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