First pass metabolism also heavily impacts the blood alcohol level of babies. While the mothers blood and milk have the same alcohol level, that level is strikingly less than what she consumed. The babies blood alcohol level will also be way less than what they consume in milk. Dr. Jack Newman discusses this pretty thoroughly including the numbers - I think in his book, perhaps web handouts.
Genia Stephen, RM, IBCLC
Sent from my iPhone
On 2011-12-22, at 12:00 AM, LACTNET automatic digest system <[log in to unmask]> wrote:
> There are 3 messages totaling 165 lines in this issue.
>
> Topics of the day:
>
> 1. impatience with alcohol (2)
> 2. wet nursing (actually co-feeding)
>
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> Date: Wed, 21 Dec 2011 19:28:06 -0500
> From: Nikki Lee <[log in to unmask]>
> Subject: impatience with alcohol
>
> Dear Lactnet Friends:
>
> So what if there are a few molecules of alcohol in the milk? There are no
> case reports of any baby manifesting any problems with this except in one
> case where the mom was drinking 50 bottles of beer and also a large
> quantity of spirits (*Binkiewicz* A, Robinson MJ, Senior B. *Pseudo*-*
> Cushing* *syndrome* caused by *alcohol* in breastmilk. J Pediatr
> 1978;93(6):965-7.)
>
> She should not sleep with her baby if she's drunk alcohol. If she drinks
> too much she may need to arrange to be driven home and for child care.
>
> However, I don't know of any reason to worry about breastfeeding if the mom
> has had a few units of alcohol. Folks in Italy and France and Germany have
> been drinking alcohol and breastfeeding for centuries. If there was a
> concern, we would have heard something about it by now.
>
> warmly, and willing to be corrected
>
>
>
> --
> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
> craniosacral therapy practitioner
> www.breastfeedingalwaysbest.com
>
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> ------------------------------
>
> Date: Thu, 22 Dec 2011 10:36:45 +1000
> From: vgthorley <[log in to unmask]>
> Subject: Re: wet nursing (actually co-feeding)
>
> Hi, Maria,
>
> The link you provided is indeed Part I of my research, published in
> Breastfeeding Review in 2009. It is also *not* about wet nursing as the
> situation was reciprocal (or could potentially be reciprocal) in many cases.
> More appropriate terms would be "co-feeding", "cross-feeding" or
> "cross-nursing". Part I is from interviews of women in Australia who
> informally shared breastfeeding or breastmilk in the 30-year period,
> 1978-2008. Part II is international, mostly early-21st century, and the
> respondents came from many different cultures or sub-cultures. It has been
> accepted for the new online journal, Nursing Reports, with a pdf up. The
> formatted version will be posted soon and I shall post the link here then.
>
> The purposes of both studies wasn't to provide recommendations, but to
> provide a snapshot of what women were actually doing.
>
> I am currently finalising a study of how hospitals in Australia handled EBM
> in the period to 1985, and I can tell you that the respondents in in my
> studies of informal sharing were more rigorous than what sometimes happened
> on the postnatal wards. However, policy development on milk banking in the
> volunteer sector - ye, the volunteer sector - in the 1970s was very
> rigorous. See my history of that, e-published ahead of print in Midwifery in
> March. (The print version hasn't come out yet.)
>
> I am going off Lactnet at some time today. So - please - send any replies to
> me privately.
>
> Concern about health issues and women's milk has changed over time,
> depending on the infections of the day. That would make a study in itself!
> We must be very careful, in discussing providing safe human milk to babies,
> not to go overboard and create the public and professional perception that
> human milk is a risky fluid and something to excite suspicion, and that the
> stuff from the factory or the farm is utterly (or udderly?) safe and
> beneficent. The reason why women seek human milk is precisely because of
> their justifiable concerns about animal milk and other artificial mixtures.
>
> Virignia
>
> Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA
> Private Practice IBCLC & Cultural Historian of the History of Medicine
> Brisbane, Queensland
>
> Maria Armstrong wrote;
>>
>> This must be Part I to the research?
>> http://www.waba.org.my/pdf/BFR_Mar_09_Thorley.pdf
>>
>> Also, I am wondering about something written in Part II. The Pretoria
>> method of pasteurization is mentioned. When a donor is screened, why
>> recommend/perform Pretoria when the research about this method has only
>> adressed HIV (and a few bact.)? Same as with Flash Heating. Seems to me
>> that if a mom wants to pasteurize for safety, then this method is not
>> conclusive and Holder should be performed (which can be done at home with
>> an electric jug).
>>
>> I have looked long and hard into pasteurization and until research has
>> clearly addressed other viruses directly with this method, we can only
>> make assumptions that milk pasteurized with FH or P is safe. And again, if
>> a donor is fully screened and properly handles the milk, there is no need
>> to do this at all.
>>
>> Maria.
>>
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> ------------------------------
>
> Date: Wed, 21 Dec 2011 21:57:46 -0500
> From: eileen shea <[log in to unmask]>
> Subject: Re: impatience with alcohol
>
> If a woman has a blood alcohol level of 0.1mg% ( over the legal limit for driving) that means she has 1/10 of a milligram (one tenth of a milligram ) in 100 cc of her blood at that time. If she feeds her baby at that time and the baby takes in 100 mg of milk, just over three ounces, he will also be taking in 1/10 milligram of alcohol. Draw your own conclusions but take Nikki's advice to heart and don't sleep with your baby until the alcohol is out of your system.
>
>
> Eileen Ahearn Shea, BSc, IBCLC
> Clinical Lecturer Department of Family Medicine
> McMaster University School of Medicine
>
>
>
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> ------------------------------
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