Hello everyone, I have to say that I prefer my moms to breastfeed and smoke if they can't quit (and being an ex-smoker, I can tell you it is HARD), rather than to keep ssmoking and quit breastfeeding. I tell them to try not to smoke closer than 1 hour to the next session, not smoke around the baby and to try to cut down. I also offer them the patch. I know this isn't the current dogma, but I think you have to work with smokers. Nicotine is the most addicting substance known to woman. Terry Lynn Terry Lynn Dise, MD [log in to unmask]