This reminds me of the call I received one Dec. 31 at about 2 AM. A
mother called, in a panic, asking about for a breastpump because she
drank a six-pack and was nursing a 3 month old.
Try checking the archives, Ruth Lawrence and the Thomas Hale's most
recent editions. In the meantine,I presented a talk to the National
Indian and Native American WIC Coalition meeting July '99 here in
Albuquerque and here's what I found:
Definitions:
occasional drink- one or fewer drinks per day > 1 oz.
moderate to heavy or chronic- two or more drinks per day < 2.5 oz.
AAP states, AAP considers occasional alcohol consumption compatible with
breastfeeding. Alcohol passes freely into and out of mother's milk and
has been found to peak about 30--60 minutes after consumptions, or 60
--90 minutes when taken with food. (AAP Comm. on Drugs) Pediatrics
1994; 93(1): 137-55.
Factors affecting alcohol absorption:
maternal wt, amount of adipose tissue (120 lb. woman takes 2-3 hours to
eliminate 1 oz.) food in mother's stomach, speed of consumption, and
estrogen levels.
Infant age and wt, exclusive breastfeeding
Some effects:
decreases milk-ejection reflex
inadequate caregiving skills
drowsiness, deep sleep, sleep disorders
weakness, decrease in linear growth
abnorlmal wt. gain
change in ordor of milk
lower psychomotor skills
Of course, please note that some of the above effects are only seen when
the mother is a heavy, chronic drinker and the baby is young, and/or
small.
My experience has been to suggest that the mother breastfeed just before
consuming alcohol. Even better would be if she eats something with
protein in it, then have her wine, or beer or whatever.
Anderson, P. Drug use during breastfeeding. CLin Pharmacy 1991:
10:594-623.
Briggs, G., Freeman, R., and Yaffee, S. Drugs in Pregnancy andLcatation,
4th ed.
Carlson, H. et al. beer-induced prolactin secretion: a clinical and
laboratory study of the role of Salsolinol. J. Clin. Endocrinol Metab.
1985; 60:673.
Little, R. et al. Maternal alcohol use during breastfeeding and infant
mental and motor development at one year. New England J Med. 1991;
325(14): 981-85.
Menella, J.A. and Gerrish, C. J. effects of exposure to alcohol in
mother's milk on infants sleep. Pediatrics 1998; 101(5):e2.
Schulte, P. Minimizing alcohol exposure of the breastfeeding infant. J
Humam Lact 1995; 11(4):317-19.
Hope this helps.
Heidi S. Roibal in beautiful, Balloon Fiesta, Albuquerque
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