Hello wise women,

Permission to post.  I am working with a mom of a 3 week old baby who was born at 37 weeks' gestation.  Baby experienced an apneic event when he was 1 day old and was found to have experienced a multi-compartment cranial hemorrhage.  Baby is still on oxygen, but otherwise has been doing well.  Mom has been breastfeeding and pumping.  The plan is for baby to be discharged home within the next few days, pending a few more studies to rule out hematological issues.

Mom is very concerned because she attended a 4th of July party last night with fireworks.  She says she breathed in the fireworks smoke for 1-2 hours, to the point that it burned her throat and lungs.  She is worried about how her smoke inhalation may affect her baby via her milk.

I tried to research this topic, including in "Medications and Mother's Milk" and in the Lactnet archives, but I was unable to find information as to how/whether/to what extent fireworks smoke enters breastmilk or affects babies via breastmilk.  Since the party last night, mom has chosen not to breastfed.  Instead, she has been pumping and "specially labelling" her expressed milk...and baby has been receiving mom's previously pumped expressed milk by bottle.  Do any of you have suggestions for what I should recommend to this mom?  

Thank you!

Sincerely,
Lisa Lostetter
Albuquerque, New Mexico, U.S.A.

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