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Sun, 29 Oct 1995 16:40:03 -0500 |
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Jay: Nicotine definitely goes to the baby, and nicotine withdrawal is
possible, though I don't know of any documented studies. As for the
effects of nicotine on mothers' milk, there are a few considerations.
Nicotine definitely gets into the milk, and has been associated with
irritability in babies. It also decreases mothers' milk supply, and has
been associated with sub-optimal growth. If this mother didn't stop
smoking during the pregnancy, it is unlikely that she would stop for
breastfeeding. If she pumped her milk, she would ideally smoke after
pumping to decrease the nicotine content, although the frequent pumping
required to get a sufficient supply makes it unlikely that she would
totally eliminate the nicotine by the next pumping. Of course, even with
some nicotine, her milk is probably better than nutramigen, since it can
reduce the incidence of necrotizing enterocolitis and sepsis. If this
mother eventually breastfeeds this baby, and continues to smoke, she
needs to be educated on the importance of a smoke-free home for the baby
to reduce the risk of SIDS as well as many upper and lower respiratory
infections babies in smoking households are more prone to. Hope this
helps. Alicia. [log in to unmask]
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