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Lactation Information and Discussion

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Subject:
From:
Kathy Dettwyler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 19 Nov 1999 07:13:05 -0600
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There is research on prenatal cocaine exposure (during pregnancy) and long
term cognitive effects -- it showed an average 3 point IQ deficit in the
children exposed to cocaine prenatally.  This in contrast to the 5-8-10 IQ
points from formula exposure post-natally.

I am not aware of *any* studies of short- or long-term outcomes in babies
who breastfed from mothers who used cocaine, but you have to balance any
*hypothetical* negative outcomes against the *documented* negative outcomes
of formula-feeding.  We must always keep in mind that bottle-feeding with
formula is NOT a "risk-free" option.  And while some may argue that a mother
who continues to use cocaine may not be responsible with respect to
breastfeeding, it is equally true that she may not be responsible with
respect to bottle-feeding, including acquiring and properly preparing and
administering formula.

I say go with breastfeeding and try to get the mother into a drug treatment
and general support program.

Kathy Dettwyler

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