Jenny,

I spoke with a breastfeeding-friendly nurse anesthetist tonight and she said that her recommendation would be to breastfeed up to *8* hours before the procedures and then she would not offer the breast.  In her opinion, the restriction would relate to the actual test and *not* to the risk for aspiration.  Although we "know" how quickly breastmilk is digested and absorbed, it is not considered a clear liquid in all anesthesia circles anymore.  She said that she would feel confident in following those guidelines for her own children in a similar situation.  I know this isn't research-based, but HTH.  (BTW, she's a LLLL, if that matters to you.)

Best wishes with your client,
Rebecca DeYoung Daniels, MBA, RD, LD, IBCLC & MOM to 5 in KS

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