The La Leche League tear-sheet handout on "Smoking and Breastfeeding" is
#1487-27, dated April 2004.  It encourages mothers to quit smoking, but
"even if you can't quit smoking, breastfeeding your baby is still the best
choice you can make."  It suggests smoking as far away from the baby as
possible, cutting down on the amount of smoking, monitoring the baby's
weight gain, and smoking right after breastfeeding rather than just before
to minimize the nicotine in the milk.  "About 90 minutes after smoking, the
level of nicotine in the mother's blood and milk decreases by about half..."
It discusses the need of a new baby to nurse very frequently.  References
are given.  This is just a very brief summary of some of the points made in
the handout and do not do it justice.

Anne Altshuler, RN, MS, IBCLC and LLL leader in Madison, WI

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