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Subject:
From:
Amir family <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 20 Dec 1999 21:12:53 +1100
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<I'm curious about your "Women who smoke should not breastfeed"
<paragraph, however.  The paper you cite is "Woodward A, Douglas R M,
<Graham N M, Miles H. Acute respiratory illness in Adelaide children:
<breastfeeding modifies the effect of passive smoking. J Epidemiol
<Community Health 1990; 44:224–230."  Does that specifically address
<the issue of breastfeeding mothers who themselves smoke?

Yes, you are right. Nicotine and cotinine levels are very high in infants of
breastfeeding mothers who smoke.
I don't have the article here (it is at work), but a quick search at PubMed
found the abstract, which says:
"... There was a strong negative effect modification by breast feeding:
relative odds of respiratory proneness with maternal smoking were seven
times higher among children who were never breast fed than among those who
were breast fed... "
So, they ARE talking about mothers who smoke, not just passive smoke in the
home environment. Although the study was conducted in Australia, the journal
is a publication of the BMJ and I would expect should be widely available.
Actually, when you stop and think about it, it is *amazing* how breast milk
can reverse all the ill-effects of the high doses of nicotine and whatever
else they will be ingesting and breathing in.
Lisa Amir
MBBS, MMed, IBCLC in Melbourne, Australia

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