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Subject:
From:
Janet Vandenberg <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 2 Dec 2002 15:34:01 -0500
Content-Type:
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Motherisk in Toronto has a hand out for mothers that shows how long the
alcohol stays in their milk.  They have a good referenced article
on "Drinking alcohol while breastfeeding:Will it harm my baby?"
at      http://www.motherisk.org/updates/jan02.php3

The chart is at: http://www.motherisk.org/updates/jan02.php3#table1

Some quotes:
"Although occasional drinking while nursing has not been associated with
overt harm to infants, the possibility of adverse effects has not been
ruled out. Occasional drinking, however, does not warrant discontinuing
breastfeeding, as the benefits of breastfeeding are extensive and well
recognized. Until a safe level of alcohol in breast milk is established, no
alcohol in breast milk is safest for nursing babies. It is, therefore,
prudent for mothers to delay breastfeeding their babies until alcohol is
completely cleared from their breast milk."

"With pharmacokinetic modeling, the Motherisk team produced an algorithm to
help breastfeeding mothers and their health care providers determine how
long it takes to eliminate alcohol completely from breast milk (Table 1).11
Time should be calculated from the beginning of drinking.

Because alcohol elimination follows zero-order kinetics, drinking water,
resting, or 'pumping and dumping" breast milk will not accelerate
elimination. Unlike urine, which stores substances in the bladder, alcohol
is not trapped in breast milk, but is constantly removed as it diffuses
back into the bloodstream."

Since this is a well respected Canadian resource perhaps this will help the
original poster from Manitoba.

Janet Vandenberg RN, BScN, IBCLC
Ontario, Canada

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