I remember an article in JHL about alcohol and breastfeeding.  It
seems that milk alcohol levels mirror blood alcohol levels.  As blood alcohol
level increases, so does milk alcohol level.  As the blood alcohol level
ebbs, so does milk alcohol level.  Alcohol doesn't stay in the milk, and so
doesn't need to be expressed out.
        Women who aren't menstrurating, such as those experiencing lactation
amenorrhea, metabolize alcohol differently than wome who are having monthly
cycles, and are likely to have higher alcohol levels with a given level of
consumption than they would have if menstruating.
        If a mother nurses her baby, then has dinner with a glass of wine,
her blood alcohol level, and so her milk alcohol level, is likely to be very
near zero.  Now that third or fourth glass of wine is another story ;-)...
        -Debi Page Ferrarello, RN, IBCLC
        Abington, PA

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