Is there a safe level of alcohol consumption
while breastfeeding?
In answer to this question, the Centers for Disease
Control and Prevention (CDC) says, “Not drinking alcohol is the safest
option for breastfeeding mothers. However, moderate alcohol consumption (up to
1 standard drink/day) is not known to be harmful to the infant, especially if
the mother waits two hours after consuming the drink to feed her baby.”
However, exposure of the infant to alcohol above
moderate levels through breast milk may adversely affect the development,
growth as well as sleep pattern of the infant. And, more than moderate
consumption of alcohol may also impair the mother’s judgment and ability to
safely care for her child.
The CDC also cautions that the “pump and dump” method (expressing or pumping milk after drinking alcohol, and then
discarding it) that many
women use to remove alcohol from their breast milk after having a
drink does not achieve this intended objective. Breast milk continues to
contain alcohol as long as alcohol is still in the
bloodstream of the mother.
Alcohol levels are usually highest in breast milk 30-60
minutes after an alcoholic drink is consumed.
The duration for which alcohol remains in the breast milk
depends upon the amount of alcohol consumed by the mother. Alcohol can be
detected in the breast milk for 2-3 hours after one drink; after three drinks,
alcohol can be detected in the breast milk for up to 8 hours.
Higher levels of alcohol consumption also
interfere with the milk ejection reflex (letdown) while
maternal alcohol levels are high. Over time,
excessive alcohol consumption could lead to
shortened breastfeeding duration due to decreased milk production.
Definitions of a “standard drink” (1 ml alcohol = 0.8 g)
differ, both within and between countries.
•
A standard drink in the US
contains 14 g of alcohol. Examples would be 5 oz. of 12% wine, 12 oz. of 5%
beer, 1.5 ounces of 40% (80 proof) liquor or 8 oz. of 7% malt liquor, the CDC
says.
•
Great Britain: 8 g alcohol
•
Japan: 19.75 g alcohol
•
India: 10 g alcohol
•
Patiala peg: 20 g alcohol
(Source: CDC)
Dr KK Aggarwal
Padma Shri
Awardee
President Elect Confederation of
Medical Associations in Asia and Oceania
(CMAAO)
Group
Editor-in-Chief IJCP Publications
President Heart
Care Foundation of India
Past National President
IMA
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