S.H. asks from Minneapolis, MN on February 01, 2009
Nursing and Alcohol Consumption
I have a question/concern about alcohol consumption and nursing. I rarely drink alcohol. I haven't had enough to drink and feel the effects in years. However, a few nights ago had enough beer to feel a little tipsy. I came home, and thought I was perfectly sober and therefore nursed my 9-month old. To my horror, I woke up a few hours later and got up and walked around a bit, realizing that I was still a tiny bit tipsy, and therefore had not been fine to nurse my baby. I am too embarrassed to call my pediatrician to ask what affect this could have on my baby, but perhaps I should. I understand the general rules about drinking, nursing, and when not to nurse. I am seeking information on what affect this one nursing session could have had on my poor little one!
So What Happened?™
I calmed down, did some more research and talked to my pediatrician. She laughed. Apparently I had two things going for me: 1) I didn't drink much, 2) I didn't nurse until 2 hours after finishing my last drink. The American Academy of Pediatrics recommends limiting alcohol consumption during lactation. Most of the advice I got here (thank you) was up-to-date and accurate, according to my pediatrician. The rules of thumb are to limit consumption and not to nurse while intoxicated or impaired. Pumping and dumping, therefore, isn't necessary; once mom's blood alcohol level has recovered, there is no longer alcohol in her milk. As for the advice to not have one more sip until I am done nursing, fat chance. Apparently, while that is very loving, wise and well-intended, my lifestyle is healthy for me and my baby, even with a couple drinks once in awhile.
Featured Answers
S.D. answers from Minneapolis on February 01, 2009
About the same effects it would have on you. I wouldnt be too worried about doing it once, but I would NOT have another DROP again til he weans himself.
S.
More Answers
L.D. answers from Minneapolis on February 02, 2009
I think your little one will be fine. In Germany they give nursing mothers beer in the hospital. I'm not condoning or recommending that mothers nurse while they have alchol but you shouldn't beat yourself up about this one insidence.
T.B. answers from Eau Claire on February 02, 2009
I agree with all those who say it isn't going to affect the baby. If there was a little alcohol in the milk, it would go away, just like it does for adults. If you were drinking daily and nursing, that would be a huge issue, but a few times aren't going to hurt them.
M.J. answers from Green Bay on February 02, 2009
Hi S.
You did not say how much you had to drink . With me 2 drinks makes me feel buzzed for a while . You did not say how soon you nursed your little one after drinking . If it was right after drinking your beers or a while later . If it was right after then it was in your milk . If it was hours after your last drink then there may been a little but nothing to affect your little one . Not sure of the affects either way . I always pumped and dumped after drinking before nursing either one of my little ones while nursing .
J.B. answers from Minneapolis on February 02, 2009
Don't fret - back in the day - the fridges that were on the maternity units were stocked full of beer to help nursing mothers. No joke - I heard this story when I was pregnant and went to my breastfeeding classes. I heard it from 2 different hospital classes - so, it's not just a wives tale. They do not do it anymore b/c it makes the babies way too sleepy and more research was done about it not showing it to be that much of a benefit. I'm not saying you should do it but, I know the lactation consultants always recommended us using beer to help with milk production. Everyone seems to have their own "remedy" or advice. They just usually suggested the non-alcoholic choices. I think next time it would be best for you to pump and dump but, I don't think you have to worry since it's already happened. It just usually causes the baby to be much more sleepy - making it difficult for the baby to nurse as much as usual. I forgot how long they said to wait after drinking - but, I'd maybe just pump and dump x1 after your consumption. Don't beat yourself up over it - and don't ever hesitate in calling your pediatrician. They've heard it all and quite honestly - many of them are mothers and have been there.
T.B. answers from Appleton on February 02, 2009
To be honest your baby will be fine, it was only once. And back in the good ole days when out parents nurse they didn't think twice about breastfeeding when drinking.. or smoking for that matter. I know that the affects are a little more well known now but like I said your baby will be fine!! And NEVER be afraid to call your pediatrician, if they scold you and make you feel at all less of a parent because of this, I'd find a new one! I listed a web site that has and alcohol calculater so the next time you do have a few drinks you'll be able to know when it will be safe to feed your baby. Take care, and don't stress the small stuff!
L.G. answers from Minneapolis on February 02, 2009
I wouldn't worry about it too much. I've read books by midwives that say that it's okay to have a LIMIT of one alcoholic beverage per day when you're pregnant. I figure, if you had a few beers now that you're not pregnant and you waited a few hours before nursing your little one, the effect can't possibly be as great as it would have been had he/she been in your womb. I've done the same thing while nursing my little one and I haven't noticed anything that would say he had been affected at all. Of course, that doesn't mean everything was okay just because I didn't notice anything, but I really don't think it has that much of an effect on them.
V.K. answers from Minneapolis on February 01, 2009
If your baby is fine now, your baby will be fine. It's not like *you* have too many drinks and three days later have problems suddenly pop up, yk? I'd imagine it's the same.
I certainly don't judge you for having a couple of drinks at 9 months postpartum. I did. I just used pumped milk if he got hungry those nights. And you know these right? I haven't used them, but I know they're available. I just saw another brand of them at Target actually:
http://www.milkscreen-moms.com/ Anyway, I think everything will be just fine. :)
As far as what effects already passed, I found this-
http://www.kellymom.com/health/lifestyle/alcohol.html
"Current research says that occasional use of alcohol (1-2 drinks) is not harmful to the nursing baby. The American Academy of Pediatrics Committee on Drugs classifies alcohol (ethanol) as a “Maternal Medication Usually Compatible With Breastfeeding.”
"Always keep in mind the baby's age when considering the effect of alcohol. A newborn has a very immature liver, so minute amounts of alcohol would be more of a burden. Up until around 3 months of age, infants detoxify alcohol at around half the rate of an adult. An older baby or toddler can metabolize the alcohol more quickly.
Effects of alcohol on breastfeeding and the breastfed baby:
Alcohol does not increase milk production. In fact, babies nurse more frequently but take in less milk in the 3-4 hours after mom has had a drink, and one study showed a 23% decrease in milk volume with one drink (Mennella & Beauchamp 1991, 1993; Mennella 1997, 1999).
2+ drinks may inhibit let-down (Coiro et al 1992; Cobo 1974).
One study showed changes in the infant's sleep-wake patterning after short-term exposure to small amounts of alcohol in breastmilk -- infants whose mothers were light drinkers slept less (Mennella & Gerrish 1998).
Daily consumption of alcohol has been shown in the research to increase the risk for slow weight gain in the infant.
Daily consumption of alcohol (1+ drinks daily) has been associated with a decrease in gross motor development (Little et al 1989)."
S.W. answers from Minneapolis on February 02, 2009
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