Breastfeeding is not a walk in the park. In order to provide our children with the optimum health and foremost care, we would need to make changes in our lifestyle. One of which is for nursing mothers to self-regulate their intake of alcoholic beverages for the safety of their babies. Among the side effects listed by The American Academy of Pediatrics Committee on Drugs are drowsiness, weakness, deep sleep and abnormal weight gain on infants if large amount of alcohol is consumed.
Add to that the fact that consuming too much alcohol may impair the mother’s ability to breastfeed as alcohol can cause drowsiness, inhibiting the mom from responding to her child’s need to nurse while she in under the influence of liquor.
Although there are many conflicting information on the mix of alcohol and breastfeeding, it is a known fact that the consumption of alcohol has adverse effects on our normal bodily functions. Consistently downing alcohol has negative effects on our vital organs such as the brain, heart, kidneys and liver. With this in mind, when we take in alcohol, we carry it not only in our bloodstream, but in our breastmilk as well.
We will be discussing the correlation of alcohol and breastfeeding, its effects on the breastmilk, the mother’s milk supply, and ultimately to the baby.
Big Question: Does Alcohol in Breastmilk Affect Baby?
The answer to this question lies on the amount of alcohol ingested by the mother. An excerpt from the book written by Thomas W. Hale, R.Ph. Ph.D., member of the La Leche League International Health Advisory Council entitled, Medications and Mother’s Milk says “Excess levels may lead to drowsiness, deep sleep, weakness, and decreased linear growth in the infant. Maternal blood alcohol levels must attain 300 mg/dl before significant side effects are reported in the infant. Reduction of letdown is apparently dose-dependent and requires alcohol consumption of 1.5 to 1.9 gm/kg body weight (6). Other studies have suggested psychomotor delay in infants of moderate drinkers (2+ drinks daily). Avoid breastfeeding during and for 2 – 3 hours after drinking alcohol.” Read more about this study here.
This is the reason why most breastfeeding advocates would say that if a woman is “sober enough to drive, she is sober enough to breastfeed.”
So the key here is to moderately consume liquor, and time the consumption after the baby has already nursed, and would not need to do so for the next two to three hours. The ideal time then to have an occasional drink is past the baby’s bedtime.
Drinking while Breastfeeding Facts
There are many facts about breastfeeding and it is important for any mother to discern the information she comes across with. Information coming from breastfeeding institutions and reputable health organizations then should be the source of valuable breastfeeding information.
As for drinking while breastfeeding according to La Leche League’s book entitled The Womanly Art of Breastfeeding, “the effects of alcohol on the breastfed baby are directly related to the amount the mother ingests. When the breastfeeding mother drinks occasionally or limits her consumption to one drink or less per day, the amount of alcohol her baby receives has not been proven to be harmful.”
- Random House
- Diane Wiessinger, Diana West, Teresa Pitman
- Ballantine Books
- Edition no. 8 Rev Upd (07/13/2010)
- Paperback: 576 pages
Last update on 2017-06-26 / Affiliate links / Images from Amazon Product Advertising API
More importantly, mentioned also in Medications and Mother’s Milk, adult metabolism of alcohol is approximately 1 ounce in 3 hours, thus, moderate amounts of alcohol ingested by nursing mothers may return to breastfeeding as soon as they feel neurologically normal.
There is also no need to pump and dump after drinking alcohol beverages. It should be noted that there is no need to throw away your breastmilk upon consuming alcohol. “As alcohol leaves the bloodstream, it leaves the breastmilk. Since alcohol is not “trapped” in breastmilk (it returns to the bloodstream as mother’s blood alcohol level declines), pumping and dumping will not remove it. Pumping and dumping, drinking a lot of water, resting, or drinking coffee will not speed up the rate of the elimination of alcohol from your body.” Read more on this from the La Leche League FAQ Page here.
If you do decide to drink alcohol while you are nursing your baby, you should plan ahead of time and make sure that you are equipped with correct information as well as the consequences of excessive levels of alcohol intake.
Apart from passing on alcohol to the baby through your breastmilk, physical consequences should also be kept in mind when having a drink or two while nursing. Some of these include:
- Inability to respond to the baby’s needs due to drowsiness
- Impaired judgements and ability to care for the baby while intoxicated with liquor
- Physically endangering the child due to alcoholic intoxication
- For co-sleeping moms, the danger of not being too conscious about rolling over one’s child due to exhaustion from intoxication becomes a huge possibility
- Hang-overs the following day that may impair the inability of the mother to care for the baby
Drinking and Breastfeeding Guidelines Plus FAQs
Whatever part of the world a mother hails from drinking alcohol is not uncommon especially during social gatherings. It will be understandable if a mother would like to unwind and have a drink or two given the many stresses that comes with parenting, as well as the need to socialize with friends and family.
And for the regular drinker, nine months of staying away from liquor due to pregnancy may be too much, so wanting to have a drink a few months after giving birth is understandable.
The key to drinking while breastfeeding is to know the facts and observe proper guidelines. We have collated some information you may need when consuming liquor during the course of breastfeeding an infant.
The website Motherrisk.org shared a Drinking and Breastfeeding chart that mothers can use as a guide when having their regular or occasional alcoholic drink. This chart is a guide for nursing mothers who would like to know more information on the appropriate consumption of alcoholic drinks.
You may print the chart from this link. A similar chart has been posted by the Australian Breastfeeding Association. They came up with a helpful brochure featuring a Drinking and Breastfeeding Chart as posted in its website.
- Breastfeeding and Alcohol Calculator
For mothers who are bound to get confused when consulting an alcohol and breastfeeding chart, then a breastfeeding alcohol calculator may be a great way for you to check when alcohol has already been eliminated in your body.
The website Mommymeds.com has this online breastfeeding and alcohol calculator. Click here to check it out. Usually, a drink consists of either 12 ounces of 5% beer, or five ounces of an 11% wine, or 1.5 ounces of 40% or an 80 proof liquor. The time on the other hand is measured when the mother starts consuming the alcoholic beverage.
Another alcohol calculator you may want to check out it from Obfocus.com. This calculator estimates the time the alcoholic beverage is eliminated in the breast milk after consumption.
- How long does alcohol stay in the body?
According to the Breastfeeding Answer Book, “Alcohol is found in our milk 30 to 60 minutes after consumption, and 60-90 minutes with food. It is also important to note that the more intake of alcohol, the slower it is released from our system.”
Thus, the milk supply of lactating mothers is affected. Studies have shown that it impacts the balance of hormones that control breastmilk production. Moderate supply reduces oxytocin levels affecting milk supply and let down. Oxytocin is a hormone produced by the pituitary gland to regulate two female reproductive functions: Child bearing and Breastfeeding.
The United Kingdom’s National Health Service or NHS also says that it may take an hour for the body to break down one unit of alcohol. In addition, the NHS Said that metabolizing alcohol will also depend on the following factors:
- Weight : Like any drug, the smaller weight you have, the greater the effect on your system
- Gender : Alcohol is known to stay in a woman’s body longer than it does in men as women’s body has more fat than water.
- Age : The younger you are, the faster your body gets rid of the alcohol.
- How quickly or slowly your body turns food into energy (your metabolism)
- How much food you have eaten
- The type and strength of the alcohol
- Whether you’re taking medication and, if so, what type
The NHS says other health issues may affect the body and may differ from person to person. For example, if you have a problem with your liver, you will have a harder time to remove the alcohol from your system.
- Can I have one beer while breastfeeding?
The good news for moms inclined to having a beer or two while breastfeeding is that yes, they can indulge on a beer or two. This is because there is a certain level of alcohol consumption that can affect the baby, but definitely, one can of beer will not.
More than two units of alcoholic drink a day though will impact the baby’s development according to the Breastfeeding Network and UK’s National Health Service.
Here are some facts on Alcohol and Breastfeeding as shared by the Breastfeeding Network in their website:
- Chronic exposure to more than two units of alcohol per day may have an effect on the baby’s development.
- Maternal blood levels have to reach 300mg/100ml before mild sedation is reached in the baby (this compares with a level of 80mg/100ml needed to fail the police breath test).
The NHS on the other hand says “There’s some evidence that regularly drinking more than two units of alcohol a day while breastfeeding may affect your baby’s development. But an occasional drink is unlikely to harm your breastfed baby. It’s recommended that breastfeeding mothers have no more than one or two units of alcohol once or twice a week.”
Is there any positive side effect?
Traditionally, beer was thought of as having a positive side effect on a mother’s breast milk supply. But all the same, alcohol has been shown to reduce the volume of breastmilk supply.
According to the authors of The Breastfeeding Mother’s Guide to Making More Milk, “Alcohol itself inhibits both the milk ejection reflex and milk production, especially when taken in large amounts. Even a moderate amount, such as a single beer or glass of wine, can disrupt the balance of lactation hormones in breastfeeding women. While the immediate effects of alcohol on milk production and delivery last only as long as the alcohol is in your system, chronic alcohol use has the potential to lower your milk supply overall.”
The pervading thought in some cultures though that malt in beer may be a galactogogue – or a substance that helps increase breastmilk production may no longer be as true today. This is because the beers that were manufactured many, many years ago were made of grains and herbs that are no longer present in the commercially prepared beers of the present time.
For centuries, traditional beer had lower alcohol content while its nutritional content was higher. As mentioned in the website Beer and Breastfeeding, “historically, the beer used by mothers to increase their supply was nutritionally rich and low in alcohol. In home brewing, the so-called “mashing” (or boiling of malt, grains and herbs), was performed twice with the same grains and herbs. Whereas the first mashing returns a strong alcoholic beer, the second mashing returns a low-alcoholic beverage called “small beer” that was loosely filtered—a thin, porridge-like fluid that could practically be eaten.”
This “small beer” then is no comparison to the beers of today that do not have any lactogenic effect. Non-alcoholic beers however that are being sold in stores can be checked if they are rich in barley and hops as these grains are great in helping push milk production.
Drinking while breastfeeding side effects
As a general rule, anything in excess always has an adverse effect on your bodies and in effect, have an impact on your baby’s health. The baby will be slower to reach developmental milestones as well as other health issues. Remember that your baby’s survival lies in your hands. They rely on you to provide them with optimum health and the best care.
Kellymom.com shared a list of possible side effects of breastfeeding while consuming alcohol:
- Alcohol may affect the baby’s sleep pattern as suggested in a study of mothers who are light drinkers.
- Regularly consuming alcohol may cause slow weight gain on the infant.
- Daily alcoholic beverage consumption of at least one drink daily may affect the infant’s gross motor development.
- Alcoholic intoxication may impair the mother’s ability to respond to the nursing needs of her child during the period of her intoxication. She may also not be physically sound enough to take care of her child because she will likely be exhausted and drowsy to do so. Moreover, she may not feel well the next day, and may remain unable to take care of her child for the first few hours of having a hang over the next morning.
Read more facts from Kellymom.com here.
If you could avoid having an alcoholic drink whether it may be a sip or a single glass, then all the better. But, an occasional celebratory single, simple alcoholic drink is acceptable. Alcohol abuse or binge drinking is irresponsible. You would need to nurse your baby before you decide to drink alcohol in order to minimize the alcohol your baby will get. You may start breastfeeding again after two to three hours so when your milk is alcohol free. It’s important for you not be intoxicated as you will not be able to feed your baby properly, thus, you will not be able to ensure that your baby is taking in ample amount of nutrients from your milk.
Nursing moms who are chronic or consistent alcohol drinkers must avoid breastfeeding their babies and immediately seek help from their doctors.