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Can a baby get fetal alcohol syndrome from breast milk?

Understanding Fetal Alcohol Syndrome and Breastfeeding
Fetal Alcohol Syndrome (FAS) is a serious condition that arises from alcohol exposure during pregnancy, leading to a range of lifelong physical, behavioral, and cognitive impairments in affected individuals. The critical point to understand is that FAS is exclusively linked to alcohol consumption during pregnancy. According to the National Institute on Alcohol Abuse and Alcoholism, fetal alcohol exposure disrupts development at any stage of pregnancy, even before a woman may realize she is pregnant.
The Role of Breastfeeding
When it comes to breastfeeding, the question arises: can a baby develop FAS from alcohol present in breast milk? The consensus among health experts is that FAS cannot be caused by alcohol in breast milk. Instead, the condition is strictly a result of maternal alcohol consumption during pregnancy. Once a baby is born, the risk of developing FAS is no longer applicable, as the critical period for alcohol exposure is during gestation.
However, it is important to note that alcohol does pass into breast milk. The Centers for Disease Control and Prevention (CDC) states that the amount of alcohol in breast milk mirrors the amount in the mother’s bloodstream. For instance, alcohol from a single drink can be detected in breast milk for approximately 2 to 3 hours, while two drinks may be detectable for about 4 to 5 hours. This means that while breastfeeding, if a mother consumes alcohol, it can affect the infant temporarily, but it does not lead to FAS.
Recommendations for Nursing Mothers
Health organizations, including the American Academy of Pediatrics, recommend that breastfeeding mothers either abstain from alcohol or consume it in moderation, allowing sufficient time for the alcohol to clear from their system before nursing. This precaution helps ensure that the infant is not exposed to alcohol through breast milk, which could potentially affect their sleep patterns, feeding, and overall behavior.
In summary, while alcohol consumption during pregnancy poses significant risks leading to FAS, breastfeeding itself does not pose the same risk. The focus should remain on preventing alcohol exposure during pregnancy to safeguard fetal development, while nursing mothers should be mindful of their alcohol intake to protect their infants postnatally.

How easy is it for a baby to get fetal alcohol syndrome?

Any amount of alcohol during pregnancy can cause fetal alcohol syndrome. There’s no safe amount that can be consumed. Damage to your developing baby can happen at any point during pregnancy. Even having a drink at the very beginning isn’t safe.

Can breastfed babies get fetal alcohol syndrome?

Although alcohol exposure through the consumption of breast milk does not cause FASD, it can impact central nervous system development vii. Historically, alcohol consumption was encouraged during breastfeeding as a way to help women relax, promote lactation and letdown, as well as enhancing infant sleep.

Can you tell if a baby has fetal alcohol syndrome in the womb?

Although fetal alcohol syndrome can’t be diagnosed before birth, the health of the baby and mother can be assessed and watched during pregnancy. Watching for symptoms of fetal alcohol syndrome in your child’s early weeks, months and years of life.

How do I know if my baby is affected by alcohol in breastmilk?

If your baby consumes breast milk with alcohol in it, it may have negative effects on your baby, including:

  • Increased crying.
  • Increased arousal.
  • Decreased milk intake.
  • Decreased weight gain.
  • Increased REM sleep (rapid eye movement sleep when their brain is more active)

How much alcohol in breastmilk will affect baby?

Ultimately, just as in pregnancy, there is no known safe level of alcohol consumption while breastfeeding. We cannot know for certain the safety of even small amounts of alcohol for young babies.

What does FASD look like in babies?

Facial features that are typical of fetal alcohol syndrome. These may include small eyes, a very thin upper lip, a flat nose bridge, and a smooth skin surface between the nose and upper lip. Slow physical growth before and after birth.

What are the odds of having a fetal alcohol syndrome?

Moreover, it is estimated that one in every 67 women who consumed alcohol during pregnancy would have a child with FAS, which translates to approximately 119,000 children born with FAS worldwide annually [4].

When is fetal alcohol syndrome most likely to occur?

During the first three months of pregnancy, important stages of development happen with the face and organs such as the heart, bones, brain and nerves. Drinking alcohol during this time can cause damage to how body parts develop.

Does Reese Witherspoon have FAS?

While the presence of FAS is less present in this well-known star, Reese Witherspoon also has fetal alcohol syndrome. Known for playing roles in The Man in the Moon and Legally Blonde, no one would ever guess that Witherspoon has FAS based on her performance as an actor.

How can a pregnant mother avoid fetal alcohol syndrome?

FASD are 100% preventable if a developing fetus is not exposed to alcohol. Given that approximately half of all pregnancies in the United States are not planned, the U.S. Surgeon General recommends that women who are pregnant, might be pregnant, or consider becoming pregnant should abstain from alcohol.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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