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Can drinking while breastfeeding cause fetal alcohol syndrome?

Understanding the Risks of Alcohol Consumption While Breastfeeding
The question of whether drinking alcohol while breastfeeding can lead to fetal alcohol syndrome (FAS) is a nuanced one, primarily because FAS is directly linked to alcohol consumption during pregnancy, not breastfeeding. However, understanding the implications of alcohol use during breastfeeding is crucial for new mothers.
Fetal Alcohol Syndrome and Its Causes
Fetal alcohol syndrome is a serious condition that arises from alcohol exposure during pregnancy. It can result in a range of lifelong physical and mental defects in the child, including issues with behavior, learning, and physical development. The critical point here is that FAS is caused by alcohol consumption before birth, meaning that the risk is primarily associated with drinking during pregnancy rather than while breastfeeding.
Alcohol and Breastfeeding: What You Need to Know
While the direct link between breastfeeding and FAS is not established, it is important to consider how alcohol can affect breastfeeding itself. When a breastfeeding mother consumes alcohol, it enters her bloodstream and subsequently her breast milk. The concentration of alcohol in breast milk is similar to that in the mother’s blood, and it can affect the infant if consumed.
Moderate alcohol consumption may not pose significant risks, but excessive drinking can interfere with the milk ejection reflex, potentially leading to decreased milk production and affecting the overall breastfeeding experience. Moreover, infants metabolize alcohol much more slowly than adults, which means that even small amounts can linger in their systems longer, potentially leading to adverse effects.
Potential Effects on Child Development
Research indicates that while the primary concern regarding fetal alcohol spectrum disorders (FASD) is during pregnancy, there are still considerations for breastfeeding mothers. Some studies suggest that maternal alcohol consumption during breastfeeding could have implications for child outcomes, although the evidence is less definitive compared to prenatal exposure.
The American Academy of Pediatrics advises that no amount of alcohol is considered safe during pregnancy or while breastfeeding. They emphasize that if a mother chooses to drink, it should be done in moderation, and she should wait at least two hours after drinking before breastfeeding to minimize the infant’s exposure to alcohol.
Conclusion
In summary, while drinking alcohol while breastfeeding does not directly cause fetal alcohol syndrome, it can have implications for the breastfeeding process and the infant’s health. The safest approach for breastfeeding mothers is to avoid alcohol altogether to ensure the best outcomes for their children. Awareness and caution are key, as the effects of alcohol can vary widely among individuals and can impact both the mother and child in different ways.

Is drinking while breastfeeding worse than drinking while pregnant?

Alcohol consumption during pregnancy is associated with well-known harmful effects [3]. During lactation, alcohol use can also be harmful for the baby, even though popular beliefs suggests that alcohol consumption (especially beer) by a lactating woman improves milk production and, in turn, the nutrition of her infant.

What happens if a baby drinks breast milk with alcohol while?

Exposure to alcohol above moderate levels through breast milk could be damaging to an infant’s development, growth, and sleep patterns. Alcohol consumption above moderate levels may also impair a mother’s judgment and ability to care for her child safely.

How long after drinking can I breastfeed again?

Wait at least 2 hours after drinking one standard drink before breastfeeding your baby. Be aware that the more you drink, the longer it takes for the alcohol to clear your system. If your baby needs to be nursed before two hours or more is up, use your previously expressed milk to feed your baby.

Does drinking during breastfeeding cause FASD?

Prenatal alcohol exposure can cause Fetal Alcohol Spectrum Disorder (FASD), which describes the range of complex physical, mental, and behavioural disabilities that can occur. Although alcohol exposure through the consumption of breast milk does not cause FASD, it can impact central nervous system development vii.

When should you not breastfeed when drinking?

Avoid breastfeeding during and for 2 – 3 hours after drinking alcohol. Heavy drinkers should wait longer.

How much alcohol will contaminate breast milk?

In general, less than 2 percent of the alcohol dose consumed by the mother reaches her milk and blood. Alcohol is not stored in breast milk, however, but its level parallels that found in the maternal blood. That means that as long as the mother has substantial blood alcohol levels, the milk also will contain alcohol.

How can a pregnant mother avoid fetal alcohol syndrome?

However, the only way to prevent FAS is to avoid drinking beverages containing alcohol during pregnancy. It’s also recommended that you not drink alcohol if you’re sexually active and not using effective birth control. It can take four to six weeks before you know you’re pregnant.

What if you drink before you know you’re pregnant?

There is no safe time for alcohol use during pregnancy. Alcohol can cause problems for the baby throughout pregnancy, including before a person knows they are pregnant. Alcohol use in the first 3 months of pregnancy can cause the baby to have abnormal facial features.

Can you breastfeed after 2 standard drinks?

If you drink alcohol, wait two hours for every standard drink before breastfeeding. One standard drink – wait two hours. Two standard drinks – wait four hours. If you are planning to drink for a special occasion, express milk beforehand and feed this to your baby while there is alcohol still in your system.

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.

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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