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How much alcohol is actually in breast milk?

Understanding Alcohol in Breast Milk
The relationship between alcohol consumption and breastfeeding is a topic of significant concern for nursing mothers. Many wonder how much alcohol actually makes its way into breast milk and what implications this has for their infants.
Alcohol Transfer to Breast Milk
When a breastfeeding mother consumes alcohol, it enters her bloodstream and subsequently her breast milk. Research indicates that the concentration of alcohol in breast milk is generally similar to that in the mother’s blood. Typically, alcohol levels peak in breast milk about 30 to 60 minutes after consumption, coinciding with the peak blood alcohol concentration.
For instance, a study involving nursing mothers who consumed approximately 0.4 grams of alcohol per kilogram of body weight (equivalent to about two standard drinks for a 60 kg woman) showed that alcohol levels in breast milk were measurable over the following hours. This means that if a mother drinks, the alcohol will be present in her milk for a duration that reflects her blood alcohol levels.
Duration of Alcohol in Breast Milk
The time it takes for alcohol to clear from breast milk varies based on the amount consumed. For example, after consuming four drinks, it could take nine to ten hours for the alcohol to be undetectable in breast milk. This is crucial for mothers to consider, as the longer the alcohol remains in their system, the longer it will be present in their milk.
Recommendations for Nursing Mothers
Health organizations, including the CDC, recommend that not drinking alcohol is the safest option for breastfeeding mothers. However, if a mother chooses to drink, it is advised to wait at least two hours per drink before breastfeeding to minimize the alcohol exposure to the infant. Additionally, nursing or pumping before drinking can help reduce the amount of alcohol in breast milk when the mother resumes breastfeeding.
Conclusion
In summary, alcohol does transfer into breast milk, and its concentration mirrors that in the mother’s bloodstream. The timing and amount of alcohol consumed play critical roles in determining how long it remains in breast milk. For nursing mothers, understanding these dynamics is essential for making informed choices about alcohol consumption while breastfeeding.

What happens if you breastfeed a baby with alcohol in your system?

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.

Can I breastfeed if I feel tipsy?

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.

What happens if you breastfeed too soon after drinking?

To be safest, the mother can wait at least 2 hours after a single drink before nursing. Exposure to alcohol above moderate levels through breast milk could be damaging to an infant’s development, growth, and sleep patterns.

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 actually gets into breast milk?

When a lactating woman consumes alcohol, some of that alcohol is transferred into the 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.

How long should I wait to breastfeed after drinking a bottle of wine?

If you do intend to have a social drink, you could try avoiding breastfeeding for 2 to 3 hours for every drink you have to avoid exposing your baby to any alcohol in your milk. This allows time for the alcohol to leave your breast milk.

Will a sip of alcohol show up in breast milk?

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The amount of alcohol taken in by a nursing infant through breast milk is estimated to be 5% to 6% of the weight-adjusted maternal dose. Alcohol can typically be detected in breast milk for about 2 to 3 hours after a single drink is consumed.

Do you have to pump breast milk after drinking alcohol?

The alcohol in the breast milk doesn’t stay in there until the breast is emptied; it travels across a concentration gradient. This means there is NO NEED to pump and dump after consuming alcohol. The longer between the last drink and the next breastfeed, the lower the breast milk alcohol concentration.

How do I know if my baby is actually drinking breast milk?

You can hear and see your baby swallowing. Your baby’s cheeks stay rounded, not hollow, during sucking. They seem calm and relaxed during feeds. Your baby comes off the breast on their own at the end of feeds.

How long before alcohol is out of breast milk?

Heavy drinkers should wait longer. […] Adult metabolism of alcohol is approximately 1 oz of pure ethanol in 3 hours, so mothers who ingest alcohol in moderate amounts can generally return to breastfeeding as soon as they feel neurologically normal. A good rule is 2 hours for each drink consumed.

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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