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How much nicotine is passed through breast milk?

Understanding Nicotine Transfer Through Breast Milk
The transfer of nicotine from a breastfeeding mother to her infant is a significant concern for health professionals and new parents alike. Research indicates that nicotine does indeed pass into breast milk, and the implications of this transfer can be serious for infant health.
Nicotine Concentration in Breast Milk
Studies have shown that the concentration of nicotine in breast milk can be more than double the amount found in maternal plasma. This means that when a mother smokes, the nicotine levels in her breast milk can be quite substantial, potentially exposing the infant to harmful effects. The exact amount of nicotine that passes into breast milk varies based on several factors, including the mother’s smoking habits and the timing of breastfeeding relative to smoking.
Duration of Nicotine in Breast Milk
The duration that nicotine remains in breast milk is not straightforward. It can vary significantly from one individual to another. While some studies suggest that nicotine can be detected in breast milk for several hours after smoking, the precise duration is influenced by the mother’s metabolism and the amount of nicotine consumed. This variability makes it challenging to provide a definitive timeframe for how long nicotine remains present in breast milk.
Health Risks for Infants
The presence of nicotine in breast milk raises concerns about potential health risks for infants. Exposure to nicotine can lead to various adverse effects, including increased risk of respiratory issues and developmental problems. Although breast milk is generally considered the best source of nutrition for infants, the harmful chemicals from smoking can negate some of its protective benefits. Health organizations strongly advise against smoking during breastfeeding, emphasizing that the safest breast milk is free from harmful substances.
Recommendations for Smoking Mothers
For mothers who smoke, it is crucial to consider the timing of breastfeeding in relation to smoking. Some experts suggest that if a mother chooses to smoke, she should do so immediately after breastfeeding to minimize the nicotine exposure to her infant. However, the best course of action remains to quit smoking altogether, as this not only benefits the mother’s health but also significantly reduces risks for the child.
In conclusion, while nicotine does pass into breast milk and can pose risks to infants, the extent of this transfer and its effects can vary. Mothers are encouraged to seek support for smoking cessation to ensure the health and safety of their breastfeeding infants.

Does nicotine in breast milk affect baby?

Similar to findings observed for fetuses29 and adults after chronic exposure, nicotine exposure via maternal milk upregulated nicotinic receptor expression in neonates. Such neonatal nicotine exposure during sensitive periods of development can produce long-term behavioral and learning deficits.

How much nicotine actually goes into breast milk?

Baseline levels of nicotine (nonsmoking day: 10.2 ± 4.4 ng/mL; smoking day: 12.4 ± 4.0 ng/mL) and cotinine (nonsmoking day: 154.3 ± 31.8 ng/mL; smoking day: 141.3 ± 31.4 ng/mL) in mothers’ milk at the beginning of each testing session were similar.

Can I vape 0 nicotine while breastfeeding?

E-cigarettes, vaping and breastfeeding
New mums are advised to use licensed NRT products for help with quitting smoking and staying smokefree. However, if you do choose to use an e-cigarette to help you stay smokefree, it’s still better to carry on breastfeeding as the benefits will outweigh any potential harm.

How does nicotine in breast milk affect a baby?

Nicotine passes rapidly into your breast milk and affects how much milk you have. Nicotine in breast milk and passive smoking can give your baby chest infections, vomiting, diarrhoea and irritability. Avoid smoking for half an hour before you breastfeed.

How long does cigarette smoke stay in breastmilk?

While smoking, nicotine enters the breast in high concentrations, and after 2 hours, the concentration is reduced to half. Nicotine takes about 10 hours to leave the bloodstream and from breast milk completely, without any traces.

How long after I vape can I breastfeed?

Limit your baby’s exposure
Nurse your baby before you smoke or vape, not after. This way your body will have more time to reduce the level of nicotine in your breastmilk. It takes about 1.5 hours after smoking for the nicotine level in your breastmilk to drop by 50%. Don’t smoke when you breastfeed or hold your baby.

Can nicotine in breast milk make baby sick?

Nicotine passes rapidly into your breast milk and affects how much milk you have. Nicotine in breast milk and passive smoking can give your baby chest infections, vomiting, diarrhoea and irritability. Avoid smoking for half an hour before you breastfeed.

How long does nicotine stay in a breastfed baby?

Moreover, breastfed infants exposed to smoking or snus by their nursing mothers are exposed to high levels of nicotine through the breast milk. Nicotine may remain in the breast milk for 12.5 hours after the last snus dose and 4 hours after the last cigarette.

How long does vape nicotine stay in your system?

Blood — Nicotine can usually be detected in the blood for 1-3 days after consuming tobacco or nicotine products. Cotinine can be detected in the blood for up to 10 days.

Can I breastfeed if I smoked once?

If you smoke, it is best for you and your baby if you quit as soon as possible. Smoking can cause low milk supply, colic, and milk let-down issues. If you do continue to smoke, you should still breastfeed. Your milk can protect your baby from breathing problems, sudden infant death (SIDS), and poor weight gain.

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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