Borstvoeding deel 60

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Dr. Jack Newman, member of the LLLI Health Advisory Council, says this in his handout "More Breastfeeding Myths":

Reasonable alcohol intake should not be discouraged at all. As is the case with most drugs, very little alcohol comes out in the milk. The mother can take some alcohol and continue breastfeeding as she normally does. Prohibiting alcohol is another way we make life unnecessarily restrictive for nursing mothers.

Thomas W. Hale, R.Ph. Ph.D., member of the LLLI Health Advisory Council, says this in his book Medications and Mothers' Milk (12th ed.):

Significant amounts of alcohol are secreted into breastmilk although it is not considered harmful to the infant if the amount and duration are limited. The absolute amount of alcohol transferred into milk is generally low. Beer, but not ethanol, has been reported in a number of studies to stimulate prolactin levels and breastmilk production (1, 2, 3). Thus it is presumed that the polysaccharide from barley may be the prolactin-stimulating component of beer (4). Non-alcoholic beer is equally effective.
In a study of twelve breastfeeding mothers who ingested 0.3 g/kg of ethanol in orange juice (equivalent to 1 can of beer for the average-sized woman), the mean maximum concentration of ethanol in milk was 320 mg/L (5). This report suggests a 23% reduction (156 to 120 mL) in breastmilk production following ingestion of beer and an increase in milk odor as a function of ethanol content.

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.

In an interesting study of the effect of alcohol on milk ingestion by infants, the rate of milk consumption by infants during the 4 hours immediately after exposure to alcohol (0.3 g/kg) in 12 mothers was significantly less (7). Compensatory increases in intake were then observed during the 8 - 16 hours after exposure when mothers refrained from drinking.

Adult metabolism of alcohol is approximately 1 ounce in 3 hours, so mothers who ingest alcohol in moderate amounts can generally return to breastfeeding as soon as they feel neurologically normal. Chronic or heavy consumers of alcohol should not breastfeed.

References:

1. Marks V, Wright JW. Endocrinological and metabolic effects of alcohol. Proc R Soc Med 1977; 70(5):337-344.

2. De Rosa G, Corsello SM, Rufilli MP, Della CS, Pasargiklian E. Prolactin secretion after beer. Lancet 1982; 2(8252):934.

3. Carolson HE, Wasser HL, Reidelberger RD. Beer-induced prolactin secretion: a clinical and laboratory study of the role of salsolinol. J Clin Endocrinol Metab 1985; 60(4):673-677.

4. Koletzko B, Lehner F. Beer and breastfeeding. Adv Exp Med Biol 2000; 478:23-28.

5. Mennella JA, Beauchamp GK. The transfer of alcohol to human milk. Effects on flavor and the infant's behavior. N Engl J Med 1991; 325(14):981-985.

6. Cobo E. Effect of different doses of ethanol on the milk-ejecting reflex in lactating women. Am J Obstet Gynecol 1973; 115(6):817-821.

7. Mennella JA. Regulation of milk intake after exposure to alcohol in mothers' milk. Alcohol Clin Exp Res 2001; 25(4):590-593.

Important Considerations
Your baby's age
A newborn has an immature liver, and will be more affected by alcohol
Up until around 3 months of age, infants metabolize alcohol at about half the rate of adults
An older baby can metabolize alcohol more quickly than a young infant
Your weight
A person's size has an impact on how quickly they metabolize alcohol
A heavier person can metabolize alcohol more quickly than a lighter person
Amount of alcohol
The effect of alcohol on the baby is directly related to the amount of alcohol that is consumed
The more alcohol consumed, the longer it takes to clear the mother's body
Will you be eating
An alcoholic drink consumed with food decreases absorbtion

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Op zaterdag 12 december 2009 20:32 schreef Smikke het volgende:
Misschien niet het juiste topic om te vragen, maar nu ik je hier zie, stel ik 'em maar. Hoe is het met jou? Je hebt zo'n snelle bevalling gehad dat het bijna niet te bevatten was. En ben je fysiek naar omstandigheden redelijk in orde?

_{Mod, mijn vraag mag ook verplaatst worden naar het topic to be, heur!}