{"id":132254,"date":"2025-03-14T05:14:54","date_gmt":"2025-03-14T05:14:54","guid":{"rendered":"https:\/\/peraltafinancing.com\/recipes\/category-a-b\/blw\/drinking-and-breastfeeding-when-to-pump-and-dump-or-not\/"},"modified":"2025-03-14T05:14:54","modified_gmt":"2025-03-14T05:14:54","slug":"drinking-and-breastfeeding-when-to-pump-and-dump-or-not","status":"publish","type":"post","link":"https:\/\/fivemor.com\/?p=132254","title":{"rendered":"Drinking and Breastfeeding \u2013 When to Pump and Dump (Or Not&#8230;)"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-13878 aligncenter\" src=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/When-to-pump-and-dump-Title.png\" alt=\"\" width=\"560\" height=\"315\" srcset=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/When-to-pump-and-dump-Title.png 560w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/When-to-pump-and-dump-Title-150x84.png 150w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/When-to-pump-and-dump-Title-300x169.png 300w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/When-to-pump-and-dump-Title-200x113.png 200w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/When-to-pump-and-dump-Title-400x225.png 400w\" sizes=\"auto, (max-width: 560px) 100vw, 560px\"\/><br \/>\u00a0<br \/>When I was <strong>pregnant<\/strong> \u2013 I thought it was so ironic (and cruel) that I never needed a glass of wine more in my life\u2026<\/p>\n<p>Then I actually <strong>had the baby<\/strong> and thought \u2026. No. NOW I\u2019ve never needed a glass of wine more in my life!<\/p>\n<p>Then, I had <strong>a second baby<\/strong> and thought \u2026. No. NOW \u2026<\/p>\n<p><em>You get it\u2026<\/em><\/p>\n<p>Here\u2019s the point \u2013 if you are nursing your precious angel from heaven, you of course worry about doing anything that could possibly harm your baby. We all do! Lots of Moms worry so much about alcohol getting into their breast milk that they choose to avoid alcohol altogether for the duration of their breastfeeding journey. If that makes you happy \u2013 then do it!! <em>But, I find that lots of Moms make this decision from a place of fear<\/em>. And that is never the right place from which to make a decision. I\u2019m here to provide you with all the nerd biological facts so you and your doctor can make an informed decision that\u2019s right for your family. Whatever you do decide \u2013 you need to clear it with your doctor.<\/p>\n<hr\/>\n<p style=\"text-align: center;\"><em>Obviously, since I do a \u201cHappy Hour\u201d every week (and apparently will never be done nursing), I have chosen to consume alcohol occasionally. Here\u2019s all the facts that made me comfortable with this choice. I talked about this topic in one of my videos, so if you would rather watch \u2013 here it is:<\/em><\/p>\n<p><iframe loading=\"lazy\" title=\"When to Pump and Dump? - Happy Hour w\/ Dr Young\" width=\"840\" height=\"630\" src=\"https:\/\/www.youtube.com\/embed\/Qmt-s42-gWQ?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<hr\/>\n<h4>Alcohol Transfer into Breast Milk<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-13872 size-medium\" src=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-300x200.jpg 300w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-150x100.jpg 150w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-768x512.jpg 768w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-1024x683.jpg 1024w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-200x133.jpg 200w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-400x267.jpg 400w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-600x400.jpg 600w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-800x533.jpg 800w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/ethanol-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\"\/><\/p>\n<p>For my fellow chemistry nerds out there \u2013 you know that alcohol is chemically ethanol, and has an \u2013OH moiety on the end of the molecule allowing it to pass freely through membranes. (If you don\u2019t know that that means, you are probably cooler than I am \u2013 and don\u2019t worry about it). This means that alcohol enters the bloodstream rapidly. We know this because you start to feel buzzed pretty quickly after drinking alcohol. For a breastfeeding Mom, alcohol also passes freely across the mammary epithelial cells both INTO and OUT OF her breast milk. This transfer will be concentration driven. Translation: The alcohol content of her breast milk will be the same as the alcohol content of her blood, in real-time. The alcohol in the milk in her breasts will increase in real-time as she consumes more, and will decrease as her liver processes the alcohol and she starts to \u201csober up\u201d.<\/p>\n<h4>Biological Impact of Alcohol Consumption on Breastfeeding<\/h4>\n<p>Alcohol consumption may decrease breast milk production while your body is still processing the alcohol (1). This is because alcohol affects affects both oxytocin and prolactin concentrations (the 2 master hormones that control breastmilk production). The affect is complicated and not completely understood, but the general consensus (from real old research) is that alcohol consumption results in reduced letdown\/milk ejection, which probably explains the lower production (2-5). However, this effect is really variable between women, and seems limited to the time of alcohol consumption.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-13874\" src=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-642x1024.jpg\" alt=\"\" width=\"300\" height=\"479\" srcset=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-642x1024.jpg 642w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-94x150.jpg 94w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-188x300.jpg 188w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-768x1226.jpg 768w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-200x319.jpg 200w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-400x638.jpg 400w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-600x957.jpg 600w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-800x1277.jpg 800w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image-1200x1915.jpg 1200w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-quote-image.jpg 1410w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\"\/><\/p>\n<h4>Infant Exposure<\/h4>\n<p>So, what you <strong><em>really<\/em><\/strong> want to know is \u2013 what\u2019s the effect on my baby!? Well, let\u2019s do some math (yay!). Remember, as per nerd language above, the alcohol content of your breast milk is the exact same as the alcohol content of your blood, or your BAC (Blood alcohol content; it\u2019s a percentage). Here\u2019s some relevant numbers<\/p>\n<ul>\n<li>The legal limit for driving is a BAC of 0.08%. I consider this <em><u>very<\/u><\/em> intoxicated, especially for a woman who just came off of 9 months of pregnant sobriety.<\/li>\n<li>Beer = 2-12% alcohol; liquor = 40% alcohol; orange juice = 0.5% alcohol (from the natural fermentation of the sugar in juice)<\/li>\n<li>A 160 pound woman who drinks 2 glasses of wine in 1 hour has a BAC of roughly 0.040%.<\/li>\n<li>A 140 pound woman who drinks 2 glasses of wine in 1 hour has a BAC of roughly = 0.048%<\/li>\n<li>A 120 pound woman (I wish!) who drinks 2 glasses of wine in 1 hour has a BAC of roughly = 0.059%<\/li>\n<\/ul>\n<p>So, for the 140 pound woman \u2013 If she nurses her baby 1 hour after 2 drinks, her baby drinks milk that has 0.048% alcohol in it. That\u2019s 10 times lower than the amount of alcohol naturally in orange juice! So, the alcohol exposure to the breastfed baby is super minimal. In fact, a nice short review on the topic stated that, \u201cEven in a theoretical case of binge drinking, the [child] would not be subjected to clinically relevant amounts of alcohol.\u201d (6). That certainly made me feel better!<\/p>\n<p>Now, before you rush for a glass of Pinot \u2013 it\u2019s important to note that newborn babies\u2019 livers are immature, so they don\u2019t process alcohol as quickly as adults\u2019. In fact, they process at about half the rate. So, even though the exposure seems trivial, it\u2019s higher for infants than adults. However, at a <em><u>responsible<\/u><\/em> consumption rate for mothers, this is not considered a risk to healthy infants.<\/p>\n<p>There have been some studies of infant effects of consuming breast milk with alcohol in it. To be honest, the results are (to me) so minor and conflicting that I don\u2019t want to list them all here (6). The funniest to me is that \u2013 when offered \u201csober\u201d breast milk, and breast milk pumped after Mom had had a few (referred to as \u201chappy milk\u201d in my house) \u2013 the babies actually preferred the \u201chappy milk\u201d! (7). Hilarious.<\/p>\n<p>Another super recent study looked at infant outcomes and compared breastfed babies whose mothers did and did not drink. They reported that alcohol consumption was unrelated to breastfeeding duration (phew!) (8). They only found one difference in infant outcomes between groups \u2013 The infants whose mothers consumed alcohol at 8 weeks actually scored <em>higher<\/em> for personal-social development at 12 months (8). Now that doesn\u2019t mean that drinking made the infants do better. There are a LOT of complexities that go into interpreting an observational study like this. But it certainly does make me feel better that the alcohol group was certainly not worse off.<\/p>\n<p>All the research (which is limited) has been done with healthy term infants, so that\u2019s <em><u>the only scenario<\/u><\/em> this information applies to. If your baby is at all ill, or may have an even more immature liver \u2013 due to prematurity, illness, or any abnormality \u2013 that is a completely different story, and you\u2019ve got to talk to your doctor.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-13877 aligncenter\" src=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-image-2.png\" alt=\"\" width=\"560\" height=\"315\" srcset=\"https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-image-2.png 560w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-image-2-150x84.png 150w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-image-2-300x169.png 300w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-image-2-200x113.png 200w, https:\/\/babyformulaexpert.com\/wp-content\/uploads\/2017\/07\/when-to-pump-and-dump-image-2-400x225.png 400w\" sizes=\"auto, (max-width: 560px) 100vw, 560px\"\/><\/p>\n<h4>Taking steps to further minimize risk<\/h4>\n<p>Since alcohol leaves the breast milk as quickly as it enters, we can take advantage of timing to even further minimize any infant exposure. Your BAC (and thus your milk alcohol) is highest 30 \u2013 90 after drinking. So, time your nursing sessions accordingly. For example, my boys were\/are both \u201call business\u201d nursers \u2013 our average breastfeeding session is 10-15 minutes total (don\u2019t hate \u2013 I\u2019m just lucky!). Thus, my favorite time to drink was during nursing! This way they were exposed to very minimal alcohol and then I had at least 3 hours before their next feed, which is plenty of time to process 1 glass of wine. Take into account your baby\u2019s average nursing time, and normal feeding schedule to time your drinking so that you are nursing when your BAC (and thus milk alcohol) are likely to be lowest.<\/p>\n<p>With all that science in mind \u2013 the infant alcohol exposure itself is rarely a concern for me. To me, the more likely dangers of drinking while breastfeeding are related to the care-giver! We all know that alcohol effects us in lots of ways \u2013 you have worse balance, slower reflexes, are less likely to wake up easily, etc. None of that matters when you are 22 and have no responsibilities (ahhh\u2026. Taylor Swift, your life looks so fun!). But now you have a baby. I suggest you make some rules with your partner to be sure you take responsible precaution when drinking at all. Here are suggested rules that have worked for my hubby and me:<\/p>\n<ul>\n<li>I (the Mama) never drink alone when I am the sole care-giver. Let\u2019s be honest, never drinking alone is probably a good rule for everyone.<\/li>\n<li>We have a designated \u201ccare-giver\u201d so that there is always someone who can drive, and walk around safely with the baby if he is fussy (it\u2019s like having a DD for parenthood).<\/li>\n<li>NO CO-SLEEPING! I really mean it. Even if this is your normal sleeping arrangement. Please don\u2019t bring the baby into the bed at all if you have had any alcohol. It\u2019s just not worth the risk.<\/li>\n<\/ul>\n<p>These rules made me feel even better about being able to indulge every now and then without guilt (and without pumping-and-dumping \u2013 which is just so painful)! You know yourself best. Find rules that work for your own family within your own limits.<\/p>\n<h4 style=\"text-align: center;\"><em>Then clear it with your doctor.<\/em><\/h4>\n<p>\u00a0<\/p>\n<p>Motherhood today is high-pressure and hard! Taking a moment to enjoy and care for yourself is <em>actually helpful to your baby<\/em> \u2013 because it allows the best version of you to show up to motherhood. I hope that enjoying an occasional and responsible glass of wine, ideally with good friends, helps give you the perspective you need. You are doing a great job!<\/p>\n<p>Cheers!<\/p>\n<p><em><strong>xo Dr Young<\/strong><\/em><\/p>\n<p>\u00a0<\/p>\n<hr\/>\n<p><em>References:<\/em><\/p>\n<ol>\n<li><em>Mennella JA. Short-term effects of maternal alcohol consumption on lactational performance. Alcohol Clin Exp Res. 1998;22(7):1389-92.<\/em><\/li>\n<li><em>Chien YC, Huang YJ, Hsu CS, Chao JC, Liu JF. Maternal lactation characteristics after consumption of an alcoholic soup during the postpartum \u2018doing-the-month\u2019 ritual. Public Health Nutr. 2009;12(3):382-8.<\/em><\/li>\n<li><em>Cobo E. Effect of different doses of ethanol on the milk-ejecting reflex in lactating women. Am J Obstet Gynecol. 1973;115(6):817-21.<\/em><\/li>\n<li><em>Cobo E, Quintero CA. Milk-ejecting and antidiuretic activities under neurohypophyseal inhibition with alcohol and water overload. Am J Obstet Gynecol. 1969;105(6):877-87.<\/em><\/li>\n<li><em>Mennella JA, Pepino MY, Teff KL. Acute alcohol consumption disrupts the hormonal milieu of lactating women. J Clin Endocrinol Metab. 2005;90(4):1979-85.<\/em><\/li>\n<li><em>Haastrup MB, Pottegard A, Damkier P. Alcohol and breastfeeding. Basic Clin Pharmacol Toxicol. 2014;114(2):168-73.<\/em><\/li>\n<li><em>Mennella JA. Infants\u2019 suckling responses to the flavor of alcohol in mothers\u2019 milk. Alcohol Clin Exp Res. 1997;21(4):581-5.<\/em><\/li>\n<li><em>Tay RY, Wilson J, McCormack C, Allsop S, Najman JM, Burns L, et al. Alcohol consumption by breastfeeding mothers: Frequency, correlates and infant outcomes. Drug Alcohol Rev. 2017.<\/em><\/li>\n<\/ol>\n<p><!--<rdf:RDF xmlns:rdf=\"http:\/\/www.w3.org\/1999\/02\/22-rdf-syntax-ns#\"\n\t\t\txmlns:dc=\"http:\/\/purl.org\/dc\/elements\/1.1\/\"\n\t\t\txmlns:trackback=\"http:\/\/madskills.com\/public\/xml\/rss\/module\/trackback\/\">\n\t\t<rdf:Description rdf:about=\"https:\/\/babyformulaexpert.com\/when-to-pump-and-dump\/\"\n    dc:identifier=\"https:\/\/babyformulaexpert.com\/when-to-pump-and-dump\/\"\n    dc:title=\"Drinking and Breastfeeding &ndash; When to Pump and Dump (Or Not&#8230;)\"\n    trackback:ping=\"https:\/\/babyformulaexpert.com\/when-to-pump-and-dump\/trackback\/\" \/>\n<\/rdf:RDF>-->\n<\/div>\n<p><script type=\"7207cb36c82cd19e0ce1605c-text\/javascript\">\n!function(f,b,e,v,n,t,s){if(f.fbq)return;n=f.fbq=function(){n.callMethod?\nn.callMethod.apply(n,arguments):n.queue.push(arguments)};if(!f._fbq)f._fbq=n;\nn.push=n;n.loaded=!0;n.version='2.0';n.queue=[];t=b.createElement(e);t.async=!0;\nt.src=v;s=b.getElementsByTagName(e)[0];s.parentNode.insertBefore(t,s)}(window,\ndocument,'script','https:\/\/connect.facebook.net\/en_US\/fbevents.js');\nfbq('init', '721845471291533');\nfbq('track', \"PageView\");\nfbq('track', 'ViewContent');\n<\/script><br \/>\n<br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0When I was pregnant \u2013 I thought it was so ironic (and cruel) that I never needed a glass of wine more in my life\u2026 Then I actually had the baby and thought \u2026. No. NOW I\u2019ve never needed a glass of wine more in my life! Then, I had a second baby and thought [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":132255,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[138],"tags":[18402,7055,16005,52485,54489,30635,13882,57382],"dealstore":[],"offerexpiration":[],"class_list":["post-132254","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blw","tag-breastfeeding","tag-drinking","tag-dump","tag-infant-health","tag-infant-parenting","tag-not","tag-pump","tag-scientific-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Drinking and Breastfeeding \u2013 When to Pump and Dump (Or Not...) - Som2ny Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivemor.com\/?p=132254\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Drinking and Breastfeeding \u2013 When to Pump and Dump (Or Not...) - Som2ny Network\" \/>\n<meta property=\"og:description\" content=\"\u00a0When I was pregnant \u2013 I thought it was so ironic (and cruel) that I never needed a glass of wine more in my life\u2026 Then I actually had the baby and thought \u2026. 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