It’s that time of year again where the family convenes and we all attempt to get along for the few mandatory days we’ll be living in each other’s pockets. Hovering dangerously close to passively-aggressively ignoring an arrogant parent or insolent sibling is an inevitability, and there’s only one way to survive: it begins with ‘al’ and ends with everyone feeling a little less frayed around the edges… I’m referring to booze, of course. But what of those of us who are pregnant or breastfeeding? Well, we should definitely talk about breastfeeding and alcohol.
What do you know about the subject of consuming alcohol whilst breastfeeding? Do you know the facts? Are you sure?
Because I think there’s a conspiracy; a well-meaning and possibly beneficial one – but a conspiracy nonetheless.
I’m an advocate of the truth (which is why I’ve published an entire book about breastfeeding); and I’m an advocate of allowing those of us with a little common sense and discipline to take responsibility for and regulate ourselves.
Besides which, breastfeeding is intense. It’s well-documented that nursing rates are dismal, falling far below where we’d like to see them. Nursing is hard enough already, without making it unnecessarily harder.
The majority of information available about breastfeeding and alcohol discourages women from drinking, and certainly not more than a very tiny amount. (See what the NHS says here.)
And while I absolutely do not promote drinking to excess for anybody, irrespective of their circumstances – scaremongering is unfair and patronising.
The overwhelming majority of mothers will want to keep their children safe and healthy, and they will not use a post such as this – which is intended to inform truth and allay unwarranted concerns – as an excuse to be irresponsible.
- Breastfeeding Etiquette For Men: How to Support Women – Without Being Creepy
- The Day Dr Chris & the BBC Failed to Advocate Breastfeeding
- Breastfeed? Why That Makes You a Martyr
- My Honest Judgement of ‘Fed is Best’
- There’s No Such Thing as a Hungry Baby
Alcohol and Breastfeeding: The Facts
Firstly, contrary to the popular myth, it is not necessary to pump and dump.
Alcohol in the milk is ‘filtered’ at the same rate as alcohol in the bloodstream. This means that the best way to provide uncontaminated milk to your baby is to simply…wait.
More significant though is the concentration of alcohol in the milk. This is the crucial piece of information about which we’re being misinformed. Here’s a simple way to understand the science:
We’ve established above that a woman’s milk alcohol level is equal to her blood alcohol level; when her baby ingests that milk, his liver will repeat the function of filtration already carried out by the mother’s liver.
So, alcohol is broken down by the mother’s liver before entering the breastmilk and travelling to the baby’s liver, at which point it’s already at very moderate levels – as verified by more than 400 doctors in 2019. This diluted alcohol will then undergo the same process again by the baby’s liver.
By the time the alcohol enters the baby’s bloodstream, the quantity is negligible.
Breastfeeding and Alcohol: Considerations (aka Covering My Back)
My intention is to alleviate concerns for nursing mothers wishing to enjoy a couple of vinos during Christmas and New Year.
However, I’m now going to address the reasons to remain mindful of alcohol intake – just in case this does reach anybody looking for an excuse to behave in a way I would completely reprehend.
- The livers of newborns are not fully developed and will not process alcohol as efficiently as an adult’s;
- Alcohol inhibits the production of breastmilk;
- Excessive consumption of alcohol skews perception;
- Excessive consumption of alcohol leads to irrational behaviour;
- Excessive consumption of alcohol precipitates irresponsible behaviour;
- Excessive consumption of alcohol induces clumsiness.
- Excessive consumption of alcohol causes drowsiness.
- Skewed perception, + irrationality + irresponsibility + clumsiness + drowsiness is the perfect combination for endangering your baby or otherwise causing them harm. But any one of these factors is enough by itself.
I imagine that for the most part, this information will not alter the behaviour of responsible breastfeeding mothers.
And frankly, if you’re pregnant, you need to suck it up. It is what it is and there’s no getting away from that. Console yourself with the fact that next year, Christmas is one hundred percent on your terms; a brief reprieve from the usual stresses of the festive season.
A Christmas Drink Whilst Breastfeeding?
Ultimately, the point of this post is to allow you to enjoy your usual Christmas tipple without fear or guilt. You’ve cooked the baby, and probably the entire Christmas dinner too – the least you deserve is an indulgent Baileys. (Especially if you’re entertaining the MIL this year. In which case – good luck, and I won’t judge you for pouring a double measure. Promise.)
Did the info in this post surprise you? Has it changed the way you feel about drinking whilst breastfeeding – and will it change the amount you consume? If you found the information insightful and feel better informed about breastfeeding and alcohol, please consider sharing!
For more breastfeeding posts, head over to Breastfeeding – Help, Advice, Support.