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Nutrition, Dieting & Breastfeeding



Dr. Judith Roepke, R.D., Ph.D., has answered many of your questions about nutrition and dieting. Dr. Roepke is a perinatal nutritionist, researcher and member of the Breastfeeding.com medical advisory board.  Look for more Q&A forums with Dr. Roepke in the future.




 






Can I drink a glass of wine with dinner?

NAME: Corrina
BABY'S NAME: Jeffy
BABY'S AGE: 10 months

My question concerns the intake of substances that I have avoided up to this point but now wonder if I can consume in small doses, in particular: wine with a meal and medicine such as cough syrup and/or products for colds.  Thanks.





By ten months of age, your baby is probably eating a considerable amount of other foods and still breastfeeding some.  Most experts would agree that a mother who sips a glass of wine with a meal is taking in a rather modest amount of alcohol over a extended period of time, and that the effects of this alcohol on her breastmilk would be modest.  I cannot tell you whether or not you should drink a glass of wine with dinner while you are still nursing.  But I can reassure you that if you choose to do so, the effects on your ten month old baby will be minimal if your intake is modest.  According to Dr. Lawrence's text, "when a nursing mother does have a drink or two she should avoid breastfeeding for at least 2 hours. Pumping and discarding milk does not hasten the removal from the milk because the level in the milk matches that in the plasma at the time of the feeding." (page 371).

Your question about cough syrups and cold medications is one that I am less prepared to answer.  If your doctor recommends cough syrup or other cold medications, make sure that he or she is aware that you are breastfeeding.  I am not familiar with the pharmokinetic properties of many of these drugs.  If you are concerned with how a particular cough syrup or cold medication affects your breastfed baby, I suggest contacting an International Board Certified Lactation consultant (IBCLC) who should have access to information about drugs and human milk.





 

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