Monday, 15 July 2013

Breastfeeding and Smoking

A mom asks if smoking while breastfeeding can harm the infant. The expert's answer: the most damage due to inhalation of smoke is more than to step into breast milk, so it would be best to stop or at least avoid as much as possible to keep the child in the places where people smoke.

"I have a child of 3 and a half months, I breastfeed, but also smoke and I feel guilty because I have a tremendous fear of potergli create damage. They say that if you wait 95 minutes between feedings cigarette, nicotine decreases, but are not always able to wait all this time. I read about the cot death syndrome also due to cigarettes and that terrifies me, I hope it never happens, but what can I do? If I stop smoking, your child will be protected from sudden infant death syndrome? And I'll start to have more milk? In fact, I noticed that little by little, ever since I started smoking again, milk is decreasing. "(Valentina).

Richard responds Davanzo, neonatologist at the hospital Burlo Garofolo of Trieste and experienced breastfeeding.



"Nicotine certainly passes into the milk, although its effect is not as dangerous as other substances such as alcohol or drugs, and is not as dangerous as during pregnancy. The main damage of smoking during lactation is not due to nicotine passes into the milk, but to substances that are released into the environment in which the stays small, so if your mom (and not just her!) Smoking in his presence, certain substances can actually increase the risk of SIDS (sudden infant death syndrome) or respiratory diseases.  's mother asks whether it is useful to wait between cigarette and feeding : of course the longer you wait, the lower the concentration of nicotine, which is rapidly eliminated from the body. Above is a good ploy to try to smoke less. 

One of the problems related to smoking during the ' breastfeeding is that there has been, as Mrs. Valentina witnesses, a decrease in the amount of milk: the reason is not clear, even if probably is related to stress in general or to psychological characteristics that lead from one side to smoke more, on the other hand can inhibit leakage of the milk. 
So what conclusions to draw? The ideal would be to completely stop smoking, because the child must live in a smoke-free environment. However, if the mother fails, the rule is always the good sense:

- Try to limit the number of cigarettes smoked during the day;
- To spend a certain amount of time between smoke and breastfeed;

- Always smoke away from the baby, preferably outdoors only, asking the same forethought to all the relatives or friends who come to see the baby. "


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