WEBVTT
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Nicotine is known as an appetite suppressant, and there are
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studies that show that the breast milk of those who
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smoke tastes different than the breast milk of those who
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don't smoke. It has a taste of nicotine in the
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breast milk itself. So babies who breastfeed and smoke, they
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often do show more fussiness at the breast and sometimes
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breast refusal, especially if the feeding parent has recently had
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a cigarette.
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Before we begin, I want to share something special with
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all of you expecting parents out there.
11
00:00:38.759 --> 00:00:40.399
As an internationally.
12
00:00:39.759 --> 00:00:43.719
Bored certified lactation consultant, I've seen firsthand how a little
13
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planning can go.
14
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A long way to helping.
15
00:00:46.600 --> 00:00:50.560
You achieve your baby feeding goals. That's why I'm offering
16
00:00:50.560 --> 00:00:56.119
you my free ebook. It's called Birth Practices to Support
17
00:00:56.439 --> 00:00:59.840
Breastfeeding and it's a workbook, so check out the link
18
00:01:00.039 --> 00:01:01.200
in the description below.
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Hello, and welcome back to Low's Lactation Lab. I'm your host,
20
00:01:05.400 --> 00:01:09.519
Low Nigrash. I'm an internationally board Certified Lactation Consultant or
21
00:01:09.560 --> 00:01:13.560
an IBCLC. I'm a birth doula, I'm a childbirth educator,
22
00:01:14.319 --> 00:01:19.719
and i am all about combining both science backed, evidence
23
00:01:19.719 --> 00:01:24.359
based information with compassionate care so that you can make
24
00:01:24.400 --> 00:01:28.079
the decisions that feel right for your family given your
25
00:01:28.680 --> 00:01:33.079
unique individual situation. I want to answer a question that
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I see frequently asked both in Google searches on social media,
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smoking and breastfeeding. Is it safe for your baby? A
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parent messaged me last week and said, and I would
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love to breastfeed my baby, but I also want to
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do what's best for them, and I don't know if
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switching to formula is going to be better than continuing
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to smoke while feeding my baby my milk from my body.
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So let's explore the risks, the realities, and what the
34
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recommendations are for when a person is smoking and breastfeeding.
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Let's talk about the facts. There was a national household
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survey that was done quite a few years ago, so
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this number may be a little bit different now, but
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about twenty three percent of women in the child bearing years,
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that's ages fourteen to thirty nine are regular smokers, and
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nearly a third of those smoke between eleven and twenty
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cigarettes per day. So, if you are somebody who is
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trying to decide what to do, whether you are already
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pregnant or trying to get pregnant. I want you to
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know you are not alone. And then there are about
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seven percent of people of women who answered this question
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who are occasional smokers. I am here to tell you
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just take the shame away and find the facts. When
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it comes to what is healthiest for your baby, we
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all know what the absolute healthiest is. The absolute healthiest
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is to stop smoking, but that's not always possible, and
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it does not make you any better or worse of
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a parent. And being able to cease smoking or any
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other unhealthy habit for that matter, does not put you
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in a good or bad mom category. So what are
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the facts? First of all, let's talk about what the
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transfer into breast milk is. So nicotine is rapidly and
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completely absorbed into the mother's bloodstream. Now we've talked about
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half life before in other episodes, but briefly, it's the
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amount of time that it takes a substance in the
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bloodstream to reach half of its initial amount. So for nicotine,
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that's about ninety seven minutes. Nicotine is absorbed more slowly
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and less efficiently from breast milk. Infants absorbed nicotine and
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about two thousand or so other byproducts of cigarettes readily
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from the air. That's that second hand and third hand
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smoking that we are familiar with. So if you don't
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know those terms. Firsthand is obviously inhaling the substance itself.
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Second hand is being around it, being able to smell
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it and absorb it into your bloodstream just from the smell.
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And then third hand smoke is maybe you're not around
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the smoke, but you are around a smoker who has
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that substance on their clothing, in their hair, in their car.
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And so infants do absorb nicotine through second and third
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hand smoke. So what are the effects of smoking on
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lactation itself? The first thing I want to say about
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this is that correlation does not necessarily mean causation, but
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anytime we see repeated and strong correlations, it's something to
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look at. So we know that smoking has been linked
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to earlier weening, and the heaviest smokers tend to wean
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the earliest. It also leads to lower milk production, and
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this is because nicotine inhibits the release of the hormone prolactin,
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which is critical for milk creation milk synthesis. So it
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also interferes with the ability to release milk, which means
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that smoking has been linked to milk production and let
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down problems, but there are some researchers that suggest that
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this is due not specifically to smoking, but to poor
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lactation management. So one of the best things that you
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can do is meet with an IBCLC pre Natalie and
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come up with your lactation plan and have your go
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to person who you are going to call in for help.
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The moment you start doubting your milk supply, the moment
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you start wondering if your baby is getting enough, the
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moment you get recommended to supplement with something else. Now,
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let's talk about how does smoking affect the baby. Nicotine
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is known as an appetite suppressant, and there are studies
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that show that the breast milk of those who smoke
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tastes different than the breast milk of those who don't smoke.
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It has a taste of nicotine in the breast milk itself.
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So babies who breastfeed and smoke, they often do show
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more fussiness at the breast and sometimes breast refusal, especially
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if the feeding parent has recently had a cigarette. Babies
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who are bottle fed in households where smoking occurs are
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more frequently hospitalized, and they have much higher risk of
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respiratory and gastro intestinal illness, and colic is more common
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in this group as well. But the most significant effect
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of cigarette smoke in the household is the greatly increased
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risk of SIDS, which is sudden infant death syndrome. We
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know that babies of smoking mothers and fathers have a
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seven times greater chance of dying from SIDS than those
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babies who are in a smoke free home. Especially in
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parents who have more than five cigarettes in a day. Regularly,
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we see some symptoms of vomiting, nauseousness, gastrointestinal difficulties in
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that infant. The American Academy of Pediatrics on their website
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says that smoking is contraindicated for breastfeeding, but that is
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not what the worldwide research tells us. The worldwide research
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tells us that, in fact, managing the environment of the
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infant in a household where the feeding parent is a
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smoker or any parent is a smoker, and offering breast
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milk even direct body feeding, has better long term outcomes
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for the infant than the cessation of breastfeed and switching
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to formula. But this means that you need to manage
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smoking while breastfeeding, and there are ways to do this. Obviously,
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the ideal, like I mentioned already, is to just stop
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smoking altogether. If you can't do that, you can cut down.
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So we all know that the less you smoke, the
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smaller the chance that difficulties will arise, and the risk
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increases if you smoke more than twenty cigarettes a day,
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So even just trying to get below that number if
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you're a heavy smoker, is going to be helpful. And
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then the big thing is to try to eliminate that
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second and third hand exposure. So the way that you
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do this never smoke around your baby, Never allow other
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people to smoke around your baby. Smoke outside, try to
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keep the smoke away from any area where the baby
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spends a lot of time. Cover your hair, so have
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a hat or a scarf that you use that is
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just for when you smoke, and then take it off
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when you go in and you feed your baby, where
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a coat, Wear something over a smock, something over your
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clothing so that when you go back in to be
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with your baby, that smoke is not lingering on your clothing,
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making sure you're washing your hands regularly, even washing your
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face or any exposed skin or using a wipe to
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get that third hand exposure off. And then consider the
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half life. So wait as long as possible between smoking
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and nursing. We know that half life is about ninety
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five minutes, So feeding your baby first, then going out
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to smoke, and then hopefully your baby won't cueue for
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another two to three hours, and by that time you
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can feed again, and then if you need to smoke again,
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you can do that.
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Yea.
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So those are the ways that you can continue to
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breastfeed your baby and provide all of those amazing antibodies
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and that perfect blend of macro and micronutrients that are
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specific for your baby, even if you cannot give up
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the habit of smoking. Currently now some people do ask
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about nicotine replacement therapy and breastfeeding. The first thing to
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know is that nicotine replacement therapy products are not licensed
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to be used by breastfeeding mothers. However, we do know
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that babies will be exposed to less nicotine through things
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like the patches or gum, and that number is significantly less.
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It also avoids exposure to other chemical compounds found in
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tobacco smoke, and you're limiting the amount of toxic chemicals
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that that baby you will ingest. You should never use
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these products and continue to smoke, so you have to
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choose one or the other. We do know that patches
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applied over a twenty four hour period may produce really
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vivid dreams in the person wearing the patch, and so
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you may want to remove the patch overnight so that
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the baby is exposed less during those nighttime feeds. If
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you are going to use gum, it should be chewed
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immediately after feeds in order again to reduce the exposure
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to give yourself time to reach that half life. And
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also any nasal sprays that you're using, similarly, they produce
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rapidly high levels initially, so go ahead and feed the baby,
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use the nasal spray, and then try to wait until
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you reach that half life of about an hour and
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a half to two hours before you feed the baby again.
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But we do know that exposure of the baby to
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these products is safer than exposure to cigarettes because of
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this factor of having that second and third hand smoke.
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So I would love to know what your experience with
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breastfeeding and nicotinez. So reach out to me on my TikTok,
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on my Instagram, on my Facebook page. I would love
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to hear not only what your experience was, but what
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the advice that was given to you by either pediatricians
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or your obgi in or an IBSLC or any other
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medical professional. If you have any questions about smoking or
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any other question that is on your mind in regards
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to feeding your baby, please don't hesitate to reach out
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to me so that we can get you booked for
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a telehealth consultation. I love getting to meet with you
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and answering your questions and helping you feel really good
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about where you are in your baby feeding journey.
1
00:00:00.240 --> 00:00:05.000
Nicotine is known as an appetite suppressant, and there are
2
00:00:05.120 --> 00:00:10.359
studies that show that the breast milk of those who
3
00:00:10.640 --> 00:00:14.320
smoke tastes different than the breast milk of those who
4
00:00:14.359 --> 00:00:18.800
don't smoke. It has a taste of nicotine in the
5
00:00:18.800 --> 00:00:23.679
breast milk itself. So babies who breastfeed and smoke, they
6
00:00:23.760 --> 00:00:27.839
often do show more fussiness at the breast and sometimes
7
00:00:28.519 --> 00:00:33.320
breast refusal, especially if the feeding parent has recently had
8
00:00:33.359 --> 00:00:33.880
a cigarette.
9
00:00:33.920 --> 00:00:36.520
Before we begin, I want to share something special with
10
00:00:36.640 --> 00:00:38.439
all of you expecting parents out there.
11
00:00:38.759 --> 00:00:40.399
As an internationally.
12
00:00:39.759 --> 00:00:43.719
Bored certified lactation consultant, I've seen firsthand how a little
13
00:00:43.759 --> 00:00:44.600
planning can go.
14
00:00:44.679 --> 00:00:46.920
A long way to helping.
15
00:00:46.600 --> 00:00:50.560
You achieve your baby feeding goals. That's why I'm offering
16
00:00:50.560 --> 00:00:56.119
you my free ebook. It's called Birth Practices to Support
17
00:00:56.439 --> 00:00:59.840
Breastfeeding and it's a workbook, so check out the link
18
00:01:00.039 --> 00:01:01.200
in the description below.
19
00:01:02.000 --> 00:01:05.359
Hello, and welcome back to Low's Lactation Lab. I'm your host,
20
00:01:05.400 --> 00:01:09.519
Low Nigrash. I'm an internationally board Certified Lactation Consultant or
21
00:01:09.560 --> 00:01:13.560
an IBCLC. I'm a birth doula, I'm a childbirth educator,
22
00:01:14.319 --> 00:01:19.719
and i am all about combining both science backed, evidence
23
00:01:19.719 --> 00:01:24.359
based information with compassionate care so that you can make
24
00:01:24.400 --> 00:01:28.079
the decisions that feel right for your family given your
25
00:01:28.680 --> 00:01:33.079
unique individual situation. I want to answer a question that
26
00:01:33.519 --> 00:01:38.760
I see frequently asked both in Google searches on social media,
27
00:01:39.280 --> 00:01:44.480
smoking and breastfeeding. Is it safe for your baby? A
28
00:01:44.599 --> 00:01:48.079
parent messaged me last week and said, and I would
29
00:01:48.159 --> 00:01:50.560
love to breastfeed my baby, but I also want to
30
00:01:50.599 --> 00:01:53.239
do what's best for them, and I don't know if
31
00:01:53.519 --> 00:01:57.959
switching to formula is going to be better than continuing
32
00:01:58.000 --> 00:02:02.560
to smoke while feeding my baby my milk from my body.
33
00:02:03.519 --> 00:02:09.520
So let's explore the risks, the realities, and what the
34
00:02:09.599 --> 00:02:14.120
recommendations are for when a person is smoking and breastfeeding.
35
00:02:14.560 --> 00:02:16.879
Let's talk about the facts. There was a national household
36
00:02:16.919 --> 00:02:20.479
survey that was done quite a few years ago, so
37
00:02:20.599 --> 00:02:23.639
this number may be a little bit different now, but
38
00:02:24.319 --> 00:02:28.240
about twenty three percent of women in the child bearing years,
39
00:02:28.280 --> 00:02:33.080
that's ages fourteen to thirty nine are regular smokers, and
40
00:02:33.319 --> 00:02:37.560
nearly a third of those smoke between eleven and twenty
41
00:02:37.599 --> 00:02:42.120
cigarettes per day. So, if you are somebody who is
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00:02:42.159 --> 00:02:44.800
trying to decide what to do, whether you are already
43
00:02:44.800 --> 00:02:47.639
pregnant or trying to get pregnant. I want you to
44
00:02:47.719 --> 00:02:51.599
know you are not alone. And then there are about
45
00:02:51.639 --> 00:02:56.319
seven percent of people of women who answered this question
46
00:02:56.439 --> 00:03:01.319
who are occasional smokers. I am here to tell you
47
00:03:03.240 --> 00:03:06.919
just take the shame away and find the facts. When
48
00:03:06.919 --> 00:03:10.280
it comes to what is healthiest for your baby, we
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all know what the absolute healthiest is. The absolute healthiest
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is to stop smoking, but that's not always possible, and
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it does not make you any better or worse of
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a parent. And being able to cease smoking or any
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other unhealthy habit for that matter, does not put you
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in a good or bad mom category. So what are
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the facts? First of all, let's talk about what the
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transfer into breast milk is. So nicotine is rapidly and
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completely absorbed into the mother's bloodstream. Now we've talked about
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half life before in other episodes, but briefly, it's the
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amount of time that it takes a substance in the
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bloodstream to reach half of its initial amount. So for nicotine,
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that's about ninety seven minutes. Nicotine is absorbed more slowly
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and less efficiently from breast milk. Infants absorbed nicotine and
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about two thousand or so other byproducts of cigarettes readily
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from the air. That's that second hand and third hand
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smoking that we are familiar with. So if you don't
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know those terms. Firsthand is obviously inhaling the substance itself.
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Second hand is being around it, being able to smell
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it and absorb it into your bloodstream just from the smell.
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And then third hand smoke is maybe you're not around
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the smoke, but you are around a smoker who has
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that substance on their clothing, in their hair, in their car.
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And so infants do absorb nicotine through second and third
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hand smoke. So what are the effects of smoking on
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lactation itself? The first thing I want to say about
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this is that correlation does not necessarily mean causation, but
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anytime we see repeated and strong correlations, it's something to
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look at. So we know that smoking has been linked
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to earlier weening, and the heaviest smokers tend to wean
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the earliest. It also leads to lower milk production, and
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this is because nicotine inhibits the release of the hormone prolactin,
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which is critical for milk creation milk synthesis. So it
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also interferes with the ability to release milk, which means
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that smoking has been linked to milk production and let
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down problems, but there are some researchers that suggest that
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this is due not specifically to smoking, but to poor
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lactation management. So one of the best things that you
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can do is meet with an IBCLC pre Natalie and
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come up with your lactation plan and have your go
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to person who you are going to call in for help.
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The moment you start doubting your milk supply, the moment
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you start wondering if your baby is getting enough, the
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moment you get recommended to supplement with something else. Now,
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let's talk about how does smoking affect the baby. Nicotine
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is known as an appetite suppressant, and there are studies
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that show that the breast milk of those who smoke
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tastes different than the breast milk of those who don't smoke.
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It has a taste of nicotine in the breast milk itself.
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So babies who breastfeed and smoke, they often do show
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more fussiness at the breast and sometimes breast refusal, especially
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if the feeding parent has recently had a cigarette. Babies
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who are bottle fed in households where smoking occurs are
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more frequently hospitalized, and they have much higher risk of
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respiratory and gastro intestinal illness, and colic is more common
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in this group as well. But the most significant effect
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of cigarette smoke in the household is the greatly increased
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risk of SIDS, which is sudden infant death syndrome. We
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know that babies of smoking mothers and fathers have a
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seven times greater chance of dying from SIDS than those
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babies who are in a smoke free home. Especially in
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parents who have more than five cigarettes in a day. Regularly,
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we see some symptoms of vomiting, nauseousness, gastrointestinal difficulties in
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that infant. The American Academy of Pediatrics on their website
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says that smoking is contraindicated for breastfeeding, but that is
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not what the worldwide research tells us. The worldwide research
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tells us that, in fact, managing the environment of the
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infant in a household where the feeding parent is a
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smoker or any parent is a smoker, and offering breast
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milk even direct body feeding, has better long term outcomes
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for the infant than the cessation of breastfeed and switching
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to formula. But this means that you need to manage
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smoking while breastfeeding, and there are ways to do this. Obviously,
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the ideal, like I mentioned already, is to just stop
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smoking altogether. If you can't do that, you can cut down.
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So we all know that the less you smoke, the
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smaller the chance that difficulties will arise, and the risk
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increases if you smoke more than twenty cigarettes a day,
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So even just trying to get below that number if
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you're a heavy smoker, is going to be helpful. And
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then the big thing is to try to eliminate that
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second and third hand exposure. So the way that you
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do this never smoke around your baby, Never allow other
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people to smoke around your baby. Smoke outside, try to
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keep the smoke away from any area where the baby
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spends a lot of time. Cover your hair, so have
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a hat or a scarf that you use that is
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just for when you smoke, and then take it off
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when you go in and you feed your baby, where
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a coat, Wear something over a smock, something over your
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clothing so that when you go back in to be
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with your baby, that smoke is not lingering on your clothing,
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making sure you're washing your hands regularly, even washing your
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face or any exposed skin or using a wipe to
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get that third hand exposure off. And then consider the
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half life. So wait as long as possible between smoking
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and nursing. We know that half life is about ninety
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five minutes, So feeding your baby first, then going out
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to smoke, and then hopefully your baby won't cueue for
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another two to three hours, and by that time you
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can feed again, and then if you need to smoke again,
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you can do that.
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Yea.
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So those are the ways that you can continue to
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breastfeed your baby and provide all of those amazing antibodies
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and that perfect blend of macro and micronutrients that are
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specific for your baby, even if you cannot give up
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the habit of smoking. Currently now some people do ask
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about nicotine replacement therapy and breastfeeding. The first thing to
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know is that nicotine replacement therapy products are not licensed
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to be used by breastfeeding mothers. However, we do know
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that babies will be exposed to less nicotine through things
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like the patches or gum, and that number is significantly less.
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It also avoids exposure to other chemical compounds found in
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tobacco smoke, and you're limiting the amount of toxic chemicals
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that that baby you will ingest. You should never use
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these products and continue to smoke, so you have to
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choose one or the other. We do know that patches
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applied over a twenty four hour period may produce really
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vivid dreams in the person wearing the patch, and so
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you may want to remove the patch overnight so that
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the baby is exposed less during those nighttime feeds. If
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you are going to use gum, it should be chewed
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immediately after feeds in order again to reduce the exposure
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to give yourself time to reach that half life. And
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also any nasal sprays that you're using, similarly, they produce
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rapidly high levels initially, so go ahead and feed the baby,
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use the nasal spray, and then try to wait until
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you reach that half life of about an hour and
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a half to two hours before you feed the baby again.
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But we do know that exposure of the baby to
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these products is safer than exposure to cigarettes because of
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this factor of having that second and third hand smoke.
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So I would love to know what your experience with
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breastfeeding and nicotinez. So reach out to me on my TikTok,
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on my Instagram, on my Facebook page. I would love
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to hear not only what your experience was, but what
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the advice that was given to you by either pediatricians
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or your obgi in or an IBSLC or any other
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medical professional. If you have any questions about smoking or
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any other question that is on your mind in regards
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to feeding your baby, please don't hesitate to reach out
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to me so that we can get you booked for
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a telehealth consultation. I love getting to meet with you
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and answering your questions and helping you feel really good
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about where you are in your baby feeding journey.
