Format

Send to

Choose Destination
Drug Alcohol Rev. 2017 Sep;36(5):667-676. doi: 10.1111/dar.12473. Epub 2017 Mar 13.

Alcohol consumption by breastfeeding mothers: Frequency, correlates and infant outcomes.

Author information

1
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
2
Department of Psychiatry, Columbia University, New York, USA.
3
National Drug Research Institute, Curtin University, Perth, Australia.
4
Queensland Alcohol and Drug Research and Education Centre and Schools of Population Health and Social Science, University of Queensland, Brisbane, Australia.
5
School of Psychology, Centre for Social and Early Emotional Development, Deakin University, Geelong, Australia.
6
Centre for Adolescent Health, Murdoch Childrens Research Institute, The Royal Children's Hospital, Melbourne, Australia.
7
Department of Paediatrics, The University of Melbourne, Melbourne, Australia.
8
Discipline of Paediatrics and Child Health, The University of Sydney, The Children's Hospital at Westmead, Sydney, Australia.
9
Department of Obstetrics, Royal Prince Alfred Hospital, Sydney, Australia.

Abstract

INTRODUCTION AND AIMS:

There is limited research regarding the effects of alcohol consumption by breastfeeding mothers on infant development. This study examined the frequency, correlates and outcomes of alcohol use during lactation.

DESIGN AND METHODS:

Data were from an Australian cohort study. Maternal demographics and substance use were assessed during pregnancy and at 8 weeks and 12 months postpartum. Breastfeeding duration, infant feeding, sleeping and development (Ages and Stages Questionnaire) were also assessed postpartum. Logistic regression and general linear model analyses examined characteristics of women who drank during breastfeeding, and the association between alcohol use during breastfeeding and infant outcomes.

RESULTS:

Alcohol use was reported by 60.7% and 69.6% of breastfeeding women at 8 weeks and 12 months postpartum, respectively. Breastfeeding women who consumed alcohol were more likely to be born in Australia or another English-speaking country, be tertiary educated and have higher household incomes. Most drank at low levels (≤14 standard drinks per week, <3 per occasion) and employed strategies (e.g. timing of alcohol use) to minimise alcohol passed onto infants via breastmilk. Alcohol consumption was unrelated to breastfeeding duration, infant feeding and sleeping behaviour at 8 weeks, and most infant developmental outcomes at 8 weeks or 12 months, after adjusting for confounders. The only significant association showed that infants whose mothers drank at 8 weeks postpartum had more favourable results for personal-social development at 12 months compared with those whose mothers abstained.

DISCUSSION AND CONCLUSIONS:

Low level drinking during breastfeeding is not linked with shorter breastfeeding duration or adverse outcomes in infants up to 12 months of age. [Wilson J, Tay RY, McCormack C, Allsop S, Najman J, Burns L, Olsson CA, Elliott E, Jacobs S, Mattick RP, Hutchinson D. Alcohol consumption by breastfeeding mothers: Frequency, correlates and infant outcomes. Drug Alcohol Rev 2017;00:000-000].

KEYWORDS:

alcohol drinking; breastfeeding; child development; infant; lactation

PMID:
28295774
DOI:
10.1111/dar.12473
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center