smoking yet again

iVillage Member
Registered: 03-26-2003
smoking yet again
Wed, 04-09-2003 - 7:26pm
Can I unearth this discussion once more for this statement by teh AAP?

Pediatrics, Volume 108, Number 3, September 2001, pp 776-789, The Transfer of

Drugs and Other Chemicals Into Human Milk, American Academy of Pediatrics

Section on Breastfeeding and Smoking

In the previous edition of this statement, the Committee on Drugs placed

nicotine (smoking) in Table 2 "Drugs of Abuse for Which Adverse Effects on

the Infant During Breastfeeding Have Been Reported." The reasons for placing

nicotine and, thus, smoking in Table 2 were documented decrease in milk

production and weight gain in the infant of the smoking mother and exposure

of the infant to environmental tobacco smoke as demonstrated by the presence

of nicotine and its primary metabolite, cotinine, in human milk.4-12 There is

controversy regarding the effects of nicotine on infant size at 1 year of

age.13,14 There are hundreds of compounds in tobacco smoke; however, nicotine

and its metabolite cotinine are most often used as markers of tobacco

exposure. Nicotine is not necessarily the only component that might cause an

increase in respiratory illnesses (including otitis media) in the nursing

infant attributable to both transmammary secretion of compounds and

environmental exposure. Nicotine is present in milk in concentrations between

1.5 and 3.0 times the simultaneous maternal plasma concentration,15 and

elimination half-life is similar-60 to 90 minutes in milk and plasma.7 There

is no evidence to document whether this amount of nicotine presents a health

risk to the nursing infant.The Committee on Drugs wishes to support the

emphasis of the American Academy of Pediatrics on increasing breastfeeding in

the United States. Pregnancy and lactation are ideal occasions for physicians

to urge cessation of smoking. It is recognized that there are women who are

unable to stop smoking cigarettes. One study reported that, among women who

continue to smoke throughout breastfeeding, the incidence of acute

respiratory illness is decreased among their infants, compared with infants

of smoking mothers who are bottle fed.16 It may be that breastfeeding and

smoking is less detrimental to the child than bottle feeding and smoking. The

Committee on Drugs awaits more data on this issue. The Committee on Drugs

therefore has not placed nicotine (and thus smoking) in any of the Tables but

hopes that the interest in breastfeeding by a smoking woman will serve as a

point of discussion about smoking cessation between the pediatrician and the

prospective lactating woman or nursing mother. Alternate (oral,

transcutaneous) sources of nicotine to assist with smoking cessation,

however, have not been studied sufficiently for the Committee on Drugs to

make a recommendation for or against them in breastfeeding


Avatar for cl_sunny_side_up
iVillage Member
Registered: 03-25-2003
In reply to: macbump
Wed, 04-09-2003 - 9:30pm
Yes...I have read that one too.

<<"It is recognized that there are women who are

unable to stop smoking cigarettes.">>

This is such crap. It really irks me when I read such things. What a cop-out. Anything can be done if the will is there. Period.



iVillage Member
Registered: 03-26-2003
In reply to: macbump
Wed, 04-09-2003 - 9:58pm
I agree "where there is a will there is a way"...even to breastfeed! ;-)

But I know some people honestly don't have enough "will" in them. :-( It's unfortunate for their kids (and other people around them, when talking about the smoke issue), but it's not gonna happen if the person themself doesn't decide they're ready to do so.

My DH's aunt smoked heavily for years. Her DH begged her to stop. She tried. Her kids begged her to stop. She tried. Her doctor told her it would help her health problems to stop. She tried.

Both her girls got pregnant last spring/summer. SHE decided in august she would quit. The other times she stopped for 2-3 weeks...the max. was 2 months at one point. She has now been stopped since august. It really had to come from HER I think.

It's not that she didn't know it was dangerous either. It's that she had to decide SHE was ready, which I guess was when she realized how she would be hurting yet ANOTHER generation if she continued (and some people won't see it at that point...they may see it later, or never).



iVillage Member
Registered: 03-26-2003
In reply to: macbump
Thu, 04-10-2003 - 10:14pm
another article. tobacco on page 25, but it's all pretty informative.