You should not be drunk while caring for your baby

by phdinparenting on July 8, 2009

Photo credit: Dan4th on flickr

There has been a lot of media attention lately on mothers who were arrested while apparently breastfeeding drunk. There is emphasis put on the word breastfeeding. Like it is a horrible and awful sin to be drinking while breastfeeding. A few examples:

  • A drunken mother was breast-feeding her five-month-old baby at the wheel when she almost crashed into a police car, horrified officers discovered. The teenager was so sloshed she could not provide a roadside breath test and was arrested at the scene in the Australian town of Alice Springs. (From Mail Online)
  • A North Dakota woman accused of breastfeeding her six-week-old baby while drunk has pleaded guilty to child neglect. PRISON POSSIBLE. Twenty-six-year-old Stacey Anvarinia could face up to five years in prison when she’s sentenced on the felony charge in August. (From Associated Press in Edmonton Sun)

I don’t think it is a good idea to be drunk while breastfeeding. But here is the thing, if someone is drunk while caring for a baby, the damage that could be done by breastfeeding is the least of the problems. If you are drunk and caring for a baby, you could:

  • Drop the baby
  • Hurt yourself and be unable to care for the baby
  • Be too drunk to take your injured self or injured baby to the hospital
  • Fall asleep with and suffocate the baby
  • Pass out and be unable to respond to the baby’s needs
  • Do stupid things like driving a car while drunk and not even putting the baby in a car seat

Breastfeeding while drunk is not nearly as bad as people make it out to be. As the first commenter on this post Teenager Caught Drunk Driving WHILE BREASTFEEDING says:

Luckily for the baby, the amount of alcohol in your breast milk mirrors your blood alcohol level. So, even if mom had an nearly lethal level of 0.2% that’s not even the equivalent of a tenth of a weak beer. The baby was more likely to incur bodily harm by being handled by a drunken loser than to experience alcohol poisoning.

I said as much when I commented on a review of the Milk Screen product that allows you to measure whether you have too much alcohol in your breast milk or not. I said:

Thank you for the review. It is interesting to see how the thing works.

However, I wonder what they use to determine “safe” levels.

I don’t know that I would rely on the research listed on Milkscreen’s Web site. I’m sure they picked and chose the studies that would make their product seem necessary.

If you look at LLL’s FAQ on alcohol, there are a few things of interest:

1) “Maternal blood alcohol levels must attain 300 mg/dl before significant side effects are reported in the infant. ” That number didn’t really mean anything to me, so I looked it up and it turns out that those types of alcohol levels would only be found in chronic alcoholics or someone that has been drinking straight for several days (Source).

That doesn’t mean that you hadn’t had too much to drink that one night and perhaps the test is right and you shouldn’t have been nursing. But would you have stepped behind the wheel of a car? Do you have a breathalyzer at home to blow in before you drive if you’ve been drinking the night before?

2) The thing that breastfeeding moms should be more worried about perhaps is the effect that drinking too much has on their milk supply, letdown and intake levels by the baby. If a woman drinks regularly, even moderate amounts, and her baby is having trouble gaining weight, then she might want to consider stopping for a while.

For me personally, I do breastfeed and I do drink. But in the more than 4 years now that I have been nursing, there is only one night that I ever had more than 2 drinks and that was a total of maybe 3 drinks or a maximum of 4. I had those drinks early in the evening (between 5pm and 7pm), knowing that I wouldn’t be home until around 2am. I think even if I did nurse when I got home and even if the alcohol levels were a little higher than perhaps ideal, I don’t think it would have long lasting detrimental effects on my child. If I did it every night, perhaps. But once in 4 years…not the end of the world.

It is completely safe for a mom to have one or two drinks while breastfeeding. That doesn’t mean that she has to. Some prefer not to. But I hate when I hear about moms that decide they need to wean before their wedding anniversary or before the 4th of July or before Christmas because they want to have a drink or two.

There are some studies that have said that alcohol in your breastmilk can impact your milk supply and can impact the baby’s sleep. So if you are having trouble maintaining your supply or if your baby is not sleeping well (and we all know that is relative…most babies are not good sleepers, alcohol or no alcohol), then you may want to give up your drinks for a bit and see if it improves. But otherwise: Cheers! Enjoy a drink or two.  You do not need to be a martyr in order to be a breastfeeding mom.

But let’s be clear. Parents (that includes moms AND dads) who are drunk while caring for their children are irresponsible. Perhaps they are alcoholics and deserve to get help. Perhaps they are just making a stupid mistake. But this shouldn’t be about breastfeeding unless the mom had hired a designated babysitter to take care of the child while she went on regular drinking binges and was having the baby brought to her to be breastfed while she was so drunk that she was almost passing out.

For more thoughts on the most recent case of the North Dakota woman who was arrested while caring for her baby while drunk see:

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{ 30 comments… read them below or add one }

1 Maria July 8, 2009 at 5:47 pm

Thanks for linking to our review! It was written by Andi of http://www.andikuhn.com.

I drink, and I breastfeed. I don’t drink and breastfeed at the same time. And I don’t believe that formula feeding would give me any further opportunities to drink because I also completely agree that no one (MOTHER OR FATHER) should be inebriated while caring for a child.

But having one or two drinks for most people would not cause inebriation to the point of impairing child care.

Far, far more parents engage in all sorts of activities drunk than mothers who breastfeed after having one or two drinks. Go to any big public activity or to a theme part that sells liquor. How many drunk adults are there with children and babies?

A lot.

Are they being persecuted by the media? No.

Asinine.

I’m so over the current focus on this mom who breastfed “drunk.”

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2 Brenna July 8, 2009 at 6:19 pm

While I don’t think I have ever had wine and breastfed at the same time, I do have a glass when I know I am not going to nurse right away. I have become much more relaxed with my third baby though. With my first, I don’t think I had a drop the whole 15 months he breastfed!

I think there is some strange fascination with what women do WHILE BREASTFEEDING! Can you shop and breastfeed? That woman is eating lunch while breastfeeding, and in a restaurant! That baby is in a sling, and breastfeeding! Silly.

I think driving while breastfeeding is absolutely dangerous. There is a reason we have to, and should, put babies in carseats. Do I think breastfeeding a baby after a drink or two is neglect? If it happens more often than not, yes. If it happens a couple of times, no. There is much worse that you pointed out that can happen if the parent, or parents, are inebriated.

I just wish more media attention was paid to the positive instead of the sensational.

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3 Jessica - This is Worthwhile July 8, 2009 at 9:49 pm

It’s a choice: do I want to party like it’s 1999 or do I want to be present and responsible? I drank a little during my nursing days, but was always very careful to do so after a nursing session. And I never over did it. It was just never that important to me – so, yeah, maybe these breastfeeding moms who get DRUNK do have an issue or two.

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4 Rebecca July 8, 2009 at 10:55 pm

Very interesting post. Drinking one or two drinks is a choice while nursing (as you point out – I only started drinking wine again when my son was going longer at night. why? just my choice really, and I’m a light weight with drinking and didn’t like to feel woozy at all while caring for my son)

However, there is a greater issue here and I’m glad you pointed it out. Parents becoming drunk (and there is a difference I think between having a drink or two with dinner and getting drunk) should not be also caring for their children at the same time. Your faculties are so out of whack at that point, in case of emergency your reaction would be delayed or nonresponsive.

This is more than just about breastfeeding.

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5 Ana July 9, 2009 at 12:20 am

As a breastfeeding mom of a 16-month-old, I choose not to drink but that is my choice. I’m just not much of a drinker. I think having one or two glasses of wine, or whatever, is fine but becoming intoxicated while caring for a child is irresponsible. Period.

I am the organizer of a large single parent’s group and during several events recently, I’ve witnessed some members drink entirely too much with their kids present. This has led to some uncomfortable situations where they were basically unable to care for their children.

I agree with all of your points. This is bigger than just breastfeeding.

BTW, how in the hell can you breastfeed and drive? As dangerous as that sounds, that mom succeeds as a hardcore multi-tasker!

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6 Amber July 9, 2009 at 1:49 am

This makes me think of the ‘risks’ associated with wearing a sling. The baby could fall! The baby could be burned by your cooking! These are really just risks associated with carrying a child, REGARDLESS of how you’re carrying that child. Similarly, it’s being drunk while you’re responsible for a child that’s the problem, not breastfeeding.

I’m with you. I would hate to see someone wean because they feel the alternative is to martyr themselves on the altar of breastfeeding. Just because we’re nursing doesn’t mean we’re unable to make responsible, reasoned choices about alcohol consumption (or anything else for that matter). Geesh.

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7 phdinparenting July 9, 2009 at 9:20 am

@Amber: How dare you say that wearing a baby in a sling is like breastfeeding drunk! (sorry…couldn’t resist)

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8 Rebecca ~ Playground Confidential July 9, 2009 at 1:52 am

Great topic! I had the same reaction to those news stories. Breastfeeding is what everybody is worried about?! I think part of it is that most of society just knows so little about how breastfeeding really works — including nursing mothers. So often people will comment that I must really have to watch what I eat since I’m nursing. Uh, not really. I mean, yes, I should try to nourish myself properly, but the baby’s going to get what it needs no matter what I eat — pretty much. And yes, I can drink coffee and have a couple drinks now and again without poisoning my child in the process. As you say, if a mother is too drunk to breastfeed, she is too drunk to care for her child period.

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9 slee July 9, 2009 at 10:06 am

I’m in the uber careful camp. I fret over whether or not to take a tylenol for an awful headache and would NEVER consume alcohol while caring for a child or breastfeeding. Of course, I’m excluding here the trace amounts that might be present in a food dish prepared with vanilla extract.
But before I start sounding like a martyr, I’ve never tried alcohol outside of what may have been in a perscription medication when I had need of cough suppressing goodness.
Coming from a family with a vast number of alcoholics, I determined that the risks of trying alcohol and becoming addicted were greater than the risk of missing out on something I might enjoy.
That said, I agree that drunkeness while “caring” for a child is a bigger problem by far than possibly passing on a tiny amount of alcohol through breastmilk, and I have to assume that the reason that the focus in these cases is on the act of breastfeeding is twofold. First, there is, like it or not, a large contingent who do not like breastfeeding for a plethora of reasons, and like to present it negatively. Secondly, and possibly more importantly, most people do drink alcohol, and a lot of them have on occasion or more often been drunk while caring for children, or at least in the presence thereof, and if the problem in these stories was the drinking, then they have to reassess their own behaviors and might not like to view themselves through the same lense they view these others. Remember, far fewer people are breastfeeders than drinkers. Even women who have in the past breastfed often look for reasons to justify their quitting sooner than they’d have liked to, and by casting aspersions can perhaps also feel somewhat better.
I could be wrong, I frequently am, but it seems that people know that there is something wtong with the various pictures, but have to blame the detail that is different from them.

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10 Cate July 9, 2009 at 10:32 am

Thanks for the link, Annie.
I agree that no one should hang with child while drunk. I myself partake with the kids awake while we have a family party or whatever. Generally I wait until they’re in bed. And my 15mo is slowly weening (much by his choice), so that’s not the issue.

I see this case as a feminist issue. I’m not sure what the cops’ issue was, especially with their shock of her BFing *in front* of them. That’s seriously their problem?! Maybe her previous run-in with the law already made her suspicious to them. We still don’t know what her previous criminal record is.
But to arrest her–with no BAC test–but let the allegedly woman-abusing boyfriend walk free…it reeks of misogyny. Not to mention poor lawyering.
If anything, she needs intervention and counseling and certainly support throughout her community. I hope that’s what she gets when she is sentenced next month.

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11 Cate July 9, 2009 at 10:43 am

Oh! I almost forgot to plug a different blog I wrote on the subject:
http://blog.thenatureschild.com/2009/07/alcohol-and-breastfeedingnow-crime.html
;)

Also, I’m waiting for the police to arrest the next dad they see who is simultaneously holding a beer and a baby. You think?

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12 Roxanne Beckford Hoge July 9, 2009 at 11:21 am

LOL! Arrest a dad holding a beer and a baby. Love that!

phd, you are SO right — you nailed what has always bothered me about this story. That and everyone who yammers on about breastfeeding being difficult because they have to give up booze, spicy food, and cauliflower. Okay, maybe the cauliflower is not so much a hardship. But ALL these things taken together make it seem like breastfeeding is some “special” and “difficult” activity, much like being a monk, that regular people can’t do.

That’s why I’ve always hated the ads that had mom in a Lanz nightgown on a glider nursing. If you had to be chained to a chair and a nursing pillow, I’ m sure that I wouldn’t have logged 10 years worth of woman-hours nursing (4 kids; twins at the end) if I couldn’t leave the house or have some fajitas. Booze, I can take or leave. But spicy food? Never! :)

It’s all setting the bar for breastfeeding so high that people forget that it’s motherhood that’s hard! (See http://tinyurl.com/lpv38a)

You rock, once again!

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13 Melodie July 9, 2009 at 11:53 am

Well said. I am still aghast that that woman who was “caught” breastfeeding her child while drunk has pleaded guilty to neglect. There must be specifics to the case that the general public doesn’t know about because neglect? Please! She was breastfeeding! Did they test her breastmilk alcohol levels? I hope they research effects of alcohol and breastfeeding and drop the charges. And then go arrest the ass who physically assaulted her.
Anyway, Bravo for pointing out that it’s all of those other reasons it’s dangerous to breastfeed your baby while drunk, least of the problems being the breast milk issue.

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14 phdinparenting July 9, 2009 at 12:13 pm

@Melodie: Maybe this was just a typo in your comment, but just in case I want to clarify that those are not my reasons that it is dangerous to breastfeed your baby while drunk. It is my list of reasons it is dangerous to PARENT drunk, period.

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15 Sandy July 9, 2009 at 12:52 pm

What I think is interesting is that if the woman had been giving her baby a bottle of formula while drunk, nobody would have cared. There is such a breastfeeding taboo, that the implicit message, becomes “Don’t breastfeed if you are someone who drinks. Ever.”

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16 Monique July 9, 2009 at 1:13 pm

I, personally, am much more cautious about consuming too much caffeine while breastfeeding than having an occasional beer or glass of wine! I think it’s worth mentioning here that there’s no reason to “pump and dump” when a breastfeeding mother chooses to drink :

http://www.kellymom.com/health/lifestyle/alcohol.html
“Alcohol does not accumulate in breastmilk, but leaves the milk as it leaves the blood; so when your blood alcohol levels are back down, so are your milk alcohol levels.”

Now, where did I put my beer….;-)

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17 cartside July 9, 2009 at 4:18 pm

thanks for this! I can set aside my guilt trip for having 3 drinks one night after 2 years of close to nothing at all, and nursing in the early hours after that night out. I felt so so bad. I never realised that the alcohol level in breast milk were actually reasonably low.

And my first reaction on the news item was also – why on earth is she driving? How can she drive and nurse at the same time? Does any one believe that headline? Surely that’s sensationalism.

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18 Roxanne Beckford Hoge July 9, 2009 at 4:41 pm

Actually, if your baby could sit unassisted and you didn’t have a stick shift, if just *might* work — but I’d never try it! :)

What’s *really* a crime is all the times I nursed my babies in their car seats on road trips. You see, I remained belted in and so did they. And now I’ve gone from a 32DD to a 32L7long. So not the look I was going for!

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19 Roxanne Beckford Hoge July 9, 2009 at 4:42 pm

Meant 32long. See, not only my boobies, but my brain has suffered!

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20 beth July 10, 2009 at 3:11 am

Thanks so much for this post!

The alcohol content of breastmilk is a total non-issue. As I explained to someone recently, the amount of alcohol allowable in non-alcoholic beer (legal for minors in many states) is 0.5%. For breastmilk to have 0.5% blood alcohol, the mother would be dead.

I wonder how much of the outrage at a breastfeeding woman drinking has just bled over from the idea that pregnant women shouldn’t drink. That’s such a powerful idea that I won’t drink at all even though I know that my previous level of drinking – one glass of wine every couple of weeks, on average – is pretty much zero risk for the kid. So I totally understand people who avoid drinking & nursing: it gives you one less thing to worry about, one less thing to be criticized about.

And then people conflate “having a drink” while/before nursing with nursing while drunk. They’re different. If you want to get drunk, then just like you should plan your ride home, or think ahead to the job you have to get out of bed for in the morning, or think about how many drinks will be too many (I know I calculate these things in my head at the beginning of the evening, does everybody?) you should also think ahead about how your kid will be safely cared for.

In other words, drinking while lactating is just like anything else – you have to be sensible about it. Which most of us are capable of doing, without external judgment and “if you touch a drop of alcohol you are a bad mother” sorts of attitudes.

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21 beth July 10, 2009 at 3:18 am

Just to clarify – I don’t drink now because I’m pregnant; I’ll likely pick up the habit again (and chug, like, a whole glass of wine at the dinner table once in a while) once the kid is born.

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22 Amanda July 10, 2009 at 7:56 am

Moderation in life. I’m breastfeeding my third in four years and over the years I’ve become a bit more lenient with coffee and drinks, but never to excess. I do mourn the bf relationships that end to allow for some great indulgence.

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23 Frost At Midnight July 10, 2009 at 3:38 pm

I agree with slee above and am in the uber-careful camp too. Even if I was consumed by horrible headaches whilst pregnant, I still didn’t take anything for them and so with that attitude, alcohol was definitely a no-go for me. I’m still teetotal now that I’m breastfeeding, but have admittedly never been a drinker save for the odd glass of red wine with a meal or fun experiments whilst younger with absinthe.

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24 Katy July 10, 2009 at 3:38 pm

Thank you for trying to clear up this situation. What a shame that breastfeeding is getting negative publicity when the drunken parenting is the true issue. I hope that more well spoken bloggers will join in with you and help bring awareness to the real issue in this situation, which as we are aware is not the alcohol content of the breast milk.

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25 David Buchner July 10, 2009 at 5:19 pm

At first glance, this looks like yet another example of a culture that’s sagging deeper into prohibitionism, risk-aversion, and sloppy thinking.

But it’s hard to even form an opinion without an objective definition of “drunk.” I mean, looking at the bottles on the counter, some might call me “drunk” right now — but I’m typing 60-some words a minute, waiting for the glue to dry on my plumbing project, and I’m not dropping any babies, or, funnily enough, breastfeeding. :-)

I didn’t see the allegedly drunk woman in question. Was she slurring? Stumbling? Vomiting? Or just tipsy? They just don’t say. And shouldn’t this bit make us all a little nervous: “Investigators believed she was drunk, and her arrest on a charge of child abuse and neglect did not require a test.”?

“‘Our officers handle it so much that it is pretty much a general knowledge thing to know when someone is intoxicated. It’s pretty obvious.’”

Yeah. Just relax and trust us.

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26 David Buchner July 10, 2009 at 5:28 pm

(Um. I hope I shouldn’t have to add, that I wasn’t recommending drunk-parenting, and that I agree with the other commenters who point out that this lady’s drinking was insignificant in that sad picture. And geez, those other stories? WHY does the breastfeeding even warrant a mention, when drunk driving and crashing is at hand?? Whaa…?)

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27 Cave Mother July 11, 2009 at 7:21 am

Ahhh, a bit of common sense. I enjoy one glass of wine, a couple of times a week. I feed my baby before, during, or after – whatever she wants. It’s not going to hurt her. Better breast milk with a tiny bit of alcohol in it than formula milk, no? But alcohol combined with a bad night’s sleep is not good, so I tend to abstain during bad patches. If only we could get out the message that breastfeeding fits into anyone’s life and you don’t have to be a teetotal saint!

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28 Violet July 20, 2009 at 1:52 pm

It’s funny I came across this post while looking to see what issues arise to cause birth complication and or death, I am pregnant with my third and worried more about something bad happening than drinking. However, I must say I found this article very interesting and the replies both helpful and interesting. With my first I was younger and more irresponsible, I did return to drinking two months or so after birth, I would pump and dump, then she would not have enough milk so I had to supplement with formula, I was stressed out about a million things and my milk sadly vanished at 4 months. I felt like a failure for not being able to breast feed. My second came along 2 years and 4 months later, I rarely drank and still pumped and dumped but my supply was healthier this time around and I breast fed for almost a year, she lost interest around 11 1/2 months when she realized she could walk around and play while holding her own bottle, which had breast milk in it for a while longer and eventually formula. Two tears later, now in my third pregnancy I have not drank a drop during my pregnancy, when I did have an occasional glass of wine with my first 2. I was planning on simply not drinking while I breast fed this baby for many reasons, mostly I have noticed how I have a better control on my emotions when not drinking. Anyway, I find it helpful to know I can actually have a drink or 2 and not throw out my breast milk and not harm my baby. Too bad they dont tell us that in the beginning. Anyway, I think the issue should have been more focused on the fact the lady drove while holding her baby and the dad did nothing to stop this! They should both be in trouble for endangering the child, the only thing she seems to have done right is breastfeed, too bad she was drinking ad crashing into cops when she did feed her baby.

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29 Deb - Fusion Parenting November 8, 2009 at 2:30 am

Thanks for a great summary. This is really good demonstration of the invisible barriers to breastfeeding in Western societies. In these cases the breastfeeding is a non-issue compared with everything else, but that is the focus of the report. Yet how about some comparative risks – the risk of driving sober with your child in their carseat? If they’re not in a restraint? The risk of a bottle of formula? I’m guessing that all of these are actually riskier than breastfeeding after a glass or two of wine.

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30 Cary August 6, 2010 at 4:44 pm

Hi there
I have someone I know who nurses there baby while drinking large amounts of alcohol, I;m concern because I think its going to affect the baby.
Cary

Reply

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