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To think this is dangerous advice from a midwife?

81 replies

CookieCrumbleCrumbs · Yesterday 21:44

Hi All,

Caught up with one of my friends earlier today. She told me she is pregnant. Earlier than the 12 weeks, and I confessed I am too! Lovely stuff.
Then she told me she had already had an appointment with her midwife and it didn't go well, mostly because my friend told her she would like to breastfeed her baby and then made a joke about it being years to wait for a glass of wine. The midwife told my friend that the guidance has changed, she said she didn't need to wait, as soon as the baby has been born she can drink. Infact, she literally said she can drink and drink and drink until she is wasted. The caveat was though that she would need to be not too far gone so that she couldn't hold her baby - holding the baby seemed important, being drunk whilst breastfeeding her baby was completely fine. But being wasted was ok because it didn't affect the milk, was absolutely fine to be off her face.
I have my first appointment next week and I'll be asking my midwife the question. But I was always under the impression any drink would enter your bloodstream and into your milk as well as potentially affecting your milk supply.
Are we both being unreasonable to think this is not only dangerous advice but completely unacceptable?

OP posts:
FrankieNeverRelax · Yesterday 23:19

”if you can find the baby you can feed the baby” (but I’d advise a more sober supervisor)

Teenagerantruns · Yesterday 23:18

Well its over 30 years ago now but my midwife told me the best time l could drink was when feeding the baby as that milk wouldnt have any alcholol in it.
Only once did l over do it, honestly babies and hangovers don't mix, but the odd glass is absolutely fine.

mintleavesandthyme · Yesterday 23:17

Standard advice. You’re getting get up unnecessarily

BertieBotts · Yesterday 23:15

The midwife is right.

I bet she was saying it in the sense of - you would have to be really, really blackout drunk before your milk is too alcoholic for a newborn, you could be totally wasted and it would still be fine. Not in the sense of yeaaaaah go get wasted!! Just more of an explanation of how little alcohol passes through to milk.

There are obviously other good reasons to avoid drinking too much when you have a young baby. Hangovers being one. Increased risk of accidents. Effect on your own health etc.

I don't know if the midwife or your friend mentioned it, but co-sleeping was the main reason I avoided alcohol when my DC were babies - the combination of bedsharing and a parent having drunk alcohol is incredibly dangerous, so never ever do this. There are ways to make co-sleeping safer, but never with alcohol (or other drugs).

ChestnutSquash · Yesterday 23:14

Clonakilla · Yesterday 22:57

I’d never get bent out of shape over anything someone claims a HCP told them. I’ve witnessed over many many years what people believe they’ve been told can be miles apart from what they’ve actually been told.

Someone’s posted guidelines and you can ask your own midwife in person.

This. You only have to read some of the nonsense on here to realise that there can be a huge gulf between what is said and what people hear.
One that sticks in my mind was an OP ranting about how her GP had told her she must stop having showers immediately. She was asking if it was really true that she could never have a shower again.
It subsequently transpired that she was in the habit of taking long, very hot showers and using body scrub liberally. Her legs were itchy and inflamed.
The GP probably said not to continue with this but have shorter, cooler showers and stop scrubbing.
What she heard was never ever have a shower or wash anything ever again.
So I take things with a pinch of salt.

seahorsessky · Yesterday 23:13

MarthaBeach · Yesterday 21:51

NHS guidance

Alcohol can pass into your breastmilk and then into your baby when you feed them.
The Royal College of Midwives recommends that for the safest approach, you should avoid alcohol completely when breastfeeding. But an occasional drink is unlikely to harm your baby especially if you wait at least 2 hours after having a drink before feeding.
Regularly drinking above the recommended limits can be harmful for you and your baby.
Aside from the known health risks of excessive alcohol to yourself, drinking too much may decrease your milk supply. It may also cause sleep, growth and developmental problems with your baby.

That's what I was told, and it wasn't that long ago. But it is amazing how advice changes-my gran said they were advised to have stout.

Clonakilla · Yesterday 22:57

I’d never get bent out of shape over anything someone claims a HCP told them. I’ve witnessed over many many years what people believe they’ve been told can be miles apart from what they’ve actually been told.

Someone’s posted guidelines and you can ask your own midwife in person.

pastabest · Yesterday 22:56

MarthaBeach · Yesterday 22:53

Why is the NHS official advice on their website completely at odds to this? I pasted it above. Here's the link: https://www.nhs.uk/baby/breastfeeding-and-bottle-feeding/breastfeeding-and-lifestyle/alcohol/

The NHS tells everyone not to drink

For breastfeeding mothers specifically its paternalism

But it's having the opposite effect because it means some women choose not to breastfeed so they can still drink socially, rather than treating women like adults able to make choices.

For what it's worth feeding a child with a hangover is rubbish and not recommended. But it's not unsafe for the child.

Delphiniumandlupins · Yesterday 22:55

It's many years since I breastfed my DC but I avoided alcohol. I'm sure we were advised to, it just carried on from not drinking during pregnancy. When did this change?

MyrtlethePurpleTurtle · Yesterday 22:53

Sam1000 · Yesterday 21:50

Second hand story, the things often suffer from Chinese whispers, unlikely the midwife told her to get wasted is fine, but alcohol is ok when breastfeeding.

Infact, she literally said she can drink and drink and drink until she is wasted.

yeah - I do not believe the midwife said this, literally or otherwise

MarthaBeach · Yesterday 22:53

SpreadsheetLife · Yesterday 22:25

To put this into context, your breastmilk has the same blood alcohol content as your blood.

To reach a BAC of 0.5% (the same alcohol content as many non alcoholic wines/beers) you would need to rapidly consume mutiple bottles of wine or a very high volume of spirits.

Anything over 0.40% BAC carries an extreme risk of a coma or death. At 0.5%, your central nervous system shuts down.

You would die long before you could consume enough alcohol for your breastmilk to be alcoholic.

Edited

Why is the NHS official advice on their website completely at odds to this? I pasted it above. Here's the link: https://www.nhs.uk/baby/breastfeeding-and-bottle-feeding/breastfeeding-and-lifestyle/alcohol/

nhs.uk

Breastfeeding and drinking alcohol

Advice on drinking alcohol while breastfeeding, including how to manage social occasions and the risks of binge drinking.

https://www.nhs.uk/baby/breastfeeding-and-bottle-feeding/breastfeeding-and-lifestyle/alcohol

CookieCrumbleCrumbs · Yesterday 22:51

This didn't go how I thought at all, and I'm actually really glad I posted it! Thank you to everyone, I stand corrected and I'm sure my friend will be very happy to hear her midwife isn't off her box!
For clarity, the midwife, according to my friend, 100% said it's OK to be wasted. Her words exactly, but given all your responses it is OK, not advisable, but ok (as long as the baby is cared for obviously).
I guess we were unreasonable. Thanks for all the replies 👍

OP posts:
PuggyPuggyPuggy · Yesterday 22:49

I'm happy to accept that you would have to be utterly shitfaced before even the slightest amount of alcohol gets through to the baby. But I also think "utterly shitfaced" is many levels of drunkenness above "illegal to drive a car", and maybe nobody should be as drunk as that when they are looking after a baby 😬

Namechangewegovyjune26 · Yesterday 22:48

SpecialShark · Yesterday 22:31

It's common sense to not drink when handling a newborn, especially while also dealing with lack of sleep. The NHS shouldn't be encouraging new mums to get pissed.

I genuinely don’t think she was, someone could twisting her words - either the friend or OP.

I believe the midwife was simply making the point - you’d have to drink a LOT of alcohol before any of it would reach baby via your milk.

Namechangewegovyjune26 · Yesterday 22:44

pastabest · Yesterday 21:49

You are wrong. It's fine to drink and breastfeed as long as you aren't so drunk you could drop or harm the baby.

You would have to be so drunk you would be hospitalised or dead before drinking your breastmilk would cause any concern to the baby.

Yes this is the midwife’s point. I don’t think she was actually telling your friend to get wasted with a baby 😆

Bunny44 · Yesterday 22:43

Chunkybabythighs · Yesterday 21:51

You're wrong op. Miniscule amounts of any alcohol would transfer to baby via titty.

Accidentally posted twice

QuaintGreenFawn · Yesterday 22:43

The midwife should have mentioned however, that it's not safe to bed share with baby after you have been drinking. Even if you think right now that you will never bed share, lots of people do so it's best to know how to do it safely.
Congratulations on your pregnancy.

Bunny44 · Yesterday 22:43

Chunkybabythighs · Yesterday 21:51

You're wrong op. Miniscule amounts of any alcohol would transfer to baby via titty.

That's out of date information. Recent studies have proved otherwise and shown alcohol is nearly all filtered out of milk production and only a very miniscule amount would filter through - not at harmful levels. It wasn't studied before - much like many aspects pertaining to female biology.

However it's never advisable to drink too much while caring for a baby, breastfeeding or otherwise.

Having a small glass or 2 of wine will not harm your child while breastfeeding. It isn't the same case for pregnancy though where alcohol should be avoided all together.

Frugalgal · Yesterday 22:41

CookieCrumbleCrumbs · Yesterday 21:44

Hi All,

Caught up with one of my friends earlier today. She told me she is pregnant. Earlier than the 12 weeks, and I confessed I am too! Lovely stuff.
Then she told me she had already had an appointment with her midwife and it didn't go well, mostly because my friend told her she would like to breastfeed her baby and then made a joke about it being years to wait for a glass of wine. The midwife told my friend that the guidance has changed, she said she didn't need to wait, as soon as the baby has been born she can drink. Infact, she literally said she can drink and drink and drink until she is wasted. The caveat was though that she would need to be not too far gone so that she couldn't hold her baby - holding the baby seemed important, being drunk whilst breastfeeding her baby was completely fine. But being wasted was ok because it didn't affect the milk, was absolutely fine to be off her face.
I have my first appointment next week and I'll be asking my midwife the question. But I was always under the impression any drink would enter your bloodstream and into your milk as well as potentially affecting your milk supply.
Are we both being unreasonable to think this is not only dangerous advice but completely unacceptable?

Whaaat???

maggisimpson · Yesterday 22:36

It's not dangerous advice, she's just saying you don't have to put your life on hold to breastfeed. It's not like being pregnant.

You can't physically drink enough to make your milk a risk, but obviously there needs to be someone sober enough to care for the baby and you can't bedshare if you've had a drink.

borborygmus1 · Yesterday 22:34

Absolutely true. There's no way a parent can drink enough that their breastmilk would become alcoholic enough to be classed as alcoholic to a baby. Imagine drinking a pint of beer, maybe 6% of that is alcohol therefore if diluted in an adult's liquid volume of their entire body, the alcohol percentage of breastmilk would be 0.04%.

A typical infant feed is roughly 120 ml to 150 ml.
At a milk alcohol concentration of 0.04% (0.04 g/dL), a 150 ml feed delivers approximately 0.06 grams of ethanol.

Distributed across an infant's total body water (~3 liters for a 4 kg baby), this produces an infant blood alcohol level of around 0.002%. This level is metabolically negligible and comparable to the trace ethanol produced naturally by normal gut bacteria or small amounts of fruit juice.

LizzieW1969 · Yesterday 22:33

Sorry, wrong thread! I’ll ask for it to be deleted.

BunkBedsArePeopleShelves · Yesterday 22:32

It's a weird thing of her to say, but she not wrong. The science is very clear on this

LizzieW1969 · Yesterday 22:32

My hall of residence was mixed sex 35 years ago. It wasn’t an issue for me.

SpecialShark · Yesterday 22:31

It's common sense to not drink when handling a newborn, especially while also dealing with lack of sleep. The NHS shouldn't be encouraging new mums to get pissed.