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Commentary on: Gibson L, Porter M. Drinking or smoking while breastfeeding and later cognition in children. Pediatrics 2018;142:e20174266.
Implications for practice and research
Lactating mothers should be counselled about the potential for worse developmental outcomes in breastfed infants if they drink alcohol in large quantities or in a risky manner.
Direct measures of alcohol in breast milk and the association with childhood neurocognitive functioning should be considered in future research.
Maternal alcohol and cigarette consumption during pregnancy and lactation is a global problem. Prenatal alcohol exposure, especially in a binge pattern, is teratogenic and a well-documented risk for impaired childhood cognition and behaviour. Maternal alcohol is excreted in breast milk1 but its impact on childhood neurodevelopment is unclear.
This study2 used data from an Australian government-funded study, Growing up in Australia: The Longitudinal Study of Australian Children (LSAC, https://growingupinaustralia.gov.au/data-and-documentation), that …
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