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SUBSTANCE USE and BREASTFEEDING Maine.gov（物质使用和母乳喂养Maine.gov）
The Maine Office of Substance Abuse and Mental Health Services
SUBSTANCE USE and
BREASTFEEDING
“Maternal substance abuse is ALCOHOL
not a categorical
• “Ingestion of alcoholic beverages should be minimized and limited to an occasional intake but no
contraindication to
more than 0.5 g alcohol per kg body weight, which for a 60 kg [~130lb] mother is approximately 2
breastfeeding.
oz liquor, 8 oz wine, or 2 beers. Nursing should take place 2 hours or longer after the alcohol
Adequately nourished 1
intake to minimize its concentration in the ingested milk.”
narcotic-dependent mothers
can be encouraged to BUPRENORPHINE (Subutex®/Suboxone® and other generic versions)
breastfeed if they are enrolled • “...the low exposure of nursing infants to buprenorphine, compared to the exposure necessary for
in a supervised methadone maintenance treatment in their mothers, indicates that there are no...clinical reasons to discour-
maintenance program and age mothers receiving buprenorphine from breastfeeding their infants...though it is
have negative screening for 5
recommended that infants be monitored closely.”
HIV and illicit drugs. The most • “Although the Subutex® and Suboxone® package inserts state that breastfeeding is not advised in
comprehensive,
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