ArticleWomen's health (London, England)
Maternal smoking and alcohol use in association with breastfeeding initiation, duration, and infant health - a scoping review.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- The impact of postpartum smoking on breastfeeding initiation and duration: racial and ethnic analysis using PRAMS data in a nationally representative sample.International breastfeeding journal · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionExcessive alcohol consumption is associated with reduced milk production, altered milk composition, and increased risk of adverse outcomes such as sudden infant death syndrome (SIDS), highlighting the importance of managing alcohol intake during breastfeeding. Additionally, maternal smoking is associated with challenges in breastfeeding initiation and an elevated risk of infant respiratory issues, with a significant proportion of women resuming smoking postpartum. The review examined the association between maternal alcohol consumption and smoking during pregnancy and postpartum with breastfeeding initiation, continuation, and infant health.
methodsA scoping review was conducted through a comprehensive search of PubMed, ScienceDirect, and Scopus for human studies on the association of alcohol consumption and smoking during breastfeeding, including articles up to April 2024. The primary focus was to examine the association with maternal alcohol use, smoking, and breastfeeding initiation and continuation. Retrospective and prospective observational studies, as well as clinical trials, were included if they assessed the association between smoking and alcohol on breastfeeding, and infant health.
resultsAlcohol consumption was not associated with breastfeeding duration. However, maternal smoking during pregnancy was associated with a shorter breastfeeding duration and an increased risk of childhood overweight up to 7 years of age. Maternal smoking was also linked to adverse mental health outcomes in offspring, including elevated levels of anxiety, depression, and neuroticism. Additionally, breastfeeding rates across different populations were also associated with socioeconomic factors, such as maternal age, educational attainment, and socioeconomic status.
conclusionThis study demonstrates that alcohol consumption was unrelated to breastfeeding duration. Addressing maternal smoking, alcohol use, and breastfeeding requires more than education, as sustainable behavior change is often hindered by limited resources. Public health strategies should focus on addressing socioeconomic and structural barriers while also acknowledging the diverse circumstances of individuals who may not conform to traditional expectations of pregnancy and parenting. It is Important to consider the unique needs and experiences of all individuals, respecting their autonomy and choices in the context of their health and well-being.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.