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Foods to avoid or limit while breastfeeding

Foods with special safety concerns include:

  • Fish: Avoid high-mercury fish.
  • Alcohol: It’s safest to abstain. Be sure to time any occasional drink.
  • Herbs: Check with your doctor.

These foods can bother some babies:

  • Caffeine: Too much could overstimulate your baby.
  • Chocolate: Too much could overstimulate your baby.
  • Cow’s milk: Your baby could have a food intolerance to a protein in cow’s milk.
  • Soy: Your baby could have a food intolerance to a protein in soy.

Most breastfeeding moms can eat whatever they like without it affecting their babies. Foods that make you gassy won’t make your baby gassier than usual. (Babies are gassy to start with!)

But every baby is different. If you notice that your baby seems to be fussy, gassy, or sleepless after you eat a particular food, talk to your baby’s doctor about whether the cause could be your diet or something else.

Is it safe to drink coffee while breastfeeding?

It’s fine to have two or three cups of coffee (300 milligrams of caffeine) spread throughout the day, but more than that could disrupt your baby’s sleep or make him fussy. Keep in mind that caffeine is also found in some sodas, teas, and over-the-counter medicines.

Is it safe to drink alcohol while breastfeeding?

It’s safest not to drink any alcohol while breastfeeding, but it’s okay to have an occasional drink if you:

  • Time it carefully. It’s safest to wait two hours per drink before resuming nursing (or nurse, then have your glass of wine). If your breasts are full before that waiting period ends, you can pump and dump to avoid exposing your nursing baby to alcohol.
  • Allow for individual factors that affect blood alcohol level. These include whether you’ve had any food and how much you weigh.
  • Drink in moderation. The same amount of alcohol that makes it into your bloodstream makes it into your breast milk. The more you drink, the more important the waiting period becomes.

Also, an old wives’ tale suggests that dark beer increases milk supply, but studies suggest that alcohol, in fact, reduces milk production.

Do I need to limit chocolate while breastfeeding?

Maybe. Don’t worry – we’re talking large amounts. It’s okay to have a piece of chocolate candy or slice of chocolate dessert. But if you eat large amounts of chocolate, the theobromine (a stimulant) in the chocolate can affect your baby in much the same way as caffeine.

Dark chocolate has more theobromine than milk chocolate, and white chocolate has no theobromine (the ingredient is in the cocoa solids). Chocolate also contains caffeine (see above), another reason not to overdo.

Is it safe to eat fish and seafood while breastfeeding?

Yes, as long as you limit the amount you eat and choose low-mercury fish and seafood options when breastfeeding. In fact, it’s recommended that breastfeeding moms eat 8 to 12 ounces of low-mercury fish each week, which is a great source of DHA and EPA, two omega-3 fatty acids that are difficult to find in other foods.

Avoid eating the following high-mercury fish species:

  • Swordfish
  • Shark
  • King mackerel
  • Marlin
  • Orange roughy
  • Bigeye tuna
  • Tilefish from the Gulf of Mexico

Could my baby be allergic to foods I eat while breastfeeding?

Your breast milk is very unlikely to trigger an allergic reaction in your baby, even if you eat allergenic foods such as peanuts, fish, shellfish, and eggs.

If your baby has allergy symptoms (such as eczema or a rash, runny nose, sneezing, coughing, red and watery eyes, vomiting, or diarrhea), they may be caused by something he’s in regular contact with, such as soap, pet dander, dust, pollen, or foods he’s eating himself once he starts solids.

In rare cases, a baby may be allergic to food allergens such as cow’s milk protein in the mother’s diet. If you’re worried about a reaction to allergenic foods you eat, have your baby evaluated by his healthcare provider. The only treatment for a breastfed baby with a food allergy is strict avoidance in your diet.

Will foods I eat while breastfeeding cause my baby to have gas?

No. Your baby will not be gassier if you eat certain foods. Gas is a local reaction in your GI tract, so foods that make you gassy won’t affect your baby’s digestion.

You may have heard that it helps to avoid certain foods while breastfeeding – such as citrus fruits, spices (cinnamon, curry, chili pepper), and “gassy” veggies (cabbage, onion, broccoli, cauliflower) – but there’s no convincing scientific evidence to support that advice.

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