Alcohol levels in Chinese lactating mothers after consumption of alcoholic diet during postpartum “doing-the-month” ritual

Chien, Yeh Chung; Liu, Jen‐Fang; Huang, Ya Jing; Hsu, Chun-Sen; Chao, Jane C.-J.

doi:10.1016/j.alcohol.2006.02.001

Cited by 29 publications

(36 citation statements)

References 41 publications

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“…Influence of alcoholic diet on maternal blood composition The pharmacokinetics of alcohol in milk and blood after CSSR consumption and its implications have been described in detail elsewhere (13) . Briefly, milk alcohol peaked at 20-40 min, decreased nearly linearly thereafter, and reached zero level at approximately 175 min postconsumption.…”

Section: Discussionmentioning

confidence: 99%

Maternal lactation characteristics after consumption of an alcoholic soup during the postpartum ‘doing-the-month’ ritual

Chien

Huang

Hsu

et al. 2008

PHN

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Objective: The present study examined whether ethanol exposure influences lactation parameters. Specifically, selected constituents in maternal blood and milk and the lactation performance of Chinese lactating mothers were evaluated after they had consumed chicken soup flavoured with sesame oil and rice wine (CSSR), a diet traditionally prescribed during the postpartum 'doing-the-month' ritual. Design: Twenty-three lactating mothers were examined. Informed consent was obtained from each subject. Each subject was tested on two occasions separated by a week. The target alcohol dosage was 0?3 g/kg body weight. Milk and blood samples were collected prior to consumption of soup and at 120 and 150 min, respectively, after consumption. Levels of various constituents were measured. The time for ejection of the first milk droplet and total milk volume yielded were also measured. Results: Consumption of CSSR influenced TAG, insulin and lactate levels in maternal blood. Likewise, consumption of the soup affected milk composition and its nutritional status, particularly total protein, TAG, fatty acid, b-hydroxybutyrate and lactate levels. CSSR intake significantly affected TAG and lactate levels in milk. The time for the first milk droplet to be ejected was significantly longer in the CSSR group, indicating that the milk-ejecting reflex is inhibited. However, blood prolactin level increased slightly after ethanol intake. Milk yields were reduced after ingestion of CSSR although the difference was not statistically significant. Conclusion: Consumption of CSSR affects not only the composition of maternal blood and milk, but also lactation performance. These findings suggest that an alcoholic diet should be avoided during lactation.

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Section: Discussionmentioning

confidence: 99%

Maternal lactation characteristics after consumption of an alcoholic soup during the postpartum ‘doing-the-month’ ritual

Chien

Huang

Hsu

et al. 2008

PHN

Self Cite

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“…However, recent research has shown that the consumption of this alcoholic soup significantly lengthens milk ejection time and lowers milk yield of lactating mothers (26) . Furthermore, alcohol can be detected in breast milk for several hours after consumption of the alcoholic soup (27) . Results from some studies suggest that alcohol in breast milk can be detrimental for the sleep pattern and psychomotor development of infants (27) .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, alcohol can be detected in breast milk for several hours after consumption of the alcoholic soup (27) . Results from some studies suggest that alcohol in breast milk can be detrimental for the sleep pattern and psychomotor development of infants (27) . Therefore, consumption of traditional foods such as alcoholic soups should be targeted in dietary advice or intervention for Asian lactating women.…”

Section: Discussionmentioning

confidence: 99%

Dietary changes during pregnancy and the postpartum period in Singaporean Chinese, Malay and Indian women: the GUSTO birth cohort study

Chen

Low

Fok

et al. 2013

Public Health Nutr.

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Objective: To examine changes in food consumption during pregnancy and the postpartum period in women of major Asian ethnic groups. Design: Using interviewer-administered questionnaires, we assessed changes in food consumption during pregnancy (26-28 weeks' gestation) and the postpartum period (3 weeks after delivery) as compared with the usual pre-pregnancy diet. Setting: Singapore. Subjects: Pregnant women (n 1027) of Chinese, Malay and Indian ethnicity (mean age 30?4 (SD 5?2) years) who participated in the Growing Up in Singapore Towards healthy Outcomes (GUSTO) study. Results: During pregnancy, participants tended to increase their consumption of milk, fruit and vegetables and decrease their consumption of tea, coffee, soft drinks and seafood (all P , 0?001). Most participants reported adherence to traditional restrictions ('confinement') during the early postpartum period (Chinese: 94?8 %, Malay: 91?6 %, Indian: 79?6 %). During the postpartum period, participants tended to increase their consumption of fish and milk-based drinks and decrease their consumption of noodles, seafood, and chocolates and sweets (all P , 0?001). Ethnic differences in food consumption were pronounced during the postpartum period. For example, most Chinese participants (87?2 %) increased their ginger consumption during the postpartum period as compared with smaller percentages of Malays (31?8 %) and Indians (40?8 %; P for ethnic difference ,0?001). Similar ethnic differences were observed for cooking wine/alcohol, herbs and spices, and herbal tea consumption. Conclusions: Marked changes in food consumption that reflect both modern dietary recommendations and the persistence of traditional beliefs were observed in Singaporean women during pregnancy and the postpartum period. Traditional beliefs should be considered in interventions to improve dietary intakes during these periods.

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“…Furthermore, postpartum women consume a large amount of chicken soup flavored with rice wine during the "doing the month" period. Research showed that alcohol from rice wine remained elevated in breast milk for a few hours as a result of alcohol intake (Y. C. Chien, Huang, Hsu, Chao, & Liu, 2009; Y. C. Chien et al, 2005). Lactating mothers should be educated that breast-feeding their infants should be done at least 3 hours after ingesting chicken soup with rice wine or other alcohol-containing foods to ensure that milk is free of alcohol and thus minimize infant alcohol exposure and its associated health risks.…”

Section: Discussionmentioning

confidence: 99%

“…Chien, Tai, Ko, Huang, & Sheu, 2006). Yang food such as chicken, pig's trotters, internal organs, ginseng, and eggs are encouraged to nourish the blood and to facilitate recovery by redressing the Yin-Yang or hot-cold imbalance (Y. C. Chien, Liu, Huang, Hsu, & Chao, 2005;Holroyd et al, 2004;Holroyd, Kate, Chun, & Ha, 1997;Koon, Peng, & Karim, 2005). Ginger, rice wine, and sesame seed oil, also considered hot foods, are used in large amounts in the cooking.…”

Section: "Should Do" Activitiesmentioning

confidence: 99%

Doing the Month and Asian Cultures: Implications for Health Care

Tung

2010

Home Health Care Management & Practice

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Alcohol levels in Chinese lactating mothers after consumption of alcoholic diet during postpartum “doing-the-month” ritual

Cited by 29 publications

References 41 publications

Maternal lactation characteristics after consumption of an alcoholic soup during the postpartum ‘doing-the-month’ ritual

Maternal lactation characteristics after consumption of an alcoholic soup during the postpartum ‘doing-the-month’ ritual

Dietary changes during pregnancy and the postpartum period in Singaporean Chinese, Malay and Indian women: the GUSTO birth cohort study

Doing the Month and Asian Cultures: Implications for Health Care

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