Existing
methods for the analysis of pesticides in human breast
milk involve multiple extraction steps requiring large sample and
solvent volumes, which can be a major obstacle in large epidemiologic
studies. Here, we developed a simple, low-volume method for extracting
organophosphates, pyrethroids, carbamates, atrazine, and imidacloprid
from 100 to 200 μL of human breast milk. Multiple extraction
protocols were tested including microwave-assisted acid/base digestion
and double-solvent extraction with 2 or 20 mL of 2:1 (v/v) dichloromethane/hexane,
with or without subsequent solid-phase extraction (SPE) cleanup. Samples
were analyzed by liquid chromatography tandem mass spectrometry. Analyte
recoveries and reproducibility were highest when 100–200 μL
of milk were extracted with 2 mL of dichloromethane/hexane without
subsequent SPE steps. Analysis of 79 breast milk samples using this
method revealed the presence of carbamates, organophosphates, pyrethroids,
and imidacloprid at detection frequencies of 79–96, 53–90,
1–7, and 61%, respectively. This study demonstrates the feasibility
of a simple low-volume extraction method for measuring pesticides
in human breast milk.