Is Electronic cigarette compatible with breastfeeding? Do we have alternatives for Electronic cigarette?

Electronic cigarette

November 17, 2014 (Low Risk)

Nicotine levels in the blood of the mother (hence in mother's milk as well) are ten times lower than that reached in women's who smoke normal cigarettes. However, because of concomitant appearance of chemical products in the electronic cigarettes that are considered to be toxic, the lack of information of effects on the heath welfare and a high risk of becoming a long-lasting substitute of tobacco consumption, it should not be used as a replacement therapy. For this purpose is recommended the use of nicotine patches or chewing gum.

Nicotine excretion is lower at two hours after inhalation.

Alternatives

Very Low Risk

Compatible. Not risky for breastfeeding or infant.

Low Risk

Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.

High Risk

Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.

Very High Risk

Not recommended. Cessation of breastfeeding or alternative.

Synonyms

  • e-cig
  • E-cigarette
  • Electronic nicotine delivery system (ENDS)
  • Personal vaporizer (PV)

References

  1. Baraona LK, Lovelace D, Daniels JL, McDaniel L. Tobacco Harms, Nicotine Pharmacology, and Pharmacologic Tobacco Cessation Interventions for Women. J Midwifery Womens Health. 2017Abstract
  2. ABM Protocolo clínico de la ABM n.º 21: Pautas para la lactancia y el consumo de sustancias o trastorno por consumo de sustancias, revisado en 2015. Breastfeed Med. 2015 Full text (link to original source) Full text (in our servers)
  3. Reece-Stremtan S, Marinelli KA. ABM Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2015. Breastfeed Med. 2015Abstract Full text (link to original source) Full text (in our servers)
  4. Goniewicz ML, Knysak J, Gawron M, Kosmider L, Sobczak A, Kurek J, Prokopowicz A, Jablonska-Czapla M, Rosik-Dulewska C, Havel C, Jacob P 3rd, Benowitz N. Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control. 2014Abstract
  5. Benowitz NL. Emerging nicotine delivery products. Implications for public health. Ann Am Thorac Soc. 2014Abstract
  6. Drummond MB, Upson D. Electronic cigarettes. Potential harms and benefits. Ann Am Thorac Soc. 2014Abstract
  7. Harrell PT, Simmons VN, Correa JB, Padhya TA, Brandon TH. Electronic nicotine delivery systems (\e-cigarettes\): review of safety and smoking cessation efficacy. Otolaryngol Head Neck Surg. 2014Abstract
  8. Besaratinia A, Tommasi S. Electronic cigarettes: the road ahead. Prev Med. 2014Abstract
  9. Hecht SS, Carmella SG, Kotandeniya D, Pillsbury ME, Chen M, Ransom BW, Isaksson Vogel R, Thompson E, Murphy SE, Hatsukami DK. Evaluation of Toxicant and Carcinogen Metabolites in the Urine of e-Cigarette Users Versus Cigarette Smokers. Nicotine Tob Res. 2014Abstract
  10. Carson KV, Brinn MP, Robertson TA, To-A-Nan R, Esterman AJ, Peters M, Smith BJ. Current and emerging pharmacotherapeutic options for smoking cessation. Subst Abuse. 2013Abstract Full text (link to original source) Full text (in our servers)
  11. Rowe H, Baker T, Hale TW. Maternal medication, drug use, and breastfeeding. Pediatr Clin North Am. 2013 Feb;60(1):275-94. 2013Abstract
  12. Sachs HC; Committee On Drugs. The transfer of drugs and therapeutics into human breast milk: an update on selected topics. Pediatrics. 2013Abstract Full text (link to original source) Full text (in our servers)
  13. Einarson A, Riordan S. Smoking in pregnancy and lactation: a review of risks and cessation strategies. Eur J Clin Pharmacol. 2009Abstract
  14. Dahlström A, Ebersjö C, Lundell B. Nicotine in breast milk influences heart rate variability in the infant. Acta Paediatr. 2008Abstract