Nicotine replacements

Nicotine easily crosses into breast milk. For people who smoke, cigarettes cause high levels of nicotine in breast milk and can even change the taste of breast milk. Smoking can decrease milk production and increase chances of colic in the baby. Smoking is associated with the risk of sudden infant death syndrome (SIDS). Quitting smoking is the safest option for your baby. Resources are available to support you in reaching your goals.

Nicotine replacement therapy (NRT) is the use of patches, gum, lozenges and other forms of nicotine to help people who smoke quit. While use of nicotine products isn't recommended in people who breastfeed, NRT is safer than smoking. When NRT is used, babies are exposed to less nicotine and aren't exposed to other chemicals found in cigarette smoke. Nicotine levels in NRT can vary greatly depending on the product. Shorter acting options such as gum or lozenges are favored if appropriate. Talk to your healthcare professional about the best NRT option for you while breastfeeding.