North American Registry of Midwives (NARM) Practice Exam

Should a woman who smokes consider breastfeeding her infant?

1. No, it is completely unsafe

2. Yes, the benefits outweigh the risks

3. Only after quitting smoking for several months

4. Yes, but only in moderation

The correct answer is: Yes, the benefits outweigh the risks

The recommendation that a woman who smokes should consider breastfeeding her infant, as the benefits outweigh the risks, is based on a variety of factors. Breastfeeding provides numerous advantages for both the mother and the infant, including essential nutrients, antibodies, and bonding opportunities. While smoking does pose certain risks to the breastfeeding relationship, the evidence suggests that the act of breastfeeding can still offer significant health benefits to the infant. Research indicates that even infants of mothers who smoke can gain advantages from breast milk compared to those who are formula-fed. Furthermore, breastfeeding can act as a protective factor against some of the negative impacts of smoking, such as higher rates of respiratory infections. It is crucial for mothers who smoke to be informed about strategies to reduce the risk to their infants, such as smoking immediately after breastfeeding, ensuring a smoke-free environment, and considering cessation programs. This approach allows mothers to provide the benefits of breastfeeding while managing the risks associated with smoking. Overall, while it’s vital to encourage cessation of smoking for the health of both the mother and the child, the option to breastfeed remains a valid choice, as it offers significant, documented benefits that can positively impact infant health.