EFFECT OF ETHANOL ON UTERINE ACTIVITY DURING SUCKLING IN POST-PARTUM WOMEN

Abstract

ABSTRACT Previous experiments indicated that in the rabbit, prior administration of ethyl alcohol inhibits the release of oxytocin elicited by suckling. According to preliminary studies, the same applies also in the human. In the present studies, the effect of ethanol on the milk-ejection reflex in post-partum women was investigated more thoroughly. The milk-ejection reflex was induced by suckling of the infant. The uterine response, recorded by external tocography, was used as a measure of the oxytocin release. Alcohol was administered by mouth as whisky or brandy in suitable dilutions in amounts varying from 0.5 to 1.1 g/kg body weight. By comparison of the uterine response to endogenous (released) and exogenous (injected) oxytocin, it was estimated that about 100–250 mU oxytocin are released by the suckling stimulus in the early puerperium. When alcohol was administered before the application of the stimulus, the release of oxytocin was partially or completely inhibited, but the uterus continued to respond to exogenous oxytocin. As shown previously in the rabbit, the effect of alcohol must thus be on the central release mechanism of oxytocin and not on the peripheral response of the target organ to oxytocin. The degree of inhibition of the oxytocin release was dependent on the alcohol concentration in the blood. With an average blood alcohol concentration of 0.07 per cent the uterine response to suckling during one nursing period was less than half of that observed under normal conditions.