The transfer of toxic chemicals to breast milk represents an important
, although not widely recognized, chemical exposure route for the infa
nt. For an increasing number of nursing mothers who resume their profe
ssional activities after giving birth, the obvious benefits of breast-
feeding must be evaluated versus the risk of the lactational transfer
of occupational chemicals to the infant. In this article, we review qu
alitative and quantitative data on occupational chemicals that may con
taminate the breast milk of lactating women in the work force, and we
discuss the possible use of physiologically based pharmacokinetic mode
ls to aid in the assessment of risk for infants whose mothers are occu
pationally exposed to chemicals.