What is the current recommendation by the American Society of Anesthesiologists for the minimum fasting period before surgery for breast milk?

The American Society of Anesthesiologists recommends a minimum fasting period of 4 hours before surgery for breast milk. This guideline is based on the understanding that breast milk is digested relatively quickly compared to solid foods, and therefore the risk of aspiration during anesthesia is lower if the fasting period is adhered to. The 4-hour window provides sufficient time for the stomach to empty, ensuring that the patient is in a safer state for anesthesia, while also acknowledging the unique nutritional needs of infants and mothers. This approach reflects a balance between patient safety and practicality, especially for those who are breastfeeding.