
One of the most important decisions expectant parents have to make is whether or not to breastfeed their baby. Every perspective mother with her significant partner should make a decision based on what is best for them and their baby, after becoming educated about both breastfeeding and formula feeding.
According to Director-General Lee Jong-wook of the World Health Organization (WHO)
1,“On a population-basis, exclusive breastfeeding for six months is the recommended feeding mode for the vast majority of children, followed by continued breastfeeding with appropriate complementary foods for up to two years or beyond.”
The goal of UNICEF
2, the United Nations Children’s Fund (UNICEF) is to “create an environment globally that empowers women to begin skin-to-skin with her baby and breastfeed after birth, to breastfeed exclusively for the first six months and to continue to breastfeed for two years of more with age appropriate responsive complimentary feeding.”
While the American Academy of Pediatrics (AAP) does not mention breastfeeding for at least two years, they do say that babies should be exclusively breastfed for the first six months and continue to be breastfed for at “at least the first year of life and beyond for as long as mutually desired by mother and child.”
They advise that healthy, breastfeeding newborn infants should not consume additional supplements, such as water, formula, and other fluids during the first six months.
One benefit of breastfeeding is that a mother’s milk is a precious gift that is intended for a baby’s nourishment and designed for each individual baby. There have been many scientific studies done, which show the health benefits related to breastfeeding.
There are many advantages and some challenges of breastfeeding.
Some breastfeeding advantages are:
Health benefits for mothersNursing mothers return to their pre-pregnancy shape faster than non-nursing mothers, since it burns an average of 500 calories per day and shrinks the uterus. Mothers significantly reduce the risk of osteoporosis, breast cancer and possibly uterine and ovarian cancer.
Infection-fightingSpecific nutrients and antibodies change daily, based on the baby’s needs during development. Breastfed babies significantly reduce their risk of becoming ill.
Nutrition and easily digestible There are over 100 ingredients that are not found in formula and cannot be duplicated. The main ingredients are lactose, protein, and fat. All of the ingredients in both breast milk and formula can be found online at: www.compleatmother.com/canned_vs_breast.htm.
Obesity preventionAll babies have an instinctive survival need to suck. Therefore, when given a bottle they have a tendency to suck until the bottle is empty, not when they are full. Nursing babies suck until full. The practice of eating until all food is gone versus, eating until full is a common contributor to obesity.
Reduced costsThere is no cost for breast milk, compared to $1500 or more for the cost of formula for the first year. There are less medical expenses and less time off for working parents, due to the baby’s increased immune system.
ConvenienceThe beauty of breastfeeding is that it can be done anywhere, at any time. It is more socially acceptable to nurse in public places with a certain amount of modesty and respect for other people. With some practice, breastfeeding can be easily integrated into a mother’s daily routine.
Environmentally friendlyThere is less waste, less energy consumption, and no preparation with breastfeeding (unless pumping and bottle feeding).
Higher IQ scores Studies have been done linking babies who exclusively breastfed for at least six months or more to a higher brain and nervous system development. Breastfeeding also increases the emotional bond between a mother and baby.
Introduces babies to a variety of tastesThe well-balanced diet a nursing mother is supposed to eat is passed to a baby through her breast milk.
Some breastfeeding challenges are:
Comfort levelMost mothers do not have a high comfort level when breastfeeding at first, which is normal. Some will encounter difficulty and soreness, but with lots of practice, proper education, and support, feeling comfortable will come with time and patience.
ConsumptionSome babies experience mild or serious side effects from breast milk, caused by something a mother has consumed. Fortunately, a mother can try to avoid this by eliminating certain foods and beverages from her diet. Eliminating coffee and other caffeinated beverages might be difficult for some, but most babies are not affected when the dose consumed is in small quantities.
Time and energyInfants nurse every couple of hours and are very dependent on mothers. Breastfeeding definitely requires a lot of time and energy, both emotionally and physically. It consists of nursing or pumping when separated from the baby. Some mothers find it an inconvenience to pump while they are away, although the convenience is that other caregivers can give a bottle. As babies get older it gets easier, since they nurse less often.
Maternal complications or other circumstancesMost mothers are able to successfully breastfeed, although medical conditions, medication, and breast surgery may or may not have an effect. If a mother has any questions or concerns about breastfeeding it is best to talk to their doctor or a lactation consultant.
Breastfeeding education and support should begin before a child’s birth if a mother chooses to breastfeed or is undecided.
Some ways to prepare are: - Attend a breastfeeding class in your local community or local hospital.
- Locate a professional lactation consultant online at www.ilca.org.
- Locate a local La Leche League group or online at www.llli.org.
- Call the Loving Support Breastfeeding Help Line at 1-888-451-2499.
- Find a Baby-Friendly Hospital or Birth Center online at www.babyfriendlyusa.org.
There are many additional resources available and people that are dedicated to supporting breastfeeding mothers and their partners if you take the time to reach out. This is also true once breastfeeding has already been established.
WHO and UNICEF are the global sponsors of the Baby-Friendly Hospital Initiative (BFHI), which “encourage and recognize hospitals and birthing centers that offer an optimal level of care for lactation.”
Real life story – Teresa Gann
Teresa Gann gave birth to her daughter, Memphis at Kaiser Permanente Riverside Medical Center, which received the Baby-Friendly Award this February.
Despite some of the difficulty she first had with nursing, she had lots of support and encouragement from her hospital and did not give up. She nursed her daughter until she was 13-months-old.
Real life story – Nicole Rafferty
Nicole Rafferty is a Certified Childbirth/Lactation Educator and Doula who breastfed her three boys. She feels that nursing needs to be a personal decision, and no matter how long a mother decides to nurse her baby will be beneficial.
“There is not one study that shows any harm from long-term breastfeeding,” she said. “The bonding, immunities, and extra nutrition you get with nursing definitely outweigh the sacrifice.”
She believes that nursing is a baby’s first social interaction and a way to learn to connect, which plays a major part in their growth development.
Nicole is a wonderful resource to help mothers find success in breastfeeding. For more information, please visit her website at: www.mamarhythms.com.
Real life story – Jennifer FernandezJennifer Fernandez had good intentions to breastfeed her son, Brandon until he was 18-months-old. Unfortunately, she did not find success with it. She did not produce enough milk, even after trying different herbal medications, prescriptions, and pumping after every feeding.
When Brandon was four weeks old and not gaining adequate weight, Jennifer began supplementing with a formula feeding system. When he was six weeks old, she switched to a bottle and stopped nursing completely.
“The reason I stopped was because I was doing all this work and not seeing any reward for it,” she said. “No matter what I did my milk supply wouldn’t increase, which was very disappointing.”
Sometimes Jennifer wonders if she had tried a little longer to continue breastfeeding, if it would have worked out. She said with her next child she will put in even more of an effort.
Breastfeeding is definitely the best choice, although there are some mothers that cannot breastfeed for one reason or another and have no other choice than to give their baby formula. Those who have truly tried breastfeeding, gave it their best, and did not find success should not feel guilty. The key is doing what is best for both mother and baby.
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1 WHO is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends. For more information, please visit: www.who.int.
2 UNICEF is mandated by the United Nations General Assembly to advocate for the protection of children's rights, to help meet their basic needs and to expand their opportunities to reach their full potential. For more information, please visit: www.unicef.org.
*Note: Photo above is of me nursing Ethan shortly after his birth. He is now 14-months-old and still nursing.