World Breastfeeding Month

August is World Breastfeeding Month! If you didn't already know, I am a huge breastfeeding advocate. I nursed Logan for 10 months and I am still nursing Aila. Here are the ABC's of breastfeeding that I found on another site, which share just 26 of the numerous benefits breastfeeding provides to baby, mom, family and community. The World Health Organization recommends exclusive breastfeeding for the first 6 months and continuing to breastfeed for at least the first 2 years. The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months and continuing to breastfeed for at least the first year.

The ABC's of Breastfeeding!

A - Antibodies… The antibodies in breast milk help protect baby from diseases mom has been exposed to.
B - Bonding… Breastfeeding produces mothering hormones that help mom and baby bond.
C - Cancer… Breastfeeding reduces a mother's risk of breast, cervical, and ovarian cancer.
D - Disaster… Breastfeeding can be the difference between life and death in a natural disaster or emergency, when clean water and electricity may not be available.
E - Environment… Breastfeeding protects the environment because there is no energy used to manufacture, package, ship, or heat breast milk and no formula containers to fill up landfills.
F - Free! Breast milk doesn't cost a thing! Compare that to $1000 a year or more spent on formula.
G - Getting out… a breastfeeding mother can get out of the house with fewer things to pack in the diaper bag.
H - Hemorrhage …Breastfeeding within the first hour after birth can reduce a mother's risk of hemorrhaging as breastfeeding causes a release of oxytocin, helping the uterus to clamp down.
I - Illnesses… Breastfed babies are less likely to develop ear infections, respiratory infections, Type 2 Diabetes, childhood obesity, allergies, asthma, and other illnesses.
J - Jaundice… Breastfeeding is the best way to overcome jaundice. Colostrum acts as a laxative which helps move bilirubin out of the baby's system quickly.
K - Keeps fresh…Breast milk contains substances that keep it fresh for up to 10 hours at room temperature and up to a week in the refrigerator.
L - Lowers blood pressure…The oxytocin produced by the breastfeeding mother can lower her blood pressure.
M - Menses… Breastfeeding can prevent postpartum menses for months.
N - Nutrition… Breast milk is perfectly made to contain all the nutrients, in the right amounts, that a baby needs.
O - Oral health… Breastfeeding helps promote healthy and normal growth of the palate and jaw muscles to promote proper speech and jaw alignment.
P - Post Partum Depression… Mothers who breastfeed decrease their risk and severity of post partum depression.
Q - Quick …No formula to mix, no bottles to prepare and heat. Breast milk is ready to serve at all times.
R - Relaxing… Breastfeeding is a quick and easy way to calm an upset baby.
S - Smarter… Children who were breastfed on average score higher on IQ tests.
T - Taste… Breast milk changes flavors based on mom's diet which introduces baby to a variety of tastes from early on.
U - Unexplained Death… Babies who are breastfed are at a decreased risk of dying from SIDS.
V - Varied… Breast milk is perfect for the nursing child at every age, as it changes consistency throughout the nursing relationship to meet their specific nutritional needs.
W - Weight loss… A woman uses around 500 calories a day producing breast milk which can help with postpartum weight loss.
X - Xtra special ingredients… Scientists are constantly discovering new nutrients found in breast milk that are not included in formulas.
Y - Yeast… Breastfeeding can prevent some cases of yeast infections, also known as thrush.
Z - Zzzzzzz! Moms and dads get more sleep when they don't have to get out of bed to fix bottles for nighttime feedings!

Here is also a list of breastfeeding myths. I think #1 is the biggest one I come across with women thinking they don't make enough milk. Many women are told that they are not making enough milk, even when the baby is getting plenty to grow and thrive. This often happens if the mother is not able to express much milk, if she doesn’t feel a let-down reflex, if she doesn’t leak much, if the baby seems hungry in only an hour, if the baby starts spending less time at the breast, or if the baby still enjoys a bottle after nursing. Most of the time, these are false alarms. I was also affected by myth 16 this year when I was told I could not nurse for 10 days during my pneumonia. It turns out both my doctor and pharmacists were wrong and I could have nursed that whole time!

1. Many women do not produce enough milk.

Not true! The vast majority of women produce more than enough milk. Indeed, an overabundance of milk is common. Most babies that gain too slowly, or lose weight, do so not because the mother does not have enough milk, but because the baby does not get the milk that the mother has. The usual reason that the baby does not get the milk that is available is that he is poorly latched onto the breast. This is why it is so important that the mother be shown, on the first day, how to latch a baby on properly, by someone who knows what they are doing.

2. It is normal for breastfeeding to hurt.

Not true! Though some tenderness during the first few days is relatively common, this should be a temporary situation which lasts only a few days and should never be so bad that the mother dreads nursing. Any pain that is more than mild is abnormal and is almost always due to the baby latching on poorly. Any nipple pain that is not getting better by day 3 or 4 or lasts beyond 5 or 6 days should not be ignored. A new onset of pain when things have been going well for a while may be due to a yeast infection of the nipples. Limiting feeding time does not prevent soreness.

3. There is no (not enough) milk during the first 3 or 4 days after birth.

Not true! It often seems like that because the baby is not latched on properly and therefore is unable to get the milk. Once the mother's milk is abundant, a baby can latch on poorly and still may get plenty of milk. However, during the first few days, the baby who is latched on poorly cannot get milk. This accounts for "but he's been on the breast for 2 hours and is still hungry when I take him off". By not latching on well, the baby is unable to get the mother's first milk, called colostrum. Anyone who suggests you pump your milk to know how much colostrum there is, does not understand breastfeeding, and should be politely ignored.

4. A baby should be on the breast 20 (10, 15, 7.6) minutes on each side.

Not true! However, a distinction needs to be made between "being on the breast" and "breastfeeding". If a baby is actually drinking for most of 15-20 minutes on the first side, he may not want to take the second side at all. If he drinks only a minute on the first side, and then nibbles or sleeps, and does the same on the other, no amount of time will be enough. The baby will breastfeed better and longer if he is latched on properly. He can also be helped to breastfeed longer if the mother compresses the breast to keep the flow of milk going, once he no longer swallows on his own. Thus it is obvious that the rule of thumb that "the baby gets 90% of the milk in the breast in the first 10 minutes" is equally hopelessly wrong.

5. A breastfeeding baby needs extra water in hot weather.

Not true! Breastmilk contains all the water a baby needs.

6. Breastfeeding babies need extra vitamin D.

Not true! Except in extraordinary circumstances (for example, if the mother herself was vitamin D deficient during the pregnancy). The baby stores vitamin D during the pregnancy, and a little outside exposure, on a regular basis, gives the baby all the vitamin D he needs.

7. A mother should wash her nipples each time before feeding the baby.

Not true! Formula feeding requires careful attention to cleanliness because formula not only does not protect the baby against infection, but also is actually a good breeding ground for bacteria and can also be easily contaminated. On the other hand, breastmilk protects the baby against infection. Washing nipples before each feeding makes breastfeeding unnecessarily complicated and washes away protective oils from the nipple.

8. Pumping is a good way of knowing how much milk the mother has.

Not true! How much milk can be pumped depends on many factors, including the mother's stress level. The baby who nurses well can get much more milk than his mother can pump. Pumping only tells you have much you can pump.

9. Breastmilk does not contain enough iron for the baby's needs.

Not true! Breastmilk contains just enough iron for the baby's needs. If the baby is full term he will get enough iron from breastmilk to last him at least the first 6 months. Formulas contain too much iron, but this quantity may be necessary to ensure the baby absorbs enough to prevent iron deficiency. The iron in formula is poorly absorbed, and most of it, the baby poops out. Generally, there is no need to add other foods to breastmilk before about 6 months of age.

10. It is easier to bottle feed than to breastfeed.

Not true! Or, this should not be true. However, breastfeeding is made difficult because women often do not receive the help they should to get started properly. A poor start can indeed make breastfeeding difficult. But a poor start can also be overcome. Breastfeeding is often more difficult at first, due to a poor start, but usually becomes easier later.

11. Breastfeeding ties the mother down.

Not true! But it depends how you look at it. A baby can be nursed anywhere, anytime, and thus breastfeeding is liberating for the mother. No need to drag around bottles or formula. No need to worry about where to warm up the milk. No need to worry about sterility. No need to worry about how your baby is, because he is with you.

12. There is no way to know how much breastmilk the baby is getting.

Not true! There is no easy way to measure how much the baby is getting, but this does not mean that you cannot know if the baby is getting enough. The best way to know is that the baby actually drinks at the breast for several minutes at each feeding (open--pause--close type of suck). You can also weigh the baby before and after a feeding.

13. Modern formulas are almost the same as breastmilk.

Not true! The same claim was made in 1900 and before. Modern formulas are only superficially similar to breastmilk. Every correction of a deficiency in formulas is advertised as an advance. Fundamentally formulas are inexact copies based on outdated and incomplete knowledge of what breastmilk is. Formulas contain no antibodies, no living cells, no enzymes, no hormones. They contain much more aluminum, manganese, cadmium and iron than breastmilk. They contain significantly more protein than breastmilk. The proteins and fats are fundamentally different from those in breastmilk. Formulas do not vary from the beginning of the feed to the end of the feed, or from day 1 to day 7 to day 30, or from woman to woman, or from baby to baby. Your breastmilk is made as required to suit your baby. Formulas are made to suit every baby, and thus no baby. Formulas succeed only at making babies grow well, usually, but there is more to breastfeeding than getting the baby to grow quickly.

14. If the mother has an infection she should stop breastfeeding.

Not true! With very, very few exceptions, the mother’s continuing to breastfeed will protect the baby. By the time the mother has fever (or cough, vomiting, diarrhea, rash, etc) she has already given the baby the infection, since she has been infectious for several days before she even knew she was sick. The baby's best protection against getting the infection is for the mother to continue breastfeeding. If the baby does get sick, he will be less sick if the mother continues breastfeeding. Besides, maybe it was the baby who gave the infection to the mother, but the baby did not show signs of illness because he was breastfeeding. Also, breast infections, including breast abscess, though painful, are not reasons to stop breastfeeding. Indeed, the infection is likely to settle more quickly if the mother continues breastfeeding on the affected side.

15. If the baby has diarrhea or vomiting, the mother should stop breastfeeding.

Not true! The best medicine for a baby's gut infection is breastfeeding. Stop other foods for a short time, but continue breastfeeding. Breastmilk is the only fluid your baby requires when he has diarrhea and/or vomiting, except under exceptional circumstances. The push to use "oral rehydrating solutions" is mainly a push by the formula manufacturers (who also make oral rehydrating solutions) to make even more money. The baby is comforted by the breastfeeding, and the mother is comforted by the baby's breastfeeding.

16. If the mother is taking medicine she should not breastfeed.

Not true! There are very very few medicines that a mother cannot take safely while breastfeeding. A very small amount of most medicines appears in the milk, but usually in such small quantities that there is no concern. If a medicine is truly of concern, there are usually equally effective, alternative medicines that are safe. The loss of benefit of breastfeeding for both the mother and the baby must be taken into account when weighing if breastfeeding should be continued.