Breastfeeding 

Breastfeeding has benefits for both mother and baby. Although it takes a little learning, it is not difficult, and the vast majority of women can breastfeed if they wish. It is medically superior, inexpensive and convenient. And yet breastfeeding rates are not what we believe they should be.

According to 2012 data, 76.9% of infants in the United States were ever breast-fed. However by six months of age, this decreased to 47.2% % and by 12 months of age, it decreased to 25.5%.

 

 

" The American Academy of Pediatrics believes that breastfeeding is the optimal source of nutrition through the first year of life. We recommend exclusively breastfeeding for about the first six months of a baby's life, and then gradually adding solid foods while continuing breastfeeding until at least the baby's first birthday." 

reference : The position of the American Academy of Pediatrics on Breastfeeding 

 

On the one hand, breastfeeding is natural. On the other hand, knowledge about the process, support from others, and coaching while you are learning really help. You also need to know that there are lots of myths out there about breastfeeding. Be skeptical and check your facts before believing anything outlandish.

Some people have social inhibitions about breastfeeding, but it is entirely possible to manage very discreetly, if that is what you feel is required.

Why should you be committed to breastfeeding ? 

Benefits of Breastfeeding to Baby 

Breast milk provides the perfect mix of vitamins, protein, and fat that your baby needs to grow.

Colostrum that your breasts make during the first few days after childbirth helps your newborn’s digestive system grow and function.

Antibodies from that help your baby’s immune system fight off viruses and bacteria. These antibodies are tailor made for baby to handle whatever mom has recently been exposed to. 

Breast milk is easier to digest than formula.

Breastfeeding decreases the risk of sudden infant death syndrome (SIDS).

Preterm babies do better with breast milk

Benefits of breastfeeding to Mom

During breastfeeding, the hormone oxytocin is released. This is nature's way of causing the uterus to contract to minimize maternal blood loss after delivery. It also stimulates affectionate feelings. 

Breastfeeding may help with postpartum weight loss.

Women who breastfeed have lower rates of breast cancer, ovarian cancer, heart disease and rheumatoid arthritis.

Breastfeeding saves time and money. 

 

Learning to breastfeed 

By 36 weeks of gestation, it is wise to have a class on breastfeeding under your belt. 

It is good idea to request support from your partner, family members and friends. You may not always get their support, but to make your request and state your intention is a good step. 

At the time of labor, make your intentions known to your caregivers. Your nurses and even your doctor will be good resources in this regard. You will receive assistance in getting the baby on to latch in the first couple days. Most labor and delivery units have a lactation consultant  available, and you should ask for a consultation with them. They are full of helpful tips. 

Healthy newborns have good breastfeeding instincts. It is helpful to have skin to skin contact at the breast as soon as possible after delivery. This is considered a " best practice ' in hospitals. Latching within the first hour has been shown to be helpful in establishing breastfeeding. 

Breastfeeding will make your nipples tender, so take heed to those who help you with your latch and advise you on the length of time to nurse. Be encouraged that nipples heal quickly and are much stronger in about a week to ten days. After your milk roars in around day four, it will get much easier. 

Issues in breastfeeding 

You will need to eat 400-500 more calories a day to make milk and heal. 

There are good birth control methods compatible with breastfeeding. 

Mastitis is infection in the breast and should be addressed right away. It is heralded by a hot, red, painful lump and a feeling of feverishness. 

You must be mindful of what you put in your body. Smoking and alcohol pass to the baby. Medications should be discussed with your doctor. 

Breastfeeding and full time work are completely compatible. You may learn to pump your milk anytime after about a month when your supply will be fully established. 

" By law, your employer is required to provide a reasonable amount of break time and a place to express milk as frequently as needed for up to 1 year following the birth of a child. The space provided by the employer cannot be a bathroom, and it must be shielded from view and free from intrusion by coworkers or the public. You also will need a safe place to store the milk properly. During an 8-hour workday, you should be able to pump enough milk during your breaks. " 

 

Great Breastfeeding References: 

A downloadable handout : Breastfeeding Your Baby, ACOG FAQS from the the American College of Obstetricians and Gynecologists 

Breastfeeding, by the Bump 

Baby Center Breastfeeding Basics 

WebMD Breastfeeding Overview 

Healthychildren.org on Breastfeeding from the American Academy of Pediatrics 

Breastfeeding by MedlinePlus