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Infants should be exclusively breastfed for the first six months.
It is a global public
health recommendation that infants should be exclusively breastfed
for the first six months of life to achieve optimal growth,
development, and health and should receive nutritionally adequate
and safe complementary foods while breastfeeding continues for up to
two years of age or beyond.
World Health
Organization. Global strategy on infant and young child feeding.
2002-4;13.10.
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Mothers milk
cannot be duplicated
Mothers milk cannot be
duplicated because, in reality, no two mothers produce
identical milk. Even the milk of an individual mother varies from
day to day and during different times of the day - just as other
fluids and systems in our bodies fluctuate.(Harzer,G:
Changing patterns of human milk lipids in the course of lactation
and during the day. AM J Clin Nutr 1983; 37:612-21.)
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Support from family members, employers, and the media makes a
significant difference in the success of the breastfeeding mother.
Print media contributes to the perception that formula feeding is the
norm. Representations of breasts as sexual objects in the media
powerfully interact with beliefs about the inappropriateness of
breastfeeding in public. The opinion of the father can either support or
dissuade a woman’s decision to breastfeed. The grandmother can also play
a key role in a mother’s choice to breastfeed. To achieve the Healthy
People 2010 goals, there must be a shift in cultural norms and
structures at all levels to support breastfeeding for all women.
Bentley, M.E. et al.
Breastfeeding among low income, African-American women:power, beliefs
and decision making. J. Nutrition 2003: 133:305S-9S
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Support from health professionals and lay counselors make a significant
difference in outcomes for the breastfeeding mother and her baby.
In a survey conducted
by the Australian Breastfeeding Association (Formerly NMAA), there
were five areas of need as defined by mothers’ reports: reassurance
(58.6%), feed frequency (26.5%), positioning and attachment (18.1%),
looking after yourself (16.3 %) and fatigue/tiredness (15.3%). Peer
counseling by skilled, trained women with supportive resources can
build confidence as well as help mothers overcome technical
difficulties, such as low milk supply.
Grieve, V. and Howarth, T.
The counseling needs of women. Breastfeeding review 2000; 8
(2):9-15.
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Research shows a relationship between breastfeeding and weight control
later in life.
There are three
possible explanations for an association between breastfeeding and
reduced risk of obesity at an older age. Breastfed infants may
self-regulate their intake; breastfed infants have lower plasma insulin
levels, which stimulates greater adipose tissue deposition; and
breastfed infants have an increased level of leptin, a protein hormone
in human milk. Leptin is thought to be a key regulator of appetite and
body fatness. In reviewing 11 studies, 8 showed a lower risk of obesity
in children who had been breastfed.
Dewey, K.G. Is breastfeeding protective against child
obesity? J Human Lact 2003; 19 (1) 9-18.
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Breastfeeding is protective against SIDS
While it is unclear why
breastfeeding is protective against SIDS it is clear that breastfed
infants are healthier than their bottle-fed counterparts. Possibilities
are the protective effect of IgA on bacterial toxins, the presence of
long chain polyunsaturated fatty acids, faster development of the
central nervous system, and the benefit of tactile stimulation during
night feeds.
Kum-Nji, P.et al.
Reducing the incidence of Sudden Infant Death Syndrome in the delta
region of
Mississippi: A three-pronged approach. South Med J 2001-7; 94 (&);
704-10.
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Human milk supports optimal infant growth and development, with many
benefits extending well beyond infancy.
Breastfeeding for eight months or more resulted in a significant
increase in the verbal and performance IQ scores in children at 7-8
years. Breast milk provides some long-term cognitive benefits.
Horwood, L. J. et al.
Breast milk feedings and cognitive ability at 7-8 years. Arch Dis Child
Fetal Neonatal Ed
2001:84:423-27.
In identifying
environmental factors impacting the onset of Type 1 Diabetes, exclusive
breastfeeding immediately after birth was significantly protective,
decreasing the risk of childhood diabetes.
McKinney, P.A. et al.
Perinatal and neonatal determinants of Childhood Type 1 Diabetes.
Diabetes Care 1999; 22 (6):938-32.
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There are unique immune factors present in human milk that protect the
infant and benefit society by reduced health care costs.
In reviewing office
visits for lower respiratory tract illness, otitis media and
gastrointestinal illness between never breastfed and exclusively
breastfed infants for the first three months of life, there were 2,033
excess office visits, 212 excess days of hospitalization, and 609 excess
prescriptions for those never breastfed. The extra cost is between $331
and $475 per never breastfed infant from a managed health care system.
Ball, T.M. & Wright,
A.L. Health care costs of formula-feeding in the first year of life.
Pediatrics 1999; 103 (4):
870-76.
Research has
shown that breastfed children are less susceptible to dental caries than
their bottle-fed counterparts and are less likely to need orthodontic
treatments.
(Labbok, M.H.,
Hendershot, G.E.: Does breastfeeding protect against malocclusion? An
analysis of the 1981 Child Health Supplement to the National Health
Interview Survey. Am J Prev Med 1987;3 (4):227-232.)
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Breastfeeding provides life-long advantages.
Helicobacter pylori is
recognized as a major cause of gastric cancer, gastritis, and peptic
ulcer disease in adults and is thought to be acquired in childhood.
Adults who were breastfed in infancy were less likely to be seropositive
for Helicobacter pylori than others not breastfed.
Fall, C.H.D. et al, Growth in
infancy, infant feeding, childhood living conditions, & Helicobacter
pylori Infection at age 70. Arch Dis Child 1997; 77(4); 310-14.
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Breastfeeding for at
least 16 months substantially reduced the premenopausal breast cancer
risk of women who were not treated for nausea or vomiting of pregnancy.
Enger, S.M. et al. Breastfeeding
hisotry, pregnancy experience and risk of breast cancer. Br J Cancer
1997; 76(1);118-23.
Supplemental calcium
does not prevent bone loss during lactation and does not benefit
lactating women more than non-lactating women. Bone density
increases after weaning both in women who receive calcium
supplementation and in those who do not.
Kalkwart, H.J. et al. The
effect of calcium supplementation on bone density during lactation
and after weaning. N Eng J Med 1997;337(8)523-28.
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Breastfeeding mothers talk to, touch and interact more with their
babies. Studies show that they also respond more quickly to
their babies cries and are more affectionate towards their babies.
(Virden,S.F.
The relationship between infant feeding method and maternal role
adjustment.J Nurs Midwif 1988;33(1):31-35.)
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