Breastfeeding 1 Breastfeeding: the best thing you could do for your child Executive Summary Breastfeeding 2 The National Women’s Health Information Center supports breastfeeding and its positive health benefits for both the mother and child. According to the American Academy of Pediatrics; "Human milk is species-specific, and all substitute feeding preparations differ markedly from it, making human milk uniquely superior for infant feeding... Pediatricians and parents should be aware that exclusive breastfeeding is sufficient to support optimal growth and development for approximately the first 6 months of life and provides continuing protection against diarrhea and respiratory tract infection. Breastfeeding should be continued for at least the first year of life and beyond for as long as mutually desired by mother and child... Infants weaned before 12 months of age should not receive cow's milk but should receive iron-fortified infant formula." 1 There is no substitution for human milk. It provides numerous health benefits for children and mothers and is less expensive than the alternative. History Before the industrial revolution, breastfeeding was the only mechanism used for feeding infants. It was not until 1850 that the first commercial artificial baby milks were available.2 For thousands of years man relied on human breast milk for survival. Mothers and wet nurses were concerned with providing adequate nutrition for their children. Throughout history, many alternatives were tried but the infants almost always died. Every generation has tried to modernize this natural process with other substitutions. In 1970 there was a huge decline in breastfeeding rates due to the commercialization and mass advertising of artificial products.3 In a 2008 survey of infants who were 19-35 months, 74 percent were breastfed at birth and 43 percent were breastfed at six months.4 Benefits for the child 1 What are the recommendations about infants drinking milk other than human breastmilk?. (2008, April). ProCon.org. Retrieved March 2, 2009, from http://milk.procon.org/ viewanswers.asp?questionID=822 2 Breastfeeding Timeline. (n.d.). National Alliance for Breastfeeding Advocacy. Retrieved March 2, 2009, from http://www.naba-breastfeeding.org/images/Timeline.pdf 3 Wright, N. E. (2008). A Look at Breastfeeding: Past, Present and Future. In Breastfeeding Articles. Retrieved March 3, 2009, from http://www.breastfeeding.org/articles/alookat.html 4 Breastfeeding Benefits & Barriers: Breastfeeding Statistics in the United States . (2008). Breastfeeding Basics. Retrieved March 2, 2009, from http://www.breastfeedingbasics.org/cgi-bin/deliver.cgi/content/Introduction/sta_us.html Breastfeeding 3 Breast milk provides the perfect amount of nutrition for infants. This natural product includes the appropriate amount of carbohydrates, protein, fat, minerals, vitamins and hormones that infants need. The alternative comes from another animal: a cow. Thus, the infant will not receive the essential nutrients in the necessary amount.5 Breast milk is more easily digestible than any other substitute and it alters in composition to meet the changing nutritional needs of the infant. 6 In a 2008 study, it was confirmed that breast milk can reduce the risk of childhood obesity. This study found that breastfeeding in infancy reduced obesity in 3-year-olds by 30 percent. John Reilly, PhD, a senior lecturer in the Division of Developmental Medicine at the University of Glasgow Medical School, said “breastfeeding is an effective public health strategy for dealing with the current obesity epidemic.”7 Formula feeding increases the likelihood for childhood obesity. According to another study, children that were breastfed exclusively for at least six months had a 60 percent risk reduction for becoming overweight compared with those that were formula fed.” 8 Breast milk provides initial immunization that protects the infant from certain diseases and infections. Numerous studies have shown that breastfeeding reduces the risk of diarrhea, respiratory illnesses and ear infections. Using breast milk as opposed to a substitution may also protect your baby from developing inflammatory bowel disease later in life. Other studies have shown a correlation between lack of breastfeeding in infancy and later development of Crohn’s Disease and ulcerative colitis. Breastfeeding may also reduce the 5 Breast Milk. (2008, November). MedlinePlus. Retrieved March 2, 2009, from http://www.nlm.nih.gov/medlineplus/ency/article/002451.htm 6 Benefits of Breastfeeding . (n.d.). Retrieved March 2, 2009, from http://www.linkagesproject.org/technical/bf_benefits.php 7 Creighton, J. (2002, September). Benefits of breastfeeding confirmed in new research. Nations's Health, 32(7), 1. Retrieved from http://web.ebscohost.com.proxy-um.researchport.umd.edu/ehost/ detail?vid=1&hid=104&sid=0ac07f5e-5aab-4f3b-93944dc2d13593b4%40sessionmgr109&bdata =JmxvZ2lucGFnZT1Mb2dpbi5hc3Amc2l0ZT1laG9zdC1saXZl#db=aph&AN=7241559 8 Risks of Formula Feeding. (n.d.). World Breastfeeding Week. Retrieved March 2, 2009, from http://www.worldbreastfeedingweek.net/wbw2006/pdf/Risks__Final.pdf Breastfeeding 4 likelihood of developing allergies, protect the child from Leukemia and Type 1 Diabetes, and lower the baby’s risk of Sudden Infant Death Syndrome (SIDS).9 Infants that are breastfed have fewer cavities and are less likely to need braces later in life.10 Infants who are not breastfed have a 21 percent higher post-neonatal infant mortality rate in the United States and are more likely to be sick more often and have more doctors’ visits.11 According to the National Institute of Health, “extremely low birth weight premature infants who received breast milk shortly after birth, while still in intensive care units, had greater mental development scores at 30 months than did infants who were not fed breast milk. Premature infants fed breast milk were less likely to have been re-hospitalized after their initial discharge than were the infants not fed breast milk.”12 Breastfeeding premature babies could reduce the initial time spent in the hospital and the number of trips back to the hospital. Not only does breastfeeding provide numerous health benefits for the child, it also stimulates cognitive benefits as well. Breastfed children have been shown to score higher on IQ tests and on tests of visual acuity.13 Overall, breastfeeding has a positive effect on an infant’s biological and cognitive development. Benefits for the mother 9 How breastfeeding benefits you and your baby. (2005, June). Baby Center. Retrieved March 2, 2009, from http://www.babycenter.com/0_how-breastfeeding-benefits-you-and-your-baby_8910.bc 10 Benefits of Breastfeeding. (n.d.). United States Breastfeeding Committee. Retrieved March 2, 2009, from http://www.usbreastfeeding.org/Issue-Papers/Benefits.pdf 11 Breastfeeding. (2009, February). Women'sHealth.gov. Retrieved March 2, 2009, from http://www.womanshealth.gov/breastfeeding/index.cfm?page=227 12 Bock, R. (2007, October). Breast Milk Associated With Greater Mental Development in Preterm Infants, Fewer Re-hospitalizations . In National Institutes of Health. Retrieved March 9, 2009, from http://www.nih.gov/news/pr/oct2007/nichd-01.htm 13 Benefits of Breastfeeding. (n.d.). United States Breastfeeding Committee. Retrieved March 2, 2009, from http://www.usbreastfeeding.org/Issue-Papers/Benefits.pdf Breastfeeding 5 Breastfeeding offers a wide range of benefits for the child as well as the mother. Women who have breastfed are less likely to develop ovarian and pre-menopausal cancers.14 Breastfeeding mothers can also return to their pre-pregnancy weight faster than those that do not breastfeed. Immediately after birth, the repeated suckling of the baby releases oxytocin from the mother's pituitary gland. This hormone signals the breasts to release milk to the baby and produces contractions in the uterus. These contractions prevent postpartum hemorrhage and promote the shrinking of the uterus which initiates the return to normal weight. Bottle-feeding mothers receive artificial oxytocin at birth, but for the next few days, while they are at highest risk of postpartum hemorrhage, they are on their own.15 Mothers who bottle feed have their periods back in six to eight weeks, whereas it takes longer for breastfeeding mothers to start their cycles again. Besides the health benefits for mothers, there are emotional upsides also. Breastfeeding creates an irreplaceable bond between mother and child. It creates a secure-attachment relationship and allows the baby to develop trust and dependence in the mother. What could be more satisfying to a mother then knowing that they are providing their child with the best nutrition possible? Economic benefits It is more affordable to use breast milk, but there are other ways that breastfeeding can be economically beneficial. Children that are breast fed are less likely to get sick so parents will not have to miss as many days from work nor will they have to pay for repeated doctor’s visits. Cost per year16 14 Benefits of Breastfeeding. (n.d.). United States Breastfeeding Committee. Retrieved March 2, 2009, from http://www.usbreastfeeding.org/Issue-Papers/Benefits.pdf 15 Dermer, A. (2001, July). A Well-Kept Secret:Breastfeeding's Benefits to Mothers. In La Leche League International. Retrieved March 2, 2009, from http://www.llli.org//NB/NBJulAug01p124.html 16 Johnson, S. (2001, December). Costs of Infant Feeding . In Breastfeeding Facts. Breastfeeding 6 Breastfeeding (200-500 kcal/d) Formula: Powder (1 lb. can) Concentrate (13 oz can) Ready to feed (32 oz can) Ready to feed (8 oz cans, 4-pack) 1 Child $300 4.06 Million Infants $1,218,000,000 $1,188 $1,512 $1,728 $2,376 $4,823,280,000 $6,138,720,000 $7,015,680,000 $9,646,560,000 Conclusion Breastfeeding is often stigmatized by society as being inappropriate, especially when it is done in a public setting. Those that judge do not realize the long list of benefits that breastfeeding provides to both the mother and the child. It provides nutrients that formula milk does not and creates a strong bond between mother and child. Also, when you breastfeed, there are no bottles and nipples to sterilize. Unlike human milk which comes straight from the breast, infant formula has a chance of being contaminated. "If a multinational company developed a product that was a nutritionally balanced and delicious food, a wonder drug that prevented and treated disease, cost almost nothing to produce and could be delivered in quantities controlled by the consumers' needs, the very announcement of their find would send their shares rocketing to the top of the stock market. The scientists who developed the product would win prizes and the wealth and influence of everyone involved would increase dramatically. Women have been producing such a miraculous substance, breast milk, since the beginning of human existence."17 Mothers should start breastfeeding their infant immediately after birth. Breastfeeding can benefit your child’s health and intelligence in the long run without emptying your wallet. Also, by breastfeeding, one can return to their pre-pregnancy weight quicker than if they were bottlefeeding. Breast milk is the most beneficial thing you could do for your child and it is not an alternative: it is the best option. 17 Retrieved March 2, 2009, from http://www.breastfeeding.org/bfacts/costs.html Breastfeeding. (n.d.). Kellymom.com: Breastfeeding & Parenting. Retrieved March 2, 2009, from http://www.kellymom.com/writings/breastfeeding/bfquotes.html Breastfeeding 7 References Benefits of Breastfeeding . (n.d.). Retrieved March 2, 2009, from http://www.linkagesproject.org/technical/bf_benefits.php Benefits of Breastfeeding. (n.d.). United States Breastfeeding Committee. Retrieved March 2, 2009, from http://www.usbreastfeeding.org/Issue-Papers/Benefits.pdf Bock, R. (2007, October). Breast Milk Associated With Greater Mental Development in Preterm Infants, Fewer Re-hospitalizations . In National Institutes of Health. Retrieved March 9, 2009, from http://www.nih.gov/news/pr/oct2007/nichd-01.htm Breastfeeding. (n.d.). Kellymom.com: Breastfeeding & Parenting. Retrieved March 2, 2009, from http://www.kellymom.com/writings/breastfeeding/bfquotes.html Breastfeeding. (2009, February). Women'sHealth.gov. Retrieved March 2, 2009, from http://www.womanshealth.gov/breastfeeding/index.cfm?page=227 Breastfeeding Benefits & Barriers: Breastfeeding Statistics in the United States . (2008). Breastfeeding Basics. Retrieved March 2, 2009, from http://www.breastfeedingbasics.org/cgi-bin/deliver.cgi/content/Introduction/sta_us.html Breastfeeding Timeline. (n.d.). National Alliance for Breastfeeding Advocacy. Retrieved March 2, 2009, from http://www.naba-breastfeeding.org/images/Timeline.pdf Breast Milk. (2008, November). MedlinePlus. Retrieved March 2, 2009, from http://www.nlm.nih.gov/medlineplus/ency/article/002451.htm Creighton, J. (2002, September). Benefits of breastfeeding confirmed in new research. Nations's Health, 32(7), 1. Retrieved from http://web.ebscohost.com.proxy-um.researchport.umd.edu/ehost/ detail?vid=1&hid=104&sid=0ac07f5e-5aab-4f3b-93944dc2d13593b4%40sessionmgr109&bdata =JmxvZ2lucGFnZT1Mb2dpbi5hc3Amc2l0ZT1laG9zdC1saXZl#db=aph&AN=7241559 Dermer, A. (2001, July). A Well-Kept Secret:Breastfeeding's Benefits to Mothers. In La Leche League International. Retrieved March 2, 2009, from http://www.llli.org//NB/NBJulAug01p124.html How breastfeeding benefits you and your baby. (2005, June). Baby Center. Retrieved March 2, 2009, from http://www.babycenter.com/0_how-breastfeeding-benefits-you-and-your-baby_8910.bc Johnson, S. (2001, December). Costs of Infant Feeding . In Breastfeeding Facts. Retrieved March 2, 2009, from http://www.breastfeeding.org/bfacts/costs.html Risks of Formula Feeding. (n.d.). World Breastfeeding Week. Retrieved March 2, 2009, from http://www.worldbreastfeedingweek.net/wbw2006/pdf/Risks__Final.pdf What are the recommendations about infants drinking milk other than human breastmilk?. (2008, April). ProCon.org. Retrieved March 2, 2009, from http://milk.procon.org/ viewanswers.asp?questionID=822 Wright, N. E. (2008). A Look at Breastfeeding: Past, Present and Future. In Breastfeeding Articles. Retrieved March 3, 2009, from http://www.breastfeeding.org/articles/alookat.html