The American Academy of Pediatrics issued its latest white paper on breastfeeding last week. The most important quote, and for me an obvious statement, is that breastfeeding is a “public health issue and not (just) a lifestyle choice.” Breast feeding benefits public health by decreasing infectious disease (breast fed children are less lightly to have digestive-tract illnesses and probably less lightly to get ear infections) and by providing better nutrition (breast fed babies get optimal nutrition and have less obesity in the long term.)
I have seen over 40,000 newborns and have always thought that breastfeeding was the healthiest choice for babies in most cases. My wife and I were lucky that we were both breastfed in spite of being born at mid-20th century to middle class families when bottle feeding (especially with the expensive formulas such as Similac and Sobee) was widely advertised as “classy” alternatives to both evaporated milk and breast milk. Our mothers were comfortable with breastfeeding. My wife, who was a busy gynecologic surgeon, and who went back to work less than a month after each of our 4 children was born, breastfed until our children self-weaned around 9 to 12 months. My wife pumped at work during the day and just fed the children by breast when she was home. Finding an appropriate place to pump at work is a big problem for many but she was lucky to have her own office.
Recently, the Healthy Kids blog featured an interview with Esther Chung, MD, MPH, of Jefferson University Hospitals, about ways expectant mothers (and their partners) can prepare for successful breastfeeding. As Dr. Chung said, nursing may be natural, but it isn’t always easy. The number of breastfeeding failures is sky high with less than ½ of initial breast feeding mothers still breastfeeding from the breast, not a bottle, by 2 months. Here are some ways to keep going once you’ve started nursing.
Is my baby getting enough milk? Trust Nature – and know the signs. These days I see many mothers who bottle-feed with breast milk because it is “easier.” Pumping and storing breast milk for times when someone else has to feed your baby, or for when you’re sick or otherwise can’t nurse, is a great idea because it keeps up your milk production while giving your baby this wonderful food. But more and more moms are bottlefeeding their own breastmilk to their babies because they’re concerned with measuring the exact amount their baby is receiving. In a culture obsessed with measuring it’s hard to relax and trust Nature. How will you know your baby’s getting enough? Signs of success include:
- Weight gain (read on for more information about this controversial point!)
- Frequent nursing (8-12 times a day as a newborn, somewhat less often as he grows)
- 6-8 wet and messy diapers per day
- Good health – your baby’s active and alert between feedings and has good skin tone.
- Your breasts feel softer and emptier after nursing.
- Your baby’s swallowing the milk.