The benefits of breastfeeding have been well documented. Though it is most apparent during infancy, these benefits have enduring effects that promote optimal health throughout the life of the breastfed baby and his mother. Human milk is a complex, living substance with numerous disease-fighting and health-promoting ingredients; it is a complete infant support-system that provides both nutrition and protection. Breast milk contains immune molecules called antibodies that destroy germs. The mother's immune system makes these antibodies and they constantly adapt. When a baby or mother is exposed to a new germ, the mother's immune cells are activated and manufacture antibodies to combat that specific germ. These antibodies and disease-fighting cells will quickly appear in the milk and the mother will pass them to her baby at the next feeding. There are hundreds of human milk components that interact synergistically to both nourish and protect infants and young children. On the other hand, infant formula provides nutrition only: it has no benefit to the baby beyond basic nutrition.

Breastfeeding benefits women as well. Some of the benefits are long lasting and appear to remain with mothers for years after they have weaned their last child.

• Breastfed babies have fewer colds, respiratory infections, ear infections, and occurrences of influenza.
• Breastfeeding is good for the digestive tract. Babies who are formula-fed are sixteen times more likely to have diarrhea than breastfed babies. Breastfeeding may protect against Crohn's disease, irritable bowel syndrome, colitis, and celiac disease.
• Exclusively breastfeeding for at least three months reduces the risk of juvenile diabetes (Type I) by up to 30%. It also reduces the risk of developing late onset or Type II diabetes.
• Evidence suggests breastfed babies are less likely to develop high blood pressure, high cholesterol, and cardiovascular disease as adults.
• Breastfed infants have fewer childhood cancers and baby girls will have less chance of contracting breast and ovarian cancer as adults.
• Because breastfed babies get sick less often, there will be fewer doctor and hospital visits and less money spent on antibiotics and other medications.
• Breastfeeding for more than four months reduces the risk of hospitalization for a respiratory infection by 72%.
• Even when a breastfed baby gets sick, the illness is usually less severe and lasts a shorter time than the same illness in a baby not receiving mother's milk.
• Exclusive breastfeeding lowers the risk of food allergies, asthma, eczema, and skin rashes.
• Breast milk contains high levels of certain fats that are required to support brain and nerve growth. Breastfed children have higher IQs, better developed neurological systems, and sharper vision.
• Breastfeeding promotes strong attachment. The act of breastfeeding insures that a baby will be in his mother's arms many times every day; in fact a breastfed baby is touched and held almost twice as much as a formula-fed infant. Attachment is not a parenting style, but a biological necessity for normal mental health and optimal brain development.
• Breastfed babies are less likely to develop adult obesity. The longer the baby is breastfed the lower the obesity risk. Breastfed infants regulate their intake according to their caloric needs and actually control their mothers' milk production.
• Breastfeeding reduces the risk of SIDS (Sudden Infant Death Syndrome) by 38%. One theory suggests that because breastfed babies sleep less deeply, they are more likely to arouse if having breathing difficulty. Breastfeeding's protection from infection may also help lower the risk of SIDS.
• Breastfeeding results in earlier development of an infant's immune system.
• Breastfeeding helps to develop mouth and facial muscles.

Benefits for Mother

• Breastfeeding enhances attachment. Every time a mom nurses her baby, she releases the hormone oxytocin. This hormone not only causes a mother to release her milk (the milk ejection or let-down reflex), but it makes her fall in love with her baby. It has been dubbed the "mothering" hormone.
• Oxytocin also provides another of breastfeeding's great benefits: protecting women's mental health. Oxytocin down-regulates stress. The effects of constantly lowering stress during breastfeeding persist long past weaning.
• Breastfeeding reduces the risk of breast and ovarian cancer. Breast cancer risk is reduced by 4.3 % for each year that a woman breastfeeds, and each additional pregnancy reduces the risk by 7 %-a decrease of as much as 60%. This benefit is dose-related and cumulative: the longer a mother breastfeeds, the lower her risk of developing breast cancer. The reasons for this reduced cancer risk are still unclear and complex, but new evidence points to the cycling history of mammary cells. The cycle of pregnancy, breastfeeding, and weaning may be important for the health of the breast. Weaning completes the cycle. Lower estrogen levels during breastfeeding may contribute to the decreased risk of both breast and ovarian cancer. Women who do not breast feed have a 1.5-fold increased risk of developing ovarian cancer.
• Breastfeeding reduces the risk of osteoporosis. New mothers experience a loss in bone density during the early months of breastfeeding; but as their fertility returns, their bones act like sponges, absorbing extra calcium. This results in greater bone density and stronger bones. Women who do not breastfeed have a four times higher risk of developing osteoporosis.
• Breastfeeding helps mothers lose weight. Making milk for one baby requires approximately 500 hundred calories a day. Weight loss during the first year after birth is significantly greater in women who breastfeed as compared to those women who do not. The greatest weight loss takes place between three and six months post partum.
• Women who breastfeed have a lowered risk of developing metabolic syndrome which is characterized by diabetes, high blood pressure, high cholesterol, and cardiovascular disease. A recent theory suggests that breastfeeding reverses changes that occur in a woman's body during pregnancy. These changes are increased fat stores, elevated blood pressure, cholesterol and triglycerides, and increased insulin resistance. In other words, during pregnancy women develop mild metabolic syndrome. Breastfeeding can actually reset these changes.
• Exclusive breastfeeding for the first six months can delay the return of ovulation and reduce the chance of conception.
• Breastfeeding moms experience improved sleep and relaxation. Evidence shows that breastfeeding women fall asleep more quickly and actually get more sleep.
• Breastfeeding encourages normal uterine contractions that not only control post partum bleeding, but return the uterus to the pre-pregnant state more rapidly than in non-breastfeeding mothers.
• Breastfeeding saves time. It is readily available, just the right temperature, and won't be contaminated or improperly mixed.
• Breastfeeding mothers will miss fewer workdays because their babies are less likely to be sick.

Benefits for Dad

• Breastfeeding is cheaper. The cost of formula is $1,200-$1,800 a year. Other costs of not breastfeeding are:
  • More doctors office visit and more hospitalizations.
  • More need for antibiotics and other medication.
• Dads do not have to get up at night-although help is very appreciated, especially in the early weeks.
• Breastfed babies' stools are less offensive than formula stools.
• Dads feel satisfied knowing their baby is receiving the best possible food that will enable their children to achieve optimal health.

Benefits for the World

Breastfeeding is Green. Increased breastfeeding would decrease health care costs worldwide. The US could save $13 billion each year on medical costs if 90% of women nursed their infants exclusively for the first six months. This estimate is based solely on the decreased cost of the care of babies, and does not include savings for the decreased health care costs of the nursing mothers.

Essential Breastfeeding Support and Baby Care Items
The Pump Station & Nurtury® has decades of experience providing new families with outstanding educational, breastfeeding and baby care support, including products and classes which can make all the difference to you and your baby. To see a list of some of the essential products that our Lactation Professionals have recommended, click Essential Breastfeeding and Baby Care Products

 

Items We Love
Milkies Milk Savers	Medela Quick Clean Micro Steam Bags	Luna Lullaby Nursing Pillow
The Pump Station Back Pillow	My Brest Friend Adjustable Stool	Medela Pump & Save Breastmilk Bags

Copyright© 2013 by The Pump Station & Nurtury®. All rights reserved. No part of this handout may be reproduced in any form without permission from The Pump Station & Nurtury®. This article has not been prepared by a physician, is not intended as medical advice, and is not a substitute for regular medical care. Consult with a physician if medical symptoms or problems occur.

In the United States, concern about low milk supply is the most common reason given by women for supplementation and early weaning. Why do so many women in our culture lack confidence in their ability to adequately nourish their babies? Sociologists believe, that during the last century, the decline in breastfeeding contributed to the loss of knowledge about how breastfeeding really works, and how breastfed babies behave.

• It is normal for women to feel that they don't have milk in their breasts the first days after birth. Frequent breastfeeding during this time will meet the new baby's need and cause the milk supply to increase rapidly.
• A good milk supply is encouraged by frequent sucking and effective removal of milk. If milk is not being removed from the breast, the supply will not increase, but instead drop. If a baby needs more milk he will usually nurse more frequently which causes the hormone Prolactin to rise and the milk supply to increase.
• New research shows that although almost all women can produce plenty of milk, some women need to nurse more often than others in order to meet their baby's caloric need.
• A baby needs to be latched deeply onto the areola, not just the nipple, to effectively remove milk.
• Human milk passes through the baby's stomach in 48-90 minutes. The breastfed newborn needs to nurse 8-12 times/24 hours, while the formula fed baby feeds only 6-8 times/24 hours. If a breastfeeding mother tries to feed her baby on a bottle schedule, her baby may not get enough food.
• A baby will often need to be held, rocked, jiggled and bounced (just as in the womb) even after a good feed. Babies cry for reasons other than hunger. Don't worry about "spoiling" a newborn by holding him too much. If a baby's needs are met, trust is built and good self-esteem and independence will follow.
• Young babies have a 3-hour wakeful stretch every day, during which they want to be at their mothers' breast the majority of the time (the marathon feed). This usually occurs in late afternoon/evening and is normal.

• Difficult or poor latch-on that leads to poor milk removal. If a baby cannot sustain attachment to the breast for more than a few sucks or if he is only on the nipple, he cannot remove milk and is not nursing well.
• Early introduction of a bottle. If given formula, the baby won't need to breastfeed often and decreased breast stimulation will generally result in a decreased milk supply. If your doctor advises supplementing your baby, check with a lactation consultant for extra guidance in protecting and maximizing your milk supply.
• Babies set their own schedule and some need to eat more often than others. Research indicates that a mother needs to be responsive to her particular baby's lead and not adhere to a rigid plan.
• A sleepy, non-demanding baby. Make sure the baby is coming to the breast 8-12 times in 24 hours. Once weight gain is established, relax and follow the baby's lead.
• Anything that keeps a baby from nursing vigorously (jaundice, prematurity, illness).
• Augmentation and reduction breast surgery are both possible risks for a low milk supply. A lactation consultant can help devise a plan to maximize milk supply.
• A woman who has absolutely no breast changes during pregnancy or during the first week after birth may be at risk for a low supply. Seek extra advice from a consultant.
• Reduced breast stimulation as a result of: (next li Long Sleep... should be nested)
  • Long sleep stretches by the baby
  • A mother's busy lifestyle
  • Insufficient rest due to a mother's return to the workplace
  • Introduction of alternate baby foods
• Hormonal contraception. Even the "mini" pill causes some women's milk supply to drop dramatically.
• Pregnancy
• Excessive exercise and/or dieting

• Improve the baby's latch.
• Increase breast stimulation:
  • Add more feedings and/or nurse longer. Wake the baby for feeds if necessary. Unwrap and undress to help waken.
  • Use a good quality breast pump (hospital grade) and follow most breastfeeds with a 15-minute pumping session. Be patient, it may take a few days or longer to see results.
  • While nursing on the second side, pump the breast the baby just finished (third breast pumping). This effective technique saves a lot of time.
  • Switch sides. When the baby gets sleepy, remove from the breast, burp and switch to the other side. Repeat until the baby won't nurse anymore.
• Try herbal supplements: Mothers Milk tea, Fenugreek capsules (3 capsules 3 times daily), and Fennel seeds (crushed and made into tea, or just chewed). The effectiveness of these remedies is anecdotal, not research-based, but many mothers find it very helpful.
• Eat a well balanced diet with lots of whole grains and increase your fluid intake.
• Ask your OB/GYN to help you choose a non-hormonal contraceptive method.
• See a lactation consultant for an in-depth evaluation and strategies for improving your milk supply.
• Ask your doctor to prescribe Reglan or Domperidone (Motillium). These medications are usually used for gastric problems but have a side effect of raising the level of the hormone that increases milk supply. Domperidone must be made by a compounding pharmacy.

Products to help increase milk

Mother's Milk Tea Organic	Motherlove More Milk Plus	Motherlove Goat's Rue
Motherlove Shatavari	Milkmakers Lactation Cookies	Rent Hospital Grade Pump

Most breastfeeding babies will at some point attempt biting. Usually, but not always, biting happens during teething. This can be painful for the mother, but it is a behavior that can be stopped if the mother is persistent.

• Colds or ear infections can lead babies to bite because it is difficult for them to suck when their noses are congested or their ears hurt. If your baby has difficulty nursing because of nasal congestion, you can try suctioning the nose with a bulb aspirator (or a Nosefrida). Soften the secretions before suctioning by putting a drop or two of breast milk or saline in the baby's nose. Try nursing with your baby's head higher than his or her chest. Walking while nursing is one effective way of doing this with a sick baby. Upright nursing can also help with ear pain. Using a humidifier while your baby is sleeping can also help clear congestion. If your infant is still having difficulty, check with your pediatrician about other treatment options.

   

• Distraction during nursing. Often an older baby, or one who isn't hungry, can get distracted while nursing. A wriggling, pushing, or rolling baby is difficult to nurse and may clamp down on a mother's nipple in order to look at something across the room or to interact with the mother. To prevent a distracted baby from biting, look for signs of distraction or boredom. Try to end the nursing session before your baby gets bored, or at the first signs of boredom. If your baby is wriggling in your lap and pushing away from your breast, this is the time to end the nursing session. Other tactics are to nurse your baby in a dimly-lit, quiet room, or trying to nurse while lying down in bed, rocking, bouncing, or walking.

   

• Attention. Some older babies will bite to get their mother's attention if she is not focusing on them during a nursing session. Paying closer attention might help to prevent the biting and will make you aware of when your baby is about to bite.

   

• Teething is the most common cause of biting. As babies experience discomfort in their gums, they may find sucking uncomfortable. Additionally, they may find it difficult to latch correctly as new teeth cut through the gums. If your baby is biting while nursing, the first thing to do is to make sure that your infant is latched-on correctly. You can also offer a cold washcloth or teether when biting starts. This helps the baby with pain and also sends the message that the nipple is not for biting. Another effective method for dealing with biting is simply to stop the nursing session. Take the baby off of the breast; calmly say "No biting. That hurts mama," and stop the feeding. If the baby is still hungry, you may restart the session after a few minutes. Offering the baby a teether during this break can be helpful. Finally, if baby bites down on the nipple and won't let go, you should bring the baby very close to your body. This action gently forces the baby to open his or her mouth in order to breathe.

On average, babies will get their first tooth at around six months. Common teething signs include:

• Fussiness
• Night waking
• Swollen or red gums
• Drooling and coughing
• Drool rash on chin, chest, or neck
• Diarrhea/diaper rash
• Low-grade fever (under 101°)
• Biting

• Frozen or refrigerated wet washcloth
• Teether toys (cold or room temperature)
• Homeopathic teething tablets or gels
• Ice, frozen breast milk or chamomile tea cubes inside a mesh feeder
• Acetaminophen or ibuprofen (check with your pediatrician before administering these)
• Over-the-counter numbing gels (not recommended for use prior to breastfeeding as they numb a baby's gums and tongue; this can make latching and sucking difficult)

While many babies bite at some point during the teething process, it is usually a temporary issue that soon goes away. If your baby is latching correctly, you should not be able to feel your baby's teeth (since the tongue covers the lower teeth and gums). It isn't physically possible for a baby to suck and bite at the same time. Teething is not a cue for a mother to wean her baby. In fact, it is possible to continue nursing a baby with teeth for many months.

Essential Breastfeeding and Baby Care Products

 

Items We Love
Manhattan Toy Teether	Earth Mama Organic Nipple Butter	Munchkin Fresh Food Feeder
Motherlove Nipple Cream	Nosefrida The Snotsucker	Manhattann Toy Atom Teether

*Prescriptive All Purpose Nipple Cream
The ingredients are as follows:

• 100,000 units/ml Nystatin (15 grams)
• 0.1% Betamethasone (15 grams)
• 2% Mupirocin ointment (15 grams)
• 10% Clotrimazole (vaginal ointment) (15 grams)

We Offer Virtual Breastfeeding Classes, Consultations & Support Groups if You Need Extra Help.

Thrush Relief
Earth Mama Diaper Balm		Ameda Comfort Gel Hydrogel Pads
Products to Relieve Thrush
Motherlove Diaper Balm	Rent Hospital Grade Pump	Lansinoh Ultra Soft Nursing Pads

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