Saturday, 07 November 2009
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Misunderstandings about Breastfeeding
I have been reading with interest, a couple posts lately on "Momaroo" about breastfeeding and formula feeding. Some heated comments, some hurt feelings, people being annoyed at the topics, some very passionate people for both sides and a whole lot of misunderstanding!!
Being very involved in the field of pregnancy, labor/birth, breastfeeding and newborns, I have read much on this topic, and taken several courses related to it. And time and time again I am saddened at the amount of misunderstanding there is. Specifically misunderstanding about breastfeeding.
Oh yes, everyone seems to know and admit that breast milk is best for babies. But what most people seem to not know is why. Or even worse, is a cavalier attitude that formula is just as good. Now before I get the FF moms all up in arms, let me just say that 4 out of my 4 children had formula for varying lengths of time during their babyhoods. So, I'm not ANTI formula ..... but I am ANTI - no education. If you're going to make a choice when it comes to pregnancy, birth, breastfeeding and your child, you need to know the facts. The plain facts. So, please educate yourself! There is absolutely no comparison between the two ....and BF moms need not feel badly for understanding this and promoting breastfeeding. Dr. Jack Newman is a breastfeeding guru in Canada (click his name to read his bio). I would like to share some of his information that seems to be missing from so many people's lives.
First off - the difference between breast milk and formula - this is what Dr. Newman has to say from his "Breastfeeding Myths" handout:
Modern formulas are almost the same as breast milk. Not true! The same claim was made in 1990 and before. Modern formulas are only superficially similar to breast milk. Every correction of a deficiency in formulas is advertised as an advance. Fundamentally, formulas are inexact copies based on outdated and incomplete knowledge of what breast milk is. Formulas contain no antibodies, no living cells, no enzymes, no hormones. They contain much more aluminum, manganese, cadmium, lead and iron than breast milk. They contain significantly more protein than breast milk. The proteins and fats are fundamentally different from those in breast milk. Formulas do not vary from the beginning of the feed to the end of the feed, or from day 1 to day 7 to day 30, or from woman to woman, or from baby to baby. Your breast milk is made as required to suit your baby. Formulas are made to suit every baby, and thus no baby. Formulas succeed only at making babies grow well, usually, but there is more to breastfeeding than nutrients.
Another thing that truly bothered me was the amount of women who stated that they didn't have enough milk for their baby. What is with this generation or two of women who all can't produce enough milk! Have our breasts and hormones and brains suddenly gone dysfunctional? Ladies, the VAST majority of women produce more than enough for our babies .....the problem is not that we can't produce enough, but because our babies aren't latched properly to extract what's there! And if there are problems in the first 2 days where formula is introduced, then our milk supply WILL be affected, and the downward spiral has begun. Learning how to properly latch your baby in the FIRST day of life, and learning how to assess whether or not your baby is getting enough is what is important. Sadly, many women have bought into the myth that we don't produce enough milk.
And lastly, a number of women have stated that they couldn't breastfeed because of certain medications. Ladies, many doctors haven't got a hot clue what is or isn't safe for breastfeeding because they rely on the WRONG books for their information. Here's what Dr. Newman says about this (please read the link, there is too much info to include here, but he gives an extensive list on medications safe for nursing babies).
Please mothers, do your research. That's the best way to parent - make informed and educated decisions knowing all the risks and benefits of both sides. And please don't underestimate the benefits of breastfeeding, or underestimate the risks of formula --- your child's lifelong health is dependent on what decision you make!
Editor's note: We have been seeing numerous takes on this topic and have been reading it with interest. As parents we all want to be better informed and educated on what works best for our babies. We would love to know what you think and what worked for you? Do share.
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Comments (60)
I breastfed my children for various lengths of time. Mostly I did it for selfish reasons although I did know it was better for them. It was the easiest and cheapest way to feed them so that's what I did. Thankfully I had the support of friends to advise me on latching and milk supply issues. I also used formula during the weaning process. Formula was much more work (especially the homemade soy formula) and also was very expensive.
I do not have a baby but my sister does, and she has done SOOO much research on breast feeding. I had no idea how fantastic it was for the baby until she had a baby! She can even tell me how her eating and drinking habits affect her breastmilk. Her baby was fed exclusively breast milk for 6 months (though sometime the breastmilk came from a bottle) and he is the healthiest baby I've ever met. Breast milk is positively a miracle food!
Against the breast-feeding baby dolls, that's all I have to say...
I completely agree with you and I especially liked your paragraph about women "not producing enough milk." That is a HUGE pet peeve of mine because, you're right, women have done it for centuries and nearly everyone can breastfeed if they try hard enough! Now, I know many women have had breast reduction surgeries and therefore do not produce enough, but they knew the risks when they went under the knife, so I feel less sympathy for them. Many women who think they have supply issues actually have perfect supplies...they just have babies who prefer to nurse every hour for 3 minutes at a time, or a fast let-down that lets a baby get what they need in 5 minutes (like me), or like you said, can't get baby to latch properly (although for the most part, a baby who latches improperly still gets the milk, it just hurts Mama). A nursing mom should NOT introduce formula unless it's the last possible resort to their baby starving...once the baby starts taking formula, the mom's supply will drastically decrease and eventually dry up. I know, it happened to me with my first baby before I knew my body well enough to realize my milk supply wasn't the problem. (She was going through a growth spurt and I mistook her grumpiness for hunger. Gave her formula and my supply was gone within a month.)
I also noticed the apparent lack of education in some of the previous comments...kudos to you for having the time, resources and knowledge to put this out there!
Megan will be 1 year old on the 19th and we're still nursing. The first few days? Sucked. Well...figuratively. Megan was not an automatic latcher, the hospital staff would be "sending the lactation nurse in this afternoon" and then I didn't see her until late the next morning, I was sore and sleep deprived and nothing seemed to be working. They brought me a manual pump and it was then that I was able to get something to her. We supplimented with formula for the first 48 hours while I pumped like a fiend (I was so sore I gave up on even trying to get her to latch properly for a day or so and just pumped) and I went from barely anything to to an ounce...then two...three...and so on. It took some time and effort, but it was worth it for us. I read a lot during the course of my pregnancy and 'Formulas contain no antibodies, no living cells, no enzymes, no hormones.' was one of those things that really stuck with me and made me try, try, try!
It may also be worth mentioning that if you have to go to formula for a few days (I had an unexpected hospitalization/surgery in August) that does not mean that your child will loose the taste for breastmilk and refuse to take it in the future. Megan more than happily went back to the breast afterwards.
Well I guess you don't have to worry for future generations, since our mandatory health/biology education in high school covers information on mammary glands, the antibodies from breast milk is the main reason since babies immune system isn't fully developed until after 6 months since birth. We're also taught about what we shouldn't be putting into our bodies that can affect the chemical make up of breast milk which could put the baby's health in danger. Ha! I still remember this stuff after 5 years =] you got nothing to worry about.
edit: Well.. I guess some schools don't have mandatory health education o_O''' we can worry about those xD
I started off pumping breast milk, because my daughter had to go and stay in the NICU. Pumping was my only choice. After a while, the NICU nurses were wondering why my milk hadn't come in and that I should have been producing more by that point. They gave me tips, which I tried. I pumped, and pumped and pumped some more and only got 1 cc every pumping session. I was frustrated and depressed and had no support. To make a long story short, my daughter had mostly formula and eventually all formula and to this day is a very healthy girl, and for that, I'm very thankful.
I'm breastfeeding baby #2 right now. =) My first, I nursed for 17 months. I remember I had to give her formula once because I was very, very sick. She took one suck, and gagged. She hated the taste. LOL. =) Both of my kids have never been really sick (knock on wood) and I really think it's because I breastfed for so long.
I am a huge lactivist and absolutely love this post! Great job and well written! I have been breastfeeding my daughter for 5 months today (ecologically so until earlier this week when she had her first taste of rice cereal - made with breastmilk) and have plans to continue to breastfeed her for a long time to come!
@Brilliant_Innocence@xanga - I had a similar issue, she was in teh NICU I didn't have a pump of my own and the hospital wasn't able to provide one to me until 48 hrs after Ev was born. I also wasn't even able to hold her about about 24 hrs after she was born and then wasn't able to feed her until about 30 mins before getting the pump. That there was the start of the struggle. After going home I pumped and pumped set my alarm to do it ever 1-2 hrs though the night. I thought I was doing great i was able to bring about 12 ounces to the hospital for her every morning. I spent the full day at the hospital with her (8 am-10 pm) and fed her on demand while there, but while I was gone she got the bottle usually with breast milk unless I they ran out which they seemed to often which made no sense to me 12 ounces was enough for 6-8 feedings at that point but I guess if they got her 2 ounces out and she only drank 1/2 of it they had to throw the rest out. I wasn't upset that she got formula, I just hated not being able to give her the breast myself though the night, the hospital wasn't very accomedating. We continued to breast feed while at home and I'd pump between feedings in mid January (ev was about 6 weeks) I had surgery that put me out for about 3 weeks, I couldn't eat I couldn't sit up with out vomitting, and I was in no position to breast feed I tried to pump as often as I could still to be able to at least make an attempt to hold on to my supply and after that I could no longer get her to properly latch and it was nearly impossible to pump even an ounce even if I pumped for 2 hrs at a time. I tried herbal supplements and still nothing. Lactation consultant helped where she could and still nothing. I gave up after about 4 weeks of trying ot get back to normal even pumped every 3 hours for 30-45 minutes at a time, put her to breast as often as I could. Then when she was about 4 months old with the help of my lactation consultant we gave a go at relactating and failed miserably at that. I still feel loads of guilt and I'm sure theres something I could have done differently but now this is what works for us. Shes fairly healthy and right on target for her age with weight and even above in some areas with motor skills. I'm just thankful we were able to breastfeed in the beginning when its so crucial, I just still wish she breastfed. . as 1 year was my goal and then I would have made the decision to continue or not once we reached that. . . hmmph I'm still rather upset about this but we did what we needed to do and what worked for us.
My heart goes out to women who have to produce milk for the pump. Our bodies don't work that way! We are made to let down to our babies (hence the awkward leaking some people experience if they are near a crying baby, or even see a picture of a baby), not to a machine. I try not to get on my breast feeding soap box very often because I know that at the end of the day we are all just doing what is best for our babies and ourselves, but when a fellow mommy says that she isn't producing enough milk because she can only pump an ounce at a time I just want to say, "Then if it's possible, stop pumping!" I know some women work and have to pump and such, but I feel like so many women give up too quickly.
But, if the stress is going to keep you from functioning well as a mom, then go ahead and give formula. Sure, it isn't the best, but it is NOT going to seriously harm your child. Heck, I'm from the generation where women just didn't breast feed their kids and I was all formula fed and I was perfectly healthy (still am) and I was always at the top of my class so it wasn't like I was dumb either.
I'm lucky because my sons both breast fed really well and I was able to easily produce milk. Heck, my second born latched on immediately (after an emergency C-section too!) and has had zero problems. He even gained weight instead of losing the normal 10% of his body weight during his first few days of life. The only thing that sucks is that he never really took a bottle and I had to figure out how to get him to drink out of something other than me so I could get a break longer than 3 hours!
I had a lot of the same problems other women have-milk coming in late (day 5), a baby who couldn't get enough to eat in the evenings when my supply was low, pain for almost the full first 6 weeks in spite of a fairly good latch, taking a medication, and worries about supply after returning to work. But I studied my butt off, even watched some of that guy's videos, and we hung in there. We had to use formula sometimes too, and just knowing the pitfalls, and making sure my supply got enough stimulation prevented any problems there.
The myth that really made me want to quit was the one that breastfed babies will never sleep through the night. I am relieved to say that one isn't completely true either
I didn't last very long with breastfeeding (6 weeks
) partly due to laziness on my part, but mostly due to the fact that my daughter didn't figure out how to latch on properly until my supply was already rapidly dwindling. But even that short time has given her so much. She didn't get sick even once her first six weeks, and actually not for many weeks afterward. She had very healthy weight gain. She is now fully formula fed and has been for a long while (she's 7 months now). Formula has not done as much for as breastmilk seemed to do. Formula is probably the reason she has reflux, which is the reason why she refuses to eat sometimes, which is probably why she isn't gaining weight as well now. Don't get me wrong, it still gets the job done, but I wish very much that I had put more effort into continuing breastfeeding.
And it seems like people my age have the most ridiculous and vain reasons for not wanting to breastfeed. I have a close friend whose two arguments are 1)I dont want saggy breasts and 2) I was formula fed and I'm still alive. While the second statement isnt too terrible a reason, the first one just makes me angry. Not only is a babies health 123094 times more important than the attractiveness of body parts, but it's also a misconception that skipping breastfeeding will save someone from sagging and such. Pregnancy does the most damage, and breastfeeding actually delays the sagging. You can always get the damaged fixed later on. I know I will when I'm done having children. Someone who puts their vanity before their child's health doesn't need to be having children at all.
My milk supply was 2 days late, and because I'm totally inverted on both sides he had trouble latching on, I tried all the products available out there to fix this problem but nothing seemed to help, one nurse told me i was as inverted as they come so I pumped exclusively for 7 months, every 3 hours for 15 minutes at a time, then at that time my hubby had an emergency appendectomy so the stress of that decreased my milk supply so i supplemented with formula but still provided as much pumped milk as I could till he was 14 months. Alhmadullilah he's healthy and I'm pretty happy with my decision to pump even as tiring and impractical it was.
"your childs lifelong health is dependent on your decision." i think that's a bit unfair- simply breastfeeding your baby doesn't mean that their health will be good for the rest of their life. clearly it is beneficial, but it's not all that determines the health of your child. health is a lifelong commitment, it's not ensured after infancy.
i'm not sure what i want to do yet. to be honest, the thought of me breastfeeding makes me a bit...uncomfortable. but i know it's the best choice for my kids. i'll probably try it, and should everything go smoothly, i'll keep it up. if i happen to be one of those women who gets massive pain during though...i'll probably switch. i'm a big baby when it comes to pain. (there is no way i'm going through childbirth without drugs...maybe even tranquilizers if they'll give me some.)
no matter what your decision is, i don't think any mother has the right to criticize or question another mother's parenting based on how she chooses to feed her baby, it doesn't mean she loves her child any less, there is way more to taking care of a baby than just how you feed it.
and i really don't care what WHO says, no child needs to be breastfed until they are freaking four. for one, by four years old, your child is old enough to feed him or herself, they don't need you to do it anymore. and for two, too much "bonding" creates unhealthy dependence. your child will think that you will always be right there every time they need something. that's probably not something you want right before they get into kindergarten.
@The_Knight_In_Plaid_Armor@xanga - i heard someone say once "i'm going to get a surrogate to have my children because i don't want to lose my figure." i was like "really? so you're gonna ruin some other poor woman's figure because you're too vain to have your own kids? you probably shouldn't be having any then."
the way i see it, as long as my husband still thinks i'm attractive after we have kids, i'm doin' fine.
i had just turned 18 when my son (my first and currently only) was born and i was not as educated as i always expected myself to be. a lot of things with my pregnancy, labor and delivery and the
breastfeeding process that i wasnt happy about and i know a
lot better now for the next time. he didnt latch on in the beginning and the hospital didnt even offer a pump for me. they didnt send a lactation consultant or anything (needless to say unless absolutely necessary i will not be going back there.) they just told me that i needed to supplement while he was there because he was getting jaundice. he took immediately to the bottle and the formula. after that it was done. he wouldnt take anything other then a bottle. the nurses that were there told me my nipples were too big and that his mouth was too small. he would take breast milk by bottle but by the time i got home and started pumping my supply had dwindled so i decided to formula feed.
@soyeahthatswhathappened@xanga - i agree on the fact that a child shouldnt be breastfed until 4 years. my cousins kid is almost 2 and she is still breastfeeding. even though my son didnt take to breastfeeding, i hadnt planned on doing it longer than needed (12-18 months). as soon as he was able to get majority of his nutrients from baby food/real food i had decided that i would start to wean him off the breast.
Both worked well for me! I always started out breastfeeding for as long as my baby would let me, and then once it became too difficult for my situation, we switched over to formula slowly. Yes, we all know what is best for OUR babies, but I also relied on formula.
@viarah@xanga - I didn't find my hospital very accomodating either. I would constantly wonder when I was able to finally wait to put her to the breast. I, of course, had to wait till she was off the breathing tube. Once I finally got the green light, I had a time limit. Most of that time was spent just trying to get her latched. The nurses would help me, but it was hard. She would fuss, latch for a minute, unlatch and sart fussing. They would say, "okay, that's enough, we need to get her to eat". They had a 30 minute window to get the babies to eat, and if she didn't eat enough, they wanted her on a feeding tube. It was FRUSTRATING. I also never knew they had a room where I could go to pump in. I wondered how I could visit my daughter, but also pump every 1-2 hours. We had to go home a lot so I could pump, and a few days before they released her, I was finally told about a room where I could go and pump. I couldn't believe no one told me about it and since I wasn't roaming all over the blasted NICU, I never saw the room. That would have made it so much easier if i had known.
There was also a time where I had brought in several bags of pumped milk, and they mixed it all together in one bottle and it totaled 1oz, which is the amount she was having every feeding. I was so thrilled that she finally had a whole bottle of JUST breast milk.... and then, she didn't finish it all. They threw the rest away. I was thinking about how much work went into just getting that 1 oz for 1 feeding (several pumping sessions) and just wanted to cry.
In the end, I did what research I could, and like you, often wondered if I should or could have tried something different. The past is the past though and there's no reason to dwell (It took a lot of time to get over the guilt and there are still times where It's hard). I'm sorry you had to go through all that you did, but you and I both know we made the best choice and did what we could and we shouldn't forget that. :)
@sexxydramachick@xanga - @soyeahthatswhathappened@xanga - although this post doesn't have anything per se to do with attachment parenting, I just wanted to "defend" the choice of parents who DO choose to breastfeed for longer than you think is good, and to defend their choice to attachment parent. Contrary to popular belief, extended nursing does NOT create an unhealthy dependency on the parent. If I look at my four kids - there are some differences that are striking to me. My oldest, who I breastfed the least, and did the least amount of "attachment" parenting, is by far the most insecure child we have --- as opposed to my youngest (who by the way is in kindergarten) who was breastfed the longest and who was parenting more in the attachment way , and is my most secure, independent child to date. Just for your information, here's a link to attachment parenting that may help you better understand the choices of parents who do extended breastfeeding and attachment parenting .......... http://www.attachmentparenting.org/
@Brilliant_Innocence@xanga - @Brilliant_Innocence@xanga - @viarah@xanga -
in my years of working with childbearing women, this is becoming more and more clear. There are still WAY too many hospitals that don't promote themselves as "baby friendly". There are still way too many hospitals that don't understand how to support a mom who chooses to give her baby breastmilk while baby is in NICU. Mothers should be taught how to hand express that very important colostrum in the first few days and be shown how to properly give it to their babies. I wonder how many medical staff are aware that a newborn's stomach is the size of a chickpea? I still see nurses attempting to feed a 2 day old baby 30 cc's of formula! Their stomachs can't handle that! Then mothers should be given pumps within the first 12 hours to start helping to increase their supply when they cannot put baby to the breast.
My theory on why hospitals/staff aren't making the change to a "baby friendly" place, is because it's more intensive and time consuming. It's much easier for them to say "forget it ...here's a bottle of formula" or a tube feeding procedure instead of the time to support and encourage a mom in the process of providing breastmilk and increasing her supply ---- and then after all that to still teach a baby to breastfeed.
The problem is multifaceted ....but the key is in education ..not just for parents, but also for the nursing/medical staff.
It really irritates me when people sit here and try to rationalize why they didn't breastfeed. Obviously you feel guilty if you need to sit her and rationalize your choice not to breastfeed or for not giving it the full effort.
I love this post because it talks about how many women say they didn't have enough milk or they were on certain medications, etc. I recently had to nurse my baby mere HOURS after being under general anesthesia because she would not take a bottle at all... I am a follower of Dr. Newman's (sited in this article) and called my OB to ask her about his viewpoints and if I could nurse although I had just been under general anesthesia a few hours earlier. She said yes, and my daughter suffered no consequences. Medication gets into your breastmilk in such small doses anyways.. I have 2 babies. One who I didn't breastfeed very long (8 weeks) and one who is 7 months old and is still exclusively fed breastmilk (introducing solids now, too). I used to sit around and mak excuses about why I didn't continue breastfeeding my oldest- I was 17 and had to go back to high school. I didn't have a support system. I had a lot of complications healing from my horrible delivery and was in a lot of pain, etc. etc. You know what I say now? I just didn't give it to the freakin' effort I should have. End of story. :(With baby #2 I made a vow that I would nurse her the first year. No matter what. She had a week long NICU stay, and I was there pumping and feeding her constantly because it was important to me. The LC's sucked, but I had done enough of my own research that I felt I was pretty well-educated.. and took pumping and getting my supply up into my own hands.Breast is best. 100%. If you have a situation that prevents you from nursing that's understandable, but I don't think most people have a valid excuse. (Aside from those few who pumped for hours and hours on end for weeks and only got 1cc per session, have an extreme circumstance medication wise, etc.). Instead of making excuses and rationalizing your decision, why don't you just step up and it admit that you didn't truly give it the full effort? I didn't with my 1st child, and it really doesn't matter what other people think.... unless YOU feel guilty about it. (Which I did... in retrospect.) Also-- if you "tried" nursing for 2 or 3 days, and then quit because you "don't have enough milk" it's highly likely you just didn't get your milk in yet.. It's just unfortunate that LC's aren't more personable and less nazi-ish..I'm just tired of reading about how "you don't know what it's like to .... and that's why i can't breastfeed". Take responsibility for it. I have friends who didn't breastfeed for vey long just because they "didn't like it" and I respect them more because atleast they are being honest.Personal decision...@soyeahthatswhathappened@xanga - you wrote: "your childs lifelong health is dependent on
your decision." i think that's a bit unfair- simply breastfeeding
your baby doesn't mean that their health will be good for the rest of
their life. clearly it is beneficial, but it's not all that determines
the health of your child. health is a lifelong commitment, it's not
ensured after infancy.
I undestand your response, and would just like to briefly respond to this, Formula is relatively new -- perhaps less than 40 years. Researchers are just now starting to see the life long implications of no breastmilk. You're right, breastfeeding will not ENSURE a perfect health ......but, we underestimate the importance of breastmilk in favour of making formula an equal counterpart, which it is not. We've recently learned the lifelong benefits of breastmilk - as compared to shorterm benefits. You can google "lifelong benefits of breastmilk" to see what I mean. As a starting point, you can go here: http://www.naturaltherapypages.com.au/article/Benefits_of_Breast_Milk
I believe as a society/culture we're only just starting to truly understand the lifelong benefits of breastfeeding, and so I still stand behind my original statement and make no apology for it.
@AbsolutelyNormalChaos61308@xanga - amen. well written!