The World Health Organisation (WHO) recommends exclusive breastfeeding until baby is around 6 months old; then, it can be a complement to appropriate solid foods until the age of two or beyond (until mum and baby wish for). Exclusive breastfeeding means that the infant receives only breast milk. No other liquids or solids are given – not even water – with the exception of oral rehydration solution, or drops/syrups of vitamins, minerals or medicines. You’ve heard it many times before: breastfeeding is best for your baby and the benefits, huge. Unfortunately it is not as straightforward and easy as it sounds.
Before deciding to breastfeed my baby, I only knew about all the positives. Had I known what I know today about everything that it involves, I believe I would have still made the same choice. However I would have been better prepared to face the journey. This post is mainly to help mums-to-be and new mums get a bigger picture of how beneficial breastfeeding is but also what to expect while doing it.
The American Academy of Pediatrics as well as several other researchers recommend exclusive breastfeeding for the first six months as the advantages are manifold. It is not only good for your baby but also for you, mum.
Some of the Numerous Pros:
- Breast milk has all the vitamins, nutrients and immune factors that will help your baby fight numerous diseases. Anti-bodies in breast milk help babies fight these even beyond the breastfeeding stage.
- Breastfeeding can help reduce the risk of your child becoming overweight or obese as a teenager or adult. (American Journal of Epidemiology). One of the reasons for example is more insulin in formula stimulating the creation of fat.
- There are various benefits due to the emotional bonding taking place while breastfeeding.
- Lower risk of Sudden Infant Death Syndrome (SIDS).
- Lower risk of post-natal depression (release of oxytocin while breastfeeding leads to relaxation).
- Lower risk of some forms of cancer like ovarian and breast cancer.
Breastfeeding is natural but not necessarily easy. It has some inconveniences and the start of the journey can be quite hard. It is recommended you start breastfeeding within the first hour baby is born and this may last for 6 months, 2 years or as long as both you and your baby decide. Hence, it is important you get it right from the start.
A Few Difficulties:
- The correct attachment is very important since the very beginning. So, make sure baby is attaching correctly; do not hesitate to ask the mid-wife/nurse or the lactation specialist for help in case of doubt.
- It can take a while for babies to learn to breastfeed. If you are still in hospital make sure you ask for help to get started.
- For the new born, you will be recommended to feed ‘on demand’; usually a new born feeds about every 2 hours; so, in between make sure you rest (particularly after delivery). You will need the strength, trust me.
- Bear in mind that you will have fragmented sleep for at least 3 months, so resting is important. Forget the 8 uninterrupted hours of sleep you used to have. It’s not coming back that soon.
- You need a network of supporters; be it neighbours, friends, relatives, well-wishers. You won’t be able to do everything on your own. If possible, hire someone to do the housework or the cooking or both. If you plan to do these while baby is sleeping, you will never have enough rest and will end up being a zombie, like I was.
- You also need a wardrobe with plenty of front opening tops/dresses. Else, it can be a real challenge at times to breastfeed your baby.
- Lanolin cream is your best friend; else you may end up with sore/cracked nipples, which will make it very hard to continue breastfeeding.
- Find the feeding position that’s best for you and your baby. Make sure you are comfortable, as a feed can take a while. Backache is a common problem.
- At the start, a feed will take a while and you might even doze off a few times; however while baby gets better at feeding, he may take about 10/15 mins for a feed.
- Avoid travelling abroad with an under 3 months old baby while breastfeeding unless you are ready to feed in public (lounge, airplane, and everywhere you call ‘public place’). It’s a very challenging situation to be in.
- If you live with an extended family, be ready to get in and out of a room most times of the day, in the first few months.
- If you are visiting friends, make sure you ask first if there will be somewhere private where you can breastfeed. Else, feed, go out and come back as soon as possible to feed again!
- Make sure you feed on alternate breasts, to avoid engorgement.
- If you feel lumps, have a warm shower and massage your breast gently in a rotating way.
- Read about blocked ducts and mastitis and if in doubt about anything consult your nurse or GP.
Some Precautions and Pieces of Advice for Breastfeeding Mums
- Make sure you have a healthy diet.
- Resting is important.
- Avoid caffeine (as it does pass through breast milk).
- Avoid smoking, passive smoking, alcohol and drugs.
- Make sure the medication you take is safe for breastfeeding mums.
- If a few times after a feed, you notice your infant restless, crying, throwing up, consult the pediatrician, as there may be a problem with lactose tolerance or reflux.
- Avoid using a soother while you are breastfeeding; once breastfeeding is established it can then be used when settling your infant.
- Don’t worry about ‘stares’ or about negative comments; you will quickly learn that as a new mum (i) you will always be judged (too protective, too relaxed, not patient enough, too patient, too strict, too cool, etc. etc. and you can even be all of them!) and (ii) everyone knows better what’s best for your baby and how you should handle him. Just be relaxed and tell yourself everyone means well…
Many will tell you they understand how hard it is; if it is a breastfeeding mum then you can trust her! Talk to one if you are not sure about something. You may find the solution to the problem you are facing.
With breastfeeding, you will find yourself consciously unskilled at first; however with consistency, patience and determination, you will very quickly become unconsciously skilled! Mood changes are common during and after pregnancy, occurring in up to 85% of women within the first week after the birth, peaking on the third to fifth day. Very often, this may be a factor in discouraging mums from continuing breastfeeding. The blues will pass, so hang in there! If you still do not feel well, do not hesitate to talk to your GP.
It is important that your partner is fully supportive and also understands the benefits and difficulties of breastfeeding. The support of your immediate and extended family, of friends, of the community will be very helpful throughout this journey. Think about all the benefits exclusive breastfeeding will have for your precious little one; this will help you stay motivated.
Breastfeeding in Mauritius
In Mauritius, exclusive breastfeeding lasts for about 2 months and then there is the introduction of water and formula around 4 to 6 months. Mauritian mothers tend to breastfeed until around 2 years. The main reasons for the introduction of water and formula is the lack of information, the belief that milk is not sufficient and employment. The rate is very low as compared to the recommendation of the WHO: a survey found that only 17.9% exclusively breastfeed their babies up to around 6 months old.
Although there is no law about breastfeeding in public, I have rarely seen a mum breastfeeding a baby nor do I know of any designated rooms for breastfeeding in shopping malls, airport or other places. Although there are no support groups that I am aware of, help can be obtained from the local health centres.
Recently a workshop has been launched by the Ministry of Health to celebrate the World Breastfeeding Week, with the view of promoting exclusive breastfeeding during the first 6 months and continuing breastfeeding beyond. The ministry is also launching a campaign to sensitise people about the benefits of breastfeeding.
Breastfeeding in Qatar
A study on breastfeeding by Sidra Medical and Research Centre has found that many Qatari mothers discontinue breastfeeding after 40 days, or after three months due to lack of information and access to professional lactation support. It says this is the major reason for low rates of exclusive breastfeeding among Qatari Women. The rate of breastfeeding in Qatar is significantly lower than the global rate.
I doubt it that it is ‘normal’ to breastfeed in public here, in Doha and I have not seen designated areas in shopping malls till now. In view of the World Breadfeeding Week, Sidra Medical and Research Centre has also launched an awareness campaign to sensitise mums, particularly working mums about breastfeeding.
It’s great that Doha Mums has a breastfeeding support group, which mums can join and where they can discuss common concerns over a cup of decaf tea or coffee!
Breastfeeding in Perth
Aligned with the WHO, The Australian National Health and Medical Research Council recommends exclusive breastfeeding for around 6 months; then breastfeeding should continue alongside complementary food until 12 months and more (as long as the mother and child want to). According to a survey, it has been found that “less than half (39%) of babies are still being exclusively breastfed to 3 months (less than 4 months) and less than one quarter (15%) to 5 months (less than 6 months)”.
It is good to know that in Australia, it is your legal right to breastfeed in public and there are laws in place if ever you get discriminated against on this ground. There are 230 local Australian Breastfeeding Association groups throughout Australia and you can rely on their help.
Perth has a few shopping places with breastfeeding rooms: Myer, David Jones, Ikea. Given it is a modern and well-developed city, Perth could do more to offer specific breastfeeding areas for mums and bubs. I also wish Perth airport had one.
In Mauritius, the maternity leave has been extended from 12 to 14 weeks and in Australia, it has been extended to 18 weeks. We are unfortunately still lagging behind as compared to countries like Sweden (six months) or Denmark (52 weeks on paid leave)!
Breastfeeding is something that both mothers and babies have to learn to do; it may take two to three months to establish breastfeeding and feel you have it under control. Support is very important, first to get started and then to keep going.
I was fortunate to deliver my baby in a private hospital where the help and support were fantastic. I decided to stay up to 5 days to make sure I had it right. Given the numerous benefits exclusive breastfeeding has in the first 6 months and breastfeeding has for babies, it would be great if more could be done towards supporting new mums through more information and professional lactation support. Mums must be helped to get it right from the start so that this journey is a pleasant, stress-free one.
Do you think there is enough information about breastfeeding and support for new mums out there?