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Breastfeeding: dealing with bad advice
When you have a baby,
everyone has a bit of advice for you. This applies to all aspects of child care,
including breastfeeding. It is a daunting task to sort through all this
unsolicited advice, most of which is unfortunately unsound. Here, I have made a
list of common types of bad advice on breastfeeding. This list is necessarily
incomplete. Your best strategy is to gather as much information as you can
beforehand. It is also a very good idea to go to a
La Leche League meeting. If you have
a friend, relative, or neighbor who has exclusively breastfed a baby for at
least four months and continued breastfeeding for more than a year, you have a
good source of advice. If you need more specific advice on any problems you
might encounter, call a lactation consultant. Many people are hesitant to do
this, but it can do wonders.
- After you finish nursing: "Your baby is still
hungry. Give her (or him) a bottle."
- You should avoid supplementary bottles. They
will cause your milk supply to decrease.
- If your baby is really still hungry, she or
he is probably going through a growth spurt. Nurse as often as your baby
wants, and your milk supply will catch up with your baby's increased
appetite in a day or two.
- Perhaps your baby isn't hungry, she or he
just wants to nurse for comfort. Nursing for comfort is just as important as
nursing for food. Furthermore, by giving a bottle, you might cause your baby
to become overweight.
- If you are really worried that your baby
isn't getting enough milk, see the page on your milk supply.
- "Your baby is nursing too often. Give her or
him a bottle of formula or sugar water or juice every now and then."
- Supplementary bottles not only decrease your
milk, they can also be harmful to your baby. They increase the risk of
infection (especially diarrhea) and food allergies. Avoid them.
- "If you give your baby a bottle of formula,
you'll be able to sleep longer."
- Bottle-fed babies often go for about four
hours between feeds. Breastfed babies tend to go about two to three hours
(plus comfort nursing, which may be much more often, but usually shorter).
- This leads many people to consider
bottle-feeding so they can sleep longer at night.
- Before you make this decision, consider the
following:
- The reason bottle-fed babies go longer
between feeds is because formula is hard to digest. Your baby is in constant
gastric distress. Do you really want to do this to your baby? Constipation
is also common in bottle-fed babies, but almost unheard of in exclusively
breastfed babies.
- If you sleep with your baby (or at least
keep your baby's cradle or crib next to your bed), you won't need to wake up
fully to breastfeed. You'll end up sleeping much better.
- If you bottle-feed, you'll need to warm a
bottle for the baby. By the time you do that, your baby will quite possibly
be screaming. You might want to get out of bed and pace the hallway for a
while before your baby is calm enough to eat. A baby who is worked-up like
this is likely to swallow a lot of air, which means you'll need to spend
some time burping your baby (bottle-fed babies generally need more burping
breastfed ones to begin with). You might wake up fewer time than a
breastfeeding mother, but your (and everyone else's) sleep will be disrupted
much more seriously.
- The hormone prolactin that your body
produces while you nurse has a relaxing effect. As a result, breastfeeding
helps you sleep better. Bottle-feeding does not do that for you.
- "You shouldn't nurse your baby every time she
or he wants to. Teach your baby who is boss."
- Little babies cry when they need something.
They are too young to be able to manipulate people. If your baby wants to
nurse, that's because she or he needs to.
- If you don't nurse on demand, you'll risk
losing your milk supply.
- Babies who nurse on demand spend about half
as much time crying as babies who are nursed on a schedule.
- "You shouldn't nurse your baby so often. She
or he will grow too dependent on the breast."
- Babies whose needs are satisfied promptly
and consistently grow into independent, satisfied adults.
- Babies whose needs are ignored or met
inconsistently become spoiled, needy children.
- "Don't bother with nursing. Formula is easier
and just as good. I was never nursed and I turned out fine (or I never nursed
my babies and they turned out fine)."
- The benefits of breastfeeding are many.
- You might have turned out OK at the end, but
you probably had eight times as many ear infections, three times as many
colds, fifty times as many bouts of diarrhea and constipation as a result of
bottle-feeding.
- Many babies don't turn out OK when
they bottle-feed. They might end up having food allergies, asthma, diabetes,
cancer, or other serious diseases.
- You might still come to harm because you
weren't breastfed. Did you know that you are more likely to have cancer?
That your body is more likely to reject a kidney transplant should you need
one? That the mother is more likely to have cancer or osteoporosis?
- Who knows what psychological problems you
might be experiencing because you were never nursed?
- Here is a brand new baby. We don't know if
bottle-feeding is going to cause her or him serious harm or not. It very
well may.
- We know for sure that bottle-feeding will
cause her or him unnecessary misery, even if it's only passing.
- We know that breastfeeding is going to help
her or him be healthier and happier.
- I am not willing to bottle-feed my baby
because she or he might just do OK. I want the best for my baby, and
breast is best!
- If your parents smoked but you turned out
OK, should you blow smoke into your baby's face? Of course not!
- Chances are your parents drove you around
without a car seat, and yet you didn't die in a car crash. Should you
therefore drive your baby around without one? Of course not!
- If your parents bottle-fed you and you
turned out OK, here is what that means: they took their chances, and they
(and you) were lucky. You don't know if your baby will be as lucky. Don't
take chances. Do what you know is best. Breastfeed!
- "You are letting your baby nurse too long.
You'll get sore nipples."
- Sore nipples are caused by improper
latch-on, not nursing too long.
- You should let your baby nurse as long as
she or he wants to. Otherwise, she or he might be deprived of nutrients.
- The first milk a baby gets from the breast
is called foremilk. This is low in fat and calories, and serves mainly to
quench thirst.
- This is followed by hindmilk, which is much
richer.
- If you limit your baby's time at the breast,
she or he will be getting too much foremilk and no or little hindmilk. This
can lead to undernourishment, gassiness and fussiness (because of the higher
lactose content of foremilk), and to decreased milk supply. Trust your baby.
- If your baby is nursing for an excessively
long time (45 minutes or more on one side), call a lactation consultant. to
make sure you are latching on correctly and that there isn't another
problem.
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