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How long should I breastfeed for?



A lot of pregnant mothers wonder how long they should breastfeed their baby. The current recommendations by the American Academy of Pediatrics state that exclusive breastfeeding for the first six months and continued breastfeeding up to one year and beyond is what’s best for mom’s and babies. The World Health Organization states something similar and recommends exclusive breastfeeding for the first six months with continued breastfeeding along with the introduction of complementary foods for up to 2 years and beyond. In the initial days after birth most mothers say to themselves “how can I possibly do this for one year let alone 2 years?!” The first few days are hard for everyone but rest assured, it does get easier. Breastfeeding for a year or two years or even 6 months may not always be a realistic goal for all mothers. It is important to know that if you breastfeed for one year, 6 months, one week or 3 days you and your baby will still receive many important benefits from the breastfeeding relationship.

If you nurse your baby for the first few days after birth, he will get a healthy dose of colostrum, the clear or golden colored fluid that your breasts have been producing since the 15th week of your pregnancy. You may have even noticed some of it leaking out while you were pregnant. Colostrum is different from mature milk. It is thick and sticky, and provides important disease fighting antibodies that the baby can't get anywhere else. It is highly concentrated, and is easy for the newborn's immature system to digest. Its main function is to protect the newborn from infection by coating the baby's intestinal tract and acting as a barrier to prevent the invasion of harmful bacteria. It protects your baby from illnesses that you have been exposed to, as well as illnesses that he may be exposed to. It also provides important nutrients, which is especially important for babies who are sick or premature. Colostrum also functions as a laxative, helping clean out meconium (the dark greenish/black tarry stool that the baby's intestines form before birth), helping reduce the incidence of jaundice in the newborn baby.

Sometime between the second and fifth day after your baby is born, your milk will change from colostrum to transitional milk, which is thinner and more plentiful. This milk also contains important antibodies, which will continue to protect your baby for as long as he nurses. After about the tenth to fourteenth day, the colostrum is gone, but the mature milk will continue to produce antibodies, just not as concentrated as the colostrum. The protein in breast milk is much easier to digest that the protein in cow's milk or formula, making your baby less likely to suffer from digestive problems such as gassiness, rashes, and colic. Breastfeeding during these early days is helpful for you as well as your baby. Breastfeeding helps you develop a special closeness as you get to know this special little person who has entered your life, and also helps your body recover from childbirth more quickly by releasing hormones that contract your uterus and reduce postpartum bleeding.

If you nurse your baby for 4-6 weeks, you will be helping to ease his transition through the most vulnerable part of his infancy. Babies who are breastfed have lower rates of many illnesses, including digestive and respiratory problems, pneumonia and meningitis, and SIDS.

Breastfeeding during the early weeks also helps you relax. Breastfeeding 'forces' you to stay off your feet and sit still for long periods of time, since babies nurse so often during the first weeks of breastfeeding while they are establishing your milk supply and growing so quickly. When you are bottle feeding, it's easy to let someone else feed the baby while you run around cleaning house or shopping. Breastfeeding is nature's way of helping you get the rest you need while you are recovering from childbirth. Think about it - mothers used to stay in bed or in the hospital for at least a week or two after giving birth - now they are up and running after a 48 hour hospital stay.

The hormone prolactin that is released when you breastfeed is called "the mothering hormone", and helps you relax. When researchers feed it to laboratory mice, (even males), they start building nests and doing motherly things. It really is a powerful hormone, and many mothers report that even when they are extremely stressed, they feel a rush of relaxation when their milk lets down. If you nurse for 3-4 months, your baby will be much less likely to develop ear infections. Studies have found that babies who were exclusively breastfed for at least four months had half as many ear infections as formula fed babies. Breastfeeding can help you lose the extra weight you put on during pregnancy. Mothers who breastfeed lose more weight by the time their babies are 3-6 months old than formula feeding mothers who consumed fewer calories, because breast milk production uses the fat you stored during pregnancy.

By the time you have been nursing for a few months, you have overcome any early obstacles such as engorgement, sore nipples, and marathon cluster feedings. Breastfeeding is so much easier than bottle feeding at this stage - no bottles to wash or carry, no constipation, and poops and spit up that smell so much better than formula fed babies. Also, your baby isn't nursing as often as a newborn.

If you nurse for 6 months, your baby will be much less likely to have problems with allergies, since at around that time, your baby's intestinal tract begins to produce antibodies which coat his intestines and protect him from foreign proteins and allergens. Mother's milk will supply all the nutrients your baby needs for at least the first six months of life, and if you have a family history of allergies, it's a good idea to wait until 6 months before introducing solid foods, as allergies are less likely to develop after this time.

Most mothers who exclusively breastfeed for six months will not have a period during that time, and rarely ovulate. If you are exclusively breastfeeding with NO supplements or solids, you have about a 98% rate of protection against pregnancy. This only applies if you are totally breastfeeding: no water, formula, pacifiers or scheduling feedings. Many of the studies of the protective effects of breastfeeding use the six month mark as a cutoff. That means that researchers have found that nursing for at least six months has been shown to have protective effects against many illnesses, such as childhood cancers. If you nurse for 9 months, you will be helping him through one of the most important developmental periods of his young life. Babies between 6 and 9 months go through so many changes - sitting up, teething, starting solids, crawling, pulling up, and more. Even though an older baby is eating solid foods, breastmilk is still the most important part of his diet, and continues to provide him with important immunities at a time when he is crawling around and putting EVERYTHING in his mouth, including yucky, germy stuff.

Lots of research points to the beneficial effects of breast milk on a baby's intellectual development. Breastfed babies score an average of 8 points higher on IQ tests than formula fed babies, and this seems to hold true even when things like parent's educational and socio-economic backgrounds are factored in. If you nurse for a year, your baby will receive health benefits that last a lifetime. Long term nursing protects against ulcerative colitis, diabetes, Crohn's disease, obesity, and high cholesterol in adulthood. Babies who are breastfed for a year or more are less likely to need speech therapy or braces later in life. Think about the cost savings if you breastfeed for a year! Formula can cost as much as $200 a month, depending on the type you use. The cost of bottles, nipples, and extra time spent at doctor's visits also add up. You can easily save over $1,000 during the first year by breastfeeding your baby. If your baby nurses for more than a year, you will continue to provide him with the best form of nutrition. The fact that most babies can tolerate cow's milk after one year doesn't mean that they don't continue to get benefits from breastfeeding. The concentration of antibodies in human milk becomes more concentrated as the volume they consume goes down. During the toddler stage, your baby will encounter many spills and bumps and bruises as he navigates his new world. Nursing provides a perfect way to comfort a toddler who had bumped his knee, or who is fighting sleep after a busy day. Children who are breastfed long-term tend to be more secure than babies who are weaned early, because they have had their needs met during the vulnerable period of infancy. Don't worry that your baby will nurse forever - all babies wean eventually, no matter what you do. Children grow up way too quickly, and the time they spend nursing is so short in comparison to the 18 years that they spend at home.

Long-term nursing provides benefits for moms too. Many of the benefits of breastfeeding are dose-related. This means that, for example, the longer you breastfeed over the course of your lifetime, the lower your risk of breast cancer and osteoporosis. Whether you nurse your baby for days, weeks, months, or years, you will both benefit. Some mothers are hesitant to begin breastfeeding if they know they won't nurse for long. It's worth giving it a try. Even if it doesn't work out, you can always stop nursing at any point. Many mothers start out with the intention of only nursing for a short time, and then find that they keep going much longer than they ever thought they would. Don’t hesitate to ask for help! I’m here to help you if you have problems or questions or need some reassurances and support. Take it one day at a time, and remember than even one feeding at the breast provides important benefits to both you and your baby.

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Melanie Pinet

IBCLC Lactation Consultant

Holistic Sleep Educator

Alberta, Canada