Why Milk?  
   

 

 
   

 

 
    Milk is not simply a beverage for dunking your cookie or washing down chocolate cake, but also a solution to evolution’s most crucial problem: how to keep offspring alive. A nursing mother invests great time and energy, but they vastly increase the infant’s chance not only to survive, but to thrive. Every species of milk is unique to its young. Mother whales provide vast quantities of fat to help their calves build an insulating layer of blubber. Fast-growing animals, such as rabbits, received more protein to sustain their rapid development. Human milk is relatively rich in sugars, which are easily broken down to produce energy, and in cholesterol, which builds brains and nerves for thinking.
  1. Modern formulas are almost the same as breastmilk.
  2. It is easier to bottle feed than to breastfeed.
  3. Many women do not produce enough milk.
  4. It is normal for breastfeeding to hurt.
  5. There is no (not enough) milk during the first 3 or 4 days after birth.
  6. A baby should be on the breast 20 (10, 15, 7.6) minutes on each side.
  7. Breastfeeding ties the mother down.
  8. There is no way to know how much breastmilk the baby is getting.

 
   
 
       
   
  1. Modern formulas are almost the same as breastmilk. 

Not true! The same claim was made in 1900 and before. Modern formulas are only superficially similar to breastmilk. Every correction of a deficiency in formulas is advertised as an advance. Fundamentally they are inexact copies based on outdated and incomplete knowledge of what breastmilk is. Formulas contain no antibodies, no living cells, no enzymes, no hormones. They contain much more aluminum, manganese, calcmium and iron than breastmilk. They contain significantly more protein than breastmilk. The proteins and fats are fundamentally different from those in breastmilk. 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 breastmilk 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, but there is more to breastfeeding than getting the baby to grow quickly.

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  1. It's easier to bottle feed than breastfeed.

Not true! Or, this should not be true. However, breastfeeding is made difficult because women often do not receive the help they should to get started properly. A poor start can indeed make breastfeeding difficult. But a poor start can also be overcome. Breastfeeding is often more difficult at first, due to a poor start, but usually becomes easier after the first month. "It took me six weeks!"

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  1. Many women do not produce enough milk.

Not true! The vast majority of women produce more than enough milk. Indeed, an overabundance of milk is common. Most babies that gain too slowly, or lose weight, do so not because the mother does not have enough milk, but because the baby does not get the milk that the mother has. The usual reason that the baby does not get the milk that is available is that he is poorly latched onto the breast. This is why it is so important that the mother be shown, on the first day, how to latch a baby on properly, by someone who knows what they are doing.

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  1. It is normal for breastfeeding to hurt.

Not true! Though this is individual . . . some tenderness during the first few days is relatively common, this should be a temporary situation which lasts only a few days and should never be so bad that the mother dreads nursing. Any pain that is more than mild is abnormal and is almost always due to the baby latching on poorly. Any nipple pain that is not getting better by day 3 or 4 or lasts beyond 5 or 6 days should not be ignored. A new onset of pain when things have been going well for a while may be due to a yeast infection of the nipples. Limiting feeding time does not prevent soreness.

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  1. There is no (not enough) milk during the first 3 or 4 days after birth.

Not true! It often seems like that because the baby is not latched on properly and therefore is unable to get the milk. Once the mother's milk is abundant, a baby can latch on poorly and still may get plenty of milk. However, during the first few days, the baby who is latched on poorly cannot get milk. This accounts for "but he's been on the breast for 2 hours and is still hungry when I take him off". By not latching on well, the baby is unable to get the mother's first milk, called colostrum. Anyone who suggests you pump your milk to know how much colostrum there is, does not understand breastfeeding, and should be politely ignored.

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  1. A baby should be on the breast 20 (10, 15, 7, 6) minutes on each side.

Not true! However, a distinction needs to be made between "being on the breast" and "breastfeeding". If a baby is actually drinking for most of 15-20 minutes on the first side, he may not want to take the second side at all. If he drinks only a minute on the first side, and then nibbles or sleeps, and does the same on the other, no amount of time will be enough. The baby will breastfeed better and longer if he is latched on properly. He can also be helped to breastfeed longer if the mother compresses the breast to keep the flow of milk going, once he no longer swallows on his own (Handout #15 Breast Compression). Thus it is obvious that the rule of thumb that "the baby gets 90% of the milk in the breast in the first 10 minutes" is equally hopelessly wrong.

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  1. Breastfeeding ties the mother down.

Not true! But it depends how you look at it. A baby can be nursed anywhere, anytime, and thus breastfeeding is liberating for the mother. No need to drag around bottles or formula. No need to worry about where to warm up the milk. No need to worry about sterility. No need to worry about how your baby is, because he is with you.

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  1. There is no way to know how much breastmilk the baby is getting.

Not true! There is no easy way to measure how much the baby is getting, but this does not mean that you cannot know if the baby is getting enough. The best way to know is that the baby actually drinks at the breast for several minutes at each feeding (open—pause—close type of suck). Other ways also help show that the baby is getting plenty of wet and soil diapers/nappies. A baby that is still passing meconium (dark tar-like) stools on day five needs to be seen by a lactation consultant or doctor on the same day.

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    Dr. Jack Newman is kind to supply the all the information on this page.  
       
    JACK NEWMAN. MD, FRPCP, graduated from the University of Toronto medical school as a pediatrician in 1970. He started the first hospital-based breastfeeding clinic in Canada in 1984 at Toronto's Hospital for Sick Children. He has been a consultant with UNICEF for the Baby Friendly Hospital Initiative in Africa, and has published articles on the subject of breastfeeding in Scientific American and several medical journals. Dr. Newman has practiced as a physician in Canada, New Zealand, and South Africa.  
   
 
   

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