Myths of Breastfeeding
|by Jack Newman, M.D.
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 who 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.
2. "It is normal for breastfeeding to hurt." Not true! Though some
tenderness during the first few days is relatively common, this should be a temporary
situation that lasts only a few days and should never be so bad that the mother dreads
breastfeeding. 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 three
or four or lasts beyond five or six 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. Taking the baby off the
breast for the nipples to heal should be a last resort only (see Sore Nipples).
|3. "There is no (not enough) milk during the first three or
four 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 that is available.
When there is not a lot of milk (as there is not, normally, in the first few
days), the baby must be well latched on in order to get the 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. Once the
mother's milk is abundant, a baby can latch on poorly and still may get plenty of
milk, though good latching from the beginning, even if the milk is abundant, prevents
problems later on.
4. "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 better and longer if the mother compresses the breast to keep the
flow of milk going, once he no longer drinks on his own (see 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. To see how to know a baby is getting milk, see the videos at nbci.ca.
5. "A breastfeeding baby needs extra water in hot weather." Not
true! Breastmilk contains all the water a baby needs.
6. "Breastfeeding babies need extra vitamin D." Not true! Everyone
needs vitamin D. Formula has it added at the factory. But the baby is born with a
liver full of vitamin D, and breastmilk does have some vitamin D. Outside exposure
allows the baby to get the rest of his vitamin D requirements from ultraviolet light
even in winter. The baby does not need a lot of outside exposure and does not need
outside exposure every day. Vitamin D is a fat soluble vitamin and is stored in the
body. In some circumstances (for example, if the mother herself was vitamin D
deficient during the pregnancy) it may be prudent to supplement the baby with vitamin
D. Exposing the baby to sunlight through a closed window does not work to get the baby
more vitamin D.
||7. "A mother should wash her nipples each time before feeding
the baby." Not true! Formula feeding requires careful attention to
cleanliness because formula not only does not protect the baby against infection, but
also is actually a good breeding ground for bacteria and can also be easily
contaminated. On the other hand, breastmilk protects the baby against infection.
Washing nipples before each feeding makes breastfeeding unnecessarily complicated and
washes away protective oils from the nipple.
8. "Pumping is a good way of knowing how much milk the mother has."
Not true! How much milk can be pumped depends on many factors, including the mother's
stress level. The baby who breastfeeds well can get much more milk than his
mother can pump. Pumping only tells you how much you can pump.
9. "Breastmilk does not contain enough iron for the baby's needs."
Not true! Breastmilk contains just enough iron for the baby's needs. If the baby is
full term he will get enough iron from breastmilk to last him at least the first six
months. Formulas contain too much iron, but this quantity may be necessary to
ensure the baby absorbs enough to prevent iron deficiency. The iron in formula is poorly
absorbed, and the baby poops out most of it. Generally, there is no need to add
other foods to breastmilk before about 6 months of age.
10. "It is easier to bottle feed than to breastfeed." Not true!
Or, this should not be true. However, breastfeeding can be 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 later.
11. "Breastfeeding ties the mother down." Not true! But it depends
how you look at it. A baby can be breastfed 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.
12. "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 mouth wide - pause - close mouth type of suck). Other ways also help show that
the baby is getting plenty (see Is my Baby Getting Enough Milk?). Also see the videos at nbci.ca.
|13. "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, formulas 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,
cadmium, lead 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, but there is more
to breastfeeding than nutrients.
14. "If the mother has an infection she should stop breastfeeding."
Not true! With very, very few exceptions, the mother's continuing to breastfeed will
actually protect the baby. By the time the mother has fever (or cough, vomiting,
diarrhea, rash, etc) she has already given the baby the infection, since she has been
infectious for several days before she even knew she was sick. The baby's best
protection against getting the infection is for the mother to continue breastfeeding.
If the baby does get sick, he will be less sick if the mother continues breastfeeding.
Besides, maybe it was the baby who gave the infection to the mother, but the baby did
not show signs of illness because he was breastfeeding. Also, breast infections,
including breast abscess, though painful, are not reasons to stop breastfeeding.
Indeed, the infection is likely to settle more quickly if the mother continues
breastfeeding on the affected side (see Breastfeeding and Medications and Breastfeeding and Illness).
15. "If the baby has diarrhea or vomiting, the mother should stop
breastfeeding." Not true! The best medicine for a baby's gut infection is
breastfeeding. Stop other foods for a short time, but continue breastfeeding.
Breastmilk is the only fluid your baby requires when he has diarrhea and/or vomiting,
except under exceptional circumstances. The push to use "oral rehydrating
solutions" is mainly a push by the formula manufacturers (who also make oral
rehydrating solutions) to make even more money. The baby is comforted by the
breastfeeding, and the mother is comforted by the baby's breastfeeding (see Breastfeeding and Medications and Breastfeeding and Illness).
16. "If the mother is taking medicine she should not breastfeed."
Not true! There are very very few medicines that a mother cannot take safely while
breastfeeding. A very small amount of most medicines appears in the milk, but usually
in such small quantities that there is no concern. If a medicine is truly of concern,
there are usually equally effective, alternative medicines that are safe. The risks of
artificial feeding for both the mother and the baby must be taken into account when
weighing if breastfeeding should be continued (see Breastfeeding and Medications and Breastfeeding and Illness).
Note: All of the information sheets from Breastfeeding Inc., including this article, may
be copied and distributed without further permission on the condition that they are not used in
any context that violates the WHO International Code on the Marketing of Breastmilk Substitutes
(1981) and subsequent World Health Assembly resolutions.
For more information, visit Breastfeeding
Inc. Copyright © 2011.