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 THE
Ensure the best experience The

BREASTFEEDING BOOK
for you and your baby
You know that breastfeeding is good for your baby—but nursing doesn’t always
come easy and it can often leave you feeling frustrated and overwhelmed. But The
Everything® Breastfeeding Book, 2nd Edition is here to help! This friendly, accessible
guide helps you make the best choices for you and your baby. It features balanced, ®

Breastfeeding
practical information on:

• Finding the most comfortable • Pumping and milk storage

positions • How diet affects breast milk
• Managing pain and swelling
• Establishing a feeding routine
• What to do if your baby
is resistant

This updated edition of a parenting classic also includes all-new information on BPA
Book 2ND EDITION

bottle safety, legislation, and tips from real moms who’ve succeeded. Packed with
advice on every aspect of breastfeeding—from latching on to weaning baby off
the breast—The Everything® Breastfeeding Book, 2nd Edition is every new mom’s
best friend.

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EUHDVWIHGFKLOGUHQ6KHOLYHVLQ'HV0RLQHV,$

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DQGMRXUQDOLVW+HKROGVDPDVWHU·VGHJUHHLQMRXUQDOLVPPDVVFRPPXQLFDWLRQV+HOLYHVLQ'HV0RLQHV,$

The
Cover image: istockphoto/©Igor Balasanov COMPLETELY
UPDATED!
$15.95 (CAN $18.99)
ISBN-13: 978-1-4405-0218-7
Parenting
® The helpful, reassuring advice and practical information you
ISBN-10: 1-4405-0218-8
Breastfeeding FREDREGILL, need for a comfortable—and confident—nursing experience
Book
2ND EDITION www.everything.com
CBE
&
FREDREGILL S U Z A N N E F R E D R E G I L L , C B E A N D R A Y F R E D R E G I L L
 THE

BREASTFEEDING
BOOK
2ND EDITION
Dear Reader,
Thank you for making the decision to breastfeed your baby. What an
exciting time! A new baby changes everything, giving your life new
purpose and joy. You have so much to look forward to: your baby’s first
words, her hugs and kisses, and all the excitement of watching the life
you created grow and flourish.
Your decision to breastfeed gives your baby the best start possible.
Whether you choose to nurse for weeks, months, or years, you will be
nourishing and nurturing your baby as only you can. You’ll be giving
your baby emotional, nutritional, and immunological benefits that will
help to promote a long, healthful life.
As the parents of two breastfed children ourselves, we’ve experi-
enced firsthand both the joys and the challenges of nursing. And to this
second edition of our book, we’ve also added the stories of other parents
because parenting isn’t just what experts say, it’s also the experiences,
feelings, and beliefs of mothers and fathers. In her career as a birth doula
and breastfeeding educator, Suzanne has heard stories just like these and
witnessed the powerful benefits of breastfeeding again and again.
Thank you again for making the decision to breastfeed your baby.
We feel privileged to be part of your journey, and we hope this book will
help you partner with your health care providers in raising your beauti-
ful, healthy child.
Breast wishes,

Suzanne and Ray Fredregill

 Welcome to the ®
Series!

These handy, accessible books give you all e-quotes. We give you everything you need
you need to tackle a difficult project, gain a to know on the subject, but throw in a lot of
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PUBLISHER Karen Cooper

DIRECTOR OF ACQUISITIONS AND INNOVATION Paula Munier

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Visit the entire Everything® series at www.everything.com

 THE

BREASTFEEDING
BOOK
2ND EDITION
The helpful, reassuring advice and practical
information you need for a comfortable and
confident nursing experience
Suzanne Fredregill, CBE, and Ray Fredregill

Avon, Massachusetts
 To our breastfed children, Meaghan and Ian,
and to our parents, Mary Jo and Bill Banks,
and Lois Knowles and Robert Fredregill

Copyright © 2010, 2002 by F+W Media, Inc. All rights reserved.

This book, or parts thereof, may not be reproduced
in any form without permission from the publisher; exceptions
are made for brief excerpts used in published reviews.

An Everything® Series Book.

Everything® and everything.com® are registered trademarks of F+W Media, Inc.

Published by Adams Media, a division of F+W Media, Inc.

57 Littlefield Street, Avon, MA 02322 U.S.A.
www.adamsmedia.com

ISBN 10: 1-4405-0218-8

ISBN 13: 978-1-4405-0218-7
eISBN 10: 1-4405-0219-6
eISBN 13: 978-1-4405-0219-4

Printed in the United States of America.

10 9 8 7 6 5 4 3 2 1

Library of Congress Cataloging-in-Publication Data

is available from the publisher.

This publication is designed to provide accurate and authoritative information with regard
to the subject matter covered. It is sold with the understanding that the publisher is not
engaged in rendering legal, accounting, or other professional advice. If legal advice or other
expert assistance is required, the services of a competent professional person should be
sought.
—From a Declaration of Principles jointly adopted by a Committee of the
American Bar Association and a Committee of Publishers and Associations

Many of the designations used by manufacturers and sellers to distinguish their products
are claimed as trademarks. Where those designations appear in this book and Adams
Media was aware of a trademark claim, the designations have been printed with initial capi-
tal letters.

This book is available at quantity discounts for bulk purchases.

For information, please call 1-800-289-0963.
 Contents

Introduction xi

01 The Importance of
Breastfeeding / 1
Milk Ejection Reflex or Letdown 43
Breast and Nipple Care 44
Breastfeeding Is Good for Your Baby 2
Breastfeeding Is Good for You, Too 8
Breastfeeding’s Other Benefits 12
04 Prenatal Preparation / 45
Nipple Assessment 46
Top Ten Breastfeeding Myths Nipple Preparation 47
Debunked! 13
Social-Emotional Preparation 48

02
Breastfeeding Supplies 49
Who Can Breastfeed? / 15
Labor Medications and
Breast Issues 16 Breastfeeding 54
Adoptive Moms 17 Breastfeeding and Your Birth Plan 57
Drugs and Alcohol 18 Breastfeeding Classes 60
Multiple Births 24 Choosing a Pediatrician 61
Caesarean Section 24
Mother’s Medical Conditions 25
Breast Surgeries 29
05 Breastfeeding Basics / 62
The First Hour 63
Baby’s Medical Conditions 30 At the Hospital 63

03
At Home 65
Breasts and Milk When to Feed 65
Production / 33 Baby at Your Breast: The Basics 68
Breast Development 34
Breastfeeding Positions 72
Breast Anatomy 35
Burping 76
How Your Breasts Produce Milk 37
Breastmilk Contents 39

v
The Everything Breastfeeding Book

06 Fine-Tuning / 78
Your Breastfeeding Environment 79
09 Special Circumstances / 114
Premature Infants 115
Establishing a Routine 80 Colic 116
Your Baby’s Sleep/Wake Cycle 82 Multiple Births 119
Waking Your Sleepy Baby 84 C-Sections 123
Middle of the Night Feedings 85 Down Syndrome 124
The Family Bed 86 Cleft Lip or Cleft Palate 125
Sudden Infant Death Syndrome 88 Tongue Tie 126

07
Relactating and Adoptive Moms 127
Is This Right? Evaluating
Breastfeeding / 91
Weight Gain 92
10 Nursing on the Go / 129
Nursing in Public 130
Elimination Patterns 92 Clothing 131
Breast Changes 93 Where to Nurse 131
Supplemental Feeding and Babywearing 132
Alternative Methods 96
When to Nurse 132

08 Common Concerns / 100

Does Breastfeeding Hurt? 101
Supplies 133
Travel by Car 134
Travel by Plane 135
Engorgement 101
Going Solo 136
Leaking 104
Sore Nipples and Blisters 104
Plugged Ducts 106 11 Express Yourself / 138
Pump It Up! 139
Mastitis 107
Manual Expression 140
Thrush 108
Breast Pump Selection 141
Nipple Confusion 109
Types of Breast Pumps 143
Breastmilk Jaundice 110
Storage of Human Milk 146
Teething and Biting 111
Pump Up the Volume! 150
Lack of Confidence 112

vi
 Contents

12 Bottle Feeding
Your Baby / 151
15 Stress, Postpartum Depression,
and Breastfeeding / 181
Bottles, Nipples, and Other Discontented Cows
Supplies 152 Don’t Give Milk 182
Keeping It Clean 156 Sleep Deprivation 183
Formula 158 The Baby Blues 184
Feeding with a Bottle 162 Stress-Stopping Toolbox 185
Dad’s Turn 163 Postpartum Depression 187

13
Support from Family and Friends 190
Nutrition for Mom / 164
Setting a Healthy Example 165
A Word about Water 165
16 Sex and the Breastfeeding
Couple / 193
Food Pyramid 166 The Great Sexuality Debate 194

Vitamin and Mineral Changing Relationships 195

Supplements 167 Intimacy 196
Breastmilk and Your Diet 168 Sex 198
Special Concerns 171 The Big Day 198
Weight-Loss Plans 173 Your Body 201

14
Fertility and Milk Production 201
Exercise for You and Birth Control 202
Your Baby / 174
The Benefits of Exercise 175
When to Begin 175
17 Siblings and
Family Life / 204
Finding the Time 176 Family Transitions 205
Your Changing Body 178 Sibling Jealousy 211
Exercise and Breastmilk 179 Teamwork 212
Exercises to Do with Your Baby 179 The Family Pet 213

vii
The Everything Breastfeeding Book

18 How Long Should I

Breastfeed? / 215
21 Breastfeeding and the
Law / 248
Physical Limits 216 Nursing in Public 249
What the Experts Say 216 The Workplace 251
Cultural and Historical Issues 217 Family Law 254
Toddler Nursing 221 Family and Medical Leave Act 254
Nursing Through Pregnancy 223 Lobbying for Change 259

22
Tandem Nursing 224
Weaning / 260

19 Infant Nutrition and

Introducing Solids / 226
Nursing Strike versus Weaning 261
Special Situations: Sudden Weaning
First Feedings 227 262

Supplies 228 Transitioning Baby: Gradual Weaning

264
Food Allergies 229
Weaning from Breast to Bottle 268
Food Schedules 229
Natural Weaning 269
Breastmilk and Bottles 232
Other Bonding Activities 269
Finger Foods 233
Toothbrushing 234
Appendix A: Frequently Asked

20
Questions / 271
Employment, Childcare, and
Appendix B: Glossary of
Breastfeeding / 235
Breastfeeding Terms / 277
Finding a Breastfeeding-Friendly Day
Appendix C: Resources / 283
Care 236
Index / 285
Breastfeeding and Daycare 241
Returning to Work 242
Maintaining Your Milk Supply 243
Staying Home 244

viii
 Acknowledgments

Special thanks to the following people for their help: Stephanie and Bill
Weedman, Kim Tweedy, Molly Stiles, Sarah and James Six, Angela Sinnott,
Lindy Shaw, Anne Palladino, Chris Lyon, Joy Lyon, Sara Baker, Sammy, Jes-
sica, Jennifer, Dan, Chalise, and Aileen.
Introduction

MAKING A “DECISION” TO breastfeed is really very new. Since long before

recorded history, breastfeeding was a woman’s only choice. If a mother was
unable to nurse her child, family or friends who were lactating would nurse
the baby for her. Wet nurses, lactating women who were paid to nurse and
care for another’s child, were employed by the wealthy in some cases. The
wet nurse often nursed her young charges in addition to her own children.
This year, over three million women in the United States will breast-
feed their newborns. That’s approximately 71 percent of all new mothers.
The practice of breastfeeding instead of feeding an infant formula from a
bottle is slowly gaining ground, and it’s a trend that health care profession-
als enthusiastically welcome because they know that “breast is best.” Your
breastfeeding relationship with your child will have far-reaching rewards for
both you and your baby, as well as your entire family.
Nursing your child is a relaxing and enjoyable experience that just might
be one of the most satisfying relationships you’ve ever had. There’s nothing
else that compares with the emotional closeness of breastfeeding. When
your baby looks up at you adoringly and smiles, you’ll know you’ve made
the right choice.
Breastfed children have fewer infections, fewer digestive problems, and
better brain development than formula-fed babies, and that’s just the begin-
ning. Breastfeeding also helps your body recover from labor and birth, and
decreases your risk of breast cancer. There are even financial and environ-
mental advantages. Simply put, breastfeeding your child is a responsible,
loving, and natural choice.
Although breastfeeding is natural, learning this new skill doesn’t come
naturally to everyone. Some women are lucky enough to experience only a
few problems, but many need a little help at first. In the past, women grew up
surrounded by breastfeeding friends and family members, and so girls had
the opportunity to learn the “womanly art” from their female role models. By

xi
 the time these girls grew up and had children, they had seen and perhaps
assisted with breastfeeding on many occasions. If they had a problem, they
could consult with their mothers, female friends, or a midwife.
But things changed in the twentieth century. Bottle feeding of infant for-
mulas became much more common than breastfeeding. Women were per-
suaded by both advertisers and the medical community that infant formula
was at least as good as breastmilk, and certainly more convenient. Today,
we know that nothing comes close to breastmilk. Unfortunately, decades of
bottle feeding have left most women without the social support and knowl-
edge necessary for breastfeeding success. Now we have to rely on a more
formal method of breastfeeding education.
This book will provide you with techniques, tips, and insights that will
enhance your breastfeeding experience. The information provided is based
on current research and recommended best practices in the field of breast-
feeding education.
You can breastfeed. There is no better nourishment for your baby than
your own milk. Your milk is specially designed for your child at all stages of
development. With a little preparation, practice, confidence, and patience,
you’ll be well on your way toward breastfeeding success.

xii
 CHAPTER 1

The Importance of
Breastfeeding

Despite all the fantastic things humans have accomplished,

they’ve never been able to come up with a better food for
your baby than breastmilk. That’s not to say they haven’t
tried, though, because the formula options available can
be mind-boggling. Luckily for you, the simplest choice is
also the healthiest choice. No infant formula can meet your
baby’s needs the way your own breastmilk does.

1
The Everything Breastfeeding Book

Breastfeeding Is Good for Your Baby

Breastmilk is the elixir of life for your baby. Each precious drop gives her
exactly what she needs in just the right amounts. It’s an incredible mixture
that’s constantly changing to meet your baby’s needs.

Digestibility
One of the greatest advantages of breastmilk is how easily your baby
can digest it. This is especially important during the first year of life when
your baby will be growing more rapidly than at any other time. Part of the
reason breastmilk is so digestible is that the proteins are smaller than for-
mula proteins. The vitamins and minerals in breastmilk are also more easily
absorbed by your baby’s body than those found in formula or other supple-
ments. But breastmilk goes beyond just being easy to digest.

There is no question that breastmilk is the best milk for your baby. All
of the following organizations recommend exclusive breastfeeding for
at least the first six months: the American Academy of Pediatrics (AAP),
the World Health Organization (WHO), the Association of Women’s
Health, Obstetric and Neonatal Nursing (AWHONN), the Federation In-
ternational of Gynecology & Obstetrics (FIGO), the International Con-
federation of Midwives (ICM), the International Lactation Consultant
Association (ILCA), the Women, Infants, and Children Supplemental
Program (WIC), and the U.S. Department of Health and Human
Services.

Enzymes in breastmilk work with your baby’s digestive system to help

her get the most out of every feeding. As a result, breastmilk goes through
your baby’s system twice as fast as formula while providing her with better
nourishment than any other food source.
Yes, this means that your young, breastfed baby will have more frequent
bowel movements than formula-fed babies of the same age. It also means
your nursing baby will want to eat more frequently than a formula-fed baby.
On the other hand, your baby will spit up less and have fewer cases of indi-

2
 Chapter 1: The Importance of Breastfeeding

gestion. Because breastfed infants generally eat smaller meals than formula-
fed babies, there’s less opportunity for spitting up.

“Katie was constipated and didn’t have a bowel movement for an en-
tire week. We took her to the doctor, and he couldn’t figure out what
was wrong. Then we took her to a lactation specialist. She told me
that my breastmilk was so compatible with Katie’s digestive system
that it was absorbed. She didn’t need to poop.” —Stephanie

Because breastmilk is more easily digested, it can also lessen the sever-
ity of gastroesophageal reflux (GER). GER is a heartburn-like pain that hap-
pens when stomach acids back up into your baby’s esophagus. There’s a
circular muscle where the esophagus meets the stomach that normally pre-
vents GER from occurring, but in some babies it takes most of their first year
of life for that muscle to develop properly.
If you’ve ever had acid reflux, just imagine having it as a baby. You’d cry,
too, if it happened to you!

Stools
As a direct result of breastmilk’s digestibility, your baby’s stools will be
smaller, softer, and less likely to knock you out. No one is promising that dia-
per changing will be like a trip to the perfume counter, but with fewer fats
and proteins passing through your baby’s system undigested, the smell of
stools is not just reduced, it’s changed for the better. In addition, your breast-
fed baby is less likely to suffer from constipation.

Immunity
At birth and until approximately four months of age, your child’s immune
system is underdeveloped. All sorts of viruses, fungi, bacteria, and other vil-
lains will try to invade your baby’s body. Without a mature immune system,
she’s an easy target. But, once again, it’s breastmilk to the rescue!
Many of the ingredients in your breastmilk help fight infections or pro-
mote the growing strength of your baby’s own immune system. Breastmilk

3
The Everything Breastfeeding Book

contains ingredients that shield the intestines, help friendly bacteria grow,
keep necessary iron away from the invading cells, and cut through the
invaders’ cell walls.
Most amazingly, breastmilk is a living substance. Like blood, it’s teeming
with millions of disease-fighting cells called antibodies. These antibodies
are nature’s way of immunizing your baby against every disease you have
ever been exposed to, and that protection constantly improves. If you are
exposed to a new germ, your body will pass on immunity to that germ to
your baby through your milk. “Breastmilk immunization” can happen before
you even notice the first symptoms of illness.
Breastfed babies have remarkably lower incidences of many diseases,
including certain types of cancer.

A protein in breastmilk is being studied as a potential treatment for

cancer. It undergoes a change when it is digested, becoming a cancer
killer researchers named HAMLET (Human Alpha-lactalbumin Made
Lethal to Tumors). It actually causes cancer cells to commit suicide.
According to the researchers, HAMLET is deadly to “every cancer we
test it against.”

Adults who were breastfed as infants have lower incidences of many dis-
eases, such as Crohn’s disease and coronary heart disease. Furthermore,
research finds that breastmilk kills germs in babies’ mouths and helps heal
mothers’ cracked nipples. Some moms even put it on cuts and scrapes or
use it to treat pink eye and nasal congestion. It’s like your immune system
distilled into an easy-to-use liquid.

Type 2 Diabetes
Another surprising advantage of breastfeeding is that it reduces your
child’s risk of developing Type 2 diabetes later in life. A 2006 study found that
breastfed babies have lower levels of insulin and glucose in their blood than
do formula-fed babies. Their blood insulin levels remain lower as adults, and
that reduces their risk for diabetes.

4
 Chapter 1: The Importance of Breastfeeding

Intelligence
Your baby’s brain grows at a fantastic rate in those first few months. You
won’t always be able to tell as she lies in your arms looking so serene, but
this is her brain’s busiest developmental stage. There’s a firestorm of activity
behind that cute brow as neural pathways form. With every moment, some
paths are strengthened and others fade. Your baby needs the proper mate-
rials for this important work, and your breastmilk is a virtual Home Depot,
packed with everything the blueprint calls for. Studies have found up to a
ten-point IQ advantage in breastfed children.
Babies need fat for brain development for at least the first two years of
their lives. Fats and sugars in your milk are custom-tailored for brain growth.
The fats found in your breastmilk help form the insulation on the electrical
wiring of your baby’s brain, and they make your baby smarter, too.
Human milk is specially made for your baby, just as cow’s milk is made
for calves and goat’s milk is made for baby goats. The types of proteins,
fats, and other nutrients found in cow’s milk are just what a calf needs,
but your baby’s needs are different. Your breastmilk will actually change as
your baby grows.
For example, your body produces breastmilk with less fat for older
babies than it does for newborns while premature infants receive breast-
milk that’s richer and higher in calories. So your breastmilk is not only like a
Home Depot, it’s also like a pharmacy.

Colic
Colicky babies cry and fuss a lot. A lot. It’s impossible to overempha-
size just how much. Colic is like an unending stomachache. While the exact
causes are unknown, one thing remains true across the board: Babies with
colic are unhappy. Mothers with colicky babies aren’t exactly thrilled about
it, either.
The good news is that babies who are exclusively breastfed have a much
lower incidence of colic (although that’s not to say it can’t happen). Breast-
feeding infants can be colicky since a newborn’s digestive system might not
be able to fully digest anything—even breastmilk. However, when breastfed
babies are colicky, it’s usually less severe and for a shorter period of time
than it would be if they were getting formula.

5
The Everything Breastfeeding Book

Emotional State
Babies often fall asleep at the breast, full and content. That’s because
breastmilk contains ingredients that stimulate your baby’s body to produce
a hormone called cholecystokinin (CCK). CCK relaxes your baby and helps
her sleep. It’s the same hormone that makes you feel drowsy after a big meal.
It’s like your post-Thanksgiving food coma.
The act of nursing is also comforting to your baby and satisfies her need
to suck. The skin-to-skin contact keeps her warm, and your body tempera-
ture will actually adjust itself in response to hers. She feels safe and secure
nestled in your arms. The closeness and intimacy of the feeding experience
fosters your baby’s sense of trust and makes it easier for her to communicate
her needs to you. And you smell good, just like your milk.
The profound emotional connection you make with your baby grows
into the connection you will have with your child. Nursing your baby makes
you more in tune with her needs and feelings. She will feel secure and
develop a trust in you that will serve as a strong foundation for her entire
childhood.

Weight and Obesity

Breastfed babies generally don’t gain weight as quickly in the first few
days as formula-fed babies, but they soon catch up. Many breastfeeding
parents are concerned that their child seems underweight according to the
doctor’s charts, but don’t let the growth chart worry you. Those weights are
based on formula-fed infants, not breastfed babies. Formula-fed infants are
typically overweight, while breastfed babies are leaner.
Formula and breastmilk generally average about the same number of
calories per ounce. The difference is in the other ingredients and in the
delivery system. Cow’s milk is made to build body mass, and so the types of
fats and proteins it contains encourage early weight gain. This makes sense
for an animal that will gain hundreds of pounds in its first year of life. Breast-
milk, on the other hand, contains a healthier balance of body and brain
builders. It also changes as your baby suckles. At first, your baby gets the
protein-rich foremilk. As she continues to nurse, your calorie-rich hindmilk
lets down. With formula, she always gets the full-calorie version.

6
 Chapter 1: The Importance of Breastfeeding

Add to that the tendency many moms have to urge a baby to finish every
bottle, and you can see why formula-fed babies get too many calories. As a
result, they are more likely to become obese. In a 2007 study of all the past
research on the issue, the National Center for Chronic Disease Prevention
and Health Promotion found that breastfeeding’s ability to prevent obesity
in children is enhanced by the exclusivity and duration of breastfeeding. So
exclusively breastfeed your baby for her first six months, and continue after-
ward to help prevent all the health risks, from diabetes to certain types of
cancer, associated with childhood obesity.

Facial Development
Babies suck differently on breasts than they do on bottles because
the breast fills the mouth more completely. Breastfeeding works the entire
mouth while bottle feeding exercises only the front. The sucking movements
affect babies’ facial development. Breastfed babies tend to have larger nasal
space and better jaw alignment, which means a reduced risk of snoring,
sleep apnea, and orthodontic work later in life.

Colostrum is the yellowish fluid your breasts produce immediately af-

ter the birth of your baby. Many cultures have regarded colostrum as
“dirty milk” and kept it from babies, but the truth is just the opposite:
It’s exactly what your newborn needs. Colostrum knocks out germs
even more effectively than regular breastmilk and helps your baby get
a healthy start in many other ways.

Allergies
Allergies are blamed for problems in children and adults, ranging from
the classic hay fever all the way to behavioral difficulties. Infants are espe-
cially vulnerable to food allergies because of what some doctors call the
leaky gut syndrome. The cells lining a baby’s intestinal walls are just not
packed together densely enough at birth to stop food proteins, or allergens,
from entering the body.

7
The Everything Breastfeeding Book

If you practice exclusive breastfeeding during your baby’s first six months,
you don’t need to worry too much about food allergies. If you feed formula,
however, you need to be aware of a host of potential allergens in the mix.
Breastmilk meets your baby’s needs perfectly. It contains substances
that help “seal the leaks” in your baby’s intestinal lining while other sub-
stances help the lining to grow. Around six months of age, your baby’s leaky
intestinal lining achieves “closure.” Babies become less sensitive to allergens
and can start trying different foods.

Sudden Infant Death Syndrome

Sudden Infant Death Syndrome, or SIDS, is scary to think about, but your
decision to breastfeed could save your baby’s life. Studies show that babies
who are exclusively breastfed (not offered any other source of nutrition)
have only half the risk of SIDS. Why? No one’s exactly sure, but research
suggests that SIDS is reduced by baby’s good health, time spent with mom,
and the mother’s education. Breastfed babies are healthier than formula-fed
babies, and their moms typically spend more time with them and tend to be
better educated. Maybe there are other factors, but one thing is clear: Breast-
feeding reduces SIDS.

Breastfeeding Is Good for You, Too

Not only is putting your baby to breast good for your baby, it’s been shown
time and again to have some impressive advantages for moms, too. You will
experience short-term benefits such as delayed periods, as well as reduced
risks of breast cancer and osteoporosis farther down the road.

Postpartum Recovery
If a doula or midwife assists your birth, she’ll be sure your newborn breast-
feeds in the first hour after delivery. Besides the fact that professional child-
birth assistants nearly always advocate breastfeeding for baby, it’s also an
important part of your natural recovery from labor and delivery. Breastfeeding
releases the hormone oxytocin, which causes your uterus to contract, thereby
helping stop the flow of blood and delivering the placenta in one piece. If you

8
 Chapter 1: The Importance of Breastfeeding

choose not to breastfeed, your doctor will intervene with an injection of Pito-
cin, a synthetic form of oxytocin, to aid in the delivery of your placenta.

Amenorrhea
Amenorrhea is a big word with a little definition: no periods. Many
women enjoy time off from their menses for the first six months of breast-
feeding. The benefits of this little break are more than just convenience.
Lactational amenorrhea (the pausing of your menstrual cycle while
breastfeeding) means reduced fertility. As long as you are exclusively breast-
feeding, you’re much less likely to become pregnant. With lactational amen-
orrhea, women enjoy a 98 to 99 percent effective method of birth control.
Best of all, it’s completely natural.

Six weeks of postpartum abstinence followed by six months of

breastfeeding-induced amenorrhea gives you over sixteen months
between births. That’s nature’s own family planning. However,
amenorrhea is different for every woman. Sometimes even the
shortest separation from your baby can derail the process.

The other benefit of lactational amenorrhea is the prevention of anemia.

Because breastfeeding removes iron from your body at a rate of about 0.3
milligrams per day, doctors have long considered it to be a cause of anemia
in new mothers. As researcher Ted Greiner points out on his website, the
amount of iron new moms would normally lose with their period is retained
when their menses stop due to breastfeeding. In other words, instead of los-
ing large amounts of iron to your period, you can lose much smaller amounts
to your baby.
Traditionally, people have viewed breastfeeding as being a “draw” on
the mother’s body. Today, we know that’s just not true. Breastfeeding plays
an important role in helping you recover from pregnancy and childbirth. So
while ample evidence exists that pregnancy can cause maternal anemia,
nature provides the remedy in the form of breastfeeding.

9
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