The Importance of Supporting Breastfeeding Mothers
April M. Moore
Mattie Q. Smith ENG 100
June 19, 2014 SUPPORTING BREASTFEEDING MOTHERS 2 Abstract Breastfeeding has scientifically been proven to have an extensive range of benefits for both mother and child. However, due to a variety of obstacles, many women are not willing or able to initiate breastfeeding after birth, or continue breastfeeding the recommended minimal length of time. By providing comprehensive support and education, the breastfeeding success rates will increase, allowing more mothers and children to take advantage of a healthier future. Keywords: breastfeeding benefits, breastfeeding support, childcare providers, infants, lactation consultants, mothers, postpartum care SUPPORTING BREASTFEEDING MOTHERS 3 The Importance of Supporting Breastfeeding Mothers Many national and international health organizations, such as the Center for Disease Control (CDC), American Academy of Pediatricians (AAP), and World Health Organization (WHO) strongly recommend and encourage breastfeeding for all infants, as breastfeeding has a myriad of benefits for both mother and child. WHO (Breastfeeding, 2014) states that, exclusive breastfeeding is recommended up to 6 months of age, with continued breastfeeding along with appropriate complementary foods up to two years of age or beyond. However, according to the CDC (Breastfeeding Report Card, 2013), only 16.4% of babies in the United States are exclusively breastfed at six months of age, and only 27% of babies are still breastfeeding at one year of age. There are many factors that may cause women to not initiate breastfeeding, or to cease breastfeeding earlier than recommended. By providing more support and education within communities, breastfeeding rates will continue to rise, allowing more mothers and children to improve their physical and emotional health. Benefits of Breastfeeding Breastfeeding has been scientifically proven to offer a wide variety of benefits to both mother and child, starting from the very first nursing session following birth, and extending years after the breastfeeding relationship has ended. These benefits not only affect the individuals as described below, but have far-reaching effects on a larger scale, due to lower health care costs and less environmental impact. Benefits to Babies Unlike formula and other milk substitutes, breastmilk has a dynamic composition with over 200 known components that changes during a feeding session, as well as over the entire course of lactation, depending on the childs age. Because breastmilk contains antibodies that SUPPORTING BREASTFEEDING MOTHERS 4 vary depending on maternal exposure to specific viruses and bacteria, a breastfed child is better able to resist illnesses and diseases found in his or her environment. Breastmilk also contains lactoferrin, an iron-binding protein, which has a direct antibiotic effect on bacteria in the gut, such as staphylococci and E. coli (Healthy Nutrition, 2014). Breastfed babies have a lower risk of asthma and other respiratory illnesses, diarrheal diseases, ear infections, allergies, type 2 diabetes, Sudden Infant Death Syndrome (SIDS), and childhood cancers (Benefits of Breastfeeding, n.d.). Benefits to Mothers There are also many benefits to women who breastfeed, especially for an extended period of time. Breastfeeding releases oxytocin, a hormone that, immediately after birth, can stimulate uterine contractions, reducing the risk of postpartum hemorrhage (Benefits of Breastfeeding, n.d.). Oxytocin also acts as a neurotransmitter, playing a huge role in bonding, and developing a sense of connection and trust (Horan, n.d.). Mothers who breastfeed have a lower risk of type 2 diabetes, ovarian and uterine cancer, and postpartum depression. In addition, women who breastfeed for a total of two or more years reduce their chance of developing breast cancer by 24% (Benefits of Breastfeeding, 2005). Importance of Support Unfortunately, despite all the aforementioned benefits, many women choose not to initiate breastfeeding after birth, or to not breastfeed for the recommended length of time. The reasoning behind this complex and multifactorial decision is often rooted in lack of consistent, knowledgeable support from family, health care professionals and childcare providers. SUPPORTING BREASTFEEDING MOTHERS 5 Support from Family Family and close friends make up ones most inner circle of care, so it is crucial that these members provide support to breastfeeding mothers. A study (Arora, 2000, p. e67) amongst women in Pennsylvania surveyed women who had ceased breastfeeding, asking what would have encouraged them to initiate breastfeeding and breastfeed for longer. 80% of women said they would have felt more encouraged to continue if they had support from the babys father, 89.4% said the same about having encouragement from friends, and 90.9% reported wanting more support from the babys grandmother or other family members. Another study (Grassley, 2007, pp. 23-26) gathered thoughts from grandmothers, asking their perception of breastfeeding and what they wished they had known prior to their grandchild be born. Three main themes emerged from those conversations, showing that grandmothers desired to be helpful and provide support, be updated on their breastfeeding knowledge, and learn together with their daughters. Prenatal and postnatal healthcare providers can utilize information from studies like these to develop strategies that incorporate fathers, grandmothers and other family members into the breastfeeding education and support process, increasing the likelihood of breastfeeding initiation and continuance. Support from Health Care Professionals There are many challenges that may arise during breastfeeding, and mothers often have questions and concerns they wish to address with a health care professional. Unfortunately, studies show that not all women receive help that is conducive to successful breastfeeding. In data gathered in an evaluation by Women, Infants and Children (WIC), it was found that education and support from medical professionals handling prenatal and postnatal care, the hospital staff following birth, and pediatricians at infant checks-ups were inadequate, and in SUPPORTING BREASTFEEDING MOTHERS 6 some cases, misinformed or nonexistent (Cross-Barnet, 2012, pp. 1926-1932). Receiving consistent, accurate education and individualized counseling can increase the likelihood of a mother attempting to breastfeed and continue to successfully breastfeed for a longer period of time. Having medication professionals collaborate with lay workers, such as doulas and peer counselors, to provide cohesive support could also increase breastfeeding rates. Support from Child Care Providers While breastfeeding has been proven to have many benefits, mothers often find the need to return to work, which can create many obstacles leading to a decision to not even begin breastfeeding, or the early cessation of breastfeeding. This is an especially critical issue to address, as 59% of mothers return to work by the time their baby is 9 months old (Han, 2008), depending on others to tend to their baby while they are away. One study (Batan, 2013, pp. 708- 713) looked at the types and number of supportive breastfeeding options offered by child care providers and the breastfeeding rates at 6 months of age. It was found that the total number of suppoters had a positive correlation with the percentage of mothers who were still breastfeeding at six months. The supportive options that had a significant impact on breastfeeding rates were offering to feed the baby expressed breastmilk, and allowing the mother to nurse her baby on-site before and after work. This suggests that if child care providers offer supportive options in their care of breastfed infants, the number of working mothers who chose to and are able to continue breastfeeding will increase. Conclusion There are a huge number of health benefits to both mother and child who breastfeed, especially for those who do so for a considerable period of time. However, there are also many barriers that may prevent or deter women from initiating breastfeeding after birth or continuing SUPPORTING BREASTFEEDING MOTHERS 7 to breastfeed the recommended minimum length of time. It is vital, for the health of women and children, that communities on a local level as well as national and international organizations come together to ensure all mothers receive accurate education and personalized support in regards to breastfeeding. SUPPORTING BREASTFEEDING MOTHERS 8 Works Cited
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