There are a lot of myths out there that can ruin your
breastfeeding career!
THE BIGGEST MYTHS
. 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.
. 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 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.
. 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.
. 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. 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.
. A breastfeeding baby needs extra water in hot weather.Not true! Breastmilk contains all the water a baby needs.
. Breastfeeding babies need extra vitamin D.Not true! Except in extraordinary circumstances (for example, if the
mother herself was vitamin D deficient during the pregnancy). The baby stores vitamin D
during the pregnancy, and a little outside exposure, on a regular basis, gives the baby
all the vitamin D he needs.
. 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.
. 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 nurses well can get much more milk than his
mother can pump. Pumping only tells you have much you can pump.
. 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 6 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 most of it, the baby poops out. Generally, there is no need to add other
foods to breastmilk before about 6 months of age.
. It is easier to bottle feed than to 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 later.
. 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.
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.
. 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, cadmium 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, usually, but there is more to
breastfeeding than getting the baby to grow quickly.
. If the mother has an infection she should stop
breastfeeding.Not true! With very, very few exceptions, the baby will be protected by
the mother's continuing to breastfeed. 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.
. 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 (and oral rehydrating solutions)manufacturers to make even more money. The
baby is comforted by the breastfeeding, and the mother is comforted by the baby's
breastfeeding.
. 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 which are safe. The
loss of benefit of breastfeeding for both the mother and the baby must be taken into
account when weighing if breastfeeding should be continued.
About the
Author
JACK NEWMAN
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.
