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Monday, November 19, 2007

Breastfeed a Toddler—Why on Earth?

Because more and more women are now breastfeeding their babies, more and more are also finding that they enjoy breastfeeding enough to want to continue longer than the usual few months they initially thought they would do it.

Why should breastfeeding continue past six months?

Because mothers and babies often enjoy breastfeeding a lot. Why stop an enjoyable relationship?


But it is said that breastmilk has no value after six months.

Perhaps this is said, but it is wrong. That anyone can say such a thing only shows how ignorant so many people in our society are about breastfeeding. Breastmilk is, after all, milk. Even after six months, it still contains protein, fat, and other nutritionally important and appropriate elements which babies and children need. Breastmilk still contains immunologic factors which help protect the baby. In fact, some immune factors in breastmilk which protect the baby against infection are present in greater amounts in the second year of life than in the first. This is, of course as it should be, since children older than a year are generally exposed to more infection. Breastmilk still contains factors which help the immune system to mature, and which help the brain, gut, and other organs to develop and mature.

It has been well shown that children in daycare who are still breastfeeding have far fewer and less severe infections than the children who are not breastfeeding. The mother thus loses less work time if she continues nursing her baby once she is back at her paid work.

It is interesting that formula company marketing pushes the use of formula (a rather imperfect copy of the real thing) for a year, yet implies that breastmilk (from which the imperfect copy is copied) is only worthwhile for 6 months. Too many health professionals have taken up the refrain.


I have heard that the immunologic factors prevent the baby from developing his own immunity if I breastfeed past six months.

This is untrue; in fact, this is absurd. It is unbelievable how so many people in our society twist around the advantages of breastfeeding and turn them into disadvantages. We give babies immunizations so that they are able to defend themselves against the real infection. Breastmilk also allows the baby to fight off infections. When the baby fights off these infections, he becomes immune. Naturally.

What else?

Possibly the most important aspect of nursing a toddler is not the nutritional or immunologic benefits, important as they are. The most important aspect of nursing a toddler is the special relationship between child and mother. Breastfeeding is a life affirming act of love. This continues when the baby becomes a toddler. Anyone without prejudices, who has ever observed an older baby or toddler nursing can testify that there is something almost magical, something special, something far beyond food going on. A nursing toddler will sometimes spontaneously break into laughter for no obvious reason. His delight in the breast goes far beyond a source of food. And if the mother allows herself, breastfeeding becomes a source of delight for her as well, far beyond the pleasure of providing food. Of course, it’s not always great, but what is? But when it is, it makes it all so worthwhile.

And if the child does become ill or does get hurt, what easier way to comfort the child than breastfeeding? Imagine : in the emergency department when mothers would walk their ill, non-nursing babies or toddlers up and down the halls trying, often unsuccessfully, to console them, while the nursing mothers were sitting quietly with their comforted, if not necessarily happy, babies at the breast. The mother comforts the sick child with breastfeeding, and the child comforts the mother by breastfeeding.

By Jack Newman MD, FRCPC

Does My Milk Have Sufficient Nutrients For My Baby?

Human milk does not look like the homogenized, pasteurized, artificially treated/stored/cooled/warmed/vitamined fluid sold in stores.

It is natural, untreated, live, full of healthy cells that are living things which nurture and protect our babies from infections as well as provide the perfect nourishment for the brain, neural cells, eyes, and all the other essential parts of our babies, at the perfect temperature with the perfect combination of vitamins, minerals, fats, carbohydrates and sugars.

Even the moms suffering from malnutrition make excellent milk - much better for their babies than the treated milk sold in stores as a "perfect infant food".

Please do not let the advertisements lead you astray. Do not mix your milk with anything. The first milk you see is colostrum, the perfect BEGINNING food for a baby's digestive system that has not eaten anything ever. It contained antibodies against all the infections a mother has been exposed to and has a laxative effect to clear out the meconium and prepare the digestive system for the coming foods.

Then your milk slowly is transitioned, little by little becoming more like mature mother's milk and less like colostrum. Your baby now needs more fluid, and the balance of proteins, fats and carbohydrates change too.

What is even more amazing, your milk changes from beginning to the end of feedings to meet the fluid then the caloric needs of your baby. This is why we recommend keeping the baby on the first breast until he lets go - then change and burp, and offer (but don't insist) the second breast.

As your baby gets older, the milk changes and when you start solids at the age of 6 months or later, the milk changes and continues to meet the needs of the baby. Even a child who is over a year and still breastfeeding - but eating lots of other foods - benefits from the breastmilk "snacks" he gets full of antibodies. The later "weaning " milk is more like colostrum again.

So congratulations on serving the best meal a baby can ever have. And ENJOY!!!

By Jeanette Panchula, BA, RN, IBCLC
Vacaville, CA