Breastfeeding

Breast-feeding is convenient–there are no bottles to prepare and warm–and it’s free! There’s no formula to buy, which can run you up to an average of $124 per month, depending on the type of formula you buy. But unless you plan to take your baby with you wherever you go and the process always goes smoothly, you’ll probably need a breast pump. In fact, a pump can be indispensable for nursing mothers in a number of scenarios: You want to continue breast-feeding but return to work; you need to formula-feed your baby temporarily for medical reasons but want to resume breast-feeding when you get the go-ahead from your doctor; or you need to miss a feeding occasionally because you’re traveling or otherwise away from your baby.

A breast pump may come in handy during those first few days after you’ve delivered, when the breasts can become so full that a baby may have trouble latching on. Things can be sailing along in the hospital, but when you get home, supply can outpace demand. The solution is to express some milk with a breast pump–and to have one on hand before your baby is born, so you’re ready to go as soon as you return home after delivery. A breast pump also allows you to store milk (in bottles or storage bags) for later, then bottle-feed it to your baby or mix it with a little in cereal when she reaches the "solid" food stage at around 6 months.

You can refrigerate breast milk safely for 24 hours, or freeze it for three to six months. A housekeeping note: Date it when you freeze it and store it in the back of the freezer, not in the door. That’s a warm spot that can prompt thawing every time the door is opened. When the time comes to use it, thaw breast milk in warm water. Don’t boil or microwave it; both of those heating methods can destroy valuable immunological components that make breast milk the liquid gold it is. Microwaving can create uneven "hot spots" that can scald a baby’s mouth and throat.

There are several types of breast pumps available–from large, hospital-grade pumps and midweight personal-use automatic pumps to small, lightweight, and easily portable manual models that work one breast at a time. You’ll want a pump that’s appropriate to your particular situation. Pumping can be time consuming and just one more thing to do, but it shouldn’t be painful or frustrating. Choosing the right pump can make the difference between meeting your breast-feeding goals and having to stop short.

A baby’s natural sucking rhythm is 40 to 60 cycles per minute (one pull per second or a little less). Hospital-grade and personal-use automatic pumps typically operate at 30 to 50 cycles per minute. Other pumps are usually less efficient. As a general rule, the more suction and releases per minute a pump provides, the better it will be at stimulating your milk supply. Efficiency is especially important if you plan to save a large quantity of milk. If you’re returning to work, for example, you’ll need to have much more breast milk on hand than if you stay home with your babies or are supplementing breast milk with formula.

Once you find the right pump, using it will take a little practice. You’ll need to learn how to position it correctly and adjust the suctioning to get the best results. Don’t worry–with the right pump, you’ll soon get the hang of it. Pumps require some assembling and disassembling for cleaning. Wash any parts of the pump that touch your breasts or the milk containers in the dishwasher, or with hot, soapy water. Drain them dry before each use.

SHOPPING SECRETS

Consider renting. To save money (midweight, personal-use automatic pumps can retail for as much as $350), think about renting a pump. "I rented one from a medical supplies store near my home," says Elisabeth Elman Feldman, a mother of one from Old Bridge, N.J., who breast-fed for three months for a total cost of $150. If you plan to breast-feed longer than three or four months, however, buying is the way to go. But check with your rental vendor. Many offer a price break the longer you rent. For information on pump rentals in your area and referrals to lactation consultants who can advise you on the type of pump you need and where to rent it, contact the International Lactation Consultant Association (www.ilca.org) or La Leche League (www.lalecheleague.org). The hospital where you delivered your baby may have a lactation consultant on staff. Or read this article for deeper info

Shop around. You can find deals on new breast pumps online, and at hospital birthing centers. You also can consult a La Leche League leader in your area (check the group’s Web site for a leader near you). A little research reveals that there are deals to be had in the online breast pump marketplace once you know what kind of pump you want. (Not sure where to start? Simply type in "breast pump" on a search engine like Google.)

Browse at the hospital. Many hospitals and birthing centers are now in the breast-pump business, offering competitive prices on a variety of pumps, plus advice that can help ensure success. You can also get a recommendation from your hospital’s lactation consultant as to the right type of pump for you.

WHAT’S AVAILABLE

Now that breast-feeding has made a comeback (some hospitals organize human breast-milk banks for babies who, for some reason, can’t physically breast-feed), the options in breast pumps are dizzying. The major brands, in alphabetical order, are: Ameda (www.amedababy.com), Avent (www.aventamerica.com), Dr. Brown’s (www.handi-craft.com), Evenflo (www.evenflo.com), Medela (www.medela.com), Playtex (www.playtexbaby.com), The First Years (www.thefirstyears.com), Whisper Wear (www.whisperwear.com), and Whittlestone (www.whittlestone.com).

Breast pumps come in these basic types: large, hospital-grade, dual-action models, which typically aren’t available for sale (you rent them from the hospital where you deliver or from a lactation or rental center); midweight, personal-use, automatic models that are comparable to hospital-grade pumps and can travel with you; small electric or battery-operated units that double- or single-pump; one-handed manual pumps; and "hands-free" pumps that you wear in your bra that pump while you work or do errands.

Why would you breastfeeding? Why not better is the question. This page was written in the importance of supporting and promoting breastfeeding for all moms and babies. UNICEF says that 1 million babies die each year as a result of an artificially fed formula, some die from diarrhoea and other intestinal disorders, some dying of malnutrition because their families can not afford to buy formula, and some die from diseases that the formula-fed babies are more likely to contract.

The last recommendation of the American Academy of Pediatrics and the U.S. Surgeon General recommends breastfeeding for one year.

New parents want to give their babies the best. When it comes to food, the first is the best food for babies is breast milk.

More than two decades of research have established that breast milk is perfectly suited to nourish infants and protect against disease. Breast-feeding babies get have lower rates of hospital admissions, ear infections, diarrhoea, rashes, allergies and other medical problems than bottle-fed babies.

"There are 4000 species of mammals, and they all have other milk. Breast milk is made for human babies, and it meets all their specific nutrient needs, "says Ruth Lawrence, MD, professor of pediatrics and obstetrics at the University of Rochester School of Medicine in Rochester, NY, and the spokesman of the American Academy of Pediatrics.

Medical experts say increased breast-feeding would save consumers money spent, both on infant formula and in health care dollars. It can save lives as well.

"We have known for years that the mortality rates in Third World countries are lower in breast-fed babies," says Lawrence. "Breast-feeding babies are given healthier and have fewer infections than formula-fed babies."

Although breast feeding is still the best food for infants, infant is a second close enough that babies not only survive but thrive.

Commercially prepared formulas are regulated by the Food and Drug Administration.

The nutritional adequacy of commercially prepared formula is also guaranteed by the agency in nutrients and their safety due to the strict quality control procedures that require manufacturers to analyze each batch of the formula for the necessary nutrients, the testing of samples for the stability in the life of the product, code containers for the identification of the party, and to all information available to FDA investigators.

The composition of infant formula is similar to breast milk, but it’s not ideal, because the precise chemical composition of breast milk is still unknown.

Breast milk is very complex, and scientists are still trying to unravel and understand what makes it such as a good source of nutrition for the rapidly growing and the development of infants.

More than half the calories in breast milk come from fat, and the same applies to the current infant formulas. This may be alarming to many American adults watching their intake of fat and cholesterol, especially as sources of saturated fats, such as coconut oil, are used in the formulas. (For adults, a high intake of saturated fats tend to blood cholesterol more than other fats or oils.) But the low-fat diet recommended for adults does not apply to babies.

The reason for this is that babies have a high energy requirement, and they have a limited amount of food that they can swallow. The way this energy in a limited amount of food is to have a large amount of fat.

Although a greater knowledge about human milk has contributed to the improvement of scientists infant has become "increasingly clear that infant formula can never duplicate breast milk," wrote John D. Benson, Ph.D, and Mark L. Masor, Ph.D., in the March 1994 issue of Endocrine regulations. "Breast milk contains living cells, hormones, enzymes active, immunoglobulins and compounds with unique structures that can not be copied in infant formula."

Benson and Masor, both of whom are children with nutrition researchers in infant manufacturer Abbott Laboratories, the creation of the opinion that the formula of duplicates breast milk is impossible. "A better goal is to track the performance of breast-feeding the baby," she wrote. Performance is measured by the baby’s growth, the absorption of nutrients, gastro-intestinal tolerance, and the reactions in the blood.

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