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Definition

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Breastfeeding, also known as nursing, is the feeding of babies and young children with milk from a woman's breast.[1]

 

Initiation

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Health professionals recommend that breastfeeding begin within the first hour of a baby's life and continue as often and as much as the baby wants.[2][3]

 

Frequency

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During the first few weeks of life babies may nurse roughly every two to three hours, and the duration of a feeding is usually ten to fifteen minutes on each breast.[4]

 

Frequency in older children

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Older children feed less often.[5]

 

Pumping

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Mothers may pump milk so that it can be used later when breastfeeding is not possible.[1]

 

Benefits

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Breastfeeding has a number of benefits to both mother and baby, which infant formula lacks.[3][6]

 

Benefits for baby

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Deaths of an estimated 820,000 children under the age of five could be prevented globally every year with increased breastfeeding.[7]

 

Effect on illness

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Breastfeeding decreases the risk of respiratory tract infections and diarrhea, both in developing and developed countries.[2][3] Other benefits include lower risks of asthma, food allergies, and type 1 diabetes.[3]

 

Obesity and cognitive development

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Breastfeeding may also improve cognitive development and decrease the risk of obesity in adulthood.[2]

 

Breastfeeding in developed world

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Mothers may feel pressure to breastfeed, but in the developed world children generally grow up normally when bottle fed.[8]

 

Benefits for mother

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Benefits for the mother include less blood loss following delivery, better uterus shrinkage, and decreased postpartum depression.[3] Breastfeeding delays the return of menstruation and fertility, a phenomenon known as lactational amenorrhea.[3]

 

Long term benefits for mother

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Long term benefits for the mother include decreased risk of breast cancer, cardiovascular disease, and rheumatoid arthritis.[3][7] Breastfeeding is less expensive than infant formula.[9][10]

Introduction of foods

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Health organizations, including the World Health Organization (WHO), recommend breastfeeding exclusively for six months.[2][3][11] This means that no other foods or drinks other than possibly vitamin D are typically given.[12]

 

Duration of breastfeeding

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After the introduction of foods at six months of age, recommendations include continued breastfeeding until one to two years of age or more.[2][3]

 

Prevalence

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Globally about 38% of infants are only breastfed during their first six months of life.[2] In the United States in 2015, 83% of women begin breastfeeding and 58% were still breastfeeding at 6 months, although only 25% exclusively.[13]

 
 

Contraindications

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Medical conditions that do not allow breastfeeding are rare.[3] Mothers who take certain recreational drugs and medications should not breastfeed.[14]

Non-contraindicated drugs

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Smoking, or drinking limited amounts of alcohol or coffee, are not reasons to avoid breastfeeding.[15][16][17]

 
 
 

References

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  1. ^ a b "Breastfeeding and Breast Milk: Condition Information". 19 December 2013. Archived from the original on 27 July 2015. Retrieved 27 July 2015.
  2. ^ a b c d e f "Infant and young child feeding Fact sheet N°342". WHO. February 2014. Archived from the original on 8 February 2015. Retrieved 8 February 2015.
  3. ^ a b c d e f g h i j American Academy of Pediatrics Section on Breastfeeding. (March 2012). "Breastfeeding and the use of human milk". Pediatrics. 129 (3): e827–41. doi:10.1542/peds.2011-3552. PMID 22371471. Archived from the original on 5 August 2015.
  4. ^ "How do I breastfeed? Skip sharing on social media links". 14 April 2014. Archived from the original on 27 July 2015. Retrieved 27 July 2015.
  5. ^ "What is weaning and how do I do it?". 19 December 2013. Archived from the original on 8 July 2015. Retrieved 27 July 2015.
  6. ^ Ip S, Chung M, Raman G, Trikalinos TA, Lau J (October 2009). "A summary of the Agency for Healthcare Research and Quality's evidence report on breastfeeding in developed countries". Breastfeeding Medicine. 4 Suppl 1: S17–30. doi:10.1089/bfm.2009.0050. PMID 19827919.
  7. ^ a b Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC (January 2016). "Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect". Lancet. 387 (10017): 475–90. doi:10.1016/s0140-6736(15)01024-7. PMID 26869575.
  8. ^ Lawrence RA, Lawrence RM (1 January 2011). Breastfeeding: A Guide for the Medical Profession. Elsevier Health Sciences. pp. 227–228. ISBN 978-1-4377-0788-5.
  9. ^ "Breastfeeding and the use of human milk. American Academy of Pediatrics. Work Group on Breastfeeding". Pediatrics. 100 (6): 1035–9. December 1997. doi:10.1542/peds.100.6.1035. PMID 9411381. Archived from the original on 23 October 2012.
  10. ^ "What are the benefits of breastfeeding?". 14 April 2014. Archived from the original on 10 August 2015. Retrieved 27 July 2015.
  11. ^ Kramer MS, Kakuma R (August 2012). "Optimal duration of exclusive breastfeeding". The Cochrane Database of Systematic Reviews. 8 (8): CD003517. doi:10.1002/14651858.CD003517.pub2. PMID 22895934.
  12. ^ "What are the recommendations for breastfeeding?". 14 April 2014. Archived from the original on 14 August 2015. Retrieved 27 July 2015.
  13. ^ "Results: Breastfeeding Rates". CDC. 1 August 2018. Retrieved 9 December 2018.
  14. ^ "Are there any special conditions or situations in which I should not breastfeed?". 19 December 2013. Archived from the original on 8 July 2015. Retrieved 27 July 2015.
  15. ^ "Breastfeeding and alcohol". NHS Choices. NHS. 21 December 2017. Archived from the original on 1 August 2016.
  16. ^ "Breastfeeding and diet". NHS Choices. NHS. 26 March 2018. Archived from the original on 7 August 2016.
  17. ^ "Tobacco Use | Breastfeeding | CDC". www.cdc.gov. 21 March 2018. Archived from the original on 9 August 2016. Retrieved 4 August 2016.