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A woman feeding her baby


13.7: Cosmos And Culture : NPR

What's Right About A 6-Year-Old Who Breast-Feeds : 13.7: Cosmos And Culture A UK woman's breastfeeding of her school-aged daughter has caused a furor. Anthropologist Barbara J. King tells us why everyone should calm down — and why prolonged breastfeeding can be beneficial.

Opinion

Culture

Mothers breast-feed their children of different ages during the Second Synchronized Breastfeeding Worldwide event near Manila, Philippines, in October 2008. Pat Roque/AP hide caption

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Pat Roque/AP

Mothers breast-feed their children of different ages during the Second Synchronized Breastfeeding Worldwide event near Manila, Philippines, in October 2008.

Pat Roque/AP

When the British newspaper The Mirror reported in late December that a UK mother named Denise Sumpter was still breast-feeding her daughter Belle, who is 6 and a half years old, two experts were invited to weigh in on the practice.

One expert — a registered nurse, midwife and lactation consultant — called Sumpter "an inspiration" and noted that her daughter was "benefiting emotionally and physically." The other, a retired midwife and breast-feeding counselor, disagreed, insisting that extended breast-feeding to age 6 in England "isn't necessary — or normal" because the child could be ridiculed, and because there are no longer any benefits to be had. In the article, Sumpter herself notes that critics worry her daughter will become overly emotionally dependent on her (while pointing out that Belle is mature for her age).

When, in early January, the story was picked up here in the United States, readers' response was explosive. At Cosmopolitan, for example, an article on the topic garnered over 24,000 shares. Among its 1,176 comments were harsh judgments ranging from "terrible" to "sick," to referring to the extended breast-feeding as "disgustingness." Many others expressed support for Sumpter.

Why does a woman's choice to breast-feed her child longer than most women do touch such a nerve? We anthropologists often note that humans evolved in a context where the breast-feeding of children for three or four years was the typical and healthful pattern, and that individual variation in duration of breast-feeding is to be expected. So, I decided to check in on all the hype around Sumpter and her daughter with University of Delaware anthropologist Katherine Dettwyler, who has extensive cross-cultural experience in breast-feeding research.

Earlier this week via email, Dettwyler answered my questions about the Sumpter case and about the possible benefits and costs of prolonged breast-feeding (I have edited her reply for length). From Dettwyler:

"My research, and research by others on non-human primates and non-primate mammals, suggests that nursing large-bodied mammalian offspring for many years, until their first permanent teeth erupt (5.5-6.0 years in humans), is "natural" for humans in the sense of being what the underlying evolutionary, biological/physiological norm is for us as a species. There is no research to suggest that normal durations of breast-feeding for humans as a species — 2.5 to 7+ years — lead to 'harmful emotional dependency.' There is some evidence that longer-term breast-feeding (along with co-sleeping in childhood) results in children who are more independent and score higher on measures of social competence.

"I would say that the benefits of long-term breast-feeding — as long as both mother and child want — are enormous. Long-term breast-feeding allows for normal development of the child's brain, facial structure, immune system, and emotional resilience to life's slings and arrows. As far as I know, there are no 'costs' to the child. If the mother doesn't want to continue breast-feeding, then of course, she shouldn't feel obliged to — regardless of the age of the child. But people should be informed that nursing a 6-7+year-old is a perfectly normal and natural and healthy thing to be doing for the child, and that their fears of emotional harm are baseless."

The latest version of the American Academy of Pediatrics' policy statement on breast-feeding offers extensive evidence on the health benefits of breast-feeding for children and supports Dettwyler's perspective, particularly in this sentence: "The AAP recommends exclusive breast-feeding for about 6 months, with continuation of breast-feeding for 1 year or longer as mutually desired by mother and infant."

I know that critics may seize on that word "infant" and point out that a 6-year-old doesn't fit into that category. Consider, though, that in her editorial from 2012 in the journal Clinical Lactation, health psychologist and lactation consultant Kathleen Kendall-Tackett notes that extended breast-feeding is "officially out of the closet" with an outpouring of support from those who practice it. Dettwyler herself falls into this group, is entirely public about it, and addressed it with me:

"There are lots and lots and lots of people in the United States who were nursed until age 3 or beyond as well as in other Western countries. This is not as rare and unusual as people think. But mothers are well advised to be quiet about this in a culture where they can be accused of sexual abuse and have their kids removed by child protective services, or lose them in custody battles. Both things have happened.

"I do encourage people to shout it from the rooftops once their kids are grown. That's why I am not shy about telling people that my daughter nursed until she was 4 years of age, and my younger son until he was 5.5 years of age. My daughter Miranda is now 34, has an MA in physics and is just about to finish an MA in architecture, and lives in Wales, UK, with her husband and two kids, the elder of whom nursed for 5 years, the younger of whom is currently nursing at age 2. My son Alex is now 23, has a BA in Anthropology, lives in Ann Arbor, Michigan, and works as a chef. They are happy to tell anyone who asked that they nursed for many years."

I think it's important that we hear not only the science — the health benefits of and the evolutionary perspectives on extended breast-feeding — but also personal stories like Sumpter's and Dettwyler's.

I do wonder how unique we humans are in this practice of extended breast-feeding. Not only are cultural norms and practices in place in our species, of course, but humans also have a relevant biological difference distinguishing us from other mammals. As Katie Hinde of Harvard University's Comparative Lactation Lab wrote in an email to me earlier this week:

"In this discussion we have to consider gene-culture co-evolution, because in all other mammals offspring stop making lactase early in ontogeny — concurrent with transitions between infancy and juvenility — so they can no longer digest mother's milk. Only because humans (in some populations) have the cultural practice of dairying have we had selection-favoring genes that allow lactase persistence to consume animal milk ...

"I think we, therefore, have to seriously consider that in humans very prolonged/extended breast-feeding (5+ years) without digestive issues is possibly a byproduct of gene-culture co-evolution that favored the consumption of dairy products."

That's cool. And it shows that prolonged breast-feeding is a beautiful example of human bio-cultural behavior, one that is enabled both by our evolved physiology and by our learned understandings of healthy parenting practices.

Barbara's most recent book on animals was released in paperback in April. You can keep up with what she is thinking on Twitter: @bjkingape.

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Frequently Asked Questions (FAQs) | Breastfeeding

What are the benefits of breastfeeding?

Breastfeeding is good for both infants and mothers. Breast milk is the best source of nutrition for most infants. As an infant grows, breast milk changes to meet the infant’s nutritional needs. Breastfeeding can also help protect the infant and mother against certain illnesses and diseases:

Benefits to Infants

Infants who are breastfed have a lower risk of:

  • Asthma.
  • Obesity.
  • Type 1 diabetes.
  • Severe lower respiratory disease.
  • Acute otitis media (ear infections).
  • Sudden infant death syndrome (SIDS).
  • Gastrointestinal infections (diarrhea/vomiting).
  • Necrotizing enterocolitis (NEC) for preterm infants.

Benefit to Mothers

Mothers who breastfeed their infants have a lower risk of:

  • Breast cancer.
  • Ovarian cancer.
  • Type 2 diabetes.
  • High blood pressure.

Families can visit CDC’s Infant and Toddler Nutrition website to learn more about what to expect while breastfeeding.

When should a mother avoid breastfeeding (contraindications)?

Breast milk provides the best nutrition for most infants, including premature and sick newborns. However, there are rare exceptions when breast milk or breastfeeding is not recommended. Learn more about contraindications to breastfeeding.

Only a few medications are contraindicated (not recommended) while breastfeeding. Although many medications do pass into breast milk, most have little or no effect on milk supply or on an infant’s well-being. However, health care providers should always weigh the risks and benefits when prescribing medications to breastfeeding mothers.

Learn more about safe prescription medication use while breastfeeding.

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How is growth assessed for breastfed infants?

In the United States, the World Health Organization (WHO) Growth Standard Charts are recommended for use with both breastfed and formula-fed infants and children, from birth to 2 years of age, to monitor growth. The WHO growth charts reflect growth patterns among children who were predominantly breastfed for at least 4 months and were still breastfeeding at 12 months. The WHO growth charts establish the growth of the breastfed infant as the norm for growth and are the standards for how children should grow when provided optimal conditions. Clinicians should be aware that healthy breastfed infants typically gain weight faster than formula-fed infants in the first few months of life but then gain weight more slowly for the remainder of infancy, even after complementary foods are introduced.

For children older than 2 years (2 to 19 years of age) CDC and the American Academy of Pediatrics recommend that health care providers use the CDC Growth Reference Charts.

Visit the Growth Chart Training website for a set of self-directed, interactive training courses.

Source: Grummer-Strawn LM, Reinold C, Krebs NF. Use of the World Health Organization and CDC growth charts for children aged 0 to 59 months in the United States. MMWR  Recomm Rep. 2010;59(RR-9):1–15.

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How long should a mother breastfeed?

The U. S. Dietary Guidelines for Americans [PDF-30.6MB] recommend that infants be exclusively breastfed for about the first 6 months, and then continuing breastfeeding while introducing appropriate complementary foods until your child is 12 months old or older. The American Academy of Pediatrics and the World Health Organization also recommend exclusive breastfeeding for about the first 6 months, with continued breastfeeding along with introducing appropriate complementary foods for up to 2 years of age or longer.

Mothers should be encouraged to breastfeed their children for at least 1 year. The longer an infant is breastfed, the greater the protection from certain illnesses and long-term diseases. The more months or years a woman breastfeeds (combined breastfeeding of all her children), the greater the benefits to her health as well.

The American Academy of Pediatrics recommends that children be introduced to foods other than breast milk or infant formula when they are about 6 months old. To learn more about infant and toddler feeding, visit CDC’s Infant and Toddler Nutrition website.

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What can happen if someone else’s breast milk is given to another child?

Very few illnesses are transmitted via breast milk. Learn more about what to do if an infant or child is mistakenly fed another woman’s expressed breast milk.

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Are special precautions needed for handling breast milk?

CDC does not list human breast milk as a body fluid to which universal precautions apply. Occupational exposure to human breast milk has not been shown to lead to transmission of HIV or Hepatitis B infection. However, because human breast milk has been implicated in transmitting HIV from mother to infant, gloves may be worn as a precaution by health care workers who are frequently exposed to breast milk (e.g., people working in human milk banks (defined below). For additional information regarding universal precautions as they apply to breast milk in the transmission of HIV and Hepatitis B infections, visit the following resources:

Centers for Disease Control and Prevention. Perspectives in disease prevention and health promotion update: universal precautions for prevention of transmission of human immunodeficiency virus, Hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR Morb Mortal Wkly Rep. 1988;37(24):377–388.

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Where can mothers find more information about preparation and storage of breast milk?

CDC has guidelines for proper storage and preparation of breast milk to maintain the safety and quality of expressed breast milk for the health of the baby.

For more information about specific storage and preparation of breast milk questions, such as where to store breast milk at work, and what to do when the power goes out, visit CDC’s Storage and Preparation of Breast Milk Frequently Asked Questions.

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What are human milk banks?

Human milk banks are a service established for the purpose of collecting milk from donors and processing, screening, storing, and distributing donated milk to meet the specific needs of individuals for whom human milk is prescribed by licensed health care providers. When possible, human milk banks also serve healthy infants who have been adopted or are not able to get their own mother’s milk.

Milk banks accept donations directly at their deposit sites or they can arrange for safe, overnight transportation of human milk at no cost to the donor. Learn more about donating to a milk bank by visiting the Human Milk Banking Association of North America (HMBANA).

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Is it safe for families to buy breast milk on the internet?

The American Academy of Pediatrics and the Food and Drug Administration recommend avoiding Internet-based milk sharing sites and instead recommend contacting milk banks. Research has demonstrated that some milk samples sold online have been contaminated with a range of bacteria.1

Nonprofit donor human milk banks, where processed human milk comes from screened donors, have a long safety record in North America. All member banks of the Human Milk Banking Association of North America (HMBANA) must operate under specific evidence-based guidelines that require extensive testing and processing procedures as well as self-reported health information and a health statement from both the donor’s health care provider and the infant’s health care provider. Because most of the milk from milk banks is given to hospitalized and fragile infants, milk banks may not have enough to serve healthy infants at all times. To find a human milk bank, contact HMBANA.

1Keim, SA, Hogan, JS, McNamara, KA, et al. Microbial contamination of human milk purchased via the internet. Pediatrics. 2013;132(5).

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What legal rights do breastfeeding mothers have?

Breastfeeding Laws

  • All 50 states, the District of Columbia, Puerto Rico and the Virgin Islands have laws that specifically allow women to breastfeed in any public or private location. Visit the National Conference of State Legislatures to learn more about federal and state laws that protect and support breastfeeding.

Workplace Laws

  • The “Break Time for Nursing Mothers Provision”  of the Patient Protection and Affordable Care Act (ACA) requires employers to support breastfeeding mothers to express breast milk for 1 year after each child’s birth by providing mothers with reasonable break time and a private, non-bathroom space to express their breast milk. Visit the United States Department of Labor to learn more.

Travel Laws

  • Air travelers are permitted by the Transportation Security Administration (TSA) to bring breast milk, formula, and juice in excess of 3.4 ounces in their carry-on baggage and it does not need to fit within a quart size bag. Ice packs, freezer packs, and other accessories needed to keep the liquid cool are also allowed in carry-on bags. All liquids and partially frozen accessories are subject to being screened by X-ray. TSA is required by the Bottles and Breastfeeding Equipment Screening Act (BABES act) to provide ongoing training to ensure TSA staff receive consistent training related to traveling with breast milk, formula, and infant feeding equipment. Visit the TSA to learn more about traveling with breast milk, formula, and juice. For tips on travel and breastfeeding, visit Travel Recommendations for the Nursing Mother.

Visit the Federal Policies, Programs, & Initiatives website to learn more about laws related to breastfeeding protections.

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How can a mother continue to provide breast milk to her infant after returning to work or school?

Being prepared for returning to work or school can help a mother ease the transition and continue to breastfeed after her maternity leave is over. The Office on Women’s Health has information for making this transition easier.

When a mother is away from her infant, she can pump or hand express her breast milk so that her infant can drink breast milk from a bottle. Mothers can visit CDC’s Infant and Toddler Nutrition website to learn more about pumping breast milk.

Mothers who are expressing their breast milk should visit the CDC’s Proper Storage and Preparation of Breast Milk website to learn how to prepare and store breast milk safely for her infant.

The Patient Protection and Affordable Care Act (ACA) requires employers to support breastfeeding mothers to express breast milk for 1 year after each child’s birth by providing mothers with reasonable break time and a private, non-bathroom space to express their breast milk.  For more information about the types of employees and employers to which the requirements apply, refer to the United States Department of Labor’s Frequently Asked Questions.

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Where can mothers find breastfeeding support and additional Information about breastfeeding?

Help mothers find lactation support through the following resources:

  • International Lactation Consultant Association (IBCLCs)
  • United States Lactation Consultant Association (IBCLCs)
  • Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics
  • La Leche League

Help mothers find resources about breastfeeding by directing them to the following websites:

  • CDC— Infant and Toddler Nutrition
  • Office on Women’s Health—Breastfeeding
  • American Academy of Pediatrics—Healthy Children
  • United States Breastfeeding Committee—State Coalitions Directory
  • US Department of Agriculture—WIC Breastfeeding Support

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Does breastfeeding during a child’s vaccine injections help with pain management?

Parents who are breastfeeding should be encouraged to breastfeed children age 2 years or younger before, during, and after their child’s vaccination. Several aspects of breastfeeding are thought to decrease pain by multiple mechanisms: being held by the parent, feeling skin-to-skin contact, suckling, being distracted, and ingesting breast milk. Potential adverse events such as gagging or spitting up have not been reported. Alternatives to breastfeeding include bottle-feeding with expressed breast milk or formula throughout the child’s procedure, which simulates aspects of breastfeeding.

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Does breastfeeding after a child’s rotavirus vaccine impact the vaccine’s efficacy?

There is not sufficient evidence to suggest that breastfeeding can have a negative effect on rotavirus vaccine efficacy. A previous study found that human milk from women who live in areas with endemic rotavirus contains antibodies that can neutralize live rotavirus vaccine virus. However, in licensing trials, the effectiveness of rotavirus vaccine in breastfed infants was comparable to that in non-breastfed infants.

CDC does not recommend restricting or discontinuing breastfeeding before or after a child receives the rotavirus vaccine. Breastfed infants should be vaccinated according to the same schedule as non-breastfed infants.

Learn More about prevention of Rotavirus Gastroenteritis among infants and children.

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Is it worth it to breastfeed children up to five years of age or even longer?

Subscribe to our ”Context” newsletter: it will help you understand the events.

Image copyright Getty Images

Should you breastfeed your children until the age of five or even longer?

29-year-old Englishwoman Emma Shardlow Hudson, who breastfeeds her five-year-old daughter and two-year-old son, sometimes at the same time, says it is good for their health and that they very rarely get sick due to "the presence of antibodies in milk." nine0005

The UK National Health System advises mothers to breastfeed their babies for as long as they both want to.

Women are generally advised to continue breastfeeding for only the first six months, and then gradually add solid foods to the baby's diet.

  • Model breastfeeding photo sparks heated debate
  • Politician breastfeeds her baby for the first time in the Australian Parliament
  • Pregnancy and childbirth in Britain: free and without a doctor

British breastfeeding

In the UK, about 80% of mothers follow the advice to breastfeed their newborns after birth, but many stop doing so after a few weeks.

Only about a third of six-month-old babies are still getting their mother's milk, and by the first year of their life this figure drops to 0.5%.

According to a 2016 international survey, the UK has one of the world's lowest rates of breastfeeding women. nine0005

Experts say that many women simply find it difficult to start breastfeeding and often don't get the practical help they need in the first days after giving birth and with their first child when they're not yet breastfeeding.

In addition, many women feel uncomfortable doing this in public places and stop breastfeeding, switching to artificial feeding.

Is there anything better than breasts?

Experts agree that breastfeeding is good for the health of both the baby and the mother.

Breast milk protects the infant from infections, diarrhea and vomiting, and reduces the risk of obesity in adulthood.

For mothers, breastfeeding reduces the risk of developing breast and ovarian cancer in the future.

All this is good, but still - until what age should a child be breastfed?

At the moment there is not enough scientific evidence to answer this question unambiguously, so only general recommendations are offered to women. nine0005

"It is ideal to breastfeed a baby, along with other foods, until at least the start of the second year," says the UK National Health System website.

Image copyright, Getty Images

Image caption,

After the first six months, solid foods other than milk can be gradually introduced to the baby

The World Health Organization believes that breastfeeding can continue at least until the baby is two of the year.

However, Dr. Max Davey of the British Royal Institute of Pediatrics and Child Health believes that there should be a limit to everything, and that breastfeeding should not be continued when it no longer provides any benefits.

"By the age of two, a child should be getting all the nutrients it needs from a normal diet, after that age, there is no additional health benefit from mother's milk," he says.

"It doesn't hurt anything"

Many factors influence a woman's decision to continue or stop breastfeeding. Much depends on whether the new mother returns to work, whether her friends and relatives support her, and how comfortable she feels with breastfeeding. nine0005

Also remember that breastfeeding often helps develop the emotional bond between mother and child.

"Breastfeeding is a very personal thing," says Dr. Davey.

"This can strengthen the relationship between mother and child, and in any case it will not cause harm, so people should do as they see fit."

Image copyright, Getty Images

But don't forget that some women find it physically difficult, if not impossible, to breastfeed, while others choose not to, for a variety of reasons, and experts say it's their choice. and should be treated with respect. nine0005

Breastfeeding on demand

You can often hear from a nursing mother: "I feed on demand, my baby requires a breast every 3.5 hours." Or: “I have always fed on demand. In a year, we already had 1 feeding in the evening, and my child calmly refused to breastfeed. Before talking about the demand of the child, it is necessary to find out what modern women mean when they say - "I breastfeed. "

Modern mothers consider breastfeeding essential for feeding their baby. Just for feeding. Breast milk is food, the mother supplies the baby with the nutrients necessary for growth and development. When a baby suckles at the breast, he eats. Breastfeeding makes sense only as a process of supplying proteins, fats, carbohydrates, vitamins and microelements. nine0005

During suckling, the baby receives the nutrients it needs with mother's milk. This is the absolute truth. There is another unconditional truth, which is not given any importance in modern society, it is not taken into account and is not considered. Breastfeeding for a child is communication with the mother. We need to figure out how the child understands feeding on demand? Can he understand anything at all? Is there any difference for him how he is fed, for 15-20 minutes after 3.5 hours or in some other way? nine0005

What is on-demand feeding

On-demand feeding of a newborn baby means putting it on the breast for every squeak or search. Squeak and search movements in newborns, even as early as the second or third day of life, begin to appear much more often than after 3.5 or 2.5 hours. The need for attachments increases rapidly, and by the 10-12th day of life, the need to attach to a child may occur 15-16 or more times a day. Applications vary in duration. The baby can fall asleep and sleep while sucking for, for example, 1.5-2 hours. Can release the breast after 1-2 minutes. And then ask her again. Why does a child need such frequent contact with his mother's breast? nine0005

That's why. Being in the mother's belly, in a calm, familiar environment, listening to the noises of the mother's body, being in a warm, cramped, confined space, the baby sucked his fist, fingers, loops of the umbilical cord, swallowed amniotic fluid. Learned to suck and swallow. After birth, experiencing discomfort for any, the most insignificant reason, the baby tries to get rid of it. You can get rid of discomfort by getting into the usual conditions of a comfortable stay. The only place where the baby after birth can feel the sensations familiar to him is in the arms of the mother. The only familiar action is sucking. The only familiar taste and smell is the taste and smell of milk and lube in the areola. Milk and lubricant have an odor and taste similar to the taste and smell of amniotic fluid. Therefore, experiencing discomfort, the baby squeaks, or begins to look for an object to suck with his mouth. Ideally, it is immediately applied to the chest. The baby becomes warm, cramped, he hears the beating of his mother's heart, breathing, grumbling in the intestines, he sucks and feels the familiar taste and smell. If such an action happens constantly, the baby gains confidence, no matter what happens, he will solve all his problems with his mother. The place of comfort is now under the breast, and you can suck on the breast. nine0005

This whole process is justified from a biological point of view. A newborn child does not feel the feeling of hunger, this feeling is not formed in him. It will begin to form at about two months of age. How to feed a creature that does not experience hunger ?! How to encourage him to take some action to get food? This can be done only at the expense of some other incentives. This stimulus for the newborn is constant bodily discomfort, thanks to which he wants to suckle all the time! The most intense, frequent and prolonged sucking in infants is observed in the first two or three months of life. It is in these first months that the main weight gain of the baby occurs. nine0005

Feeding in the first month

Baby falls asleep with the breast in his mouth, sucking for a while. Falling asleep deeply, lets go of the chest. After sleeping for a while, he wakes up, and is applied on waking. After sleep, he can stay awake for some time, for example, an hour and a half. During wakefulness, he may feel discomfort 2-3 times, for example, from a completely natural desire to pee, and having called his mother for help, having kissed for a couple of minutes, he will do his deeds. Then he will want to sleep, feel discomfort and, kissing his chest, will again fall asleep sucking. After some time, he will wake up and attach again. Then again a little "walk". And after some time, he will fall asleep at the chest again. nine0005

The daytime naps of a one-month-old infant feeding on demand vary in duration and number. There can be 4-6 dreams during the day, and they can last from 5-15 minutes to 2-2.5 sometimes 3 hours. "Around" each dream, the baby is applied to the chest, and applied between dreams several times. At night, the child falls asleep at the breast. Usually in the early morning hours, he begins to fuss and apply. In the morning, he almost never fully wakes up. The baby sleeps, from time to time, sucking on his mother's breast. Waking up in the morning, the baby is again applied to the chest. If you count all the attachments that have happened in a baby of one month of age, then approximately 16-20 attachments are obtained. This is how a newborn human cub behaves if it is given the opportunity to behave in accordance with physiological and psychological needs, which, by the way, are genetically determined. The child of the first months of life does not separate his personality from the personality of the mother and from her breast. Mom and her breasts, and everything connected with them, are the universe of the baby and himself. nine0005

In most cases, a modern woman, being afraid to “accustom a child to hands”, strives to limit his requests for suckling. A pacifier and a bottle of tea or water come to her aid in this matter. They, too, can be sucked ... The need for sucking seems to be satisfied. But only the need for communication with the mother during suckling is not satisfied, the peculiar chain of mutual assistance and cooperation between mother and baby is destroyed, the formation of maternal affection and concentration is disrupted. Is the difference in the two actions noticeable to the reader: the baby cried, the mother took him, put him to her chest and started rocking him, or gave him a pacifier and started rocking the stroller, even with the words “Why are you crying, my sun?” nine0005

The modern woman who gives a pacifier and pumps a stroller is not a bad person deliberately harming an infant. She is simply in captivity of prejudices regarding the relationship between mother and baby. She does not know how to behave correctly, does not know what to do in accordance with the natural needs of the child. If you tell her what the child really needs, she will exclaim in horror: “What is it, don’t let him get away with?!” Indeed, the child of the first months of life must not be let off the hook. For a woman who does not know how to comfortably carry a baby, and who does not know how to feed him in various positions (sitting, lying, standing and even moving), this can be very difficult. Especially if she is not sure of the correctness of her actions. nine0005

An action that should become automatic for the mother of a newborn: when the baby cries or shows other signs of anxiety, put the baby to the breast.

What's next?

The baby is growing. A fairly stable rhythm of daytime sleep begins to form in him, and a 3-4-month-old baby behaves quite differently from a newborn. Feeding on demand at this age looks something like this...

  • At three months, the baby has 10-12 feeds during the day and 2-4 at night. There are frequent applications for a short time, but their number is reduced. There may be a long night break in feedings, about 5 hours, but this is very rare. Much more often the night break is 2.5-3.5 hours. By this age, the baby's body is noticeably rounded. nine0022
  • At four months, the baby begins to breastfeed noticeably less frequently. The main feedings are associated with sleep: the baby suckles before bedtime, during awakening and during sleep, both daytime and nighttime. In this regard, he has a fairly accurate feeding regimen. And many babies stop breastfeeding when they wake up after daytime sleep, sometimes as early as 2.5-3 months.
  • At five months, the baby has 8-10 daytime feedings and 2-3 nighttime feedings, as well as at the fourth month of life, they are organized around dreams - the baby eats when he goes to bed and some babies suckle when they wake up. nine0022
  • Feeding regimen changes at six months. The most active sucking shifts to the last 2-3 hours before waking up from a night's sleep. The period of daytime wakefulness can be divided into two periods: in the morning, when the baby sucked during the night is rarely applied to the breast, and in the evening, when attachments become very frequent. In total, there can be 7-10 day applications and 3-4 night applications. At this age, the baby begins a period of acquaintance with new food - pedagogical complementary foods. Sometimes there are attachments associated with the introduction of complementary foods, the baby “washes down” samples of new food with mother's milk. But many children do not want to drink complementary foods. When complementary foods are introduced to an on-demand baby, it is never meant to replace feedings with complementary foods. This is practically impossible, because the main feedings of the baby are associated with sleep, and mother's breakfasts, lunches and dinners, during which the baby gets acquainted with new food, are located between the baby's dreams, during his wakefulness. nine0022
  • At seven months, the application frequency is about the same.
  • At eight months, the feeding regimen changes. Since the baby shows high motor activity and is very busy exploring the surrounding space, in the daytime he forgets to breastfeed. In this regard, the number of daily feedings can be reduced to 6-8 times. The baby compensates for the reduction in daytime feedings by increasing the frequency and duration of nighttime feedings up to 6 times.
    • nine0123 In the second half of the year, babies who stopped breastfeeding when waking up after daytime naps recall this habit again. The baby’s daytime sleep in the second half of life, as well as in the region of a year and older, looks something like this: the baby falls asleep sucking, sleeps quietly for a while, for example 1-1.5 hours, then starts tossing and turning, fiddling, worrying, at this moment the mother lies down next to , gives him a breast and the baby can fill up 10-15-30 minutes sucking. Mom may well use this time for her own rest - lie down, read, while the baby sleeps while sucking. I know my mother, a lover of embroidery, who used this time specifically for embroidery ...
  • Breastfeeding becomes more frequent at nine to ten months. In the daytime, this is 4-6 full feedings and about the same number of attachments for various reasons. The baby has new reasons for attachment. If, during active actions to master the world, the baby fills a bump or gets scared, he calms down with his mother's breast. There may be situations when you can comfort the baby by sitting next to him and hugging him. At night, 4-6 feedings remain, the baby begins to suckle more actively in the morning between 3 and 8 hours. nine0022
  • At eleven months, a baby can already have 2-3 complete complementary foods. Initiation to adult food in the mind of a child is not associated with breastfeeding: attachment to the mother's breast is something other than the desire to get enough of the product they like. As a rule, after the baby has eaten, he feels the need to attach himself to the breast. The number of daily feedings remains the same in the child, but the number of short-term attachments increases. There are active mid-morning feedings between 4 and 8 o'clock in the morning. nine0022
  • At ten or twelve months, the baby, if he is already walking, can sometimes breastfeed every time he comes to his mother, i.e. about every 15-30 minutes. Attachments around dreams and night sucking persist. Therefore, if a mother says that a child suckles once or twice a day, this means that there is no feeding at the request of the child. There are restrictions imposed by the mother, with which the baby has come to terms. He treats breast sucking like food, sucks on a pacifier or a finger to fall asleep or soothe, or falls asleep just like that, without calming down. nine0022
  • At twelve months, the baby is applied in about the same way.
  • At the age of one and a half years, there may already be one daytime nap, so there are fewer attachments related to sleep. Preserved for morning sucking. The baby is very free with his mother's breasts. Sometimes it happens that he comes up to suck just for fun. For example, like this: he comes up, climbs on his knees, looks into his mother’s face, smiles, starts to swarm in his shirt, gets breasts, smiles at his breasts, sucks for 30 seconds and leaves. nine0022

As for the number of feedings per day when feeding a child on demand, their number is almost never less than 12. A newborn has 12 or more attachments, mostly they are all associated with dreams. And a child, say 1.5-2 years old, can also have about 12 attachments, only 3-4 are associated with sleep, and the rest are short-term attachments for various reasons. I suggest to all mothers reading this text - do not count the application, do not notice their duration. Breastfeed your baby as often as he asks, when you feel the need to. nine0005

Mothers who do not think about breastfeeding without looking back at the clock may get the impression that when feeding on demand, the mother can do nothing but feed the baby. This is not true. After the birth of a baby, a mother begins another life, she is called life with a baby. That's all. The child is with the mother, not the mother with the child! Feel the difference! You need to be able to organize your life in a different way, in the first months, of course, the help of loved ones is very necessary. In the tradition of many peoples, it was customary for the first 40 days after childbirth to remove a woman from any housework and household chores, she was engaged only in a child. In some nations, objects that the mother of a newborn touched were considered “unclean”, therefore, they preferred to protect the mother from the rest of the household, allocating her a separate “corner” of the house, where no one bothered her and she did not interfere with anyone. Among the Slavs, such a restrictive custom was called a six-week. By 1.5-2 months, the rhythm of daytime dreams begins to form, and the baby has a kind of “regime”, the mother becomes more free. nine0005

For a mother who can't imagine breastfeeding without looking back at the clock, and who is sure that the “right” baby is the baby lying quietly in her crib all the time, feeding on demand will be a complete hassle. It will be much easier for such a mother if she stops looking at the clock and ties the baby to herself with a large scarf or uses a patchwork holder (sling). It will become easier for her if she stops running between the nursery and the kitchen, but takes the baby with her to the kitchen and carries him around the house with her, doing housework, in a box, a cradle, a special chair, if she tries not to put him off often, and pick up as soon as possible, postponing the baby only in case of emergency and not for long. nine0005

Breastfeeding is not the same as house arrest. In the conditions of modern society, it is possible to organize the exit of a nursing mother to work from about 6 months of age of the baby. If necessary, you can start working from the age of 4 months, but, of course, it is better not every day of the week and not full time. It is the responsibility of a breastfeeding consultant to help a mother organize her return to work.

Sometimes, when I advise mothers on breastfeeding, I suggest that they forget for a second that they are already living in the 21st century. I propose to return, for example, to the cave and ask what they will do if the child woke up at night, how to calm him down? If you are walking through the forest and trying not to attract the attention of predators, how to make the baby silent? If the child is thirsty, what will you give him? What is the baby used to, for thousands of years of its existence? To the fact that he sleeps on his mother while she wanders through the forest with a digging stick in search of roots, and wakes up when mother stops. Since mom stopped, then there is time to wake up and suck. Therefore, even now the child sleeps well, tied to the mother with a patchwork holder, wakes up when the mother, having done a few household chores, sits in a chair to take care of the baby. nine0005

Some mother, reading about the cave, will be offended, saying that she is a civilized creature. But please think. Man, mother's breast and mother's milk have been created by evolution over millions of years. They are made for each other. Baby food has created progress and more recently. The skills of motherhood and breastfeeding have also been lost by our society quite recently. A person is not physiologically adapted to artificial feeding and a pacifier. The mother's breast will not produce enough milk at 6-7 feedings per day. Nature did not know, when creating man as a mammal, that the time would come when the need for breastfeeding would be satisfied by some kind of pacifiers and nipples. nine0005

Changes that occur during the formation of the personality of a child who did not have full contact with the mother during prolonged breastfeeding are noted by modern research by psychologists and sociologists. These are changes with a minus sign. It would be better if they were not, these changes.

Breastfeeding is not only important for the baby, it is also important for the mother. During on-demand feeding, the woman's feelings change, a stronger attachment to the baby is formed, the woman becomes more sensitive to the needs of the baby.

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