BREAST IS BEST

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• BREAST IS BEST
• By Sandy Dhudwal and Nisha Velji

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OUTLINE
1. History 2. Recommendations
3. Properties of Breast Milk
4. Benefits of Breastfeeding
5. Harmful Effects of Formula Milk

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6. Why Some Mothers Choose Formula Vs. Breast
Milk 7. Other Options
8. Additional Resources
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OBJECTIVE

• To increase awareness about breast feeding.
• To educate about the benefits of breast feeding.
• To educate about the basics of breast feeding.
• To educate about the harms associated with
  formula feeding.
• To advocate for breast feeding and empower
  parents to make an informed choice.

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HISTORY

• Artificial feeding becomes readily available at
  turn of century
• By 1940s control of birth feedings given to
  doctors
• By 1970, historical low in breastfeeding rates in
  western world
• Rates peak in 1980s
• Duration rates still generally low

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RECOMMENDATIONS

• Exclusive breast feeding until 6 months of age
• Introduce complimentary foods with continued
  breastfeeding
• Optimum to breastfeed for 2 years or longer

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PROPERTIES OF BREASTMILK

• Biologic specificity gt Long-chain omega-3 Fatty
  Acids (DHA and AA)
• -Important for brain and retinal development
• -Higher IQs

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IMMUNOLOGIC SPECIFICITY

• Protection against pathogens allergens
• Kills pathogenic organisms or modifies their
  growth
• Stimulates epithelial maturation for future
  defence
• First immunization
• Protection against common respiratory and
  intestinal diseases

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IMMUNOLOGIC SPECIFICITY

• Colostrum Babys first vaccination
• Less risk of illness such as
• Ear infections, pneumonia, crohns disease and
  other bowel illnesses, stomach flu and other
  intestinal illnesses, ear infections, childhood
  cancers, diabetes, arthritis, allergies, asthma
  and eczema

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PERFECT FOOD FOR BABIES

• Just the right amount of nutrients in the right
  proportions
• Over 200 components in human milk
• Composition of breast milk
• -Live cells, fat, carbohydrates, proteins,
  vitamins, minerals
• -Less fat than most other mammals
• -More lactose than other mammals

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BREAST MILK COMPOSITION

• Fat (4 concentration provides up to 50 of
  caloric needs, cholesterol levels constant,
  lipolytic enzymes aid in fat digestion)
• Carbohydrates (lactose milk sugar predominantly
  in human milk, 7 concentration provides up to
  40 caloric needs, essential for development of
  CNS, enhances calcium iron absorption)

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BREAST MILK COMPOSITION

• Carbohydrates (Bifidus factor growth factor
  present only in human milk required for
  establishing an acidic environment in the gut to
  inhibit growth of bacteria, fungi and parasites)
• Protein
• -Lactoferin gt Isolates external iron
• -Secretory IGA gt Most important
  immunoglobulin, breast milk only source for
  first 6 weeks

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BENEFITS OF BREASTFEEDING

• Ecological
• -Saves resources
• -Less waste
• -No refrigeration
• -No manufacturing
• -No bottles, cans
• -No trucking
• -No handling

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BENEFITS OF BREASTFEEDING

• For Society
• -Smarter
• -Healthier
• -Less cost to healthcare system
• -Stronger families

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BENEFITS OF BREASTFEEDING

• To Families
• -Less trips to doctors, hospitals
• -Less prescriptions
• -Less stress
• -Less illness
• -More bonding
• -Inexpensive

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BENEFITS OF BREASTFEEDING

• Benefits to baby
• -Better dental health
• -Increased visual acuity
• -Decreased duration and intensity of illnesses
• -Less allergies
• -Better health less risk of illnesses

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BENEFITS OF BREASTFEEDING

• Benefits to mother
• -Psychological (Attachment, bonding, security,
  skin to skin, fulfillment of basic needs,
  relationship)
• -Easier weight loss
• -Decreased risk of illness (breast cancer,
  osteoperosis, hemmorhage, ovarian cancer)
• -Birth control
• -Pride, empowerment, fulfillment

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HARMFUL EFFECTS OF FORMULA MILK
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Why some mothers choose formula vs. breast milk

• Distressed by physical discomfort of early
  breastfeeding problems.
• Convenience issues
• Pressures of employment/school
• Worries that breast shape will change
• Formula manufacturers manipulate people through
  their ads
• Doctors and nurses need more lactation training

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Why some mothers choose formula vs. breast milk

• Moms given very little time to adjust to changes
  of postpartum
• Family demands
• Non-supportive family/health professionals
• Embarrassment
• Lack of confidence in self
• Feeling that one cannot produce enough milk

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Mothers milk vs. formula milk

• Formula milk for 3 days old babies is no
  different than formula milk for 3 months old
  infants.
• Breast milk is ingeniously different every single
  day adapted to the changing needs of the baby.

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Mothers milk vs. formula milk

• Human milk is designed to support the development
  of large brains, capable of processing and
  storing lots of information.
• Cows milk is designed to support functions, like
  constant grazing.

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Illness Relative risk

• Allergies, eczema 2 to 7 times
• Urinary tract infections 2.6 to 5.5 times
• Inflammatory bowel disease 1.5 to 1.9 times
• Diabetes, type 1 2.4 times
• Gastroenteritis 3 times
• Hodgkin's lymphoma 1.8 to 6.7 times
• Otitis media 2.4 times
• Haemophilus influenzae meningitis 3.8 times
• Necrotizing enterocolitis 6 to 10 times

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Illness Relative risk

• Pneumonia/lower respiratory tract infection 1.7
  to 5 times
• Respiratory syncytial virus infection 3.9 times
• Sepsis 2.1 times
• Sudden infant death syndrome 2.0 times
• Industrialized-world hospitalization 3 times

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Barriers to Bonding

• A Bottle places a physical barrier between mom
  and baby
• Less skin to skin contact
• Less eye contact
• The hormonal connection between the
  breastfeeding mother and baby cannot be
  experienced by the bottle feeding mother

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Other Options If Breastfeeding is Not Possible

• Mom can still use her milk, even if she decides
  not to breastfeed
• Use a breast pump (electric/manual)
• Cup or bowl feeding
• Spoon feeding
• Eyedropper or feeding syringe
• Nursing supplementer
• Get milk from donation bank

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THE END

• There is no freedom of choice for humansif it
  has been taken away from themat the beginning.
• Breast-feeding is not a choice,but an obligation
  to the choice,
• Give your child the freedom of choice.

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Additional Resources

• La Leche League
• World Health Organization
• Community Health Nurses
• Lactation Consultants
• Public Health Agency of Canada

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References

• Mohrbacher, Nancy, and Stock, Julie. The
  Breastfeeding Answer Book, 3rd Edition. Illinois
  La Leche Leage International, 2003.
• The Breastfeeding Committee for Canada. The
  Baby-Friendly Iniative in Community Health
  Services a Canadian Implementation Guide. BCC,
  2002.
• World Health Organization. Evidence for the Ten
  Steps to Successful Breastfeeding. Geneva WHO,
  1998.
• Class Notes
• Google Images
• http//www.fda.gov/FDAC/features/895_brstfeed.htm
  l
• http//medicalreporter.health.org/tmr0297/breastfe
  ed0297.html
• http//www.mamadearest.ca/en/info/benefits_breastf
  eeding.htm
• http//www.lambtonhealth.on.ca/infant/benefits.asp
  
• http//www.babyfriendly.org.uk/health.asp
• http//www.phac-aspc.gc.ca/rhs-ssg/factshts/brstfd
  _e.html
• http//www.caaws.ca/mothersinmotion/baby/feeding_b
  enefits_e.html