Dr Paul logo
children's health & wellness
Home
Meet Dr. Paul
Tip of The Day
Ask A Question
Ask Dr. Paul Library
Dr. Paul Chats
Fact Sheets
Newborn Issues
Breastfeeding
Childhood Illnesses
and Conditions
Immunization Issues
Growth
and Development
Nutrition
Injury Prevention
Parenting & Behavioural Issues
The Asthma Corner
Adolescent Health
and Wellness
What's New
Awards
Lectures
Links
Comments & Contact
Legal



Breastfeeding
: Breastmilk - Nature's Ideal First Food


There are plenty of good reasons why breastmilk is considered baby's ideal first food. Breastfeeding is by far the most natural, and most healthy way to feed your baby. Aside from promoting maternal infant bonding, breastmilk offers many other advantages which include protection against intestinal, ear and other infections.

During the first 4 to 6 months, breastmilk alone can provide virtually all the nutrients needed to ensure your baby's normal growth and development. In some cases though, but not all, exclusively breastfed babies may need to take a vitamin D supplement, depending on the amount baby's exposure to sunlight. The possible need to use supplements should be decided on an individual basis with your pediatrician.


Benefits of breastmilk

Breastmilk is made up of a complex composition of important proteins, fatty acids, sugars, amino acids, iron and many other nutrients which are tailored to meet your baby's specific and changing needs. These nutrients are delivered in forms which are easily absorbed by your baby's delicate digestive system. Furthermore, breastmilk is always sterile, or free of germs. For these reasons, children who are breastfed tend to have fewer problems with diarrhea, constipation and other digestive upsets than children who are fed formulas.

Another major benefit of breastmilk is that it contains antibodies. Antibodies are substances created by the immune system to fight off infectious germs such as bacteria and viruses. Antibodies created in the mother's system are passed through breastmilk into the baby's system, offering temporary protection against common infections, including intestinal and ear infections. Breastfeeding also reduces the incidence of food allergies in later life, as well as promoting good mouth and jaw development.


Being certain your baby is getting enough nourishment

Breastmilk satisfies both hunger and thirst, so extra water is usually not needed. A baby fed at the breast controls the quantity of milk he or she drinks, usually drawing only as much as is needed and desired. As a result, overfeeding or underfeeding are unlikely to occur. Nonetheless, it's not uncommon for a breastfeeding mother to worry about whether her baby is getting enough milk.

One simple way of answering this question is to count the number of wet diapers. Usually 6 to 8 wet diapers a day is a sign that your baby is drinking enough. The best way to be sure that your baby is getting enough milk is by the following the weight gain; on average, during the first 3 months of life babies gain about 2 lbs, or 1 kilogram, per month. This equals about one ounce per day. Between the third and sixth months, babies gain about half that amount during the first 3 months or about half an ounce a day. In general, babies weigh double their birth weight by about 4 months.

By 6 months of age, though breastmilk is still an excellent source of nutrition for your baby - it no longer provides the entire range of nutrients needed for continued growth. Between the fourth and the sixth month, your baby's diet should begin to include solid foods that provide the extra calories and nutrients (especially iron) which breastmilk alone cannot. When taken in combination with solid foods, breastmilk remains an excellent source of nutrition for babies for as long as breastfeeding continues.


Colostrum, foremilk and hindmilk

While the content of breastmilk changes over the course of baby's development, there are essentially 3 types of breastmilk. These are colostrum, foremilk and hindmilk.
  • Colostrum is the yellowish breastmilk that is produced in the first few days after baby's birth and before normal lactation begins. Colostrum is especially rich in nutrients and antibodies, and is the perfect food for a newborn baby. Even if you have decided to use formula rather than breastmilk, you may wish to breastfeed your newborn for at least a few days after birth, so that he or she can receive the antibody protection and nutritional benefits offered by colostrum.

  • Foremilk is the milk which is first drawn during a feeding. It is generally thin and lower in fat content, satisfying the baby's thirst and liquid needs.

  • Hindmilk is the milk which follows foremilk during a feeding. It is richer in fat content and is high in calories. The high fat and calorie content of this milk is important for your baby's health and continuing growth. Make sure to let your baby drain one breast before moving on to the other, to ensure that she receives all the benefits of both foremilk and hindmilk.

Expressing and storing breastmilk

You may wish to express and store your breastmilk occasionally. Stored breastmilk can be used by a babysitter when you're unavailable, or by a partner who wishes to share in feeding your baby. A variety of breast pumps are available on the market that can express milk easily and quickly.

Bottles and containers used to store breastmilk should be sterilized or washed in very hot soapy water to avoid contaminating the milk with germs. Expressed milk should be refrigerated immediately. It can store for up to 48 hours in the fridge, or be frozen for up to three months. However, due to the loss of nutrients it is advised that the milk be used within two weeks of freezing. Be sure to label and date containers storing breastmilk, and discard any milk which has been stored too long.

Frozen breastmilk should be thawed in the refrigerator, and allowed to warm to room temperature just before serving. Never thaw or warm breastmilk on the stove, or in the microwave. Excessive heat can destroy important nutrients in the milk, and can burn your baby's mouth. Microwaves are particularly dangerous as they heat unevenly, often giving a false impression of the actual temperature of the milk.


Alternatives to breastmilk

If you decide not to breastfeed your baby, or you are weaning your baby from breastmilk, the only acceptable alternative during your baby's first 9 to 12 months is commercial iron-fortified formula. Cow's milk is not suitable until your child is at least 9 to 12 months old (for more information on this topic, see Preventing Iron-Deficiency Anemia During Infancy).


Other Breastfeeding Topics

The information provided in this site is designed to be an educational aid only. It is not intended to replace the advice and care of your child's physician, nor is it intended to be used for medical diagnosis or treatment. If you suspect that your child has a medical condition, always consult a physician.

© Autograph Communications Inc., All rights reserved