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Breastfeeding Myths

You may be surprised to learn there are still many old myths circulating that undermine a modern mother’s breastfeeding experience.  To save you some uncertainty, we’ve debunked the most common ones…

 

 Myth: Artificial formulas are as good as breast milk.
Fact: Don’t be fooled by marketing! Modern formulas are only superficially similar to breast milk and an “advance” is really only the correction of a deficiency in formulations.  Breast milk is the perfect “elixir”, full of essential antibodies, enzymes, and hormones – and it never spoils or gets recalled.


Myth:  Many women do not produce enough milk.
Fact:
The vast majority of women can produce more than enough milk for one or more babies. Babies that gain too slowly (or lose weight) usually do so because the baby is not nursing often enough or is not removing enough milk due to a poor latch.  These are temporary problems that can usually be resolved with trained support as soon as a problem arises.


Myth:  Women with small breasts/large breasts can’t produce enough milk.

Fact: Breast size does not determine lactation success. Milk production is primarily related to feeding frequency requirements and breast storage capacity (which varies) and effective milk removal by baby.


Myth:  My baby must not be getting enough or my milk is “weak” – he’s hungry again already!
Fact:
Breast milk quality is quite reliable - even malnourished mothers can produce balanced, nutritious milk.  However, breastfed babies digest their meal more quickly than formula formula-fed babies due to the smaller size of the protein molecules in human milk.  Research shows this pattern is ideal for proper infant nutrition and growth.


Myth: It’s day two – my baby needs formula until my milk is “in”.

Fact: A newborn baby is receiving colostrum during the first few days of breastfeeding. The small amounts of colostrum are full of antibodies and other essential benefits. At birth a newborn’s tummy is about the size of a marble so the small, frequent feedings are just right until the mature milk arrives a few days later.


Myth:
It is normal for breastfeeding to hurt.

Fact: Some tenderness during the first few days is relatively common but this should resolve within a few days. Any pain beyond that is almost always due to poor latch-on. Seek a trained breastfeeding educator sooner than later.


Myth: There is no way to know how much breast milk the baby is getting.

Fact: Daily diaper counts (six to eight wet cloth diapers - paper diapers may be fewer due to higher absorbency - and three to four dirty diapers for a newborn) are a great way to see that baby is getting enough breast milk.


Myth:
Pumping is a good way to measure your milk supply.

Fact: Pumping only tells you have much you can pump – and even that depends on the type and quality of the pump you are using. A baby who nurses well can remove much more milk than his mother can pump.


Myth:  Breastfeeding is hard and ties the mother down.

Fact: Caring for your baby is hard work, no matter how you feed him.  But breastfeeding actually reduces the stress hormone cortisol in nursing moms.  And when breastfeeding there is no need to drag around bottles, or worry about water quality, sterility or warming the milk. If traveling you have no feeding concerns during delays and in the event of an emergency breast milk is safe, clean & comforting.


Myth: Breastfeeding twins is too difficult.

Fact: Actually, breastfeeding twins can be much easier than bottle feeding twins, but you need good support.


Myth: Babies only need to nurse “X” amount of minutes.

Fact: Newborns are learning to nurse, and tire easily, so they often need more time to feed well. It is best to allow baby to suck until he shows signs of fullness such as self-detachment from the breast and relaxed hands and arms. Seek help if baby isn’t sucking regularly and swallowing audibly-these are signs of effective milk removal.


Myth:
  Mothers must always use both breasts at each feeding.

Fact: It is more important to let baby finish the first breast first, even if that means that he doesn't take the second breast at that time. Calorie-rich hindmilk is accessed gradually as the breast is drained.  If switched to the second breast too soon, baby may fill up only on the lower-calorie foremilk from both breasts rather than getting enough hindmilk, resulting in infant dissatisfaction and reduced weight gain.


 
Myth:  Babies need to be on feeding schedules.
Fact: A breastfed baby's frequency of feeding will vary according to the mother's milk supply and storage capacity, as well as baby's developmental needs and even the baby's individual nursing style, latch or suck patterns. Growth spurts and illnesses can temporarily change a baby's feeding patterns so scheduled feedings can negatively impact infant growth and mother’s supply. 
 

Myth:  Never wake a sleeping baby.
Fact:  Some newborns may not wake up often enough on their own and need to be awakened to ingest adequate calories.


Myth: Giving my baby formula or rice cereal will make him sleep through the night.
Fact:
Research disputes this myth and these practices may upset baby’s stomach and cause distress. Additionally, the lighter sleep cycles in breastfed babies seem to help prevent SIDS (Sudden Infant Death Syndrome).


Myth:  There is no such thing as nipple confusion.

Fact: It’s more of a preference - a baby who is working to get milk from the breast and then gets easy, rapid flow from a bottle may decide it prefers the easiest meal. All artificial nipples should be delayed until breastfeeding is going well (at four weeks) but there is no reason a baby must learn how to use one.

 

Myth:  It is important that other family members get to feed baby so that they can bond, too.
Fact: Feeding is not the only method by which other family members can bond with the baby; holding, cuddling, bathing and playing with the infant are all equally effective way to bond with each other and they don’t interfere with breastfeeding.

 

Myth:  A mother must drink milk to make milk.
Fact: A well-balanced diet of nutritious foods is all that a mother needs to provide the proper nutrients to produce milk. No other mammal drinks milk to make milk.


Myth: Some babies are allergic to their mother's milk.

Fact: If a baby shows sensitivities to feedings, it’s typically an irritating protein in mother’s diet- not the milk itself. This is resolved by removing the offending food from mother's diet for a time.


Myth:  Mothers who nurse or hold their babies too much will spoil them.

Fact: Babies who are nursed on “demand” gain weight well, and those who are held often cry less each day and exhibit more security as they mature. It is natural for a helpless infant to desire comforting contact to feel secure and safe in their environment.


Myth: The mother should not be a human pacifier.

Fact: Comforting and meeting sucking needs at the breast is nature's original design. Pacifier use has documented risks so it’s healthiest to comfort a baby primarily at the breast when they are tired, stressed, or in pain.


Myth:  If the baby has diarrhea or vomiting, the mother should stop breastfeeding.

Fact: Breast milk is the only fluid your baby requires when he has diarrhea and/or vomiting, except under exceptional circumstances. The baby is comforted by the breastfeeding and will get better more quickly.


Myth:  Breast milk does not contain enough iron for the baby's needs.

Fact: The iron in breast milk is easily digested so a full term baby gets enough from exclusive nursing in the first six months.


Myth:  If the mother is sick or has an infection she should stop breastfeeding.

Fact: With very few exceptions, the mother’s continuing to breastfeed will actually protect the baby by providing immunities to the infection. Also, breast infections are not reasons to stop breastfeeding. Baby will not get sick and nursing helps keep the breasts functioning properly so healing can occur.


Myth: If the mother is taking medicine she should not breastfeed.

Fact: There are very few medicines that a mother cannot take safely while breastfeeding. The risks of weaning and formula use usually exceed those of the small exposure to the medicine through milk.


Myth: Breast milk can "dry up" - just like that.

Fact: There are situations which may make it seem as if milk production is suddenly less: Baby is in a growth spurt and eating more; formula use or frequent pacifier use has reduced frequency of feedings; birth control pills may have decreased milk supply- use a progesterone only pill; or a cold or allergy medication with decongestants (like pseudoephedrine) has impaired supply.


Myth:  Nursing a baby after six months has no benefits

Fact: Breast milk provided such superior nutrition that the American Academy of Pediatrics and World Health Organization recommend breastfeeding a minimum of one year, adding complementary solids around six months.


Myth:  Health care providers know a lot about breastfeeding.

Fact: Breastfeeding education in medical schools has been very limited until recently. Ask your doctor or nursing staff if they’ve had specific lactation training or if there is a Board-Certified consultant on staff to assist you.  A breastfeeding evaluation, not formula, should be the first step in solving a breastfeeding issue to help prevent milk supply complications.

 

Sources: La Leche League International and Dr. Jack Newman

 

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