Breastfeeding: A lifelong gift of health and bonding

Breastfeeding is the nature’s gift to every woman to nourish and nurture her baby. It is vital and intimate practice with unparalleled benefits for both mother and child. From the transfer of essential nutrients and immune-boosting antibodies to fostering emotional bonding, breastfeeding lays the foundation for a healthy start in life. Although rewarding, the journey of breastfeeding can be challenging.These challenges can be addressed with proper guidance, support, and awareness.
The importance of breastfeeding for both mother and baby - Breastfeeding ensures transfer of essential nourishment and protection for the newborn. Breastmilk also helps in transfer of antibodies and immunoglobulins, especially in the first few weeks when the baby’s immune system is still developing. Additionally, breastfeeding accelerates the mother’s postpartum recovery, aiding in uterine involution and reducing postpartum bleeding.
Health benefits of breastfeeding: A lifelong impact - The short term benefits of breastfeeding include, meeting the baby’s caloric needs, offering protection against infections, and instilling a sense of comfort and security in the baby. In the long term, breastfed babies tend to have stronger immune systems and are less likely to develop conditions such as asthma, obesity, and type 2 diabetes.
Impact of breastfeeding on maternal health - For mothers, breastfeeding offers significant health benefits. It supports faster recovery to pre-pregnancy status by promoting weight loss, aiding in uterine contraction, and reducing postpartum hemorrhage. Long-term, breastfeeding reduces the risk of ovarian and breast cancers. It also helps to overcome postpartum depression by promoting a sense of fulfillment and connection with the baby.
When breastfeeding may not be recommended - While breastfeeding is highly beneficial, certain conditions may necessitate alternative feeding options. These include situations where the mother is HIV positive, has untreated tuberculosis, is receiving chemotherapy, or is being exposed to radioactive materials. Additionally, infants with the rare genetic disorder galactosemia, which prevents the proper metabolism of lactose, should not be breastfed.
Support for new mothers - New mothers often require support to establish successful breastfeeding routines. Lactation consultants, healthcare providers, and experienced family members can offer valuable guidance. It is essential for new mothers to understand that challenges such as poor latching or insufficient milk supply can occur, but with the right support—whether from in-person guidance or online support groups—these challenges can be overcome.
The role of diet in breastfeeding - A mother’s diet plays a crucial role in the quality and quantity of breast milk. A balanced diet rich in fruits, vegetables, and galactagogues (such as oats, sabudana, and homemade dry-fruit laddus) is recommended. Adequate hydration and stress management are equally important, as they can influence milk production.
Nutritional guidance for breastfeeding mothers - Breastfeeding mothers should focus on a well-balanced diet, including antioxidant rich multi-coloured fruits and vegetables. Incorporating galactagogues and staying hydrated are key. In cases of insufficient milk production, supplements or medications may be recommended to boost supply.
Mental health and breastfeeding - Breastfeeding can have profound effects on a mother’s mental health. While it often promotes bonding and reduces stress, challenges in breastfeeding can lead to frustration and even postpartum blues. It is crucial for mothers to receive adequate support to manage these challenges, ensuring they can rest and maintain their mental well-being.
Addressing overwhelm and depression during breastfeeding - If a mother feels overwhelmed or depressed while breastfeeding, it is vital to provide support, whether through sharing baby care responsibilities or offering practical advice on feeding positions. Ensuring that the mother has the opportunity to rest and recover is key to preventing or alleviating these feelings.
The future of breastfeeding advocacy - Looking ahead, breastfeeding advocacy must aim to normalize and support breastfeeding in both private and public settings. The future could see the integration of AI-powered lactation consultants, enhanced community support networks, and improved workplace accommodations for breastfeeding mothers. Government policies should also support extended paid maternity leave, ensuring mothers have the time they need to breastfeed exclusively in the crucial first six months.
(Author: Dr. Namita Kapoor Sahgal, Senior Consultant Obstetrics & Gynaecology, Manipal Hospital Varthur Road)