Breastfeeding 101: Q&A with Lactation Expert Nadine Rosenblum

To help explain the benefits of breastfeeding, Nadine Rosenblum,
perinatal lactation program coordinator at The Johns Hopkins Hospital,
answers some commonly asked questions about breast milk, common
struggles women face and what resources women can tap into to increase
their likelihood of nursing success. “There are still so many
misconceptions about breastfeeding and a general lack of support,” says
Rosenblum, “that many women discontinue breastfeeding or add formula
when they don’t necessarily need to.”

What makes breast milk so effective?

During pregnancy, a baby’s immune system readies itself for that unique
food source his or her mom produces: breast milk. “It’s what a baby’s
body expects to eat, consume and utilize most effectively,” says
Rosenblum.

And breast milk isn’t a homogenous substance. Hundreds of nutrients
have already been identified in breast milk, and researchers are still
discovering more. The exact combination of these nutrients is dynamic.
The composition of nutrients changes based on a baby’s unique needs on
a daily basis, at every meal and every stage of life. If it’s hot
outside, the milk will have a higher water content to keep a baby
hydrated. If a baby is in a growth spurt, breast milk will have more
protein and fat. This specialized diet fuels a baby’s developmental
growth and helps lay the foundation for a baby’s immune system. As
Rosenblum puts it, “You can’t manufacture what mom makes new for baby
every day.”

The bottom line? “Babies who are fed only breast milk for their first
six months of life are the healthiest,” says Rosenblum. The American
Academy of Pediatrics suggests women continue breastfeeding, with the
addition of complimentary (solid) foods starting at 6 months, for at
least 12 months. Other organizations, such as the World Health
Organization, recommend women continue nursing, with the addition of
solid foods after 6 months, until the child is 2 years of age for the
best health outcomes.

What are the advantages of breastfeeding for babies?

There are a wide range of benefits for babies who drink breast milk.
Babies who breastfeed are less likely to develop:

• Asthma
• Allergies
• Eczema
• Upper & lower respiratory diseases
• Digestive diseases such as acute diarrhea, long term Crohn’s
  disease and colitis
• Diabetes types 1 and 2
• Childhood leukemia

Additionally, babies who drink breast milk are also at reduced risk for
sudden infant death syndrome (SIDS) and are less likely to be
overweight or obese.

How do moms benefit from nursing?

Nursing not only benefits a baby — nursing also promotes immediate and
future wellness and good health in breastfeeding moms.

Nursing right after delivery helps improve

postpartum recovery

by bolstering many natural processes, including:

• Expelling the placenta
• Slowing postpartum bleeding (and thus decreasing the likelihood of
  postpartum hemorrhage)
• Reducing the size of the uterus (to revert to pre-pregnancy size
  and shape)
• Burning calories (to lose the weight gained during pregnancy)

Beyond physical benefits, breastfeeding may also promote good mental
health, as nursing has been linked to lower incidences of postpartum
depression in new mothers.

Breastfeeding also helps with longer term health outcomes. Women who
breastfeed have lower rates of developing:

• Certain cancers including breast cancer, ovarian cancer and
  endometrial cancer
• Osteoporosis
• Heart disease/high blood pressure
• Diabetes

What are common breastfeeding struggles moms face?

According to Rosenblum, it is normal for women to feel many anxieties
around breastfeeding, at all stages and experience levels.

Women who have not yet breastfed are often concerned they may not make
enough milk to sustain their baby. They may also worry about
experiencing discomfort or pain when breastfeeding.

Moms new to breastfeeding are commonly uncertain about whether their
eating habits are ideal for milk production or how any medications,
drugs or alcohol may interact with the milk. They may also fret over
not seemingly connecting with their baby when nursing, and be concerned
their baby is not getting enough milk.

Working, nursing moms can be apprehensive about managing the transition
from home to work and what that disruption might mean for their
breastfeeding process.

What is Rosenblum’s main suggestion? Women should seek out help from
lactation experts and other support groups in their communities to help
ease many of these concerns and empower them in their breastfeeding
journey.

What are some tips for successful breastfeeding?

• Keep baby with you
  . “It’s easier to learn about your baby when the baby is with you,”
  Rosenblum says. Essentially, the more time you spend with your
  baby, the easier it becomes to distinguish the many different needs
  of the baby and ensure good nursing.
• Get the right information from experts
  . Don’t get overwhelmed with internet resources and friends, says
  Rosenblum. Lactation experts can direct women to good information
  and provide hands-on help at the hospital. If women aren’t able to
  meet at the hospital, nurses are also available to answer questions
  over the phone or by email.
• Go to a prenatal breastfeeding class
  . These classes cover the benefits of breastfeeding, basics of milk
  supply, how to maintain milk when mom and baby are apart, how to
  understand baby behavior and gauge when a baby is well-fed, and
  positions for a good latch. Classes are often interactive and
  include a variety of teaching methods such as videos and baby
  models to accommodate all kinds of learners.
• Find a local support group
  . Many hospitals,

  including Johns Hopkins

  , coordinate support groups for breastfeeding women, where mothers
  can share stories, learn from each other’s experiences and practice
  breastfeeding in a group setting. There are also many other
  organizations that are dedicated to helping women successfully
  breastfeed. Rosenblum suggests women find a group that they feel
  most comfortable with.