When you have a baby, everyone has a bit of advice for you. This
applies to all aspects of child care, including breastfeeding. It is
a daunting task to sort through all this unsolicited advice, most of
which is unfortunately unsound. Here, I have made a list of common
types of bad advice on breastfeeding. This list is necessarily
incomplete. Your best strategy is to gather as much information as
you can beforehand. It is also a very good idea to go to a La
Leche League meeting. If you have a friend, relative, or neighbor
who has exclusively breastfed a baby for at least four months and
continued breastfeeding for more than a year, you have a good source
of advice. If you need more specific advice on any problems you might
encounter, call a lactation
consultant. Many people are hesitant to do this, but it can do
wonders.
After you finish nursing: "Your baby is still hungry. Give her
(or him) a bottle."
If your baby is really still hungry, she or he is probably
going through a growth spurt. Nurse
as often as your baby wants, and
your milk supply will catch up with your baby's increased
appetite in a day or two.
Perhaps your baby isn't hungry, she or he just wants to
nurse for comfort. Nursing for comfort is just as important as
nursing for food. Furthermore, by giving a bottle, you might
cause your baby to become overweight.
If you are really worried that your baby isn't getting
enough milk, see the page on your milk
supply.
"Your baby is nursing too often. Give her or him a bottle of
formula or sugar water or juice every now and then."
Supplementary bottles not
only decrease your milk, they can also be harmful to your baby.
They increase the risk of infection (especially diarrhea) and
food allergies. Avoid them.
"If you give your baby a bottle of formula, you'll be able to
sleep longer."
Bottle-fed babies often go for about four hours between
feeds. Breastfed babies tend to go about two to three hours
(plus comfort nursing, which may be much more often, but
usually shorter).
This leads many people to consider bottle-feeding so they
can sleep longer at night.
Before you make this decision, consider the following:
The reason bottle-fed babies go longer between feeds is
because formula is hard to digest. Your baby is in constant
gastric distress. Do you really want to do this to your baby?
Constipation is also common in bottle-fed babies, but almost
unheard of in exclusively breastfed babies.
If you sleep with your baby (or
at least keep your baby's cradle or crib next to your bed), you
won't need to wake up fully to breastfeed. You'll end up
sleeping much better.
If you bottle-feed, you'll need to warm a bottle for the
baby. By the time you do that, your baby will quite possibly be
screaming. You might want to get out of bed and pace the
hallway for a while before your baby is calm enough to eat. A
baby who is worked-up like this is likely to swallow a lot of
air, which means you'll need to spend some time burping your
baby (bottle-fed babies generally need more burping breastfed
ones to begin with). You might wake up fewer time than a
breastfeeding mother, but your (and everyone else's) sleep will
be disrupted much more seriously.
The hormone prolactin that your body produces while you
nurse has a relaxing effect. As a result, breastfeeding helps
you sleep better. Bottle-feeding does not do that for you.
"You shouldn't nurse your baby every time she or he wants to.
Teach your baby who is boss."
Little babies cry when they need something. They are too
young to be able to manipulate people. If your baby wants to
nurse, that's because she or he needs to.
If you don't nurse on demand,
you'll risk losing your milk supply.
Babies who nurse on demand spend about half as much time
crying as babies who are nursed on a schedule.
"You shouldn't nurse your baby so often. She or he will grow
too dependent on the breast."
Babies whose needs are satisfied promptly and consistently
grow into independent, satisfied adults.
Babies whose needs are ignored or met inconsistently become
spoiled, needy children.
"Don't bother with nursing. Formula is easier and just as
good. I was never nursed and I turned out fine (or I never nursed
my babies and they turned out fine)."
I am not willing to bottle-feed my baby because she or he
might just do OK. I want the best for my baby, and breast is
best!
If your parents smoked but you turned out OK, should you
blow smoke into your baby's face? Of course not!
Chances are your parents drove you around without a car
seat, and yet you didn't die in a car crash. Should you
therefore drive your baby around without one? Of course
not!
If your parents bottle-fed you and you turned out OK, here
is what that means: they took their chances, and they (and you)
were lucky. You don't know if your baby will be as lucky. Don't
take chances. Do what you know is best. Breastfeed!
"You are letting your baby nurse too long. You'll get sore
nipples."
You should let your baby nurse as long as she or he wants
to. Otherwise, she or he might be deprived of nutrients.
The first milk a baby gets from the breast is called
foremilk. This is low in fat and calories, and serves mainly to
quench thirst.
This is followed by hindmilk, which is much richer.
If you limit your baby's time at the breast, she or he will
be getting too much foremilk and no or little hindmilk. This
can lead to undernourishment, gassiness and fussiness (because
of the higher lactose content of foremilk), and to decreased
milk supply. Trust your baby (see the page
on milk production).
If your baby is nursing for an excessively long time (45
minutes or more on one side), call a lactation
consultant to make sure you are latching
on correctly and that there isn't another problem.