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Exclusive Breastfeeding for the First Six Months

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Exclusive breastfeeding for the first six months of a child’s life helps in optimal growth, development, and health. Read to know more.

Medically reviewed by

Dr. Liya Albana Latheef

Published At November 14, 2023
Reviewed AtNovember 14, 2023

Introduction

Breastfeeding is a great way to help the baby grow and stay healthy. The World Health Organization (WHO) suggests only using breast milk for the first six months of the baby's life because it has everything they need. Even though it might be a bit tricky at first, with some tips and preparation, new mothers can breastfeed their kids in the right way. The article explains the benefits of exclusive breastfeeding, including nutrition, immunity, and bonding. It also gives practical tips for common challenges like engorgement and sore nipples. Also, it addresses the importance of support and mental well-being, understanding that, being informed, and having a strong support network are key to a successful breastfeeding journey.

What Is the Importance of Exclusive Breastfeeding?

Exclusive breastfeeding involves giving only breast milk to the baby, with no extra foods or liquids, including water. This brings several benefits:

  • Nutrition: Breast milk provides all the necessary nutrients customized for the baby.
  • Immunity: Breast milk includes antibodies and other immune factors that protect the baby from infections.
  • Bonding: The physical closeness and emotional connection during breastfeeding foster bonding with the baby.
  • Digestibility: Breast milk is simpler to digest than formula, minimizing instances of digestive discomfort for the baby.

What Are the Steps to Get Started With Exclusive Breastfeeding?

1. Positioning and Latch

  • Positioning: Select a comfortable position that enables holding the baby close. Popular positions include the cradle, cross-cradle, and football hold.
  • Latch: Ensure the baby's mouth covers a significant part of the areola, not just the nipple. A proper latch prevents soreness and facilitates efficient milk transfer.

2. Feeding Schedule

During the early weeks, breastfeeding will likely occur 8 to 12 times in 24 hours. Pay attention to the baby's cues, such as heightened alertness, sucking motions, and turning toward the breast.

How to Manage Common Challenges During Breastfeeding?

Engorgement: Breasts may experience engorgement, or excessive fullness, particularly in the initial days as the milk supply adjusts. To manage engorgement:

  • Breastfeed regularly.
  • Apply a warm compress before feeding and a cold compress afterward.

Sore Nipples: An incorrect latch or frequent feeding may result in sore nipples. Measures to alleviate this include:

  • Ensure a proper latch.
  • Use a healthcare provider-approved nipple cream.
  • Consider using a nipple shield temporarily for relief, but consult with a healthcare provider first.

What Are the Steps in Pumping and Storage of Breast Milk?

In certain situations, separation from the baby or involving the partner in feeding may be necessary. In such instances, pumping breast milk can prove to be an effective choice.

  • Selecting a Pump: Different types of pumps are available like manual, electric single, and electric double. Choose based on the needs and pumping frequency.
  • Pumping Schedule: Try to pump at the same times the baby typically feeds to sustain the milk supply.
  • Maintaining Hygiene: Always ensure the hands are clean, and sterilize pump components before and after use.

Storage steps include:

  • Choice of Containers: Opt for bisphenol A (BPA) free bottles or milk storage bags.
  • Storage Temperature: Freshly pumped milk can be stored in the fridge for up to four days and in the freezer for up to six months.
  • Thawing Process: Thaw frozen milk in the fridge or under warm running water. Avoid microwaving breast milk, as it can compromise nutrients and create uneven heating.

What Are the Tips for Maintaining a Healthy Milk Supply?

Maintaining a steady milk supply is necessary for exclusive breastfeeding. Consider the following tips:

  • Regular Feeding: The greater the frequency of nursing, the higher the milk production. Adhere to the baby-led schedule.
  • Hydration and Nutrition: Ensure enough intake of water and follow a well-balanced diet with nutrient-rich foods.
  • Rest: Fatigue can impact milk production. Attempt to rest whenever feasible, even if it involves napping during the baby's sleep periods.

How to Manage Breastfeeding During Special Situations?

1. Growth Spurts -

Throughout the initial six months, the baby will go through various growth spurts, resulting in heightened hunger and fussiness. It is normal to increase feeding frequency during these periods.

2. Returning to Work -

  • Strategic Planning: Initiate pumping and milk storage at least two weeks before resuming work.
  • Communication With Employer: Engage in a conversation about the necessity for breaks and a private space designated for pumping.

3. Breastfeeding While Traveling - Breastfeeding during travel poses challenges, but it is entirely achievable with proper preparation.

  • Portable Pump: Opt for a battery-operated or manual pump for convenient use while on the move.
  • Cooler Bags: These prove useful for storing pumped milk during travel.
  • Public Breastfeeding: Numerous countries have laws safeguarding a mother's right to breastfeed in public. Carry a lightweight shawl for privacy if desired.

How Can Solid Foods Be Introduced While Practicing Extended Breastfeeding?

The World Health Organization (WHO) suggests breastfeeding for up to two years or more, along with introducing suitable complementary foods. Gradual transitioning allows the baby to adapt to different tastes and textures while preserving the advantages of breastfeeding. Around six months, the baby might display signs of readiness for solids, such as sitting up unassisted, reaching for food, and making chewing motions. Introduce one new food at a time, watching for allergic reactions. While this milestone is exciting, it is essential to remember that breast milk remains the primary source of nutrition during the initial stages of this transition.

How to Support Breastfeeding Mothers?

  • Personalized Support: A lactation consultant can offer advice based on the situation. Additionally, do not hesitate to contact the healthcare provider to address any medical concerns related to breastfeeding, such as mastitis (a bacterial breast inflammation) or thrush (a fungal infection, causing discomfort during breastfeeding).
  • Building a Supportive Network: Recognize the significance of a support system, including partner, family, friends, healthcare providers, and lactation consultants. Additionally, online forums and local breastfeeding support groups can provide valuable guidance and emotional reinforcement.
  • Mental Well-being: Breastfeeding extends beyond the physical, requiring emotional strength. Occasional feelings of being overwhelmed are normal. Stress can impact milk supply, so seek support as required. Communicate openly with the partner, friends, or healthcare provider if experiencing anxiety or depression. Some individuals find mindfulness and relaxation techniques beneficial.

Conclusion

Choosing to breastfeed exclusively for the first six months is a great goal with lots of benefits for both the mother and the baby. Even though there might be challenges, knowing what to expect and getting ready can help handle them well. Remember, a woman is not alone in this journey, and there is support available to make it as fulfilling as possible.

Dr. Gaurav Gupta
Dr. Gaurav Gupta

General Practitioner

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breastfeeding
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