Why Breast is Best, and What Needs to Change in Society to Better Support Mothers

By Christina Podolak


For most of our human existence on earth, mothers have fed their babies breast milk. Within the last 100 years, mothers had another option for feeding their babies: formula.

Mothers today are faced with the decision whether to formula feed or breastfeed their babies. Six years ago, I was one of those mothers. I was pregnant with my first child and went in for my first prenatal check-up. My doctor asked if I planned to bottle-feed or breastfeed my baby, and I didn’t hesitate to answer — breastfeed. The topic was never mentioned after that visit.

Why Breastfeed?

When asked a few years later why I wanted to breastfeed, I didn’t have a clear answer. I was aware of some of the health benefits to my infant, but formula processed from the milk of a cow or soybeans just didn’t seem natural or healthy. The cost savings was an obvious benefit, but I also had great breastfeeding role models in my family. My three older sisters as well as my mother had chosen to breastfeed through the first year of infancy. It wasn’t until I heard Dr. Jeanne Stolzer talk in Lincoln, Nebraska, in April 2009 that I fully understood the broad range of benefits available to my baby and me by choosing to breastfeed.

Stolzer is an associate professor and researcher of family studies at the University of Nebraska at Kearney. After hearing her talk about the overwhelming body of scientific evidence supporting breastfeeding, I couldn’t understand why if a mother was educated with this information, she would still choose formula without some sort of circumstance that would make breastfeeding medically impossible for either her or the baby. My concept of the importance of breastfeeding to the mother as well as the child was solidified. It made me feel even more passionate about sharing and education other mothers on the many benefits of breastfeeding.

Research is finding lifetime benefits for both the breastfeeding mother and baby. These benefits are a dose response-specific variable. This means that the outcome is different for each mother-child pair and is associated with the amount, intensity, and duration of the nursing experience. It can be compared to two persons, a regular drinker and a non-drinker: They can be given the same amounts of alcohol for the same length of time, but if one is used to drinking on a regular basis, he won’t be affected as much as the non-drinker. The specific breastfeeding benefits are affected by the amount of milk given, how long the nursing relationship is, and the intensity of nursing sessions. Research has found that the following health benefits to the mother included a reduced the risk for:

  • Type I and II diabetes
  • Anxiety
  • Mood disorders
  • Osteoporosis
  • Breast, ovarian, and uterine cancer
  • Depression rates
  • Cholesterol.

The baby benefits from an overall reduced risk of death from all causes. Research has also found many more lifetime benefit for the baby which includes a reduced risk for:

  • Upper and lower respiratory infections
  • Ear infections
  • Bacterial infections
  • Urinary infections
  • Asthma and allergies of all types
  • Diarrhea
  • Skin disorders
  • Type I and II diabetes
  • Celiac and bowel disease
  • Cancer, especially lymphoma and leukemia.

Stolzer shared the statistics of health care savings by breastfeeding alone: $3.2 billion dollars would be saved on health care if all Americans breastfed for six months.

Getting This News to Mothers

The challenge is providing the needed education to new mothers still on the fence about breast or bottle-feeding, as well as eliciting positive support from medical staff. I think back to own experience with my first pregnancy. I wasn’t offered any information from my OB/GYN at my prenatal visits. I agree with Stolzer in that our hospital protocol needs to be changed. All hospitals need to go to the Baby Friendly guidelines and not offer any formula samples or pacifiers.

There also needs to be better prenatal education for the mother and father. This would include a class on breastfeeding as commonplace as childbirth classes, for both parents, so each would know what to expect and how to handle any possible challenges.

A Need for Cultural Acceptance

Better role models for breastfeeding on the cover of magazines and on television shows would be “worth a thousand words” toward building public acceptance for a practice that is as natural to a baby as crawling. How many times has a mother been shown breastfeeding a baby? Not many. There is always a bottle in the baby’s mouth. Rather than baby bottles being the symbol of “babyhood,” an infant wrapped in the warm embrace of his mother would prevail.

Generations of Change

How do we get women to realize the numerous benefits of breastfeeding? I believe education and ongoing support through the first difficult weeks of breastfeeding would move our culture to a time where a majority of women instinctively answer, “Breastfeed my baby, of course.” In the hospital where I delivered my three children, I have found that the doctors dictate protocol, and it can be intimidating to challenge the “expert.” But consider how births have changed in one or two generations. I can’t imagine being unconscious for my deliveries. It takes just a few mothers to intelligently challenge the way doctors choose to educate their patients. Then we can get back to 100 years ago when the majority of mothers breastfed their happy, healthy babies.

Discuss this topic with other API members and parents. Get advice for your parenting challenges, and share your tips with others on the API Forum.

2 thoughts on “Why Breast is Best, and What Needs to Change in Society to Better Support Mothers”

  1. It is true that the medical system needs to change, but there are so many other people and places that influence this decision other than at the OB/Dr. brief prenatal appts. My local breastfeeding coalition did a survey and found that many women did hear about/learn about/get asked about breastfeeding sometime during their appt. (nurse/Dr.), but that their spouse, mother, mother-in-law, and friends made the biggest difference for their reason to keep breastfeeding or stop before they had planned (almost all said that they stopped before they had planned to). Breastfeeding rates drop dramatically after the first week and some of that is because women haven’t been to classes to know what to expect, but it’s also related to their birth experience, their level of support after baby and their connection to a support network (such as API or LLL) of friends or a doula that can help them to manage problems that do arise. Of course there is always society that plays into this discussion when women are expected to feed their babies without anyone “having” to see them do it.

    I agree we have a come a long way, but I think WE are going to be the ones to offer support and change the breastfeeding rates more than the medical establishments. We have more influence in the end.

    P.S. Our hospital stopped giving away formula 7 years ago….now they give it out at the clinic when new parents come in for their 3 day appt.

  2. The more info we get out there the better. Also, have to be sure the info is balanced, my daughter couldn’t breastfeed for two months, but it was 2 days before someone consented to bring me formula in the hospital because they were trying to support my breastfeeding.
    Unfort. it came at the expense of my daughter who got nothing and eventually became severly jaundiced. Not as a result, but having something to excrete would have helped with the jaundice. Eventually we did nurse, after about every darn fool in the hospital tried to ‘help’ me, but it traumatized the baby, who stopped trying. I had 2 months of pumping before she matured enough and recoved enough from be forcibly latched on over and over,that she tried again and we succeeded. I wouldn’t wish that on anyone, but finally we nursed for 2 years and it was worth anything to get there.

    Best luck you all! And a little formula can help,but find out about formula too, some of that stuff is just waste from other food industry, it’s appalling really how much of what we think is good for us is just well-marketed garbage.


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