Educating Physicians
​In their Communities

Breastfeeding Benefits & Barriers

According to the “Call to Action” breastfeeding protects babies from infections and illness.  Moms benefit by having a reduced risk of breast and ovarian cancer.  A study in the Pediatrics journal last year estimated that the US could save $13 billion per year in health care and other costs if 90% of all babies were breastfed for just 6 months.

For a printed copy of the Surgeon Generals “Call to Action to Support Breastfeeding” you can send an email to cdcinfo@cdc.gov and reference the publication title.


  Aggressive Breast Cancer Reduced with Breastfeeding


Boston University’s Sloan Epidemiology Center has found one reason that African American women have a higher risk of developing more aggressive breast cancers.  The study was published in Cancer Epidemiology, Biomarkers & Prevention.  The 14 year study found that giving birth to 2 or more children was associated with an increased risk of certain aggressive cancers, but only among women who had not breastfed. There was a 50 % increase of estrogen and progesterone receptor negative (ER-/PR) cancers in these women who did not breastfeed. The conclusion is that breastfeeding can reduce risk of developing the aggressive, difficult-to-treat breast cancers that disproportionally affect African American women.  The study was supported by the National Cancer Institute of the National Institutes of Health.


Barriers to Breastfeeding


Special attention should be given to barriers to breastfeeding for all women especially African American and other minority women.  Below are several barriers to breastfeeding that where identified in focus group findings.


  • Embarrassment
  • Lack of social support
  • Worried about not enough milk
  • Lack of support at work or school
  • Worried about having to eat well
  • Lack of information


Studies show that mothers who receive advice, information and encouragement from their physicians to breastfeed are more likely to breastfeed than those who do not receive such advice. The American Academy of Pediatrics Policy Statement outlines physicians’ roles in the promotion and protection of breastfeeding. View it on the web by accessing
http://www2.aap.org/breastfeeding/files/pdf/Breastfeeding2012ExecSum.pdf.


Maternity Care Practices Survey done by the CDC conveys that a mother’s ability to successfully breastfeed her baby is strongly affected by the practices and policies of the hospital that she delivers her baby.  Previous CDC research shows that women who are subjected to the best possible in hospital breastfeeding practices are eight times as likely to continue breastfeeding for at least six weeks compared to women who have a less favorable in-hospital experience.  Postponing the initial breastfeeding experience beyond the first hour of life, giving supplementary feedings in addition to breastfeeding and feeding the baby on a specific schedule all appear to strongly interfere with the successful initiation of breastfeeding. DeGirolamo AM, Grummer-Strawn LM, Fein S. Maternity Care Practices:  Implications for Breastfeeding.  Birth. 2001, 28: 94-100.


Studies show that returning to work after having a baby is a major barrier to mothers who want to breastfeed. Moms worry that their employer may not be supportive and provide break time that they would need to pump. They usually have questions about how to pump, how to store milk and how their co-workers will react when they need to take break time to pump.

There is now a well-researched program distributed by the Department of Health and Human Services and the Maternal Child Health Bureau to help these mothers make an informed decision.  The program is called “The Business Case for Breastfeeding”. Georgia was one of 10 states that received funding through the Georgia Breastfeeding Coalition to help implement this program. This funding was to train trainers to offer technical assistance to businesses wanting to start a lactation program.

The Business Case for Breastfeeding includes comprehensive resource kits that target breastfeeding mothers, employers, human resource personnel and others.  The kits or booklets help support a mother’s decision to continue breastfeeding after returning to work.  The program was developed in a train-the-trainer format to assist breastfeeding educators and breastfeeding coalition members to provide information and support to local business and their employers.  The goal is to increase awareness of the economic benefits of breastfeeding, increase the number of employers that provide a worksite breastfeeding support program and provide models for implementing a worksite breastfeeding support program. The information provided focuses on a company’s return on investment (ROI) in employee retention, productivity, decrease in absenteeism and job loyalty.


These resource kits are available free of charge from the US Department of Health and Human Services but it is recommended that employers receive information through those that have been trained to provide technical assistance in their implementation.  For more information you may contact Mary Nicholson-Jackson, the president of the Georgia Breastfeeding Coalition @ mnj03@comcast.net. You may also contact www.hrsa.gov or http://cdc.gov/hwi for a free copy of the brochures.

Maternal Outcomes


  Breastfeeding is associated with a reduced risk of:

  •  Type 2 diabetes
  •   Breast cancer
  •   Ovarian cancer
  •  Early cessation/not breastfeeding is associated with an increased risk of:
  •  Postpartum depression 


  •  Communities should expand and improve programs that provide mother-to-mother support and peer counseling. 
  • Health care systems should ensure that maternity care practices provide education and counseling on breastfeeding.  Hospitals should become more “baby-friendly,” by taking steps like those recommended by the UNICEF/WHO’s Baby-Friendly Hospital Initiative.
  • Clinicians should ensure that they are trained to properly care for breastfeeding mothers and babies.  They should promote breastfeeding to their pregnant patients and make sure that mothers receive the best advice on how to breastfeed.
  •  Employers should work toward establishing paid maternity leave and high-quality lactation support programs.  Employers should expand the use of programs that allow nursing mothers to have their babies close by so they can feed them during the day.  They should also provide women with break-time and private space to express breast milk.
  • Families should give mothers the support and encouragement they need to breastfeed.

Infant Outcomes


  Breastfeeding is associated with a reduced risk of:

  • Sudden infant death syndrome (SIDS)
  • Obesity
  • Type 1 and 2 diabetes
  •  Childhood leukemia
  •   Asthma
  •  Acute otitis media
  •  Non-specific gastroenteritis
  • Severe lower respiratory tract infections
  •  Atopic dermatitis
  • Necrotizing entercolitis (NEC)​

U.S. Surgeon General’s Call to Action: 
Increase Support for Breastfeeding Families

Benefits


Breastfeeding, Maternal & Infant Health Outcomes in Developed Countries –

AHRQ Review Summary April 2007

Screened >9,000  abstracts 


Comprehensive, systematic review of studies conducted in developed countries


43 primary studies on infant health outcomes


29 systematic reviews or meta-analyses covering approx. 400 individual studies


43 primary studies on maternal health outcomes


Breastfeeding, Maternal & Infant Health Outcomes in Developed Countries –

AHRQ Review Summary April 2007

On January 20, 2011 the Surgeon General Regina M. Benjamin issued a “Call to Action to Support Breastfeeding.”  She challenged the entire nation to work toward removing obstacles that can make it difficult for women to achieve their breastfeeding goals.  The “Call to Action” identified ways that families, communities, employers and health care professionals can improve breastfeeding rates and increase support for breastfeeding:

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