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同学们,这奶断不了

本文发表在 rolia.net 枫下论坛1。联合国卫生组织建议母乳喂养至少两年

2。孩子他爸对奶制品过敏,所以我们没给孩子牛奶类的东西。母乳仍然很重要

3。我们两个都很enjoy。每每想到断奶,我都很难过:(

Nursing toddlers benefit NUTRITIONALLY

* Although there has been little research done on children who breastfeed beyond the age of two, the available information indicates that breastfeeding continues to be a valuable source of nutrition and disease protection for as long as breastfeeding continues.

* "Human milk expressed by mothers who have been lactating for >1 year has significantly increased fat and energy contents, compared with milk expressed by women who have been lactating for shorter periods. During prolonged lactation, the fat energy contribution of breast milk to the infant diet might be significant."
-- Mandel 2005

* "Breast milk continues to provide substantial amounts of key nutrients well beyond the first year of life, especially protein, fat, and most vitamins."
-- Dewey 2001

* In the second year (12-23 months), 448 mL of breastmilk provides:
o 29% of energy requirements
o 43% of protein requirements
o 36% of calcium requirements
o 75% of vitamin A requirements
o 76% of folate requirements
o 94% of vitamin B12 requirements
o 60% of vitamin C requirements
-- Dewey 2001

* Studies done in rural Bangladesh have shown that breastmilk continues to be an important source of vitamin A in the second and third year of life.
-- Persson 1998

* It's not uncommon for weaning to be recommended for toddlers who are eating few solids. However, this recommendation is not supported by research. According to Sally Kneidel in "Nursing Beyond One Year" (New Beginnings, Vol. 6 No. 4, July-August 1990, pp. 99-103.):

Some doctors may feel that nursing will interfere with a child's appetite for other foods. Yet there has been no documentation that nursing children are more likely than weaned children to refuse supplementary foods. In fact, most researchers in Third World countries, where a malnourished toddler's appetite may be of critical importance, recommend continued nursing for even the severely malnourished (Briend et al, 1988; Rhode, 1988; Shattock and Stephens, 1975; Whitehead, 1985). Most suggest helping the malnourished older nursing child not by weaning but by supplementing the mother's diet to improve the nutritional quality of her milk (Ahn and MacLean. 1980; Jelliffe and Jelliffe, 1978) and by offering the child more varied and more palatable foods to improve his or her appetite (Rohde, 1988; Tangermann, 1988; Underwood, 1985).

References
Nursing toddlers are SICK LESS OFTEN

* The American Academy of Family Physicians notes that children weaned before two years of age are at increased risk of illness (AAFP 2001).

* Nursing toddlers between the ages of 16 and 30 months have been found to have fewer illnesses and illnesses of shorter duration than their non-nursing peers (Gulick 1986).

* "Antibodies are abundant in human milk throughout lactation" (Nutrition During Lactation 1991; p. 134). In fact, some of the immune factors in breastmilk increase in concentration during the second year and also during the weaning process. (Goldman 1983, Goldman & Goldblum 1983, Institute of Medicine 1991).

* Per the World Health Organization, "a modest increase in breastfeeding rates could prevent up to 10% of all deaths of children under five: Breastfeeding plays an essential and sometimes underestimated role in the treatment and prevention of childhood illness." [emphasis added]

References
Nursing toddlers have FEWER ALLERGIES

* Many studies have shown that one of the best ways to prevent allergies and asthma is to breastfeed exclusively for at least 6 months and continue breastfeeding long-term after that point.

Breastfeeding can be helpful for preventing allergy by:
1. reducing exposure to potential allergens (the later baby is exposed, the less likely that there will be an allergic reaction),
2. speeding maturation of the protective intestinal barrier in baby's gut,
3. coating the gut and providing a barrier to potentially allergenic molecules,
4. providing anti-inflammatory properties that reduce the risk of infections (which can act as allergy triggers).

References
Nursing toddlers are SMART

* Extensive research on the relationship between cognitive achievement (IQ scores, grades in school) and breastfeeding has shown the greatest gains for those children breastfed the longest.

References
Nursing toddlers are WELL ADJUSTED SOCIALLY

* According to Sally Kneidel in "Nursing Beyond One Year" (New Beginnings, Vol. 6 No. 4, July-August 1990, pp. 99-103.):

"Research reports on the psychological aspects of nursing are scarce. One study that dealt specifically with babies nursed longer than a year showed a significant link between the duration of nursing and mothers' and teachers' ratings of social adjustment in six- to eight-year-old children (Ferguson et al, 1987). In the words of the researchers, 'There are statistically significant tendencies for conduct disorder scores to decline with increasing duration of breastfeeding.'"

* According to Elizabeth N. Baldwin, Esq. in "Extended Breastfeeding and the Law":
"Breastfeeding is a warm and loving way to meet the needs of toddlers and young children. It not only perks them up and energizes them; it also soothes the frustrations, bumps and bruises, and daily stresses of early childhood. In addition, nursing past infancy helps little ones make a gradual transition to childhood."

* Baldwin continues: "Meeting a child's dependency needs is the key to helping that child achieve independence. And children outgrow these needs according to their own unique timetable." Children who achieve independence at their own pace are more secure in that independence then children forced into independence prematurely.

References
Nursing a toddler is NORMAL

* The American Academy of Pediatrics recommends that "Breastfeeding should be continued for at least the first year of life and beyond for as long as mutually desired by mother and child... Increased duration of breastfeeding confers significant health and developmental benefits for the child and the mother... There is no upper limit to the duration of breastfeeding and no evidence of psychologic or developmental harm from breastfeeding into the third year of life or longer." (AAP 2005)

* The American Academy of Family Physicians recommends that breastfeeding continue throughout the first year of life and that "Breastfeeding beyond the first year offers considerable benefits to both mother and child, and should continue as long as mutually desired." They also note that "If the child is younger than two years of age, the child is at increased risk of illness if weaned." (AAFP 2001)

* A US Surgeon General has stated that it is a lucky baby who continues to nurse until age two. (Novello 1990)

* The World Health Organization emphasizes the importance of nursing up to two years of age or beyond (WHO 1992, WHO 2002).

* Scientific research by Katherine A. Dettwyler, PhD shows that 2.5 to 7.0 years of nursing is what our children have been designed to expect (Dettwyler 1995).

References [see also position statements supporting breastfeeding]
MOTHERS also benefit from nursing past infancy

* Extended nursing delays the return of fertility in some women by suppressing ovulation (References).

* Breastfeeding reduces the risk of breast cancer (References). Studies have found a significant inverse association between duration of lactation and breast cancer risk.

* Breastfeeding reduces the risk of ovarian cancer (References).

* Breastfeeding reduces the risk of uterine cancer (References).

* Breastfeeding reduces the risk of endometrial cancer (References).

* Breastfeeding protects against osteoporosis. During lactation a mother may experience decreases of bone mineral. A nursing mom's bone mineral density may be reduced in the whole body by 1 to 2 percent while she is still nursing. This is gained back, and bone mineral density may actually increase, when the baby is weaned from the breast. This is not dependent on additional calcium supplementation in the mother's diet. (References).

* Breastfeeding reduces the risk of rheumatoid arthritis. (References).

* Breastfeeding has been shown to decrease insulin requirements in diabetic women (References).

* Breastfeeding moms tend to lose weight easier (References).更多精彩文章及讨论,请光临枫下论坛 rolia.net
Report

Replies, comments and Discussions:

  • 枫下家园 / 亲亲宝贝 / 姐妹们进来看看,喂奶和出差的问题
    儿子15个月了,我仍在母乳喂养。计划喂到他不想吃的时候,或者至少他两岁的时候。

    带着儿子和姥姥回国,但是我需要在国内不同城市出差两周。请给参谋一下

    方法一:把姥姥和儿子留在国内的家,我自己在国内其他城市出差两周,同时pump and dump,这样可以继续产奶,回去接着喂。好处是不用拖着孩子东跑西颠,问题是:

    1。两周后儿子会不会自己就断奶了

    2。pump and dump是否可以维持产奶量

    3。儿子这么大,和妈妈分开两周会不会有seperation anxiety? (姥姥自他出生一直和他在一起,我们现在离开他几个小时是没问题的。至今,最长时间是一个晚上)

    方法二:就是带着儿子出差,好处可以继续喂奶,坏处就是比较颠簸

    请有经验的朋友给指点一下。不好意思,当妈妈后,变得患得患失,优柔寡断,婆婆妈妈了:))
    • 我太建议你断奶了。
      • 对呀,刚好断奶.
    • 断奶
    • 断奶,15月,母乳营养早就不足了,根本就是个安慰奶嘴。
    • 同学们,这奶断不了
      本文发表在 rolia.net 枫下论坛1。联合国卫生组织建议母乳喂养至少两年

      2。孩子他爸对奶制品过敏,所以我们没给孩子牛奶类的东西。母乳仍然很重要

      3。我们两个都很enjoy。每每想到断奶,我都很难过:(

      Nursing toddlers benefit NUTRITIONALLY

      * Although there has been little research done on children who breastfeed beyond the age of two, the available information indicates that breastfeeding continues to be a valuable source of nutrition and disease protection for as long as breastfeeding continues.

      * "Human milk expressed by mothers who have been lactating for >1 year has significantly increased fat and energy contents, compared with milk expressed by women who have been lactating for shorter periods. During prolonged lactation, the fat energy contribution of breast milk to the infant diet might be significant."
      -- Mandel 2005

      * "Breast milk continues to provide substantial amounts of key nutrients well beyond the first year of life, especially protein, fat, and most vitamins."
      -- Dewey 2001

      * In the second year (12-23 months), 448 mL of breastmilk provides:
      o 29% of energy requirements
      o 43% of protein requirements
      o 36% of calcium requirements
      o 75% of vitamin A requirements
      o 76% of folate requirements
      o 94% of vitamin B12 requirements
      o 60% of vitamin C requirements
      -- Dewey 2001

      * Studies done in rural Bangladesh have shown that breastmilk continues to be an important source of vitamin A in the second and third year of life.
      -- Persson 1998

      * It's not uncommon for weaning to be recommended for toddlers who are eating few solids. However, this recommendation is not supported by research. According to Sally Kneidel in "Nursing Beyond One Year" (New Beginnings, Vol. 6 No. 4, July-August 1990, pp. 99-103.):

      Some doctors may feel that nursing will interfere with a child's appetite for other foods. Yet there has been no documentation that nursing children are more likely than weaned children to refuse supplementary foods. In fact, most researchers in Third World countries, where a malnourished toddler's appetite may be of critical importance, recommend continued nursing for even the severely malnourished (Briend et al, 1988; Rhode, 1988; Shattock and Stephens, 1975; Whitehead, 1985). Most suggest helping the malnourished older nursing child not by weaning but by supplementing the mother's diet to improve the nutritional quality of her milk (Ahn and MacLean. 1980; Jelliffe and Jelliffe, 1978) and by offering the child more varied and more palatable foods to improve his or her appetite (Rohde, 1988; Tangermann, 1988; Underwood, 1985).

      References
      Nursing toddlers are SICK LESS OFTEN

      * The American Academy of Family Physicians notes that children weaned before two years of age are at increased risk of illness (AAFP 2001).

      * Nursing toddlers between the ages of 16 and 30 months have been found to have fewer illnesses and illnesses of shorter duration than their non-nursing peers (Gulick 1986).

      * "Antibodies are abundant in human milk throughout lactation" (Nutrition During Lactation 1991; p. 134). In fact, some of the immune factors in breastmilk increase in concentration during the second year and also during the weaning process. (Goldman 1983, Goldman & Goldblum 1983, Institute of Medicine 1991).

      * Per the World Health Organization, "a modest increase in breastfeeding rates could prevent up to 10% of all deaths of children under five: Breastfeeding plays an essential and sometimes underestimated role in the treatment and prevention of childhood illness." [emphasis added]

      References
      Nursing toddlers have FEWER ALLERGIES

      * Many studies have shown that one of the best ways to prevent allergies and asthma is to breastfeed exclusively for at least 6 months and continue breastfeeding long-term after that point.

      Breastfeeding can be helpful for preventing allergy by:
      1. reducing exposure to potential allergens (the later baby is exposed, the less likely that there will be an allergic reaction),
      2. speeding maturation of the protective intestinal barrier in baby's gut,
      3. coating the gut and providing a barrier to potentially allergenic molecules,
      4. providing anti-inflammatory properties that reduce the risk of infections (which can act as allergy triggers).

      References
      Nursing toddlers are SMART

      * Extensive research on the relationship between cognitive achievement (IQ scores, grades in school) and breastfeeding has shown the greatest gains for those children breastfed the longest.

      References
      Nursing toddlers are WELL ADJUSTED SOCIALLY

      * According to Sally Kneidel in "Nursing Beyond One Year" (New Beginnings, Vol. 6 No. 4, July-August 1990, pp. 99-103.):

      "Research reports on the psychological aspects of nursing are scarce. One study that dealt specifically with babies nursed longer than a year showed a significant link between the duration of nursing and mothers' and teachers' ratings of social adjustment in six- to eight-year-old children (Ferguson et al, 1987). In the words of the researchers, 'There are statistically significant tendencies for conduct disorder scores to decline with increasing duration of breastfeeding.'"

      * According to Elizabeth N. Baldwin, Esq. in "Extended Breastfeeding and the Law":
      "Breastfeeding is a warm and loving way to meet the needs of toddlers and young children. It not only perks them up and energizes them; it also soothes the frustrations, bumps and bruises, and daily stresses of early childhood. In addition, nursing past infancy helps little ones make a gradual transition to childhood."

      * Baldwin continues: "Meeting a child's dependency needs is the key to helping that child achieve independence. And children outgrow these needs according to their own unique timetable." Children who achieve independence at their own pace are more secure in that independence then children forced into independence prematurely.

      References
      Nursing a toddler is NORMAL

      * The American Academy of Pediatrics recommends that "Breastfeeding should be continued for at least the first year of life and beyond for as long as mutually desired by mother and child... Increased duration of breastfeeding confers significant health and developmental benefits for the child and the mother... There is no upper limit to the duration of breastfeeding and no evidence of psychologic or developmental harm from breastfeeding into the third year of life or longer." (AAP 2005)

      * The American Academy of Family Physicians recommends that breastfeeding continue throughout the first year of life and that "Breastfeeding beyond the first year offers considerable benefits to both mother and child, and should continue as long as mutually desired." They also note that "If the child is younger than two years of age, the child is at increased risk of illness if weaned." (AAFP 2001)

      * A US Surgeon General has stated that it is a lucky baby who continues to nurse until age two. (Novello 1990)

      * The World Health Organization emphasizes the importance of nursing up to two years of age or beyond (WHO 1992, WHO 2002).

      * Scientific research by Katherine A. Dettwyler, PhD shows that 2.5 to 7.0 years of nursing is what our children have been designed to expect (Dettwyler 1995).

      References [see also position statements supporting breastfeeding]
      MOTHERS also benefit from nursing past infancy

      * Extended nursing delays the return of fertility in some women by suppressing ovulation (References).

      * Breastfeeding reduces the risk of breast cancer (References). Studies have found a significant inverse association between duration of lactation and breast cancer risk.

      * Breastfeeding reduces the risk of ovarian cancer (References).

      * Breastfeeding reduces the risk of uterine cancer (References).

      * Breastfeeding reduces the risk of endometrial cancer (References).

      * Breastfeeding protects against osteoporosis. During lactation a mother may experience decreases of bone mineral. A nursing mom's bone mineral density may be reduced in the whole body by 1 to 2 percent while she is still nursing. This is gained back, and bone mineral density may actually increase, when the baby is weaned from the breast. This is not dependent on additional calcium supplementation in the mother's diet. (References).

      * Breastfeeding reduces the risk of rheumatoid arthritis. (References).

      * Breastfeeding has been shown to decrease insulin requirements in diabetic women (References).

      * Breastfeeding moms tend to lose weight easier (References).更多精彩文章及讨论,请光临枫下论坛 rolia.net
      • 那就别出差
      • 不想断就别断, 你的决定我很佩服, 如果想保持奶量的话就每天PUMP几次, 至于孩子要吃的奶, 你就提前囤积好.孩子离开妈妈肯定是不开心的, 不过比旅途奔波要强.
        • 现在母乳只是辅助,儿子吃饭吃的很好,营养也均衡,所以倒不需要提前囤积。不喂奶,就多喂饭
          但是不想因此而断奶。

          他仍然需要,营养上,心里上,情感上;我也需要,心里上,情感上:)

          我试试pump几天,如果不行,就只好带着他上路了:)
          • 感动ING! PUMP能行的, 我有住院几天, 在医院里医生知道我正在喂奶, 就给我个PUMP让我每三小时PUMP一次, 回家后奶量一点没少.
    • 还不趁机断奶。你现在的奶水质量也比不上以前了。
      • 为什么大家都觉得这时候的母乳没有营养了呢?孩子大了,肯定光靠母乳是不行的,但是真的营养成分也不如从前了吗?难道人奶比牛奶营养还少?我也是摸着石头过河:)
        • 第一个孩子,可以理解。其实这个时候母乳对孩子一天的营养已经很不重要了,完全可以断奶。你可以给他吃cheese 和酸奶来代替。
    • 没啥说的,你喂奶喂上瘾了。:S 可以再生一个,继续喂小宝宝。