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The choice to breastfeed is one that only mother can make. Breastfeeding is encouraged where possible however there are occasions where a mother may chose not to do so. This guide aims to provide clear information so expectant mothers can make an informed choice about how to feed their child.
Occasionally, women who had originally intended to breastfeed find that they are not able to do so - therefore, this information sheet is good to read, even if a decision to breastfeed has already been made.
Statistcally, children who are breast fed do better than those who are fed on formula milk partly because breast milk contains natural immune molecules, called immunoglobulins, which boost immunity but are not present in formula.
Breastfed children may have a reduced risk of:
Breast milk contains high levels of essential fatty acids including those called DHA. DHA is very important for brain development. There is some indication that children who are breast fed have a higher IQ than formula fed babies5. This may be due to the DHA. Breast milk also contains more cholesterol which is needed for a growing central nervous system4.
Breast-feeding is nature's way of providing nourishment for your baby before they are ready to progress onto solid food. Both mother and baby benefit from breast-feeding, which has lead the World Health Organisation to recommend that babies are breastfed exclusively for the first 6 months.
There are also some benefits from formula feeding which cannot be overlooked. Not all mothers breast feed - this might be because difficulties were encountered when breastfeeding was attempted, it might be because the mother must return to work and finds expressing milk difficult or it might be simply a personal choice made by the mother.
The table below compares some of the differences between breastfeeding and formula feeding, enabling mothers to see all the benefits or issues each option may carry.
Breastfeeding is a skill and may require patience and possibly guidance from your midwife or health visitor. There are many resourced online which can provide you with information as well as stories from other mothers which you may find helpful. Online chat forums for mothers can be a great place to make new friends and share stories or tips about motherhood, especially if you do not have a support network of friends or family living close by.
I've been breastfeeding my daughter (now 15 months) from birth. I was really lucky that I had no problems and she was a natural and keen breastfeeder. It gives me a close bond with her and is the ultimate comforter for when she is upset or just needs some reassurance but I also know that it has given her a great start in life. I've returned to work full time and have continued to breastfeed my daughter mornings and evenings - it's the first thing she wants when I pick her up. I don't express during the day and have no problems with swollen or leaking breasts. At the weekends she continues to feed on demand which can be anything from 3-6 times a day and find my supply just adjusts to her requirements. If she is unwell and goes off solid food, she will always breastfeed which reassures me she is getting everything she needs. At the moment her interest does not appear to be wavering and I will continue to breastfeed her as long as we both feel comfortable to continue.
- Pia, North London
Factor |
Information |
Breast |
Bottle |
Colostrum |
This is the creamy/yellow milk, expressed by mother when a child is first born. Colostrum is nutrient rich and contains special immune molecules that help to protect your baby from disease before their own immune system has developed. NOTE: Even if you don't plan to breastfeed your baby long term, you can give valuable immune support by providing colostrum in the first few days before switching to formula. |
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Intestinal flora |
Friendly bacteria in the stomach help to digest food and support the immune system. The dominant strain of bacteria found in the digestive tract of breast-fed babies is the beneficial Bifidobacterium. Babies fed on formula generally have higher numbers of the less beneficial streptococcus and E. coli. |
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Nutritional Content
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Breast milk is made by the mother specifically to feed a human baby. It is easy to absorb and contains correct proportions of carbohydrates, fats and protein. Breast milk also contains minerals that are more easily absorbed including zinc, iron and calcium. Manganese, which is needed for healthy bones, is 20 times more absorbable than that found in formula7. Formula milk is made from cow's milk, designed for cows, not babies. It contains casein, a cow protein which may be more difficult for baby to digest. Goat's milk formula is also available if allergies occur but will also contain 'non-human' proteins. |
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Nutritional Content Essential Fats |
Essential fatty acids such as omega 3 and 6 are important for health. DHA , a special type of essential omega 3 fat which is especially important for brain development is present in breast milk. Only some formula contains DHA. |
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Nutritional Content Vitamin E |
The fat soluble vitamins in breast milk appear to be of a better quality and more easily absorbed. A study showed that breast-fed babies had higher levels of vitamin E which is an important antioxidant and protects against cellular damage6. Vitamin E also contributes to a healthy circulatory system and aids proper blood clotting and improved wound healing. |
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Nutritional Content Vitamin K |
Formula milk is fortified with vitamin K, a vitamin essential for blood clotting. Breast milk does not contain much vitamin K so follow up supplementation may be required. |
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Baby's health |
Babies who are breastfed have a reduced risk of ear infections, gastrointestinal infections, chest infection, urinary tract infections, childhood diabetes, eczema, asthma or obesity. |
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New flavours |
The taste of breast milk varies, depending on what mother has eaten. This introduces new flavours that are likely to become part of their diet once baby is introduced to solid foods8. Formula milk does not vary and may lead to a more fussy weaning behaviour. |
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Bone Health |
The type of Vitamin D found in breast milk appears to be more effective at preventing Ricketts (a disease caused by vitamin D deficiency which causes bones not to develop properly)6. |
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Obesity |
A study of 32,000 three to four-year-olds who were breast-fed for six to eight weeks after birth showed that they were 30% less likely to be obese than those who were formula fed9. One explanation might be the development of an appetite control mechanism described below. |
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Appetite control mechanism |
The milk provided by breast changes throughout the course of a single feed, starting as light and thirst quenching and ending with thicker, richer milk for sustenance. Research suggests that babies fed breast milk respond to the changes in the composition of the breast milk which alters in the amount of fat it contains during each feed. Formula milk is uniform in its concentration and so does not have this effect10. Formula milk is the same from start to finish. |
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Jaw Development |
As suckling on a breast requires more work than on a bottle, breast-fed babies tend to develop stronger jaws. This may help them when developing speech and starting to eat solids. |
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Mother's figure |
Women who breastfeed often return to their pre-pregnancy shape much faster than those who decide to feed formula to their baby. This is because the production of milk uses up calories which have been stored in the mother as fat during the pregnancy. Breast-feeding burns an extra 500 calories a day11. |
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Mother's health |
Breast-feeding helps protect mothers against perimenopausal breast cancer12, ovarian cancer13 and osteoporosis14 in later life. When baby suckles a hormone called oxytocin is released by the mother. This stimulates the uterus making it contract back to its pre-birth size12. |
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Parental bonding |
Breastfeeding creates a special bond between mother and child. Breastfeeding mothers can express milk into a bottle to enable their partner to also take part at feeding time but this is not always possible. Formula feeding enables a father to also easily get involved at feeding time. Some parents choose to combine formula and breast feeding so it is easier for dad to get involved. |
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Sterilised equipment |
Bottles, teats and water used to make up the bottle must all be sterilised to ensure no germs are accidentally transmitted to baby. There is no need for any of these precautions with breastfeeding. |
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Freedom for Mother |
Breastfeeding is a commitment that requires mother to either be with a young infant most of the time or to express milk so that it is available for baby for regular feeding. As baby gets older and solids are introduced, it becomes easier for mother to return to work and still breast feed in the morning and evenings. Formula feeding enables mother to be apart from baby without needing to plan in advance to ensure adequate milk supply is available. |
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Discomfort |
Breastfeeding can cause discomfort to mother due to breast engorgement or cracked nipples, which can occasionally lead to the breast infection, mastitis (which is treatable). |
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Finance |
Formula, bottles and sterilisation equipment all cost money. Breastfeeding is free. |
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Feeding in Public |
Breastfeeding in public is a personal choice. Feeding blankets can be used to keep modesty, if required but this may not suit all mothers, making outings possibly more difficult for some. |
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Sagging breasts |
Breastfeeding is often blamed for causing sagging breasts however other factors have been shown by research to be far more influential, such as body mass index (BMI), the number of pregnancies, a larger pre-pregnancy bra size, smoking history, and age. |
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References