OH! Magazine - Australian Version September 2016 | Page 10

( Nutrition ) JUST WHY BREAST IS BEST Dr Joanna explains the benefits of breastfeeding – without the judgement! ecently I was asked to write a foreword for a book entitled Born to Breastfeed by Rowena Gray. I read the manuscript, was really impressed and so agreed. The book was published recently and I spoke at their launch event. The feedback has been mostly positive but what surprised me was the passionate reactions from some media camps. It seems that just talking about breastfeeding divides women. It ignites a sense of ‘judgement’ or ‘mother guilt’ that inevitably accompanies anything to do with parenting or mothering, in particular. R So right up front I want to make it absolutely clear: this is not about judging anyone. As women we should always have each other’s back and be supportive of one another. That’s the way any woman worth her salt behaves. So, if for whatever reason you are formula feeding your infant or did formula feed, this is not about shaming you. There are a myriad of reasons that drive a mother’s decision as to how to feed her baby and sometimes it's a choice and other times it’s not. 10 OH! MAGAZINE (SEPTEMBER 2016) Each family has their own unique circumstance that drives the outcome, and whatever works for your family is right for your family! What I am concerned about however is that in our fear of judging women, the conversation about exactly why ‘breast is best’ is being muted. Several media outlets have refused to run any breastfeeding stories and to me that is doing women and their babies a disservice. Regardless of the topic, my goal is always to give women all of the information available so that they are in a position to be able to make the best choice for them. Without the correct knowledge how can an informed decision be made? Sadly this is exactly what is happening. Yes there are circumstances, be they medical or situational, where formula feeding might be best for a particular family. But where there is a choice it’s a woman’s right to understand the full benefits that come with breastfeeding. They then need to have the support and guidance to get the best outcome for them and their baby. The WHO and our own NHMRC recommend exclusive breastfeeding to around six months, continuing breastfeeding while solids are introduced until 12 months, and longer if both mum and baby wish. Here in Australia we are falling far short of these recommendations. While we have fantastic rates of initiation of breastfeeding with 96 per cent of women choosing to do so, this falls away rapidly such that by three months of age only 39 per cent of babies are being exclusively breastfed, and by five months, only 15 per cent. Why does this matter? The truth is, from a nutritional and health perspective there is no contest between formula and breast milk. Breast milk wins hands down as it is a unique living substance that is impossible to replicate with formula. Formula companies do a great job of mimicking the nutritional aspects of breast milk as best they can, and the result is a safe product that certainly meets the baby’s nutritional needs. However there are key differences and many aspects that just cannot be replicated.