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Benefits of Breastfeeding
Benefits of Breastfeeding
Benefits of Breastfeeding
Anti-infective
present absent absent
properties
Stage of lactation
(colustrum and mature milk)
During a feed
(foremilk and hindmilk)
Slide 2.4
Slide 2b
Slide 2c
Colostrum
Property Importance
Antibody-rich protects against infection and
allergy
Many white cells protects against infection
Purgative clears meconium; helps prevent
jaundice
Growth factors helps intestine mature; prevents
allergy, intolerance
Vitamin-A rich reduces severity of some
infection (such as measles and
diarrhoea); prevents vitamin A-
related eye diseases
Slide 2.5
Breast milk in second year of life
100%
%
daily 80%
needs
provided 60%
by
40%
500 ml 95%
breast 20% 38% 45%
31%
milk
0%
Energy Protein Vitamin A Vitamin C
From: Breastfeeding counselling: A training course. Geneva, World Health Organization, 1993
(WHO/CDR/93.6).
Slide 2.6
Protective effect of breastfeeding
on infant morbidity
Slide 2.7
Slide 2d
Risk of diarrhoea by feeding method
for infants aged 0-2 months, Philippines
20
17.3
15 13.3
10
5 3.2
1.0
0
Breast milk only Breast milk & Breast milk & No breast milk
non-nutritious nutritious
liquids supplements
Adapted from: Popkin BM, Adair L, Akin JS, Black R, et al. Breastfeeding and diarrheal
morbidity. Pediatrics, 1990, 86(6): 874-882. Slide 2.8
Percentage of babies bottle-fed and breastfed for the
first 13 weeks that had diarrhoeal illness at various
weeks of age during the first year, Scotland
Percent with diarrhoea
25 22.3 22.4
19.5 19.1
20
15 12.9 11.9
10 7.1
5 3.6
0
0-13 14-26 27-39 40-52
Incidence of diarrhoeal illness by age in weeks
Bottle-fed Breastfed
Adapted from: Howie PW, Forsyth JS, Ogston SA, Clark A, Florey CV. Protective effect
of breastfeeding against infection. Br Med J, 1990, 300: 11-15.
Slide 2.9
Percentage of infants 2-7 months of age reported
as experiencing diarrhoea, by feeding category
in the preceding month in the U.S.
12 11.4
10
8.5
8
6.4
Percent 6 5.4 Diarrhea
4.8
0
Breast milk High mixed Middle Low mixed Formula
only (89-99) Mixed (1-57) only (0)
(100) (58-88)
Adapted from: Scariati PD, Grummer-Strawn LM, Fein SB. A longitudinal analysis of infant
morbidity and the extent of breastfeeding in the United States. Pediatrics, 1997, 99(6).
Slide 2.10
Percentage of babies bottle-fed and breastfed for the
first 13 weeks that had respiratory illness at various
weeks of age during the first year, Scotland
Percent with respiratory
60 54.1
47.1 45.5
50 42.4
38.9 40
40 36.2
illness
30 23.1
20
10
0
0-13 14-26 27-39 40-52
Incidence of respiratory illness by age in weeks
Bottle-fed Breastfed
Adapted from: Howie PW, Forsyth JS, Ogston SA, Clark A, Florey CV. Protective effect of
breastfeeding against infection. Br Med J, 1990, 300: 11-15. Slide 2.11
Frequency of acute otitis media in relation
to feeding pattern and age, Sweden
Percent with acute otitis
20 20
14
15 13
media
10 7
6
5 4
5
1
0
1-3 4-7 8-12
months
12 11.1
10 9.4
8
6.6 6.6
Percent Ear Infection
6
0
Breast High Middle Low mixed Formula
milk only mixed mixed (1-57) only (0)
(100) (89-99) (58-88)
Adapted from: Scariati PD, Grummer-Strawn LM, Fein SB. A longitudinal analysis of infant
morbidity and the extent of breastfeeding in the United States. Pediatrics, 1997, 99(6).
Slide 2.13
Protective effect of breastfeeding
on infant mortality
Slide 2.14
Relative risks of death from diarrhoeal disease
by age and breastfeeding category in Latin America
16 15.1
14
12 exclusive
10 breastfeeding
partial
8
breastfeeding
6 no breastfeeding
4.1
4
2.2
2 1 1
0
Diarrhoea 0-3 mo Diarrhoea 4-11 mo
Adapted from: Betran AP, de Onis M, Lauer JA, Villar J. Ecological study of effect of
breast feeding on infant mortality in Latin America. BMJ, 2001, 323: 1-5.
Slide 2.15
Relative risks of death from acute respiratory
infections by age and breastfeeding category
in Latin America
4.5
4
4
3.5
2.9 exclusive
3 breastfeeding
2.5 2.1 partial
2 breastfeeding
1.5 no breastfeeding
1 1
1
0.5
0
ARI 0-3 mo 4-11 mo
Adapted from: Betran AP, de Onis M, Lauer JA, Villar J. Ecological study of effect of
breast feeding on infant mortality in Latin America. BMJ, 2001, 323: 1-5.
Slide 2.16
Breastfeeding reduces the risk of
chronic disease
Slide 2.17
Breastfeeding decreases the risk of allergic
disorders – a prospective birth cohort study
Adapted from Kull I. et al. Breastfeeding and allergic diseases in infants - a prospective birth
cohort study. Archives of Disease in Childhood 2002: 87:478-481.
Slide 2.18
Slide 2e
Breastfeeding decreases the prevalence
of obesity in childhood at age five and six years,
Germany
5 4.5
4.5
4 3.8
Prevalence (%)
3.5
0 months
3
2.3 2 months
2.5
1.7 3-5 months
2
1.5 6-12 months
1
0.5
0
months breastfeeding
Adapted from: von Kries R, Koletzko B, Sauerwald T et al. Breast feeding and obesity:
cross sectional study. BMJ, 1999, 319:147-150.
Slide 2.19
Breastfeeding has psychosocial
and developmental benefits
Slide 2.20
Slide 2f
Intelligence quotient by type of feeding
BF 12.9 points
BF 2 points higher than FF
higher than FF Study in 9.5
year-olds
Study in 3-7
1996
year-olds
1982
BF 8.3 points
higher than FF
Study in 7.5-8
BF 2.1 points year-olds
higher than FF 1992
Study in 6 months
to 2 year- olds References:
1988 BM 7.5 points •Fergusson DM et al. Soc
higher than no BM SciMed 1982
•Morrow-Tlucak M et al.
Study in 7.5-8 SocSciMed 1988
BF = breastfed year-olds •Lucas A et al. Lancet 1992
FF = formula fed •Riva Eet al. Acta Paediatr 1996
BM = breast milk 1992
Slide 2.21
Duration of breastfeeding associated with
higher IQ scores in young adults, Denmark
108
106
106
104 < 1 months
104
102.3 2-3 months
101.7
102 4-6 months
99.4 7-9 months
100
> 9 months
98
96
Duration of breastfeeding in months
Adapted from: Mortensen EL, Michaelsen KF, Sanders SA, Reinisch JM. The association
between duration of breastfeeding and adult intelligence. JAMA, 2002, 287: 2365-2371.
Slide 2.22
Slide 2g
Benefits of breastfeeding for the mother
Slide 2.23
Breast cancer and breastfeeding:
Analysis of data from 47 epidemiological studies
in 30 countries
1.2
Relative risk of breast cancer
0.8
0.6
0.4
0.2
0 1 2 3 4 5 6
Adapted from: Beral V et al. (Collaborative group on hormonal factors in breast cancer). Breast
cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological
studies in 30 countries… Lancet 2002; 360: 187-95.
Slide 2.24
Relationship between duration of breastfeeding
and postpartum amenorrhoea (in months)
Slide 2.27
Benefits of breastfeeding for the hospital