About 10,000 fewer young children a year would require hospital
treatment if more women breastfed their babies, a charity says today.
Increased breastfeeding would save the NHS £40m, it is claimed. Breast
milk gives babies the best start in life, boosting their immune systems and
providing protection from infections, but many women give up after a few weeks
because they are not getting the support they need. The UK has one of the
lowest breastfeeding rates in the world in terms of duration. More than four
out of five women start breastfeeding but fewer than half are still doing so at
six weeks, according to Unicef UK.
Calculations based on five illnesses show that increased breastfeeding
could have a dramatic impact on the nation's health. Breast milk is thought to
provide protection against over 50 illnesses in baby and adulthood. No other
foodstuff can ward off gastroenteritis, respiratory illness and ear infections
– to name but three - to the same degree. But babies are getting too little of
it for too short a time. Six months is the recommended length of breastfeeding
but only 25 per cent of babies are still breastfed by that milestone. Although
more than 80 per cent of mothers start breastfeeding the figure drops to 48 per
cent at six weeks.
The Unicef report suggests that if the level at six weeks could be
maintained for a longer period of four months - a threefold increase, which the
report describes as "moderate"– there would be over 3,000 fewer
hospital admissions of babies with gastroenteritis and almost 6,000 fewer
admissions with respiratory illness. In addition, there would be over 50,000
fewer GP consultations. Mothers would also protect themselves, as breastfeeding
reduces the risk of breast cancer.
Anita Tiessen, deputy director of Unicef UK, said: "We know that 90
per cent of women who stop breastfeeding in the first six weeks discontinued
before they had wanted to. As a society we are failing mothers and babies. Low
breastfeeding rates in the UK are costing the NHS millions of pounds each year
as well as causing untold distress and suffering for families." Campaigns
to boost breastfeeding have lifted the proportion of mothers who start. But
figures to be released soon are expected to show no significant increase in the
numbers continuing to breastfeed beyond the early weeks since the last survey
in 2005.
The report says care is patchy across the NHS and a lack of support
means many breastfeeding mothers give up when they encounter problems instead
of persevering. Ms Tiessen said: "We want to see breastfeeding recognised
as a major public health issue from government level through to local
children's centres, and appropriate investment and legislation put in place to
give mothers a better experience. The good news is that our research shows
money invested to help women breastfeed for longer would provide a rapid
financial return."
Professor Mike Kelly, director of the Centre for Public Health
Excellence at NICE, said breastfeeding offered an opportunity to tackle two of
the NHS's most pressing challenges – reducing health inequalities and saving
cash. "In a nutshell, it promises to do both," he said. "The
idea is simplicity itself." Sue Ashmore, Unicef UK baby friendly director,
said a change of approach was needed to remove barriers to breastfeeding with
greater support for mothers. "We want breastfeeding to become
unremarkable, something that we see mothers doing all around us every day, so
that breastfeeding skills are passed on socially," she said.
Rosie Dodds, from the National Childbirth Trust, said: "We support
all parents however they feed their baby. However, nine out of 10 mothers who
stop breastfeeding in the first six weeks stop before they wanted to."
Case study:
With good support I breast fed for 13 months
Charlotte Harvey, mother of Malachi, 3, and Elijah, 11 months.
"Malachi was delivered by emergency caesarean section at 35 weeks
and taken to the intensive care unit where he was fed infant formula through a
tube into his stomach. I was put on a ward with him after 24 hours and soon
after put him to the breast. "Unfortunately every three hours a different
midwife or nurse would come and tell me to attach [him] a different way in a
different position. This ended with me and the baby becoming very distressed.
"We could see that Malachi was tongue tied [a birth defect in which
a tight piece of skin under the tongue holds it to the floor of the mouth] but
were repeatedly told it would not affect breast feeding. However, he couldn't
latch on. "It was only after we were discharged that the health visitor
referred us to have the tongue tie snipped. She provided lots of support and
advice and I successfully breast fed for 13 months. When Elijah arrived the
midwives were lovely but gave no breastfeeding support at all, assuming I would
just get on with it being a second timer. It's amazing how rusty I was.
"After about 10 days, breastfeeding wasn't getting any more
comfortable and I was very sore. Eventually Elijah had the [same] separating
procedure done, though he was not as badly affected as Malachi. The health
visitor continued to provide support until breastfeeding him became second
nature again and pain free.
Belfast Telegraph
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