Not Just for Babies: 10 Good Reasons to Breastfeed Your Toddler By Elizabeth Bruce Issue 103, November/December 2000
The average American may not be ready to admit it, but myriad cultures past
and present have accepted the fact that babies past infancy can benefit from
nursing. The !Kung of Africa represent the natural state of human feeding.
Mothers of this nomadic tribe breastfeed each child for up to six years. Sherman
Silber, MD, points out that "the human species has spent more than 90
percent of its existence leading this type of nomadic hunter/gatherer life,
and 'civilization' with its pressures is too recent to have had any appreciable
impact on their genetic makeup."1 In our culture, many men and women are
uncomfortable with the functional role of breasts, probably because of our
national obsession with breasts as sexual objects. Unfortunately, people's
psychological discomfort seems to increase as the nursing baby grows. Most
Americans choose to wean their babies at about six months.
Whatever the psychological complexities may be, we can no longer deny the
health and social benefits of prolonged breastfeeding. Even the conservative
American Academy of Pediatrics now officially recommends that breastfeeding
continue for at least 12 months.2 But what about nursing through a baby's second
or even third year? Is breast still best for toddlers? If we can get past our
collective ambivalence, I think the answer is a resounding "yes."
While most of your neighbors probably aren't doing it, there are plenty of
enlightened mothers out there who are. Alice Bailes, CNM, co-owner of Birth
Care and Women's Health in Alexandria, Virginia, says that the majority of
her clients breastfeed well into their babies' second year. In fact, she has
clients who tandem nurse--they continue nursing their toddler through their
next pregnancy and even after the new baby is born. Bailes, who has had personal
experience tandem nursing, believes that it helps a toddler's transition into
being a big brother or sister.
Of course, the decision to continue nursing is a personal one, and it often
is not made until the time comes. Rest assured, according to most moms who
have decided to keep going, once you've managed to breastfeed through the challenging
first year the rest is a breeze. In case you're still not convinced, I am sharing
my top ten reasons to breastfeed your toddler.
Convenience
I must confess that convenience was my number one reason for continuing to
breastfeed my babies. OK, call it laziness. For one thing, weaning a baby before
he's ready takes a lot of time and effort. You have to carry messy snacks around
and deal with tantrums. Fortunately, by the time the baby turns one, most moms
have mastered the art of discretion, so nursing is the easiest thing in the
world to do with a minimum of privacy.
Even better, there is no easier way to get a toddler to sleep on your schedule
than by nursing him. I always feel sorry for mothers of toddlers who aren't
nursing, because their job is probably a lot harder than mine. If worse comes
to worst, I know an induced nap is right around the corner.
Instant Tantrum-tamer
As any parent of a toddler knows, they are naturally insecure creatures. One
moment your one year old is happy, and the next she is dissolved in a puddle
of tears--seemingly over nothing. Well, surprise! Often the best way to handle
your volatile toddler is to briefly treat her like a baby. Take her in your
arms nurse her for a few minutes, and voilà!--your little screamer
is transformed into a confident child once again. If you're at a party when
your child melts down, you can discreetly take him or her into another room
or to the car. Friends will marvel at your great mothering abilities when
you return with a magically transformed, happy toddler.
Less Reliance on "Mommy Substitutes"
The toddler years are peak years for attachment objects like blankets and dolls.
The major problem with these objects is that they can be lost. Such an episode
can take on tragic proportions. Believe me, I know because my first son never
nursed. There's nothing quite like arriving at a Holiday Inn after a day
of traveling with a cranky toddler only to discover you have left the critical
object at a rest stop 300 miles back!
Life is too short for all that unnecessary drama. If you are nursing your
toddler, you can forget the frantic search for an identical blanket and the
Fed-Exing of Barney. With Mommy as the primary security object, you can rest
easy on those long family trips. It is basically impossible to lose a breast,
no matter how distracted you are! Plus, you never have to steal the beloved
object away for a round in the washing machine. Much trauma is spared for all.
Allergy Prevention
My second little boy was so attached to nursing that I became (reluctantly)
a toddler nurser. He ate absolutely no solid food until he was 17 months
old. Even La Leche League veterans suggested that the situation was, well,
unusual. Looking back, I think my baby's wisdom was in avoiding possible
allergens. Studies (as well as anecdotal evidence) indicate that breastfeeding
reduces the incidence of allergies.3,4 My first child, who was solely formula-fed,
had all sorts of food allergies, including rice and dairy products. In hindsight,
my second child's lengthy, exclusive breastfeeding makes sense. Most likely,
it was nature's way of protecting him from foods his body just was not ready
to process. Undoubtedly, some children need longer than others to "outgrow" their
allergies, and breastmilk provides the ideal support for their developing
immune systems.
Nutrition
Good nutrition is admittedly tricky with toddlers. On some days they cram every
morsel offered into their mouths, and other days you can't coax them to take
a bite of even their favorite food. In short, they're picky eaters, and their
appetites are capricious and unpredictable.
One popular myth that even pediatricians promote is that breastfeeding somehow
loses its nutritional quality after the first year. In reality, the benefits
change, but they are still there. Does it really make sense that after 12 months
of providing your baby with optimal nutrition the breasts suddenly get "stupid" and
start making something "less than optimal"? Obviously, the addition
of solid foods changes the balance, but breastmilk is still an important element
in the diet while your baby is sampling what the world has to offer. Certainly,
there can be no harm in continuing with nature's perfect food.
Speech Development
In general, it's believed that breastfeeding provides better development of
the teeth and jaws than sucking a hard, unnaturally shaped nipple.5 Margaret
Connor, a 35-year-old mother in Austin, Texas, has discussed the subject
at length with her son's speech therapist. Both of them believe that Connor's
five-year-old son's speech/motor apraxia would have been worse if his muscles
had not been "worked out" through extended nursing. If nothing
else, Connor is happy she made the decision she did. "At least I won't
look back and wonder if his articulation would have been better if I had
breastfed longer than a year," she says.
Fighting Dehydration during Illness
Unfortunately, toddlers, breastfed and otherwise, get sick. Some get sick a
lot, especially those in child care and those with older siblings. When my
14-month-old son got bronchitis, he wouldn't eat or drink anything other
than breastmilk. Had he not been breastfeeding, the situation could have
turned into a nightmare. When a bottle-fed baby gets dehydrated, the parents
have to struggle to get oral rehydration products down the child. When this
tactic doesn't work, pediatricians have no choice but to order an IV for
the child at the hospital. This is not only traumatic for a toddler, but
it also exposes him to other germs that could complicate the original infection.
With breastfeeding, you can almost always get the child to nurse, which might
even save his life! Further, it comforts the mother. It feels so much better
to be able to help your child through illness in a uniquely positive way.
Weight Loss for Mom
It's accepted that a woman's body stores up enough fat during pregnancy to
exclusively feed her infant for at least the first six months. While there
are few studies on this topic, anecdotal evidence suggests that a mother's
weight loss may continue during the second year of nursing a baby. The fact
is, Mother Nature never intended for human babies to be weaned from their
mothers in the early months, so our bodies make sure we have plenty of fat
stored up for years.
For the first year, our bodies seem to like to stay soft, almost like a cushion
for the infant. After that time, the weight is not quite so resistant to leaving.
The increased calorie requirements of toddlers help the process of weight loss
as well. For every day she nurses, a lactating woman uses an extra 500 calories.
Personally, I found that stubborn fat stores that had lived on my thighs for
years melted away during the second year of nursing.
Delayed Menstruation
For those women using Natural Family Planning or the Fertility Awareness Method
for birth control, breastfeeding provides a bonus. Research done by the Kippleys
in The Art of Natural Family Planning showed that a nursing mother who uses
no supplements for the first four to six months gets her first postpartum
period on average after 13 to 16 months.6 Among the !Kung tribe, babies are
spaced about 48 months apart--all due to exclusive breastfeeding.7 Contrast
this with the usual six to eight weeks for a bottle-feeding mother. Naturally,
PMS and the other related troubles usually disappear for as long as the periods
stay away, and the return of fertility is also put off. In addition, delayed
menstruation means decreased exposure to estrogen, which may protect against
cancer of the breast and reproductive organs. Breast cancer risk is associated
with earlier menarche and later menopause, which points to estrogen exposure
as a risk factor for the disease.8,9
It's Good for the Planet
Breastfeeding is the best ecological thing going. No cups to wash, no bottles
to sterilize, and nothing for the landfill. Postponing the use of cows' milk
helps our planet. Because of their methane gas emissions, cows are major
destroyers of the atmosphere.10 Overgrazing of land is responsible for serious
ecological troubles, as well. As a bonus, the baby is not exposed to the
unhealthy hormones and antibiotics injected into dairy cows.
Like most other mothers of toddlers, I originally continued nursing out of
a desire for convenience. Frankly, it was just easier to keep going than to
stop. Along the way, I discovered how much simpler continuing to breastfeed
made our lives. If at all possible, the transition away from Mommy should be
a gradual one, made at the baby's own pace. Toddler life is difficult enough.
Why not make it a little more manageable for everyone?
NOTES
1. Sherman J. Silber, MD, How Not to Get Pregnant (New York: Warner, 1990):
92-93.
2. American Academy of Pediatrics, "Breastfeeding and the Use of Human
Milk" (Policy Statement), Pediatrics 100 (December 1997): 1035-1039.
3. E. E. Ziegler et al., "Cow's Milk Feeding in Infancy," Journal
of Pediatrics 116 (1990): 11-18.
4. J. N. Strimac and D. S. Chi, "Significance of IgE Level in Amniotic
Fluid and Cord Blood for the Prediction of Allergy," Annals of Allergy
61 (1986): 133-136.
5. La Leche League International, The Womanly Art of Breastfeeding (New York:
Penguin, 1991): 375-376.
6. John and Sheila Kippley, The Art of Natural Family Planning, Third edition
(Cincinnati, Ohio: Couple to Couple League, 1991): 201.
7. Sherman J. Silber, MD, How Not to Get Pregnant (New York: Warner, 1990):
92-93.
8. F. Grodstein et al., "Postmenopausal Hormone Therapy and Mortality," New
England Journal of Medicine 336, no. 25 (1997): 1769-1775.
9. Ruth Westheimer, MD, Dr. Ruth's Encyclopedia of Sex (New York: Jerusalem
Publishing House, 1994): 56.
10. Pamela Teisler, 101 Reasons Why I'm a Vegetarian (New York: Pamela Teisler,
1992).
FOR MORE INFORMATION
Mothering Your Nursing Toddler by Norma J. Bumgarner offers support and guidance
for toddler nursing. (La Leche League International, 2000)
Breastfeeding and Natural Child Spacing: How Ecological Breastfeeding Spaces
Babies, written by Sheila K. Kippley, a founder of the Couple to Couple League,
offers practical advice, even if you don't agree with the moral overtones.
(Couple to Couple League, 1999)
La Leche League has leaders in practically every community and can be found
in the yellow pages. Their website, www.lalecheleague.org, contains a new category
of articles called "Extended Breastfeeding" (click on "Breastfeeding
Information from LLI Periodicals" to find it).
For additional information about breastfeeding a toddler, see the following
articles in past issues of Mothering: "To Wean or Not to Wean?" no.
97; "Breastfeeding Your Older Baby," no. 69.
Elizabeth Bruce, CCE, MA, currently stays home with her four children, ages
9, 7, 5, and 2. She's been breastfeeding for seven years and counting.