06/28/2022
Unpopular Opinion Time!
The AAP Section on Breastfeeding recently shared that the statement policy on breastfeeding and use of human milk has been updated. This update states that the AAP recommends exclusive breastfeeding until about 6 months, with the introduction of complementary foods and continued breastfeeding until age 2 or beyond as desired by the family. This is finally in alignment with other major organizations, including the World Health Organization.
This change is being largely applauded and I just can’t. The policy already stated that infants should be exclusively breastfed until about 6 months and yet the latest data shows us despite over 84% of families initiating breastfeeding, only 46.9% were exclusively breastfeeding at 3 months and only 25.6% were exclusively breastfeeding at 6 months. Statements don’t change breastfeeding rates - if they did, then the majority of the infants who began breastfeeding would still be exclusively breastfeeding at 6 months. [https://www.cdc.gov/breastfeeding/data/reportcard.htm]
If we want to see breastfeeding rates increase, then we will need healthcare providers to recognize when there is an infant feeding problem and provide a referral to the specialist in breastfeeding and human lactation - the IBCLC. Instead they are telling people to just switch to formula, triple feed, introduce solids at 4 months, wean because their baby has allergies, their milk just doesn’t have enough nutrition, outright ignoring or dismissing the concerns of parents, and a whole host of other detrimental recommendations. Until pediatricians stop undermining breastfeeding and the use of human milk, breastfeeding rates will remain low.