Because more and more women are now breastfeeding their babies, more and
more are also finding that they enjoy breastfeeding enough to want to continue
longer than the usual few months they initially thought they would.
UNICEF has long encouraged breastfeeding for two years and longer, and the
American Academy of Pediatrics is now on record as encouraging mothers to nurse
at least one year and as long after as both mother and baby desire. Even the
Canadian Paediatric Society, in its latest feeding statement acknowledges that
women may want to breastfeed for two years or longer and Health Canada has put
out a statement similar to UNICEF’s.
Breastfeeding to 3 and 4 years of age has been common in much of the world
until recently in human history, and it is still common in many societies for
toddlers to breastfeed.
Why should breastfeeding continue past six months?
Because mothers and babies often enjoy breastfeeding a lot. Why stop an
enjoyable relationship? And continued breastfeeding is even good for the health
and welfare of both the mother and child.
But it is said that breastmilk has no value after six months.
Perhaps this is said, but it is patently wrong. That anyone (including
paediatricians) can say such a thing only shows how ignorant so many people in
our society are about breastfeeding. Breastmilk is, after all, milk. Even after
six months, it still contains protein, fat, and other nutritionally important
and appropriate elements which babies and children need. Breastmilk still
contains immunologic factors that help protect the baby. In fact, some immune
factors in breastmilk that protect the baby against infection are present in
greater amounts in the second year of life than in the first. This is, of course
as it should be, since children older than a year are generally exposed to more
sources of infection. Breastmilk still contains special growth factors that help
the immune system to mature, and which help the brain, gut, and other organs to
develop and mature.
It has been well shown that children in daycare who are still breastfeeding
have far fewer and less severe infections than the children who are not
breastfeeding. The mother thus loses less work time if she continues nursing her
baby once she is back at her paid work.
It is interesting that formula company marketing pushes the use of formula (a
very poor copy of the real thing) for a year, yet implies that breastmilk (from
which the poor copy is made) is only worthwhile for 6 months or even less (“the
best nutrition for newborns”). Too many health professionals have taken up the
I have heard that the immunologic factors in breastmilk prevent the baby from
developing his own immunity if I breastfeed past six months.
This is untrue; in fact, this is absurd. It is unbelievable how so many
people in our society twist around the advantages of breastfeeding and turn them
into disadvantages. We give babies immunizations so that they are able to defend
themselves against the real infection. Breastmilk also helps the baby to fight
off infections. When the baby fights off these infections, he becomes immune.
But I want my baby to become independent.
And breastfeeding makes the toddler dependent? Don’t believe it. The child
who breastfeeds until he weans himself (usually from 2 to 4 years), is generally
more independent, and, perhaps, more importantly, more secure in his
independence. He has received comfort and security from the breast, until he is
ready to make the step himself to stop. And when he makes that step himself, he
knows he has achieved something, he knows he has moved ahead. It is a milestone
in his life.
Often we push children to become "independent" too quickly. To sleep alone
too soon, to wean from the breast too soon, to do without their parents too
soon, to do everything too soon. Don’t push and the child will become
independent soon enough. What’s the rush? Soon they will be leaving home. You
want them to leave home at 14? If a need is met, it goes away. If a need is
unmet (such as the need to breastfeed and be close to mom), it remains a need
well into childhood and even the teenage years.
Of course, breastfeeding can, in some situations, be used to foster an over
dependent relationship. But so can food and toilet training. The problem is not
the breastfeeding. This is another issue.
Possibly the most important aspect of nursing a toddler is not the
nutritional or immunologic benefits, important as they are. I believe the most
important aspect of nursing a toddler is the special relationship between child
and mother. Breastfeeding is a life-affirming act of love. This continues when
the baby becomes a toddler. Anyone without prejudices, who has ever observed an
older baby or toddler nursing can testify that there is something almost
magical, something special, something far beyond food going on. A toddler will
sometimes spontaneously, for no obvious reason, break into laughter while he is
nursing. His delight in the breast goes far beyond a source of food. And if the
mother allows herself, breastfeeding becomes a source of delight for her as
well, far beyond the pleasure of providing food. Of course, it’s not always
great, but what is? But when it is, it makes it all so worthwhile.
And if the child does become ill or does get hurt (and they do as they meet
other children and become more daring), what easier way to comfort the child
than breastfeeding? I remember nights in the emergency department when mothers
would walk their ill, non-nursing babies or toddlers up and down the halls
trying, often unsuccessfully, to console them, while the nursing mothers were
sitting quietly with their comforted, if not necessarily happy, babies at the
breast. The mother comforts the sick child with breastfeeding, and the child
comforts the mother by breastfeeding.