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Reply to "I hate the AAP"
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[quote=Anonymous]The AAP supports continued breastfeeding, along with appropriate complementary foods introduced at about 6 months, as long as mutually desired for 2 years or beyond. Studies and meta-analyses have also confirmed the impact of breastfeeding longer than 12 months on maternal health in decreasing maternal type 2 diabetes mellitus, hypertension, breast cancer, and ovarian cancer rates (Table 2). Mothers who decide to breastfeed beyond the first year need support. They often report feeling ridiculed or alienated in their choice and conceal their breastfeeding behavior to minimize unsolicited judgment and comments.20,21 There is evidence that only one-half of mothers who breastfeed past 1 year discuss their decision with their pediatric primary care provider and that 38% of women who reported that their provider was unsupportive of breastfeeding past the first year elected to change their pediatric primary care provider.22 Breastfeeding exclusively for about 6 months is an evidence-based recommendation. In an individual counseling situation, pediatricians and families can discuss the desires of the family and cultural variations. Pediatricians can review the importance of exclusive breastfeeding and ensure mothers and families are fully informed about their decisions, while at the same time engaging in nonjudgmental conversations about the family’s personal goals for breastfeeding. Exclusive or any breastfeeding is not always possible, despite the best of intentions, and these mothers and families need special support to overcome the disappointment that may accompany breastfeeding difficulties. Outcomes Extensive data confirm that many acute and chronic pediatric disorders, such as otitis media, acute diarrheal disease, lower respiratory illnesses, sudden infant death syndrome (SIDS), inflammatory bowel disease, childhood leukemia, diabetes mellitus, obesity, asthma, and atopic dermatitis, occur less frequently among children who were breastfed as infants.18 Some of these outcomes may be secondary to the unique biologic composition of human milk. Mothers who breastfeed experience lower risk of type 2 diabetes mellitus; breast, ovarian, and endometrial cancer; and hypertension12 (Tables 2 and 3). Don't just read the announcement. Read the accompanying paper and technical review. They have had more and more studies on breast milk and this reflect it. [/quote]
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