Editorial
In Support Of Exclusive Breastfeeding
As the world commemorates this year’s World Breastfeeding Week, the need to encourage
breastfeeding and improve the health of babies around the world has again been spotlighted. World Breastfeeding Week is annually celebrated from August 1 to 7. It is observed by 170 countries to protect, promote, and support breastfeeding. World Health Organisation (WHO) recommends that babies are exclusively breastfed until they are six months or possibly two years old.
Every year, this week is celebrated with a unique theme and this year’s theme is, “Step Up for Breastfeeding: Educate and Support”. As humanity observes the event, it is vital to spread awareness about the significance of education and support for breastfeeding. It is not a social stigma, but a requirement that shapes the totality of a child’s wellbeing.
In a joint statement by the United Nations Children’s Fund (UNICEF) Executive Director, Catherine Russell, and the World Health Organisation (WHO) Director-General, Dr. Tedros Adhanom Ghebreyesus, on the World Breastfeeding Week, UNICEF and WHO are calling on governments to allocate increased resources to support breastfeeding policies and programmes, especially for the most vulnerable families living in emergencies.
Health professionals point out that breast milk contains all the nutrients a newborn needs for normal development early and later in life. However, pressure from family members and friends to drink water in addition to breast milk prevents mothers from exclusively breastfeeding their babies. This stress is not good for the child, as health professionals advise breastfeeding to be valuable for both mother and child.
Colostrum, in particular, the yellow, custard-like milk produced in the first few days of life, is described as the baby’s first immunity because it is very rich in anti-infective substances that protect the baby from potentially harmful diseases. Likewise, breast milk is an ideal food for babies and infants because it contains the right amount of nutrients and is easily digested, giving them all the nutrients they need to survive.
Besides, it is safe and contains antibodies that assist in protecting infants from common childhood illnesses, such as respiratory tract infections, diarrhoea and pneumonia, which are the two primary causes of child mortality worldwide. Exclusive Breastfeeding can also reduce the risk of coeliac disease and chances of developing asthma, and other allergic crises.
Breastfeeding also prevents obesity in childhood and adulthood, as well as diet-related chronic diseases such as high blood pressure and cancer. In addition, breastfed infants are known to show better vaccine responses when vaccinated against childhood diseases. Compared with infant formula-fed babies, they performed better on intelligence tests.
For mothers, starting breast milk early can speed up the expulsion of the placenta, while breastfeeding helps burn extra calories and lose pregnancy weight faster. It releases hormones that support the return of the uterus to its pre-pregnancy size and may reduce uterine bleeding after birth. Breastfeeding is also associated with a lower risk of breast and ovarian cancer, type II diabetes and postpartum depression in mothers.
According to the 2018 Nigerian Demographic and Health Survey (2018 NDHS), child mortality accounts for 52 per cent of all under-five deaths. The child mortality rate was 69 per 1,000 children surviving to 12 months, while the overall under-five mortality rate was 132 per 1,000 live births. Fifty-one per cent of all deaths among children under the age of five in Nigeria happen before the child’s first birthday, and 30 per cent of these occur in the first month of life.
It is worth reiterating that breastfeeding is not a woman’s job alone. A mother needs the support of her husband and family. Therefore, Nigerian men should show greater commitment to ensuring that their babies are successfully breastfed for at least the first six months of life. Men should plan active roles for themselves and ensure their babies do not miss out on the many benefits of breastfeeding.
The Rivers State Government had earlier highlighted the need for nursing mothers to engage in exclusive breastfeeding to promote healthy baby growth. This was contained in a goodwill message from the Deputy Governor, Dr Ipalibo Harry Banigo, on the event. She said breast milk is nature’s food and ensures a baby’s health and quality of life from childhood to adulthood. This reveals that Governor Nyesom Wike cares about the health of nursing mothers and their babies.
Since it is recommended that mothers breastfeed exclusively for six months, the breastfeeding policies that are already in place in the country should be bolstered such that the maternity leave should be a minimum of six months. Moreover, the legislature should enact laws to protect the breastfeeding rights of working women to enable them to exclusively breastfeed.
Employers should be involved as well. They need to create an enabling environment by providing childcare or crèches. Governments at all levels should also protect breastfeeding by enforcing regulations on the marketing of breastmilk substitutes. All formula labels must state the benefits of breastfeeding. Authorities must also express dissatisfaction with the distribution of free breastmilk substitutes to mothers and health workers.
A participatory approach to promoting exclusive breastfeeding is imperative. There should be an enlightenment campaign, planning and information sharing on the benefits of breastfeeding by the governing authorities. This should include the relevant stakeholders within their socio-cultural networks. The initiative will in turn lead to improvement in the uptake of breastfeeding among nursing mothers in the country.