NURSING MOTHERS, INC.

P.O. Box 5462        Wilmington, Delaware 19808         302-733-0973
 

Nursing the Older Baby
Factsheet 23

Many mothers consider that classification of the "older baby" is dependent on stage rather than age.  Typically, though, we tend to think of the older baby as one who has passed most of the milestones of infancy and is on her way to becoming a toddler.  Our society pressures mother to wean "early" and criticizes them when they choose to continue nursing their babies beyond the first year.  However, many mothers choose to nurse well past infancy, knowing they are still providing their child with all the nutritional and health benefits their breastmilk can confer.  The most recent recommendation from the American Academy of Pediatrics (AAP) is to breastfeed for at least one year, and as long past that as is mutually acceptable.  The World Health Organization (WHO) encourages breastfeeding to last at least until the child’s second birthday, and beyond depending on the preference of the mother and her nursling. Prolonged nursing also is an emotional support to older children.  Nursing a toddler can help her cope with the frustrations, bumps and bruises she experiences as she confronts the world head-on.

It is very common that a mother will tell herself she plans to nurse up to a particular age and then wean.  She then finds herself nursing long past that deadline.  In fact, the nursing relationship may have become such a comfortable part of day-to-day mothering that the mother may not realize her baby is an "older baby" until someone asks her the unfortunate question "Is your baby still nursing?"

While these remarks may jostle your confidence, it helps to remember they come from people who are misinformed and do not understand.  You might remind them that a former Surgeon General and international health organizations recommend nursing a child a minimum of two years!  It is hard to explain the many facets of mothering that nursing involves.  For the mother who sees nursing as an intimate part of the growing relationship of caring, the rewards and satisfaction of nursing the older baby are many and varied.

 

Reasons to Continue Nursing

Through the second year, breastmilk can provide up to 31% of a toddler's calorie needs and 38% of all dietary protein.  Through 18 months, a baby can get from breastmilk:  95% of her vitamin C supply, 100% of vitamin A, 44% of calcium, 41% of niacin, 26% of folic acid, and 21% of riboflavin.  She may also get as much as 50% of her iron requirements from breastmilk.

Toddlers fare especially well when foods supplement rather than replace breastmilk.  Weaned toddlers may exhibit energy deficits as high as 28% despite a 60% increase in their intake of other foods.  Typically, toddlers are picky eaters, and tend not to choose those foods that would supply them high quality nutrition.  Prolonged nursing can fill in the gaps.

Throughout nursing, immunoglobulins are produced that protect the child from infection.  Some of these compounds increase as nursing is prolonged.  Long-term nursing continues to protect the child by passing on antibodies the mother produces in response to daily exposure to pathogens.  Many older babies avoid the family illnesses and get sick much less frequently and far less seriously than their non-breastfed counterparts.  Generally, the longer the duration of nursing, the longer the period of immunity.  Many of breastfeeding's benefits provide a lifetime of reduced risk.

The benefits also extend to the lactating mother.  Women who nurse a lifetime total of 2 years have a 40% reduced risk of breast cancer; the risk to those who nurse a lifetime total of 6 years is reduced by 66%.  Breastfeeding reduces the risk of ovarian cancer and minimizes the severity of osteoporosis later in life.

In addition to the physical and nutritional benefits:

·         Prolonged nursing satisfies a child's need for sucking, which for some babies extends well past the first year of life.

·         Nursing is a wonderful way to express affection or provide security, especially during times of stress (pain, illness, hurt feelings).  Nursing may comfort the shy child and help him adapt to new surroundings and people more easily.

·         In days that seem to get increasingly hectic, nursing can provide opportunities for relaxation, a time when you and your baby can unwind and enjoy each other.

·         Nursing helps a child recuperate more quickly from illness.

·         Nursing may provide comfort to the painful emergence of molars.

·         Nursing first thing in the morning can give you time to get yourself together.  You don't need to worry about immediately fixing breakfast for a hungry child.

Nursing an older baby is a different experience.  Toddlers can nurse sitting up, standing up - in any variety of positions.  They are also more distractible.  And they can usually talk.  Many will ask outright for a nursing, no matter where they are.

Older babies usually have more teeth. While a baby cannot bite while nursing, older babies sometimes take playful nips.  You may also find pressure marks on your breast from your baby's teeth after nursing.

If your child is very distractible, you may find feeding in quiet areas with low lighting more effective.

If your child asks to nurse in a public place, and you feel unable to comply, let her know she will need to wait.  You want to convey that you are willing to nurse; you are just not willing to nurse here.  Delay tactics may help, such as "When we get home", or "When we get to the car".  Setting a timer at home may help, "We can nurse when the bell goes off in 10 minutes."  Keep your promise, so you don't damage your child's developing sense of trust.

A child who can communicate her desire to nurse can be a great source of joy and encouragement to you.  There can be much love and good humor in this relationship, as both of you learn to be givers and receivers.
 

Copyright on the Internet 1999, NMInc.
Revised: 1/03, Megan Allen 

 

Nursing Mothers, Inc. is a non-profit organization.  We never charge for our
services, we would gladly accept your tax-deductible donations.
P.O. Box 5462        Wilmington, Delaware 19808         302-733-0973

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