Breastfeeding: good for baby, and country?

by Jennifer Bowden / 17 November, 2012
Overcoming barriers to breastfeeding would boost the health of the nation’s infants – and coffers.

Imagine a world where nutritious food was freely available to all babies, thereby reducing their risk of illness and enabling them to develop into healthy adults. In fact, no imagination is required: human breast-milk is free, widely available and popular. In 2010 more than 80% of mothers surveyed for the Growing Up in New Zealand study planned to breastfeed their babies, mostly for at least six months. That’s great news, as exclusive breastfeeding for that period is the best start for babies, according to the World Health Organisation.

Higher breastfeeding rates could significantly improve our nation’s health and be good for the health budget too; a recent Unicef report estimated a moderate increase in British exclusive-breastfeeding rates could save the National Health Service about $78 million. Unfortunately, the best laid plans can go awry. Although the 2012 Growing Up in New Zealand follow-up report found 97% of New Zealand babies were exclusively breastfed on the first day of their life, four months later, after paid parental leave had ended, less than half of the babies were still exclusively breastfed. That had dropped to 28% at five months of age and 6% by six months.

The most common reason for stopping breastfeeding – given by 38% of mothers – was the perception that they didn’t have enough milk; another 32% gave it up because their baby didn’t seem satisfied by breast milk. Nineteen per cent stopped because their baby had “weaned themselves” and/or because the mothers had returned to paid work and expressing breast milk wasn’t convenient or possible.

Barriers identified by other studies include problems during the antenatal and birth period, inconsistent messages from health workers and the loss of breastfeeding as a cultural norm. Good practice by health workers could prevent many breastfeeding problems, allowing mothers to breastfeed successfully for longer, according to Julie Stufkens, executive officer of the New Zealand Breastfeeding Authority. The association is contracted by the Ministry of Health to implement the Baby Friendly Hospital Initiative, a 10-point plan to increase breastfeeding rates.

In 2001, 56% of infants were exclusively breastfed at discharge from New Zealand maternity wards. A decade, later the figure was more than 84% and nearly every New Zealand hospital had been accredited under the baby-friendly initiative. “We’ve had a major change in practice in hospitals,” says Stufkens, thanks to the association’s programme of protecting, promoting and supporting breastfeeding. Sarah-Jane Westbrooke, a paediatric dietitian at North Shore Hospital, is going a step further. Westbrooke will use the 2012 Nutritionist Development Award she recently received to gain specialist breastfeeding knowledge with the aim of becoming the first New Zealand-registered dietitian and lactation consultant.

Stufkens’s ambition is to spread the baby-friendly approach throughout the community, and to get mothers to breastfeed longer. The Baby Friendly Community Initiative, launched in 2005, gives community health service providers up-to-date information about breastfeeding so they can support mothers and help them get professional advice when necessary. “It’s their responsibility to ensure the woman is effectively feeding,” Stufkens says. Problems can arise, for instance, if a baby doesn’t attach well to the breast. Feedback from service providers and patients has been positive. “Everybody is saying the same thing – information is up to date, they’re not undermining breastfeeding by saying, ‘Oh here, take a sample of formula’, or you can’t breastfeed if you’re on a particular drug,” says Stufkens.

Mothers are getting instruction in how to position and attach their baby properly, which is reducing breastfeeding problems, and those who need more help are being told where to find it. Stufkens wants to reach more health providers. And perhaps the initiative would also be helped by an increase in paid parental leave provisions so breastfeeding mothers could continue their health-promoting work. Spend a penny, save a pound.

Email:, or write to “Nutrition”, c/o Listener, PO Box 90783, Victoria St West, Auckland 1142.
MostReadArticlesCollectionWidget - Most Read - Used in articles
AdvertModule - Advert - M-Rec / Halfpage


A post-mortem on Todd Barclay and Matt McCarten's fiascos
76497 2017-07-24 00:00:00Z Politics

A post-mortem on Todd Barclay and Matt McCarten's …

by Jane Clifton

In the catalogue of disaster, is a Todd Barclay worse than a Matt McCarten?

Read more
The Trump family's Kremlin connection
76655 2017-07-24 00:00:00Z World

The Trump family's Kremlin connection

by Paul Thomas

From “nothing to see here” to a Cold War-era spy story played out in real life, the Trump family’s Kremlin connection is a source of fascination.

Read more
The Journey – movie review
76661 2017-07-24 00:00:00Z Movies

The Journey – movie review

by James Robins

A van isn’t a great vehicle for a drama on how old enemies ended the Troubles.

Read more
Gaylene Preston on the difficulties of filming at the United Nations
76664 2017-07-24 00:00:00Z Movies

Gaylene Preston on the difficulties of filming at …

by David Larsen

Tracking Helen Clark’s tilt for the top job at the United Nations, Gaylene Preston documented the creatures of the diplomatic world.

Read more
Jackie van Beek puts the gags aside for The Inland Road
76815 2017-07-24 00:00:00Z Movies

Jackie van Beek puts the gags aside for The Inland…

by Russell Baillie

Best known for her comedy roles, Jackie van Beek takes a dramatic detour in her feature-directing debut.

Read more
Parisian Neckwear plays the long game, even as its centenary approaches
76427 2017-07-24 00:00:00Z Small business

Parisian Neckwear plays the long game, even as its…

by Rob O'Neill

Parisian Neckwear, founded in 1919, has survived depression, war, deregulation and a deluge of cheap imports. How? Just feel the cloth.

Read more
David Tamihere case: Key witnesses' doubts about murder of Swedish tourists
76738 2017-07-23 00:00:00Z Crime

David Tamihere case: Key witnesses' doubts about m…

by Donna Chisholm

Nearly 30 years after young Swedish tourists Urban Hoglin and Heidi Paakkonen disappeared in the Coromandel key witnesses say the mystery haunts them.

Read more
Modern slavery and tourism: when holidays and human exploitation collide
76728 2017-07-23 00:00:00Z Social issues

Modern slavery and tourism: when holidays and huma…

by The Conversation

With the advent of orphanage tourism, travellers think they're doing good. But they can often just be lining the pockets of the orphanages' owners.

Read more