The Breastfeeding Couple: Weaning

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The Breastfeeding Couple: Topics
Table of Contents
Pre module evaluation
Introduction
Breastfeeding Initiation
Breast Care
New Family
Growth Spurts
Maternal Diet
Returning to Work
Weaning
Post module evaluation
References

Weaning is the term usually used to describe the process of cessation of breastfeeding after a period of successful breastfeeding. This usually involves the addition of foods to the infant's diet and/or the replacement of breast milk in the infant diet with another type of milk (formula or whole milk). Maternal physiology, infant nutritional needs, infant development especially the development of biting and chewing, and cultural issues all play a role in the timing of weaning. Weaning can be baby/child led or mother led ( Memorize Lawrence, 2005 p357-375). The American Academy of Pediatrics recommends "There is no upper limit to the duration of breastfeeding and no evidence of psychologic or developmental harm from breastfeeding into the third year of life or longer" ( Memorize AAP Breastfeeding, 2005 ). Weaning is also a time of emotional transition for the mother. This can include feelings of accomplishment, sadness that breastfeeding is ending, and the sadness and happiness that the infant is no longer a baby and is becoming a child.

Weaning is best accomplished in a gradual manner with the replacement of one breastfeeding at a time with food, formula or whole milk in a cup or a bottle. If one half of the breastfeeding dyad initiates weaning and the other half of the dyad objects vigorously, weaning may need to be slowed down or temporarily halted. For many mothers the breastfeedings in the early morning or before bed at night are the last to be discontinued.



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email -- Copyright 1998 Mary O'Connor MD, MPH -- Unauthorized use prohibited