Dr. Vicky Ho Miaw Ping, an Obstetrics and Gynaecology consultant at Sunway Medical Centre (SMC), has emphasized the numerous benefits of breastfeeding for both mothers and babies.
Dr. Ho highlighted that breast milk, particularly colostrum, is packed with essential minerals, proteins, vitamins, and antibodies. These nutrients are crucial for boosting the baby’s immune system, promoting growth, and enhancing digestive health. Colostrum is the first milk produced during pregnancy and immediately after birth.
Breastfeeding also provides significant benefits to mothers. Dr. Ho noted that skin-to-skin contact during breastfeeding helps regulate the baby’s body temperature and provides comfort, making them feel secure. Additionally, breastfeeding stimulates the release of oxytocin, a hormone that helps reduce the risk of postpartum hemorrhage and lowers the likelihood of breast and ovarian cancer. It also aids in achieving optimal post-delivery weight.
To prepare for breastfeeding, Dr. Ho recommends starting prenatal preparations around 37 weeks of pregnancy. She advises expectant mothers to attend antenatal classes for valuable guidance from gynaecologists and lactation experts. Gentle breast massages can also help stimulate milk production.
Post-birth, staying hydrated is crucial to prevent dehydration and maintain milk supply. Proper hydration can also help avoid thrombosis and ensure safe breastfeeding. A balanced diet rich in calcium and iron is important, as these nutrients are depleted during pregnancy and breastfeeding. Additionally, adequate rest and managing physical, emotional, and mental stress are key to successful breastfeeding.
Dr. Ho acknowledged that breastfeeding can present challenges, including psychological and emotional factors like childbirth trauma and physical issues such as discomfort from childbirth wounds, cracked nipples, or mastitis. She advised mothers experiencing discomfort to adjust the baby’s position during breastfeeding, using techniques such as the cradle hold, cross-cradle hold, football hold, or side-lying position.
While breastfeeding is highly recommended, Dr. Ho noted that it may not be feasible for all mothers due to specific circumstances, such as having undergone mastectomy surgery. However, breastfeeding is still possible with one healthy breast. It is not recommended for mothers with HIV, tuberculosis, or those taking certain medications, including psychotropics, antimetabolites, or chemotherapy.
In cases where babies have conditions like cleft lip and palate, a short tongue, or were born prematurely before 34 weeks, breastfeeding may also be challenging. Dr. Ho suggested consulting a paediatrician before attempting to breastfeed if the baby has metabolic issues or requires admission to the neonatal intensive care unit (NICU).
SMC, the largest private quaternary hospital in Malaysia, has been ranked among the top 250 hospitals in the Newsweek World’s Best Hospitals 2024 and leads the pediatric field in the Newsweek Asia Pacific Best Hospitals 2024 ranking.
