Table 2

Benefits of feeding at-breast as opposed to bottle feeding expressed breast milk (EBM)

Benefits to infant

Improved oxygenation and temperature regulation during feedings
• Higher oxygen saturation
• Better coordinated sucking, swallowing, breathing pattern
• Increased body temperature
• Fewer episodes of apnea and bradycardia
Advantages of skin-to-skin contact
• Increased breast milk volume
• Greater production of maternal milk antibodies to pathogens in infant's environment
Enhanced nutritional and immunological properties of breast milk
• Superior nutritional content lost by freezing, thawing and reheating EBM
• Lower risk of bacterial contamination and growth due to handling
Better oral development
• Optimal mandibular development
• Strengthening of the jaw muscles
• Increased nasal cavity space
• Improved future teeth alignment and decrease in malocclusions
• Greater breathing efficiency
More efficient emptying of the breast
• Greater milk volume in same amount of time as breast pump
• Increase in milk volume over time

Benefits to mother

Reduced risk of breast trauma
• Less risk of mastitis with ineffective emptying of breast
• Lower risk of damage to nipple from breast pump
Reduced risks to mothers' health
• Decreased incidence of type 2 diabetes
• Reduced risk of breast cancer
Psychological effects
• Potential reduction in perceived stress and negative mood after feedings
Practical advantages
• Less time in preparing EBM for feeding and cleaning of supplies
• Breast milk at optimal temperature without preparation
• Cost savings in not renting or buying an electric breast pump

Buckley and Charles International Breastfeeding Journal 2006 1:13   doi:10.1186/1746-4358-1-13

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