Wednesday, May 1, 2013

Nutrition For Before and During Pregnancy and Breastfeeding


As the title states, this post is about nutrition for pregnant and breastfeeding women. This is the specific area of nutrition I want to work in. [ Prenatal, neonatal, and breastfeeding.] I want to give the future generations a good healthy start by ensuring they receive good nutrition in the first days, weeks, months, years of life.

BEFORE PREGNANCY
Dietary requirements for age groups 19-30 and 31-50 years.
DRI (Daily Recommended Intake)
Vitamin A
700µg/d
Vitamin C
75mg/d
*Vitamin D
5 µg/d
Vitamin E
15mg/d
*Vitamin K
90 µg/d
Thiamin
1.1mg/d
Riboflavin
1.1mg/d
Niacin
14mg/d
Vitamin B6
1.3mg/d
Folate
400 µg/d
Vitamin B12
2.4 µg/d
*Pantothenic Acid
5 mg/d
*Biotin
30 µg/d
*Choline
425 mg/d
Calcium
1,000 mg/d
Chromium
25 µg/d
Copper
900 µg/d
Fluoride
3 mg/d
Iodine
150 µg/d
Iron
18 mg/d
Magnesium
310 mg/d 
31-50 yrs old
320 mg/d
Manganese
1.8  mg/d
Molybdenum
45 µg/d
Phosphorous
700 mg/d
Selenium
55 µg/d
Zinc
8 mg/d
Potassium
4.7 g/d
Sodium
1.5 g/d
Chloride
2.3 g/d
Water
2.7 L/d
Carbohydrates
130 g/d
Total Fiber
25 g/d
Omega-6
12 g/d
Omega-3
1.1 g/d
Protein
46 g/d
* Adequate Intake
- µg (microgram)
- /d (per day)

Folate (Folic acid) is important, especially during pregnancy! Before becoming pregnant, it is a good idea to get in the habit of eating foods that are rich in folate.  The best way to check the level of macro and micronutrients in your blood is to go to the doctor and have blood work done.

                Dark leafy vegetables
Spinach, raw
85g (3 cups)
165 µg
Spinach, cooked
85g ( ½ cup)
124 µg
Romaine Lettuce, raw
85g ( 1 ½ cups)
116 µg
Turnip Greens, cooked
85g ( 2/3 cup)
100 µg
Collards, cooked
85g ( ½ cup)
79 µg
Mustard Greens, cooked
85g ( 2/3 cup)
62 µg

                Beans, Lentils, and Seeds
Chickpeas
½ cup
191 µg
Black Beans
½ cup
129 µg
Pinto Beans
½ cup
147 µg
Lentils
½ cup
175 µg
Sunflower Seeds
30g (1 oz)
71 µg

                Liver
Chicken, cooked
85g (3oz)
491 µg
Beef, cooked
85g (3oz)
215 µg

                Most Cereals
Wheat bran flakes, cereal
30g (1 cup)
417 µg
All bran, cereal
30g (1 cup)
404 µg
Cheerios, cereal
30g (1 cup)
200 µg

If you are overweight or obese, you should lose weight before becoming pregnant. It is healthier for you and the baby. If you are underweight, you should gain weight before conceiving.

DURING PREGNANCY
Congratulations on your pregnancy!  I’m sure you’re looking forward to your bundle of joy’s arrival. But for the meantime, let’s talk about what you need to eat to keep your baby and yourself healthy.
Now, just because you’re pregnant doesn’t mean you need to eat like you’re eating for two adults.  Here are the recommended weight gains.
Prepregnancy Weight
Recommended Weight Gain
Normal body weight
25-35 lbs
Overweight
15-25 lbs
Twin Pregnancy
40-45 lbs


DO NOT TRY TO LOSE WEIGHT WHILE YOU ARE PREGNANT!!  You need the fat in your diet for fetal development. To keep yourself from gaining too much weight, light exercise is recommended.
As I said, you don’t need to eat like you’re eating for two adults.  Pregnancy increases your metabolism by 15%, not 50%.

It takes your stomach 2-4 hours to digest your meal depending on the amount of fiber and fat in the food and how much you ate. So,  I recommend eating 5 small meals per day. Or you can eat 3 meals and small snacks in between.

Let’s see what goes on during each trimester.

1st Trimester
Your energy needs are the same as non-pregnant women.
The baby is going through organogenesis, meaning it is developing organs. The heart, brain, central nervous system and kidneys are developing.
If you are having some problems with morning sickness, I recommend ginger flavoured items. Ginger altoids work for some women. Ginger itself is known for helping ease nausea.
2nd Trimester
Your energy needs increase to an additional 340-360 kcal/day.
Major events for the fetus:
o   It’s sex becomes apparent
o   Skeleton is calcifying and developing bone
o   He or She begins to hear
o   Hair becomes visible
3rd Trimester
Your energy needs increase by 112 kcal/day
Major events for the fetus:
o   His or her eyes open
o   Bones are fully developed
o   Baby can detect light
o   Baby develops a firm grasp
For more information about what is happening, go to babycenter.com

Dietary requirements for age groups 19-30 and 31-50 years.[During Pregnancy]
Vitamin A
770 µg/d
Vitamin C
85 mg/d
*Vitamin D
5 µ/d
Vitamin E
15mg/d
*Vitamin K
90 µg/d
Thiamin
1.4 mg/d
Riboflavin
1.4 mg/d
Niacin
18 mg/d
Vitamin B6
1.9 mg/d
Folate
600 µg/d
Vitamin B12
2.6 µg/d
*Pantothenic Acid
6 mg/d
*Biotin
30 µg/d
*Choline
450 mg/d
Calcium
1,000 mg/d
Chromium
30 µg/d
Copper
1,000 µg/d
Fluoride
3 mg/d
Iodine
220 µg/d
Iron
27 mg/d
Magnesium
350 mg/d   
31-50 yr old  
360 mg/d
Manganese
2.0 mg/d
Molybdenum
50 µg/d
Phosphorous
1,250 mg/d
Selenium
60 µg/d
Zinc
12 mg/d
Potassium
4.7 g/d
Sodium
1.5 g/d
Chloride
2.3 g/d
Water
3.0 L/d
Carbohydrates
175 g/d
Total Fiber
28 g/d
Omega-6
13 g/d
Omega-3
1.4 g/d
Protein
71 g/d
*AI—Adequate Intake

Here are some foods you should avoid while being pregnant.
DIET FOODS AND DIET DRINKS!!! You must ABSOLUTELY avoid these. I’ll tell you why. Aspartame. It’s the sweetener they put in to replace sugar. It is a chemical. It is a methyl ester of aspartic acid and phenylalanine dipeptide. It can breakdown into methanol.  Methanol is used as antifreeze; it is toxic. It [aspartame] will do damage. Anything packaged food or drink that says sugar-free will most likely have aspartame.  Look at the ingredients listed. Women with phenylketonuria (PKU) who eat diet food and drinks increase the risks of PKU. Pregnant women with PKU should definitely not consume foods with aspartame because it will increase phenylaline in the blood and it can cause fetal brain damage. Whether you have PKU or not, you should avoid diet food and drinks. Aspartame in mass quantities is damaging to your body. It can cause migraines, symptoms similar to Grave’s disease, and even seizures. It will harm the fetus. It also breaks down into formaldehyde and formic acid. I will recommend you a book written by a woman who has experienced the damaging effects of aspartame.

Sweet Poison by Janet Starr Hill.

You should limit your caffeine intake to less than 200 mg/d, which is about 2 cups of coffee. Should you like to drink soda while pregnant, it would be best to drink the caffeine free version.

Not diet.

Caffeine free.

However, I recommend you stick to water and fruit juices. Homemade lemonade is good too. If you own a juicer, homemade vegetable or fruit juices are excellent for nutrition.
Excessive caffeine can produce problems with bone formation in the fetus which causes deformity in the fingers, toes and cleft palate.

I recommend supplementation for Iron and Folate. Prenatal vitamins should contain these important nutrients. Check the information on the back of the bottle. Also, consult your physician about using supplements before you do so.

Folate is important as it helps prevent neural tube defects. It prevents spinal bifida.
Females are prone to iron deficiency. We use our stored iron to compensate for the iron we lose during menstruation, pregnancy, and lactation. It doesn’t help that our absorbing ability for iron is roughly 23%-30%. Fortunately, the ability to absorb iron increases 50% during pregnancy. This is due to the body’s need for more iron. Iron forms hemoglobin and it is needed for the growth and development of the fetus and placenta. Iron also carries oxygen in the blood.  Iron supplementation should not exceed 56 mg per dose. Also, when consuming foods rich in iron be sure to eat foods rich in vitamin C. Vitamin C can help with the absorption of iron.

Also, don’t drink tea or coffee while eating iron rich foods. They negatively affect the absorption of iron.
Also, it is best not to lie directly on your back. The extra weight from the baby compresses the inferior vena cava (the vein that carries blood from the body to the heart). This causes swelling in feet and ankles.  I recommended lying on your side with a good supportive pillow under your belly.  

AFTER PREGNANCY, BREASTFEEDING
Dietary requirements for 19-30 year olds and 31-50 years olds
Vitamin A
1,300 µg/d
Vitamin C
120 mg/d
*Vitamin D
 5 µg/d
Vitamin E
19 mg/d
*Vitamin K
90 µg/d
Thiamin
1.4 mg/d
Riboflavin
1.6 mg/d
Niacin
17 mg/d
Vitamin B6
2.0 mg/d
Folate
500 µg/d
Vitamin B12
2.8 µ/d
*Pantothenic Acid
7 mg/d
*Biotin
35 µg/d
*Choline
550 mg/d
*Calcium
1,000 mg/d
*Chromium
45 µg/d
Copper
1,300 µg/d
*Fluoride
3 mg/d
Iodine
290 µg/d
Iron
9 mg/d
Magnesium
310 mg/d   
31-50 yrs old  
 320 mg/d
*Manganese
2.6 mg/d
Molybdenum
50 µg/d
Phosphorus
700 mg/d
Selenium
70 µg/d
Zinc
12 mg/d
*Potassium
5.1 g/d
*Sodium
1.5 g/d
*Chloride
2.3 g/d
Water
3.8 L/d
Carbohydrate
210 g/d
Total Fiber
29 g/d
Omega-6
13 g/d
Omega-3
1.3 g/d
Protein
71 g/d
*AI—Adequate Intake

I highly recommend that you breastfeed your child for at least a full year.
The Academy of Nutrition and Dietetics position on breastfeeding is as such, “Exclusive breastfeeding provides optimal nutrition and health protection for the first 6 months of life and breastfeeding with complementary foods for at least 12 months is the ideal feeding pattern for infants.” So in total, their recommendation is to breastfeed for 18 months.
There are many benefits to breastfeeding your child.  A study has shown that breastfeeding your child for more than 2 months could help decrease the risk of your child developing asthma. However, genetics can win out. I speak from experience as my brothers and I have asthma and some of their own children have asthma.

Breast milk is superior to formula milk of any kind IF you maintain a healthy diet. Human milk contains large amounts of essential fatty acids which are IMPORTANT for growth, especially for brain and retinal development.

Infants who are breastfed have better immunity. The mother passes on any antibodies she has to her child through breast milk. Therefore, breastfed infants are less likely to get sick. Formula fed infants are three times more likely to be ill.

Breastfeeding may protect against obesity by allowing the infant to naturally regulate their energy intake based on hunger cues and by preventing parents from overriding these cues by controlling the feeding.  So the child learns to self-regulate satiety.

It’s important to know the introducing pacifiers and bottles to newborns too early often causes confusion for the infant. The method of sucking a pacifier or bottle is completely different from the method of suck needed to extract milk from a breast. Thus the child has difficulty expressing milk from the breast.

The feeding relationship reflects the overall parent-child relationship and feeding struggles may be indicative of other difficulties involving parent-child interactions. Nutritional science advocates feeding infants on an “on demand” schedule. This means watching for the infant’s cue for hunger and feed them accordingly. Don’t put them on a strict feeding schedule; it builds distrust of the parent from the infant. It also teaches them that if they want to eat they have to scream and cry which can cause problems when the infant is older.

Iron is important!  Make sure you are consuming foods rich in iron. Women and children are prone to iron deficiency anemia (there are different kinds of anemia). Iron deficiency anemia is the most common childhood nutritional deficiency worldwide. The consequences of anemia are delays in motor and cognitive development caused by irreversible brain injury.

You should start complementary foods at 6 months. Your child should have full control over their head and have tongue control before you start feeding them solid foods. Rice cereal snacks should be the first complementary food introduced to an infant. Introducing complementary foods to an exclusively breast-fed infant before 6 months of age does NOT increase total calorie intake or improve growth. Complementary foods displace human milk and the infant receives fewer immune factors, therefore is at greater risk for infections.

Your child does not need multivitamins.  Early use of multivitamins has shown an increased risk of developing food allergies AND asthma, according to a study by Milner and coworkers (2004). Multivitamins supplementation in the first 6 months of life was associated with increased risk for food allergies by the age of 3.

Introducing a variety of flavours and foods is important in the first 2 years of life and may increase the likelihood that the child will try new foods. Food should be introduced at least 10 times before you can determine the child does not like it.  

NUTRIENT REQUIREMENTS THROUGHOUT PREGNANCY

Carbohydrates
o   Primary energy source for everyone, not just pregnant women
o   Pregnant women need about 175 grams per day
o   Healthy sources of carbohydrates
§  Vegetables
§  Fruits
§  Whole grains

Protein
o   Protein is needed to maintain your muscles and cells.
o   Pregnant women require 71 g/d
o   Protein helps form fetal and maternal tissues
o   Healthy sources of protein
§  Chicken
§  Vegetables
§  Plant (non-heme) protein will be better absorbed if eaten with a complementary protein. These combos are good examples:
·         Rice and beans
·         Rice and lentils
·         Rice and black-eyed peas
·         Pea soup with bread
·         Garbanzo beans (chickpeas) with sesame paste
·         Pasta with beans
·         Peanut butter on bread

Fat
o   I can’t stress this enough…Everyone needs fat in their diet!! Especially essential fatty acids omega-3 and omega-6
o   Fat is also important for fetal growth and development, especially for the growth and development of the brain. (Which makes me think…is that where we get the term ‘fathead’ from? Probably not, but hey it makes sense to me now.)
o   You also need to fat to absorb and digest your fat soluble vitamins. (Vitamin A, D, K, and E)
o   There is no daily recommend intake for fat
o   There are adequate intake (AI) for Omega-6(linoleic) and Omega-3 (linolenic) fatty acids
§  For pregnant women
·         Omega-6 – 13g/day
·         Omega-3 – 1.4g/day
o   Good sources of the omegas are:
§  Omega-3
·         Flaxseed oil
·         Canola oil
·         Salmon, tuna, mackerel
§  Omega-6
·         Vegetable oil- corn oil
·         Meat, poultry and eggs
o   A warning on eating fish during pregnancy. Some fish contain a high amount of mercury. I recommend eating fish about twice a week.  You should avoid eating Marlin, Shark , Mackerel, and Ahi Tuna. Tuna in general has a relatively high mercury rate. Herring, Salmon, Tilapia, and Trout are some examples of fish with the lowest amount of mercury.  If you eat fish more than twice a week, I recommend eating fish with the lowest amount of mercury.
o   As it is for everyone, fat should contribute only 20% -35% of your total calories.

Fiber
o   Fiber is good for maintaining a healthy weight
§  It delays the emptying of your stomach so you feel full longer
o   Pregnant women need about 28g/d
o   It is good for digestion and your digestive tract
§  It reduces constipation, which does happen during pregnancy
o   Excellent sources of fiber are:
§  Apples, bananas, berries, cherries, cranberries, grapefruit, mango, oranges, pears
§  Asparagus, broccoli, brussel sprouts, carrots, green peppers, red cabbage, spinach
§  Almonds, peanuts, pecans, sesame seeds, sunflower seeds, walnuts
§  Most legumes
§  Brown rice, oat bran, oatmeal, wheat bran cereal, whole-wheat breads
               

Sources of food for each nutrient


Vitamin A
                *IU—International Units
Beef liver, cooked
85g (3oz)
26,957 IU
Sweet Potato
110g (1 small)
21,140 IU
Carrots, cooked
85g ( ½ cup)
14,622 IU
Chicken liver, cooked
85g (3oz)
11,329 IU
Spinach, cooked
85g ( ½ cup)
8,909 IU
Spinach, raw
85g (about 3 cups)
7,970 IU
Collards, cooked
85g ( ½ cup)
6,897 IU
Romaine lettuce, raw
85g ( 1 ½ cups)
4,936 IU
Cantaloupe, fresh
140g ( ¼ medium melon)
4,735 IU

Vitamin D
                The best way to obtain vitamin D is to spend 30 minutes to an hour in the sunlight. Your skin will synthesize vitamin D when exposed to enough UV light. Those with darker skin will have to spend more time in the sun. 1 ½ hours to 2 hours.
Cod liver oil
1 tablespoon
1,360 IU
Salmon, canned, solids and bones
55g (2oz)
420 IU
Milk, 1% milkfat
240 ml (1 cup)
129 IU

Vitamin E
Wheat germ oil
1 tablespoon
30.51 IU
Sunflower seeds
30g (about 1oz)
11.7 IU
Almonds
30g (about 1oz)
11.61 IU

Vitamin K
Kale, cooked
85g ( ½ cup)
694 µg
Spinach, raw
85g (3 cups)
410 µg
Turnips greens, raw
85g (3 cups)
213 µg
Broccoli, cooked
85g ( ½ cup)
120 µg
Romaine lettuce, raw
85g (1 ½ cups)
87 µg
Cabbage, raw
85g (1 ¼ cups)
51 µg
Asparagus, cooked
85g ( ½ cup)
43 µg

Thiamin
Total, cereal
30 g ( ¾ cup)
2.1 mg
Pork, loin roast, cooked
85g (3oz)
0.80 mg
Cheerios, cereal
30g (1 cup)
0.54 mg

Riboflavin
Beef liver, cooked
85g (3oz)
2.9 mg
Wheat bran flakes, cereal
30g ( ¾ cup)
1.77 mg
Chicken liver, cooked
85g (3oz)
1.69 mg
Milk
240ml (1 cup)
0.46 mg

Niacin
Beef liver, cooked
85g (3oz)
14.9 mg
Chicken, light meat, cooked
85g (3oz)
11.4 mg
Chicken liver, cooked
85g (3oz)
9.4 mg
Salmon, cooked
85g (3oz)
8.6 mg
Tuna, canned
85g (2oz)
7.3 mg

Pantothenic Acid
Beef liver, cooked
85g (3oz)
6.0 mg
Chicken liver, cooked
85g (3oz)
5.7 mg
Sunflower seeds
30g (1oz)
2.1 mg

Biotin
o   Cauliflower
o   Beef and Chicken Liver, cooked
o   Peanuts
o   Cheese
o   Egg yolks, cooked
Vitamin B6
Wheat bran flakes, cereal
30g ( ¾ cup)
2.1 mg
All bran, cereal
30g ( ½ cup)
2.0 mg
Corn flakes, cereal
30g (1cup)
1.0 mg
Beef liver, cooked
85g (3oz)
0.9 mg
Cheerios, cereal
30g (1 cup)
0.7 mg

Vitamin B12
Beef liver, cooked
85g (3oz)
84.1 µg
Chicken liver, cooked
85g (3oz)
14.3 µg
Herring, cooked
85g (3oz)
11.2 µg
Wheat bran flakes, cereal
30g ( ¾ cup)
6.2 µg
All bran, cereal
30g ( ½ cup)
6.0 µg
Beef, ground, extra lean, cooked
85g (3oz)
2.1 µg
Beef, T-bone steak, cooked
85g(3oz)
1.9 µg

Vitamin C
Orange juice, chilled
240ml (1cup)
83.1 mg
Strawberries, fresh
140g (1 cup)
82.3 mg
Orange, fresh
140g (1 medium)
74.5 mg
Wheat bran flakes, cereal
30g ( ¾ cup)
62.1 mg
Broccoli, cooked
85g ( ½ cup)
55.2 mg
Cantaloupe, fresh
140g ( ¼ medium melon)
51.4 mg
Mango, fresh
140g ( ¾ cup)
38.8 mg
Cauliflower, cooked
85g ( ¾ cup)
37.7 mg
Spinach, raw
85g (3 cups)
23.9 mg
Pineapple, fresh
140g (1 cup)
23.7 mg

Choline
o   Beef and Chicken liver, cooked
o   Eggs, cooked
o   Beef, cooked
o   Cauliflower, cooked
o   Peanuts
Potassium
Potato, baked
110g (1 small)
588 mg
Yogurt, plain, nonfat
225g ( 1 8oz container)
579 mg
Tomato juice
240ml (1 cup)
565 mg
Lima beans
90g ( ½ cup)
513 mg
Banana
140g (1 9 inch banana)
501 mg

Calcium
Yogurt, plain, lowfat
225g (1 8oz  container)
412 mg
Milk, 2%
240ml (1 cup)
290 mg

Phosphorus
Provolone cheese
85g (3oz)
422 mg
Beef liver, cooked
85g (3oz)
422 mg
Yogurt
225g (1 8oz container)
356 mg
Sunflower seeds
30g (1oz)
346 mg
Herring, cooked
85g (3oz)
258 mg
Milk, 2%
240ml (1 cup)
233 mg
Chicken, white meat, cooked
85g (3oz)
194 mg

Magnesium
Sesame Seeds
30g (1oz)
107 mg
Halibut, cooked
85g (3oz)
91 mg
Cashews
30g ( ¼ cup)
88 mg
Almonds
30g  (1oz)
82 mg
Spinach, raw
85g (3 cups)
67 mg
Black Beans, cooked
90g ( ½ cup)
63 mg
All Bran, cereal
30g ( ½ cup)
62 mg

Iron
Cheerios, cereal
30g (1 cup)
10.3 mg
Beef Liver, cooked
85g (3oz)
5.6 mg
Soybeans, cooked
90g ( ½ cup)
4.6 mg
Lentils, cooked
90g ( ½ cup)
3.0 mg
Beef Steak, cooked
85g (3oz)
2.8 mg
Spinach, raw
90g (3 cups)
2.3 mg

Zinc
Wheat Bran Flakes, cereal
30g ( ¾ cup)
15.8 mg
Alaska King Crab, cooked
85g (3oz)
6.5 mg
Ground beef, cooked
85g (3oz)
5.5 mg
Cheerios, cereal
30g (1 cup)
4.6 mg
Beef Liver, cooked
85g (3oz)
4.5 mg
Beef Steak, cooked
85g (3oz)
4.3 mg
Turkey, dark meat, cooked
85g (3oz)
3.8 mg

Selenium
Tuna, canned
55g (2oz)
44.2 µg
Pork loin, cooked
85g (3oz)
40.9 µg
Spaghetti noodles, cooked
140g (1 cup)
37.0 µg
Lobster, cooked
85g (3oz)
36.3 µg
Shrimp, cooked
85g (3oz)
33.7 µg
Beef Liver, cooked
85g (3oz)
30.7 µg

Iodine
Iodized Salt
Table salt
NOT Sea salt
Cod, cooked
85g (3oz)
99 µg
Corn grits (enriched), cooked
1 cup
68 µg
Milk, 2%
240ml (1 cup)
56 µg
Flour tortilla
55g
41 µg

Cooper
Beef Liver, cooked
85g (3oz)
12.1 mg
Lobster, cooked
85g (3oz)
1.6 mg
Alaska King Crab, cooked
85g (3oz)
1.0 mg
Cashews
30g (1oz)
0.6 mg
Sunflower Seeds
30g (1oz)
0.5 mg

Manganese
Pineapple, fresh
140g (1 cup)
2.2 mg
Wheat germ
15g ( ¼ cup)
2.0 mg
Hazelnuts
30g (1oz)
1.9 mg
Wheat Bran Flakes, cereal
30g ( ¾ cup)
1.6 mg
Oatmeal, cooked
1 cup
1.3 mg


I hope all this information, I know it’s a lot, helps you have the self-confidence to breast feed your infant. I hope you breast feed your infant for the full year.  Breast feeding is very beneficial to your infant. So if someone tells you otherwise, you call them out on it. I know breast feeding in public has been a bit of a hot button issue. Quite frankly, I find it ridiculous that a woman cannot breast feed her child in public. Cover yourself and child with a blanket and no one has to see anything.  It’s nobody’s business.  Fortunately, 36 states currently protect a woman’s right to breast-feed in public. Sadly, 20 states only exempt nursing mothers from indecent exposure laws. Breast-feed your child and if people give you dirty looks, brush it off. It’s natural to breast feed your child. It’s what your breasts are really for. The advertising business would have you believe that a woman’s breasts are sexual and only sexual. No. No, no, no, no, NO! Breasts function as a way to feed an infant. That is what they are for! That has been their primary function since the beginning of our species.

Now, I do realize that for some women it is hard to breast feed. Whether it be psychological reasons or biological, I understand. I know someone who desperately wanted to breast-feed her children, but for biological reasons she could not. And that’s a major bummer. But you know what, her children are alive and healthy and happy.  If you’re having a hard time breast-feeding your child for psychological reasons, I recommend pumping your breast milk. This way your child can still get the benefits of breast milk and you feel comfortable feeding your child.

Although I highly recommend breast-feeding, in no way am I saying you are a bad mother if you don’t breast feed your child. That’s not what this is about. This is about educating women about the benefits of breast feeding.

Afterword:
I have graduated and now have a Bachelor of Science in Family and Consumer Sciences with a degree in Nutrition Sciences. What I have left to do is to get an internship. Then I can qualify to take the registered dietitian exam.  After that I’ll work on a masters.
Works Cited
Edelstein, S. (2009). Life cycle nutrition an evidence-based approach. Sudbury, Mass.: Jones and Bartlett Publishers.
Insel, P. M., Turner, R. E., & Ross, D. (2007). Nutrition (3rd ed.). Sudbury, Mass.: Jones and Bartlett Publishers.