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Eating Disorders & Breastfeeding *trigger*

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naivete
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Eating Disorders & Breastfeeding *trigger*

Since it's national-zillion-threads-bout-breastfeeding day here at GM (which is great, tons of information popping up now that formula feeding questions have been eliminated from feed your baby) I thought I'd ask something I was always wondering about (as someone with an ED who suffered severe bulimia the entire time she was nursing). Also concerns women who don't eat much at all, in 3rd world countries, and maybe you can help me debunk some myths and get some conversation going on this.

A mothers diet affects her milk, when she eats certain things. What happens when she herself is not getting enough nutrition? Say a woman in a third world country who eat rice every 3 days. Is she still able to make enough milk to feed her baby? If so.. is it even quality milk at all? How does she make nourishing milk for a child if she herself has no nourishment for the development of the breastmilk?

I see all the time that women in 3rd world countries use formula because they're scared of not being able to make adequate milk themselves.. but with no food, are they really making adequate milk? Not being judgemental, it's something I'm seriously curious about, and something I've thought about every time the evil corporation thread comes up and people talk about the advocating of formula in third world countries.

I guess that third world thing too would cover my question if a woman who suffers from anorexia and never eats, if she'd be able to make adequate milk as well.

But same with bulimia, I was bulimic the entire time I nursed. I'd eat twice as much to make sure a good amount of it still stayed in my stomach to 'develop healthy breastmilk', but maybe my bulimia was the reason I had so much problems with my breastmilk production and supply. I never got an answer to why my supply dried up and why nursing didn't work for me, but it always was in the back of my mind, whether or not my eating disorder had something to do with it.

The first one about 3rd world is basically just curiousity, but seeing as I'm going to be trying to conceive.. well .. like in a few days here, the answer about bulimia affecting BM would help me greatly, because I'm pretty damn sure I'll battle with my ED after this next pregnancy as well.

What do you guys think about it all?

mommy2chloerae
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Eating Disorders & Breastfeeding *trigger*

I've read that they quality of my milk and that of a mama in the 3rd world country is the same. My heath compared to hers is what could be different. In order to make milk, your body will take nutrients from you to make the milk first, so really if you don't eat well you're affecting your health- not your milk. Supply may be another issue though.

naivete
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Eating Disorders & Breastfeeding *trigger*

But what if your body doesn't have enough nutrients to take?

I've heard that too, that the milk takes the nutrients from your own body no matter what, but what if they have barely any nutrients to begin with, what if there's not enough for milk?

And who says these things? Have there been any studies any one knows of that proves this, or is it just something people know from heresay?

mommy2chloerae
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Eating Disorders & Breastfeeding *trigger*

http://kellymom.com/nutrition/mom/mom-diet.html

Quote:
How does mom's diet affect her milk?
Does mom need to maintain a perfect diet while breastfeeding?
What IS needed for maintaining an ample supply of milk?
How does mom's nutrient intake affect breastfeeding?
Are there any foods that nursing mothers should avoid?
Additional information

Does mom need to maintain a perfect diet while breastfeeding?
The short answer to this question is NO -- a breastfeeding mother does not need to maintain a perfect diet in order to provide quality milk for her baby. In fact, research tells us that the quality of mom's diet has little influence on her milk. Nature is very forgiving - mom's milk is designed to provide for and protect baby even in times of hardship and famine. A poor diet is more likely to affect mom than her breastfed baby.

It's common to hear women say that they want to wean (or not breastfeed at all) because they miss drinking coffee, or want to have an occasional beer, or don't like worrying constantly about everything they eat. Guess what? A mother can do these things and eat what she wants and still provide her baby with the absolute best nutrition and immunological protection - mom's own milk.

According to Katherine A. Dettwyler, Ph.D. (breastfeeding researcher and anthropologist), women throughout the world make ample amounts of quality milk while eating diets composed almost entirely of rice (or millet or sorghum) with a tiny amount of vegetables and occasional meat.

Are healthy eating habits recommended for mom? Absolutely! Mom will be healthier and feel better if she eats well. It is best for anyone to eat a variety of foods, in close to their naturally-occurring state, but this is not necessary for providing quality milk or for maintaining milk supply. Although it is not at all recommended, a breastfeeding mom can live on a diet of junk food - her milk will still meet baby's needs.

What IS needed for maintaining an ample supply of milk?
The main thing needed to maintain an ample milk supply is simple --
The more often and effectively your baby nurses, the more milk you will have.

Occasionally, mom's caloric intake or hydration can affect milk production:

Calories: In general, a nursing mom should simply listen to her body and eat to appetite - this will normally result in mom getting the calories she needs. Counting calories is typically not needed unless mom is having problems maintaining a healthy weight. Excessive dieting can reduce milk supply, but sensible dieting is generally not a problem.
Liquids: It is not necessary to force fluids; drinking to satisfy thirst is sufficient for most mothers. Unless mom is severely dehydrated, drinking extra fluids is not beneficial, may cause discomfort, and does not increase milk supply. It is not necessary to drink only water - our bodies can utilize the water from any fluid.
The main message here -- Eat when hungry & drink when thirsty.
See Do nursing mothers need extra calories or fluids? and How does milk production work? for more information.

How does mom's nutrient intake affect breastfeeding?
Vitamin/mineral supplements (prenatal or otherwise) are not considered necessary for moms who eat a reasonably well balanced diet. See Vitamins (& other supplements) for Nursing Moms for more information.
Mom's fat intake does not affect the amount of fat in her milk, but can affect the kinds of fats (balance of "good" vs. "bad" fats) in her milk to some extent. See What affects the amount of fat or calories in mom's milk? for more information.

Are there any foods that nursing mothers should avoid?
There are NO foods that a mother should avoid simply because she is breastfeeding. It is generally recommended that a nursing mother eat whatever she likes, whenever she likes, in the amounts that she likes and continue to do this unless baby has an obvious reaction to a particular food.
It's suggested that everyone, particularly pregnant and nursing mothers, avoid eating certain types of fish that are typically high in mercury.
It is a good idea to restrict caffeine and alcohol to a certain extent, but it is rarely necessary to eliminate them.
Some food proteins (such as cow's milk protein or peanut protein) do pass into mom's milk. If there is a history of food allergies in your family, mom may wish to avoid or eliminate the allergens common in her family.
Any baby might react to a particular food (although this is not very common). If baby has an obvious reaction every time mom eats a certain food, it can be helpful to eliminate that food from mom's diet. For more information, see Dairy and other Food Sensitivities in Breastfed Babies.

chocobotkid
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Eating Disorders & Breastfeeding *trigger*

From "the Breastfeeding Answer Book"
pg.380
"When a breastfeeding mother does not get the nourishment she needs, she runs the risk of using up her own nutritional stores to provide for her baby's noursihment, although her milk will still be best for her baby. Depleting her own reserves may lower her energy level and her resistance to illness. If she becomes chronically malnourished, the levels of vitamins A, D, B6 and B12 in her milk may be reduced and her milk supply may eventually decrease.
A history of anorexia, bulimia, or other eating disorders does not necesarily preclude successful breastfeeding."

here is a link to a pdf file FAQ about maternal nutrition and breastfeeding:
[url]www.aed.org/ToolsandPublications/ upload/FAQMatNutEng.pdf[/url]

according to UNICEF:
"If a mother is moderately malnourished, she will continue to make milk of good quality, better than infant formula. If she is severely malnourished, the quantity of breastmilk produced for each feeding may be diminished. In both cases, for the health of the mother and the child, it is safer and better to feed the mother adequately while helping her to continue breastfeeding."
http://www.unicef.org/programme/breastfeeding/related.htm

[/url]

lilyfair
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Eating Disorders & Breastfeeding *trigger*

Thank you very much for the info. it is very useful to me.