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Are breastfed babies more likely to be anemic?

Understanding Anemia in Breastfed Babies
The relationship between breastfeeding and anemia in infants is a nuanced topic that has garnered attention from healthcare professionals and researchers alike. While breastfeeding is widely recognized for its numerous health benefits, concerns about iron deficiency and anemia in exclusively breastfed infants persist.
The Nutritional Profile of Breast Milk
Breast milk is tailored to meet the nutritional needs of infants, particularly in the first six months of life. It contains a form of iron that is more easily absorbed by the infant’s body compared to iron from other sources, such as cow’s milk or iron-fortified formulas. This means that breastfed babies generally require less iron during this early stage of development.
Research indicates that exclusively breastfed infants, even those born to mothers with varying iron statuses, do not typically develop iron deficiency or iron deficiency anemia by six months of age. This is largely due to the bioavailability of iron in breast milk, which is complemented by the infant’s own iron stores accumulated during pregnancy.
Duration of Breastfeeding and Anemia Risk
The consensus among health experts is that exclusive breastfeeding for the first six months is beneficial and does not inherently increase the risk of anemia. A study highlighted that while exclusive breastfeeding is encouraged for its substantial health benefits, it is crucial for mothers to maintain adequate nutritional intake, including iron, during pregnancy and lactation. This ensures that both the mother and the infant have sufficient iron levels.
However, the risk of anemia can increase if breastfeeding is not complemented with appropriate iron-rich foods after six months. Infants who transition to cow’s milk too early, instead of continuing with breast milk or iron-fortified formulas, are at a higher risk of developing anemia.
Conclusion
In summary, while breastfed babies are not inherently more likely to be anemic, the context of their overall diet and the mother’s nutritional status plays a critical role. Exclusive breastfeeding is beneficial and does not increase anemia risk in the early months, provided that mothers are mindful of their own iron intake. As infants grow, introducing iron-rich foods becomes essential to prevent anemia as they transition beyond the exclusive breastfeeding phase.

What is the 3 month breastfeeding crisis?

The third crisis occurs after three months, at this stage the baby has much greater suction strength and will take faster feedings as he is able to empty the breasts with greater speed, that is to say, take more in less time, this period coincides with the development of their hearing and vision, that makes everything …

Can breastfeeding contribute to anemia?

Infants who were still breastfed more than 6 months of age had lower hemoglobin concentration and a higher prevalence of anemia compared to children who had previously received formula milk [49].

Do breastfed babies really need an iron supplement?

This has lead the American Academy of Pediatrics to recommend universal iron supplementation for breastfed infants beginning at 4 months of age and continuing until appropriate iron-containing foods (including red meat and iron fortified cereals) are introduced into the diet.

Are vitamin D drops necessary for breastfed babies?

Breastfed or partly breastfed babies need 400 international units (IU) of liquid vitamin D a day. This should start soon after birth. Babies need this amount of vitamin D supplement until weaned or until they drink 32 ounces (about 1 liter) a day of formula with added vitamin D.

What are the symptoms of anemia in breastfeeding mothers?

Insufficient iron intake, problems with absorption of iron in the gut, or iron loss (bleeding) can cause iron deficiency anaemia. Symptoms of anaemia include tiredness, shortness of breath, dizziness, and difficulty getting breastfeeding started.

Can breastfeeding make you anemic?

One study from an unspecified location reported a high prevalence rate of 60.3% in lactating women, with 20.3% of them experiencing severe anemia [6]. Other studies in Ethiopia revealed that the overall prevalence of anemia among breastfeeding mothers was 22.1% [7], while, in Indonesia, the prevalence is 52% [8].

Can breastfeeding cause deficiencies in the mother?

Your risk of vitamin D deficiency increases while breastfeeding. This can affect your sleep, energy levels, and mood. Unlike other nutrients, national guidelines recommend a daily 10 mcg vitamin D supplement while breastfeeding. Vitamin B12 is important to keep your brain and nervous system healthy.

Can babies outgrow anemia?

How long will the anemia last? All babies outgrow the anemia during their first 2 months of life. Most babies who receive blood transfusions do not have any problems.

Can breastfeeding deplete vitamin D levels?

Risk factors for vitamin D deficiency
Breastfeeding woman had a 4.0-fold greater odds ratio of vitamin D deficiency than NPNB women (p = 0.001). In breastfeeding women, the odds increased significantly in the winter and spring months (OR = 2.6; p = 0.029) compared to the summer and autumn months.

How common is anemia in breastfed infants?

The prevalence of iron deficiency anemia among 9-month-old exclusively breastfed (EBF) infants who received iron supplementation since 4 months was 6.4%. Most of the participants had inadequate iron intake at 9 months of age. The employed caregiver and the male sex of the infant increased the risk of iron deficiency.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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