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Breastfeeding

Breast is Best

The first food for a vegan baby should ideally be breast milk. Breast-fed infants of well nourished vegan women grow and develop normally. Infant receives many benefits from breast-feeding, including immune system enhancement, protection against infection, and reduced risk of allergies. Moreover, as human breast milk is the natural food for baby humans, it also probably contains substances needed by growing infants which may not even be known to be essential and which are not included in infant formulas.

Nursing mothers derive benefits such as reduced risk of premenopausal breast cancer, release of stress relieving hormones, and sheer convenience. For all these reasons, we strongly encourage breast-feeding. For support and information on breast-feeding contact organisations such as the Association of Breastfeeding Mothers, the National Breastfeeding Helpline, La Leche League, The National Childbirth Trust, and the Breastfeeding Network.

Infant Formulas

Unfortunately there is currently no infant formula available which is suitable for vegans. There are soya formulas on the market, such as SMA’s Wysoy and Cow and Gate’s Infasoy, but these are not 100% vegan as they are fortified with vitamin D3, which is made from lanolin (a grease produced by sheep’s skin and extracted from their wool).

The vegan-suitable formula which was previously available, Heinz Nurture Soya (formerly Farley’s Soya), is no longer manufactured as Heinz no longer produce any infant formulas.

Formula Milk & Soya Milk

Some concern has been expressed regarding the relationship between the glucose content of soya formula and tooth decay in children. The energy content is based on glucose syrup rather than lactose (milk sugar) and it has been thought to have a greater potential to contribute to dental caries than cow's milk formulas. No studies have shown that soya infant formula is any more harmful to teeth than dairy infant formula. Feeds from a bottle, feeding at bedtime, prolonged sucking, may be the most important factors in predicting caries development (Moynham et al 1996). If normal weaning practices are adopted, infant formulas should not cause harm to teeth. When bottle feeding, do not allow prolonged or frequent contact of milk feeds with your baby's teeth since this increases the risk of tooth decay. As soon as the first tooth erupts (usually appears any time between 6 and 12 months although they may come through sooner or later than this) brush twice daily. Make sure your baby's teeth are cleaned after the last feed at night and try to wean your baby off the bottle by the age of one.

Glucose syrup has several properties that make its use in soya formulas appropriate. It is easily absorbed and utilised by infants even when the gut mucosa is damaged. The use of glucose syrup as the carbohydrate in a soya formula ensures a similar osmolality to breast milk. Glucose syrup is easily mixed with water, which is essential for home preparation, and the naturally bitter taste of soya protein is effectively masked by glucose syrup without causing undue sweetness.

Formula should be fed from a feeding bottle. However, between the ages of six and 12 months a beaker or cup should be increasingly used. The use of a bottle should not be prolonged and teeth should be cleaned after feeds. Regarding tooth decay, evidence indicates that the quantity of sugar eaten is less important than the time taken to consume them and the interval before further sugar is eaten. If sugary foods or drinks are consumed, it is better to ensure they are finished relatively quickly rather than eaten over several hours as the mouth pH can be restored within 30 minutes.

It is important that ordinary soya milk should not substituted for soya infant formula as it does not contain the proper ratio of protein, fat, carbohydrate, nor the vitamins and minerals required to be used as a sole food. Soya milk should also not be substituted to babies under 6 months of age because it has levels of protein which are too high and excessive protein intake is thought to be medically undesirable at this stage.

The best diet for breastfeeding

The diet for breastfeeding is similar to that recommended for pregnancy although calories, protein and vitamin B12 are higher. However an increased quantity of a normal and varied vegan diet, based on healthy eating as recommended for pregnancy, will provide adequate nutrition.

  • The recommended calorie intake is 500 calories above the usual intake
  • Breastfeeding women should ensure they consume adequate amounts of B12.  The Vegan Society recommends a daily intake of 4mcg from fortified foods such as fortified non-dairy milk, fortified cereals, textured vegetable protein (TVP) and yeast extract or 10mcg from a supplement.
  • Protein requirements are 11g above the usual intake from the birth of the baby until 6 months of age and from the age of 6 months it can be reduced to 6g above the usual intake. See below for examples of protein-containing foods.
  • Breastfeeding women should take a supplement of 260mg of folic acid per day
  • Current recommendations for calcium consumption are 1250mg per day for breastfeeding women.
  • No extra iron is indicated for breastfeeding women

Weight loss and milk loss

After birth, mother's weight is probably about 71b (3.5kg) over the weight before pregnancy. This is the body store needed for breastfeeding. It is important not to try and lose this weight by dieting as it may not be possible to get enough energy and nutrients to feed mother and baby. If too little food is eaten while breastfeeding then quantities of milk produced are liable to be lower. These extra pounds are usually shed gradually during breastfeeding because of a loss of calories in breast milk.

Small frequent meals are best. Extra fluid is required at this time so take the opportunity to have nutritious drinks like fruit and vegetable juices, soya milks, soups and smoothies to provide extra calories as well.

Protein requirements

Protein requirements rise to 56g+ of protein per day for breastfeeding mothers from the birth of the baby until 6 months of age. From the age of 6 months it can be reduced to 53g+ of protein per day.

Portions of some vegan foods providing 10g of protein

Type of food Weight of food providing 10g protein (g)

Peanuts

39

Almonds

47

Wholemeal bread

109

Brown rice, boiled

109

Chickpeas, dried & boiled            

119

Tofu, steamed

124

Peas, boiled

159

Spinach, boiled

454

The World Health Organization recommends should be exclusively breastfed for the first six months of life to achieve optimal growth, development and health. Thereafter, to meet their evolving nutritional requirements, infants should receive nutritionally adequate and safe complementary foods while breastfeeding continues for up to two years of age or beyond (taken from WHO website). Infants and young children need the nutrient density and the immunological and growth factors that live human milk provides, and that cannot be duplicated in artifical baby milks.

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