Well, we had the First National Breastfeeding Symposium, sponsored by the Ministry of Health and the Breastfeeding Association, at the Hyatt Regency last week and everyone says it was a success. One newspaper even had an editorial on it. The Minister of Health made an excellent speech, mildly criticising the formula companies for their misleading advertisements and correctly identifying the problem of mothers having to go back to work as the major reason for stopping breastfeeding. He pointed out that most moms start exclusive breastfeeding at birth but that by six months only six per cent are still exclusively breastfeeding.
To obtain complete value from breastfeeding, it must be exclusive. Nothing else, no water (not even in the tropics), no vitamins, nothing goes into the baby’s mouth but breastmilk. As amazing as it sounds, many of the earlier studies which purport to show that breastfeeding is only a little bit better than bottle feeding made the mistake of not making this distinction. A baby who is breastfed for a couple of weeks was cast into the same category as a baby who was exclusively breastfed for six months. A little is not the same as all, even if a little breastmilk is better than none. Amazing that researchers would make this mistake, but then who ever said that scientists or doctors have a monopoly on common sense.
The true advantages of breastfeeding come when you exclusively breastfeed for six months and then supplement with real food from the family table. That is when you can talk about a decrease in infections and certain cancers (for both mother and child) and less obesity (for both mother and child), and its sequelae the non-communicable diseases (diabetes, high blood pressure, heart attacks and strokes) (for both mother and grown up child). Bottom line, better health and enormous financial savings for a country, both in the short and long term.
The annual bill for our CDAP medications for non-communicable diseases is about US$100 million. Exclusive breastfeeding for the first six months of life has been shown to decrease the risk of obesity in adults by about 20 to 25 per cent. So breastfeeding alone can save us around US$20 to 25 million annually. There are other factors to add to that figure. Environmental savings. Foreign currency retained by not importing formula and whole cow’s milk. Costs saved by decreased doctor visits. Increased productivity by nursing mothers, et cetera.
How then can any government say to mothers, you must exclusively breastfeed for six months whilst forcing them to return to work at three and a half months? That does not make much sense, does it? The Minister did allude to this when he made a recommendation to the trade unions to include obligatory breastfeeding breaks during their negotiations with employer associations or the state. One response from a trade union leader was that they had been asking for precisely that for years and that if a government wanted to support nursing mothers they had the majority in Parliament to pass legislation.
My response to both comments is that it is far easier to make fully paid maternity leave last longer, at least six months, than to leave it to companies.
That may sound like a radical proposal but it is not. The Economist of May 14, 2015, not the most radical of magazines, reports that, “Paid maternity leave is standard in all but two of 185 countries: America and Papua New Guinea. Both of them have no maternity leave.” The American government does often find itself in bed with some strange folks.
The Economist goes on to say, “By contrast, in Britain new mothers can take a year off, and during much of it part of their salary is replaced by the government. Sweden grants more than a year’s paid maternity leave—even to women who were not previously employed.”
Most other European countries give one year’s maternity leave. Many countries allow both parents to share as long as two (France) or even three years (Spain) of unpaid leave. Germany allows new parents to take up to 14 months of parental leave on 65 per cent of their salary.
That has not hurt their productivity. In fact there is evidence that maternity fosters productivity. And if you are so cynical that you are afraid that Trini moms will take advantage of the leave by having child after child after child, then you have a cut-off point, after two children or three children in so much time or whatever. Or pay can be negotiated. Four months fully paid, three months half pay or variations on the above.
At the same time you proceed with the idea of establishing comfortable lactation rooms, so that mothers who return to work can pump their breastmilk, beginning with Ministry of Health hospitals, health centres and offices and spreading to other government offices. It costs just above TT$1000 to set up such a room. And you pass legislation to private companies who start up lactation rooms to make tax deductible claims.
If all this seems beyond you, the latest idea will shock you. According to the same Economist in the article, titled “More Hands to Rock the Cradle,” “Many countries are proud of their maternity leave, and rightly so: the social and economic benefits of making it possible for working mothers to spend time with their newborn children are clear. But many of those countries have failed to follow the argument through to its conclusion. The gains from maternity leave would be multiplied if countries extended it to apply to fathers, too.” Fathers!
It goes on to say, “Fathers and offspring benefit. When a woman hands her baby to the father and heads out of the door to work, he learns how to be a better parent. The hands-on habits he picks up persist: fathers who take even short paternity leave play a bigger role in child-rearing years later. An international study found that they were more likely to brush their toddlers’ teeth, feed them and read to them. Babies whose fathers take paternity leave go on to do better in cognitive tests at school. Fathers are generally keen on their progeny, so some time to bond with them is a boon. Some men who thought that child care would not be much fun discover that they rather like it.”
Remarkable words from a respected, conservative, business oriented magazine. What is the ministry waiting for? We all complain that fathers are not taking care of their offspring. Here is a proven mechanism to overcome that. And cost effective too. What is the position of the various political parties re maternity and paternity leave?