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Breastfeeding in the United States The United States has seen many conflicting views on breastfeeding. Throughout the history of the United States, the rates of breastfeeding have changed significantly. For example, in the early 1900’s, nearly all the infants born in the US were breastfed.^1 The use of wet-nurses was a common practice. Wet nurses are women who were hired to feed another family’s child.^2 In the 1950’s and 60’s breastfeeding began to decline. This decline can partly be attributed to the increasing negative societal views on wet nurses^3 However, another contributing factor to this decline was the introduction of human milk substitutes, which made it possible for a mother to feed her child without breastfeeding.^4 Currently, breastfeeding has improved slightly, but is not meeting recommendations.^5 The Academy of Nutrition and Dietetics supports the World Health Organization’s recommendation that an infant be exclusively breastfed until the age of 6 months.^6 After 6 months, breastfeeding can be continued with the introduction of solid foods up to 2 years of age.^7 While this may be the recommendation, the CDC reports that while most infants receive some breast milk, most are not being exclusively breastfed or breastfed for as long as recommended.^8 The US government has taken steps to improve these statistics through programs like Healthy People 2020.^9 Healthy People 2020 objectives include increasing the percentage of breastfed infants to 81.9% as well as the percentage of those fed exclusively up to 6 months of age to 25.5%.^10
Resource B: Book Brown J. Nutrition Through the Lifecycle. Wadsworth, Cengage Learning; 2011. Resource A: Article in an Online Journal Stevens E, Patrick T, Pickler R. A history of infant feeding. 2009;18(2):32-39. Resource D: Article in an Online Journal Lessen R, Kavanagh K. Position of the Academy of Nutrition and Dietetics: Promoting and Supporting Breastfeeding. Journal of the Academy of Nutrition and Dietetics. 2015;115(3):10.1016/j.jand.2014.12.014. Resource C: Website Breastfeeding. Center for Disease Control and Prevention. Accessed September 7, 2018. https://www.cdc.gov/breastfeeding/data/facts.html