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Breastfeeding Benefits & Barriers: Economics

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Introductory Topics
Table of Contents
Pre module evaluation
The History of Breastfeeding
The Advantages of Breastfeeding for the Baby
The Advantages of Breastfeeding for the Mother
Breastfeeding Statistics in the United States
Barriers to Breastfeeding
Summary
Post module evaluation
References

In all countries of the world it is cheaper to breast feed a baby than to feed the baby formula. In the United States, one day's supply of a cow's milk based formula costs approximately $4.00. Women who are breastfeeding need about 500 extra kilocalories per day in their diet. This can be supplied by a peanut butter sandwich and 8 oz. of milk. In the developing world, actual formula costs are comparable to those in the United States, but when a family's income averages only the equivalent of $300 US per month, formula for one infant could require 45% of the family income.

In a study from Scotland and the United States, infants who were exclusively breastfed for the first three months of life are estimated to save $330 to $475 in health care costs during the first year of life ( Memorize Ball, 1999 ).

Bartick and Reinhold performed a cost analysis using data from the 2007 AHRQ report "Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries" ( Memorize AHRQ, 2007 ). Using direct and indirect costs of the diseases and the cost of death during childhood from these diseases, they calculated that if 90% of infants in the United States were exclusively breastfed for 6 months, there would be $13 billion and 911 lives saved each year. If the Healthy People 2010 goals of 17% exclusive breastfeeding at 6 months of age were reached, $2.2 billion and 142 lives would be saved each year ( Memorize Bartick, 2010 ).

Bartick and coworkers also estimated the cost of maternal health issues later in life that are associated with not breastfeeding. They compared simulations when 90% of mothers would breastfeed until their infant was 1 year of age to outcomes with the current rate of maternal breastfeeding of 23% at 1 year postpartum. If studies showing that associations between increased breastfeeding and decreased breast cancer, decreased hypertension and myocardial infarctions are causal, then increasing breastfeeding rates at 1 year to 90% would prevent 8.5% of maternal heart attacks, 5.5% of maternal hypertension and 4.3% of breast cancer cases. In a cohort of 1.9 million women, estimated cost savings from the increased breastfeeding rates were $17.4 billion for premature death, $733 million in direct medical costs and $126 million in indirect morbidity costs ( Memorize Bartick, 2013 ).



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