Breastfeeding is Best. But What After Breastfeeding?

Yvan Vandenplas, Hegar Badriul, Ray Wagiu Basrowi


Long-term exclusive breastfeeding is definitively the best feeding for every infant. Exclusive breast feeding should be for six months. From the age of six months onwards, solid food should be introduced while breast feeding is continued.1

There are only very few contra-indications for breast feeding or mother’s milk. A maternal severe disease is an example of a contra-indication for breast feeding. If a mother has to take medication or undergo a treatment that may have a deleterious effect on the health of the baby, such as chemotherapy or radiotherapy, breast feeding cannot be recommended.2

In such a situation, mother’s milk from a different mother or a “milk bank” may offer a solution. If this are not possible, infant formula is indicated. Some seldom metabolic diseases such as galactosemia are also contra-indications for mother’s milk, because in such a situation lactose is causing severe damage to the baby. Cow’s milk based lactose containing infant formula is then as well contra-indicated, since the baby cannot metabolize lactose. However, it speaks for itself that these situation are exceptional.3,4


Breastfeeding; probiotics; prebiotic

Full Text:




World Health Organization. Exclusive breastfeeding. E-Library of Evidence for Nutrition Actions (eLENA). Downloaded from: [diakses pada 9 Jan 2016]

Health Canada; Canadian Paediatric Society; Dietitians of Canada; Breastfeeding Committee for Canada (2012) Nutrition for healthy term infants: recommendations from birth to six months. Can J Diet Pract Res 73:204

Martin CR, Ling PR, Blackburn GL (2016) Review of infant feeding: key features of breast milk and infant formula. Nutrients 8:279

Kerner JJ. Formula allergy and intolerance. Gastroenterology Clinics of North America 1995;24(1):1-25. [Google Scholar]

Badan Penelitian. Riset kesehatan dasar. Jakarta: Kementerian Kesehatan RI (2018)

Sandjaja S, Budiman B, Harahap H, Ernawati F, Soekatri M, Widodo Y, et al. Food consumption and nutritional and biochemical status of 0· 5–12-year-old Indonesian children: the SEANUTS study. British Journal of Nutrition 2013;110(S3). [Google Scholar]

Nutrition, C.o. (ESPGHAN) . Breast-feeding: A Commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 2009;49(1):112-25. [Google Scholar]




  • There are currently no refbacks.

Copyright (c) 2019 Yvan Vandenplas, Hegar Badriul, Ray Wagiu Basrowi

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

View My Stats