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Health Department Promoting and Protecting Health. Preventing Disease. Providing EMS. Healthy Eating While Breastfeeding Health Canada recommends exclusively breastfeeding your baby for six months. Any amount of breastmilk is beneficial. You may wonder if you have to follow a special diet or avoid certain foods while breastfeeding. The good news is no. There is no special diet to follow while you are breastfeeding. Choosing foods from Eating Well with Canada’s Food Guide and eating the recommended number of Food Guide servings for each food group daily will allow you to meet your nutrition needs. Follow your appetite to determine how much food to eat. Eat when you are hungry, stop when you feel full. Eating patterns that require special attention The following eating patterns require special attention. This includes women who: • Are vegetarian • Have food allergies or intolerances • Are younger than 18 years of age • Have trouble affording enough food • Are breastfeeding more than one baby • Are pregnant while breastfeeding • Have an eating disorder Talk to a dietitian or other health care professional as you may have additional nutrient needs. Attention: Breastfeeding moms should not start Essential fats Your need for essential fats, especially omega-3 fats, is higher. They help in your baby’s growth and development. Eating foods high in omega-3s will help your baby to get the recommended levels of these fats. See the following list for some of the food and beverage sources of omega-3 fats. Sources of Omega-3 fats Fatty fish, such as salmon, trout, herring and sardines Flaxseed and canola oil Food products and beverages with added Omega-3 such as milk, fortified soy beverages, yogurt, margarine and bread Omega-3 eggs Soybeans Walnuts and flaxseed What about vitamin supplements? Health Canada recommends that all women in their childbearing years take a multivitamin containing 0.4 mg of folic acid every day. It is important to start taking folic acid at least three months before you get pregnant to reduce the risk of your baby being born with a neural tube defect. It is wise to continue taking a multivitamin with 0.4 mg of folic acid daily throughout pregnancy and while breastfeeding, since it is possible to get pregnant while breastfeeding. It is also recommended that a vitamin D supplement be provided to babies who are breastfed. weight loss diets. A diet containing less than 1,800 calories can decrease your milk supply. Halton Region • 1151 Bronte Rd., Oakville, Ontario L6M 3L1 • Dial 311 or 905-825-6000 • Toll free: 1-866-442-5866 • TTY: 905-827-9833 • www.halton.ca Feeling thirsty? Sugar Substitutes Drink at least six to eight cups of fluid each day, or more if you are thirstier. Water, milk, juice, fortified soy beverage and soups are all good choices. Vegetables and fruit also have a high water content so be sure to include seven to eight Food Guide Servings of these each day. Moderate use of the following sugar substitutes is safe: Tip: While breastfeeding, it is important to stay hydrated. Drink to thirst. It may be helpful to sit down with a glass of water each time you breastfeed. Fish and shellfish have many health benefits but some fish have high levels of mercury, which can harm a baby’s developing nervous system. Women who are breastfeeding should avoid high mercury containing fish as outlined in the table below. *Limit white canned tuna to no more than once per month Safer Choices Canned sardines and anchovies Crab Halibut Light canned tuna Perch Pollock Salmon Shrimp Sole Squid Tilapia Trout • Sucralose (Splenda™) Health Canada recommends avoiding the following sugar substitutes: • Saccharin (Hermesetas™) Although some foods, such as soft cheese (feta, brie), refrigerated pâté, smoked/raw foods (including sushi) and uncooked luncheon meats/ hot dogs are not recommended during pregnancy, these foods do not need to be avoided when breastfeeding. If you become pregnant again while breastfeeding, you should avoid these foods because of the risk of a food-borne illness called Listeriosis. Fresh and frozen tuna King mackerel Marlin Muskellunge Shark Swordfish Tilefish Walleye • Aspartame (NutraSweet™ and Equal™) • Cyclamates (Sugar Twin™) Food safety Avoid • Acesuflame potassium (Sunett™) Products made with sugar substitutes usually offer little nutrition. Instead, choose more nutrient-dense foods and beverages, such as low-fat milk and 100 per cent fruit juices. Common Questions If my appetite is low, will my breastmilk still be nutritious for my baby? Your breastmilk will still be nutritious for your baby. If your energy level is low, try eating smaller snacks throughout the day instead of larger meals. Will eating gassy foods such as beans, broccoli or cabbage cause my baby to have extra gas? Even when you eat foods that cause gas, this will not cause your baby to become gassy. Gas and fibre do not pass into breastmilk. Can my baby taste the foods that I have eaten? Spices and strong flavours, such as garlic, can change the smell and taste of breastmilk. However, it is unlikely that this will cause problems in your baby. In fact, it may be good for your baby to experience these flavours as it prepares babies for solid foods. This may be one reason breastfed babies have fewer feeding problems as they get older Adapted from materials produces by York Region Health Services. For more information, contact: Halton Region Dial 311 or 905-825-6000 Toll free 1-866-4HALTON (1-866-442-5866) TTY 905-827-9833 www.halton.ca February, 2009