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From:
Brandie Cink <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 8 Feb 2006 11:31:51 -0500
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Hello, my name is Brandie I am currently attending the University of North 
Dakota and am a junior nursing student enrolled in a maternal child course. 
I have been doing research on the nurse’s role in influencing new moms who 
are unsure of breastfeeding to try it.  I have read some articles on 
breastfeeding and IQ.  Every mom wants their child to be intelligent 
right?  
A study done with 220 SGA and 299 AGA infants born at full term suggests 
that infants born at full term scored an average of 11 points higher on 
cognitive tests if they were exclusively breastfed at least for the first 6 
months of life (Cockey, 2002).  Pretty impressive!!  These infants were 
evaluated at birth, 6 weeks, 3 months, 6 months, 9 months, and 13 months of 
age.  Many thoughts on babies born SGA are to start them on supplements to 
aid with growth but according to Rao, Hediger, Levine, Naficy, & Vik  
(2002), this is untrue. These authors found that the babies growth was the 
same between exclusively breastfed and some times even better than those 
babies who were supplemented before the age of 6 months.  Jacobson and 
Jacobson (2002), suggest that even children breastfed for more than 12 
weeks benefited cognitively from exclusively being fed breast milk.  In 
fact, children who were breastfed averaged 3-4 points higher on cognitive 
tests than those children who were formula fed.
Smith, Durkin, Hinton, Bellinger, and Kuhn (2003), suggest that improved 
cognitive and academic performance was even higher when they studied babies 
who were of low birth weight.  They state that the DHA in breast milk 
benefits neurological development.  The also conclude that those babies who 
showed cerebral lesions on ultrasound benefited greatly from 
breastfeeding.  
There has been some discussion on whether the mother’s intelligence and 
socioeconomic status contribute to their child’s IQ?  Factors discussed 
were things such as; mothers who are more intelligent have better access to 
the benefits of breastfeeding and are therefore more apt to breastfeed and 
women who are not of poverty status could better provide a more cognitively 
stimulating environment for their children. The same study conducted by 
Rao, Hediger, Levine, Naficy & Vic (2002), concluded that the mother’s 
intelligence and socioeconomic status had minor effects on the child’s IQ 
when the children were tested at 5 years of age.  
My question is can I use this information as an incentive for mothers to 
breastfeed their babies?  Why or why not?  And have you used this 
information in your practice to help mothers make a decision about 
breastfeeding?

Thank You,
Brandie SN

Cockey, C.D. (2002, June/July). Undersize Infants Score Higher IQ If 
Breastfed   
     
Exclusively. AWHONN Lifelines. 6(3). 2.

Jacobson, S.W. & Jacobson J.L. (2002). Breastfeeding and IQ: Evaluation of 
the Socio-

	Environmental Confounders. Acta Paediatricia. 91. 258-266.


Rao, M.R., Hediger, M.L., Levine, R.J., Naficy, A.B., & Vik, T. (2002). 
Effect of 

	Breastfeeding on Cognitive Development of Infants Born Small For 
Gestational

	Age. Acta Paediatricia. 91. 267-274.

Smith, M.M., Durkin, M., Hinton, V.J., Bellinger, D., & Kuhn, L. (2003). 
Influence

	of Breastfeeding on Cognitive Outcomes at age 6-8 Years: Follow up 
of Very 

	Low Birth Weight Infants. American Journal of Epidemiology. 158
(11). 

	1075-1082.

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