I gave birth to first dd in 1980 with a cleft lip palate all the way through the bone and into the nasal cavity. In those days there were no ultrasounds so her birth and CLP were a surprise to us. I did nurse and pump in the hospital but at that time the electric hospital pump was the size of a small refridgerator not something you took home with you. At home we had bicycle horn pumps that were worthless in this situation. She needed to feed 24/7 and barely took ten ounces in the early days and threw most of it up. Unfortunately my overly ample supply of milk went to waste. With today's modern pumps a mom can pump exclusively and supply the milk her baby needs but it would still be exhausting.
2. When mom has HIV or AIDS.[/QUOTE]
I believe that WHO and UNICEF recommend nursing in this situation.
5. If mom chooses to use drugs or alcohol ...some docs suggest that smoking cigarettes is very harmful too, but I just read that in a breastfeeding book, I've not heard of a doc who actually told a mom not to breastfeed because she smoked...so I'm not sure about whether or not you should not breastfeed in that situation..[/QUOTE]
In the case of smoking the recommendation would be to nurse while attempting to reduce smoking and to limit smoking outside of baby's environment. Baby would still get the benefits of breastfeeding.
6. This is just me thinking on this one, but I would think that in situations where mom has uncontrolled anorexia or bulimia a doc. would probably advise against breastfeeding due to mom being extremely underweight...the reason I suggest that one, is that it seems logical that breastfeeding might harm an extremely underweight woman who had issues with increasing her calorie intake enough to successfully breastfeed a baby..[/QUOTE]
I think it is unlikely these women would sustain normal ovulation/menses and would be able to maintain a pregnancy in the first place but that is just my opinion.
7. Some moms don't produce enough milk when they're pregnant, or dry up entirely, so some moms might not be able to breastfeed baby #1...at least not for very long if baby #2 was on the way. Example...I have an aquaintance who got pregnant with #2 a month after #1 was born. However, lots of moms nurse quite successfully while they're pregnant, so this one is probably kind of unlikely.
In my experience but of course not always moms become pregnant once baby begins to sleep through the night and take in solids so are not as dependant on exclusive breastfeeding.