When counseling a postpartum patient with a strong family history of type 2 diabetes and ovarian cancer about infant feeding choices, which statement best communicates breastfeeding’s maternal benefits while respecting patient autonomy?

• A. Tell the patient that maternal benefits are negligible and that recommendations about breastfeeding should be based solely on infant convenience and cultural norms rather than any potential long-term health advantages.
• B. Advise the patient that breastfeeding guarantees complete protection against type 2 diabetes and ovarian cancer, so she must breastfeed exclusively for at least two years regardless of personal circumstance.
• C. Recommend formula feeding exclusively because there is no evidence that breastfeeding reduces maternal risk of type 2 diabetes or cancers, and formula offers a more controllable nutritional profile for mothers with family disease history.
• D. Explain that breastfeeding can lower long-term risk for type 2 diabetes and some cancers and also helps the uterus contract postpartum, recommend breastfeeding when feasible for its maternal and infant benefits, but acknowledge formula is a valid option when breastfeeding is not possible.

Answer: (D)