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Infant feeding

MNHQ here: what you told us about breastfeeding... and why some of you stopped

236 replies

RowanMumsnet · 01/08/2017 09:53

Hello

It's World Breastfeeding Week this week, and as part of our campaign for Better Postnatal Care we ran a survey with just over 1000 MNers with children under 5 asking them about their experiences of infant feeding. Many thanks to all who took part (it was a bit of a whopper).

We've got lots of really interesting information from you about breast and bottle feeding and your experiences of it, which we will use to inform our campaign - but for today we're focusing on the difficulties women encounter when they want to breastfeed (which 87% of respondents said they had wanted to do).

You can see the results here and our page about what we think the most common breastfeeding barriers are (based on the survey results) here.

In summary:

Among women who had wanted to breastfeed but had stopped within the first 24 hours, their reasons for stopping included:

The baby could not latch well: 41%
I felt I didn’t know what I was doing: 27%
I needed more help/support: 23%
It just felt incredibly difficult: 22%
Too physically painful: 15%

Among women who had initiated breastfeeding but had stopped by six weeks, their reasons for stopping included:

The baby wasn’t latching on properly: 56%
Worried I wasn’t producing enough milk: 42%
Breastfeeding was painful: 39%
I was overwhelmed/exhausted and something had to give: 34%
I found it difficult to express milk: 32%
I was worried the baby wasn’t gaining enough weight: 24%

Just ahead of the birth:

33% said they felt a lot of pressure to breastfeed;
47% were worried they would not be able to breastfeed; and
36% said they felt anxious about breastfeeding.

74% of respondents agreed with the statement: ‘There is too much emphasis on telling women why they should breastfeed, and not enough on supporting them to breastfeed.’

Among those who were still breastfeeding at six weeks, face-to-face support from healthcare professionals or breastfeeding counsellors was rated the most effective intervention, with 71% saying it contributed to their success. Partners' support was rated the best, with 81% saying their partners/spouses' support was excellent or good.

Many women found breastfeeding painful at first. Even among those who were still breastfeeding at 6 weeks, 31% agreed that ‘breastfeeding hurts/is uncomfortable’. Concerns about poor latch and milk supply also run throughout the survey results.

Among those who had stopped breastfeeding by six weeks, 34% agreed ‘I was overwhelmed/exhausted and something had to give’, and 22% agreed that ‘breastfeeding felt relentless’. Among all those who breastfed at any stage, 45% reported finding it difficult during ‘periods when the baby breastfed constantly or very frequently’.

Perhaps not surprisingly, women who had breastfed before were significantly more positive and relaxed about breastfeeding subsequent children. When compared with first-time mums, veteran breastfeeders were more likely to want to breastfeed (92% vs 87%), less likely to feel pressured to breastfeed (21% vs 39%), and felt much more confident directly before the birth about breastfeeding (54% vs 30%).

Have a look at our breastfeeding barriers page and tell us what you think - do our findings echo your experience? What can be done to really support women when they need it? What sorts of interventions did you have that helped you - or what would you have liked that you didn't get?

We will use these findings to work with health organisations to see if we can get better, more useful support for women who want to breastfeed.

Thanks
MNHQ

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ConcernUK · 01/08/2017 11:05

This reply has been deleted

Message withdrawn at poster's request.

Megha22 · 01/08/2017 11:15

Breastfeeding has been difficult for me as my baby has started to get her teeth, she ends up biting my nipple, i feel annoyed and it is very painful, i thought of opting for using a pump to extract the milk but the baby is not ready to drink from that.

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Megha22 · 01/08/2017 11:19

I have heard that breast milk is best for baby but the question i need to ask is weather the milk provided directly the mother's breast or the milk that has been pumped out is better i wish to opt for the second option but want to make sure that the latter doesn't have any disadvantages.

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tiktok · 01/08/2017 11:29

Great stuff, MN.

Megha, it would be better to start your own thread on this. Your question doesn't fit in this thread 😀

Having said that, milk direct from the breast is better nutritionally as the baby 'communicates' biochemically with the breast for antibodies (this is via saliva); his appetite directs the amount and fat content of the milk, too.

Expressed Breastmilk is great stuff and better nutritionally than formula - but it is not quite the same as bf direct.

Hope that helps but do start a new thread.

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RowanMumsnet · 01/08/2017 11:41

@tiktok

Great stuff, MN.


Thanks tiktok! Flowers
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sycamore54321 · 01/08/2017 11:41

It is utterly crass to try to create a link between the horror that is malnutrition of babies and toddlers in many parts of the world and the associated appalling death rates for under-5s, with a survey about women's personal experiences of breastfeeding in the developed world where safe clean nutritious formula is readily available as a breastmilk substitute. Nutrition for ALL children is important, at all ages, not just the breastfed ones. What that has to do with one of the most privileged populations with some of the best child health outcomes in the world giving their views on BF support availability, I simply don't know.

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Propolis · 01/08/2017 11:49

Good point Sycamore

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ConcernUK · 01/08/2017 11:55

sycamore54321 we apologise! We actually thought we were starting a new thread as opposed to replying to MNHQ's (new to Mumsnet if you couldn't tell). We've started our own now. Thanks for pointing that out to us.

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LornaMumsnet · 01/08/2017 12:06

Hi folks,

Concern has been in touch to let us know that they didn't mean to post on this thread.

We'll advise them on how best to engage with MNers - we've deleted their post now.

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Talith · 01/08/2017 12:21

I had D-MER (Dysphoric Milk Ejection Reflex). I felt suicidal every time I began to feed. Stopped at around 8 weeks for both. And it hurt. I was exhausted, I felt like a cow, breast pumps are humiliating...

Other people's lovely experiences bear no relation to my own.

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Elendon · 01/08/2017 12:57

I have a prolactin tumour on my brain. It stopped my periods for five years in my 20s and was diagnosed then. The prolactin levels were high, but dropped in my 30s. However, I was advised not to breast feed for more than 3 months for my first. I stopped after 6 weeks. It was a mixture of anxiety regarding increasing the prolactin and also it was PAINFUL and I had crusts on my boobs. With my second I was given more leeway but had to stop after a month because of thrush (it was a very hot year in central London at that time).

My third was born 6 years later. I breast fed him for 15 months (and frankly I was fed up with it at this stage). I was given great advice from the head midwife when he was born (I did know her personally). She helped in a non judgemental way with getting him to latch on. Press a moue on their lips with your little finger.

I'm so grateful to have breast fed for so long, but can I also add that I'm grateful to have had an alternative too. I did feel guilty to go to the bottle, but it was also good to feel that my children were thriving, alive and well.

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Figgygal · 01/08/2017 13:04

Where is the " my body did not produce milk" option in those list of reasons for stopping? I tried to distraction to feed both of my children and watched them shrink in front of my eyes despite doing everything I was advised to do, despite feeding on demand and despite supplements and domperidone and ds2 having his tongue tie snipped. my body literally didn't respond and produce milk I had no changes to my breasts in size or feeling no leakage. I know topping up with formula compound the situation but when the alternative is starvation what else can you do?

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AHedgehogCanNeverBeBuggered · 01/08/2017 13:08

Great work MN, it's really interesting to hear others' experiences. I'm 2 weeks in to breastfeeding my newborn DS, it was tough at first (sore nipples, prem baby too sleepy to latch properly) but amazingly the NHS NHS in my area sent out a lactation consultant the day after we got home from the hospital, and she helped sort his latch out and reassured me he was doing really well. When I compare this to the zero support available to my friends who live in London I'm astonished by the disparity in support between areas. It would be great if ALL b/f mothers were offered support in the early weeks, I'm sure there's a cost-benefit case to make given that b/f babies are generally healthier and thus less of a burden on other NHS services (has anyone studied the economic argument? I imagine so).

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Elendon · 01/08/2017 13:11

I also believe that attitudes to breast feeding in public have to change. I was 40 when I had my last child and by then I was confident enough to think I'm doing this and your attitude towards me breast feeding is your problem.

Plus another tip. The other breast might well start to produce milk as well. Just press on it for a couple of minutes and this will stop the flow to that breast.

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RowanMumsnet · 01/08/2017 13:13

@Figgygal

Where is the " my body did not produce milk" option in those list of reasons for stopping? I tried to distraction to feed both of my children and watched them shrink in front of my eyes despite doing everything I was advised to do, despite feeding on demand and despite supplements and domperidone and ds2 having his tongue tie snipped. my body literally didn't respond and produce milk I had no changes to my breasts in size or feeling no leakage. I know topping up with formula compound the situation but when the alternative is starvation what else can you do?


Hi Figgy - that sounds really tough Flowers

Among the reasons for stopping within 24 hours were:

Worried about lack of milk/colostrum: 10%
Medically advised not to: 8%

And among the reasons for stopping at or before six weeks were:

Worried I wasn't producing enough milk: 42%
Worried the baby wasn't gaining enough weight: 24%
Medical factors made it difficult: 20%

We didn't ask the specific question that you raise but hopefully it's broadly covered in the options above. (This is useful feedback for us though - if we run a similar survey again we'll try to include something more specific.)

Flowers also to Elendon and Talith - thanks for telling us about your experiences
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Dinosauratemydaffodils · 01/08/2017 13:18

I found it hugely triggering. I'd raised the concern that I might have issues ante-natally as I can't bear anyone touching my breasts but was told not to be so silly by midwives. Then once ds arrived and was feeding, whenever I tried to mention how I felt the only advice I got was to either keep at it because of bonding or to quit but "that would such a waste". In the end I kept going for three months and hated every single second of it. DH went out and bought formula because I was trying to delay feeding and threatening to cut my nipples off.

In my experience there just isn't support for women like me. I didn't have any physical issues so I was just told to keep going even though it was taking a huge emotional toll and made to feel guilty for even thinking about quitting. Oh and don't forget the large helping of victim blaming as it was clearly my fault I had an issue with my breasts in the first place.

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tiktok · 01/08/2017 13:28

Dinosaur, sensitivity about breasts being touched is a known issue. It's real, and horrible. If midwives said 'don't be silly' then that is appalling.

It's not 'silly'. It's involuntary and it may be the result of past trauma or body issues.

It can be overcome with careful and sensitive therapy and I have known mothers who found BF actually helped the process. It might be worth thinking again of how to have a better 'relationship' with your breasts :) - to enhance your life, primarily, not just for future babies!

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sportinguista · 01/08/2017 13:46

I was one of the mums that did manage over a year, 16 months in fact. But I will say sometimes it was hard and sore nipples were an issue. I was lucky in that I had tremendous support from my MIL who comes from a country where the rate is much higher and it's normal for women to do that over bottle. I will say I didn't get as much support as I could from hospital staff and health visitors but I managed.

It's not easy for everyone but I think there needs to be more and better quality support. I was lucky many more women simply aren't. It is the most natural thing in the world but it's not 100% instinctive!

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ApplesTheHare · 01/08/2017 13:55

I did it for 8 months (6 exclusively) but hated it and wish I'd stopped sooner. Apart from just not liking it (they way it ties you to the couch, the way it feels, the mastitis) I'm pretty sure it slowed my recovery after a traumatic birth, both mentally and physically. I wouldn't breastfeed again as a result. I might not feel so negative about giving it a go next time if well-meaning NHS staff hadn't been so dismissive about my experience last time. Instead of saying 'Well done for sticking with it, you can stop if you wish' they always stuck to the 'Breast is best' mantra and in fact it's not always best when it's taking a mental and physical toll on mum Hmm

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RowanMumsnet · 01/08/2017 13:55

@AHedgehogCanNeverBeBuggered

Great work MN, it's really interesting to hear others' experiences. I'm 2 weeks in to breastfeeding my newborn DS, it was tough at first (sore nipples, prem baby too sleepy to latch properly) but amazingly the NHS NHS in my area sent out a lactation consultant the day after we got home from the hospital, and she helped sort his latch out and reassured me he was doing really well. When I compare this to the zero support available to my friends who live in London I'm astonished by the disparity in support between areas. It would be great if ALL b/f mothers were offered support in the early weeks, I'm sure there's a cost-benefit case to make given that b/f babies are generally healthier and thus less of a burden on other NHS services (has anyone studied the economic argument? I imagine so).


Great that your local services were so on the case, Hedgehog. Face-to-face observation of the latch,* and face-to-face support from breastfeeding counsellors or trained NHS staff were the two things people told us really helped them when the going got tough.

We've co-signed a letter from the Royal College of Paediatrics and Child Health that calls, among other things, for much better in-hospital specialist support, better local support services and more resources for health visitors. We hope to do some more work on this and put some pressure on where it counts.

*I suppose latch observation isn't really face-to-face but you know what I mean Grin
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Belfastmum2 · 01/08/2017 14:25

I've just read Justine Robert's (mumsnet founder) comments on BBC news on this which brought me to tears. "There's no point in endlessly telling women that they must breastfeed but letting them down when they have a baby in their arms. The guilt anger and sadness experienced by many mothers who switch from breastfeeding is palpable and it's deeply unfair to leave so many feeling that they've failed." I had to give up breastfeeding both my children (now 6 and 2) for different reasons and my heart still breaks and I still wonder if I failed. Thank you Justine. I agree that much more support is needed for new mums instead of investment in more studies into benefits. Most mum's just need to be told once that something is good for their kids and they will do all they can to do it - telling mums again and again but offering inadequate help is not really good enough.

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Littlestgirlguide25 · 01/08/2017 14:44

I was determined to BF my first, and persevered for three weeks before my DH went out and bought formula and bottles because he couldn't bear to watch me cry with pain with every feed. I tried to express and my bleeding nipples filled the bottle with blood. It took over a month for them to heal. I hated expressing, I felt like a dairy cow, it was humiliating and embarrassing and meant that every feed had to be done twice - once to express the milk and once to feed the baby. It meant I got literally no sleep at all, and after three weeks I was exhausted.

Nevertheless I was determined I wouldn't 'fail' at breastfeeding with my second baby, but it wasn't to be. Despite being born at term, He was taken into special care unit immediately after birth - I wasn't even allowed to hold him till he was three days old - and he was tube fed for ten days. I was told to express every two hours on the hospital ward and deliver the milk to the special care unit - this I did, walking the hospital corridors every two hours days and night - until one night I broke down in the corridor and a lovely midwife found me and gave me a cuddle and told me "formula is not bleach' which has stuck with me.

I tried. I failed. And the constant 'breast is best' lesson compounds the feeling of having failed my children. It's not nice. Ring contantly told that despite doing your best it's not good enough.

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gluteustothemaximus · 01/08/2017 14:51

The support is shocking to be honest.

There needs to be a lot more honesty about how tough it is, and how hard it is, and how much is does hurt.

Instead we're given this angelic baby with angelic mother breastfeeding like it's the easiest most natural thing in the world, when the reality is, it's not.

Giving birth is natural, right? Not easy though.

We do not need to focus on the benefits of breastfeeding. We KNOW the benefits. What we need is help on HOW to breastfeed. And be very honest about the tough times.

I breastfed all 3, first 2 for 1 year, current one is 18months and still breastfeeding. But for all 3, there were problems. Mastitis, cracked and bleeding nipples, milk not coming in until day 5 or 6, the cluster feeding was truly awful (they never left the boob, ever!!)...but I learnt as I went, as there wasn't any support. By the 3rd, I'd mastered avoiding mastitis, and had found lansinoh was a god send.

Only one person was helpful. One HV with DC3. I started crying, as by DC3 I know what I'm doing, right?! She looked at me and said 'It's awful isn't it? It's so hard. Those first 6-8 weeks, can be hell, can't they?'

And that was ALL I needed to hear. Someone acknowledging that this was SO hard. It gave me that push to get to 8 weeks, and then it does get easier.

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PumpkinSpiceEverything · 01/08/2017 14:57

I had great success breastfeeding (17 months with my first) but once we were discharged from hospital I don't think I received any support in the matter. If my MIL hadn't shown up uninvited with nipple shields and lanolin I probably would have given up on Day 2, because no one told me how to cope with the soreness/pain/cracked nipples. Midwives simply asked at visits if I was still breastfeeding, but didn't look into it further. Luckily I utilised a local LLL group who was infinitely helpful in breastfeeding being successful for us... but I do think there needs to be more in-depth HELP and guidance, not just a "why" but a "how" from nurses and midwives.

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Aozora13 · 01/08/2017 15:08

I definitely felt the pressure to BF was not backed up by adequate support in the early days after my daughter was born. I had a slightly odd problem of BF fine on one side but pain and nipple damage getting worse and worse on the other. Plus baby was feeding constantly- at one point I was clocking up 7 hours in a 24 period! I felt dismissed by the HV who just kept saying "latch looks fine" and I feel like crying when I look back in the red book to see she'd written "no problems feeding" when it was destroying me emotionally and physically. I was told if I still had problems to phone the breastfeeding helpline, which I have done a few times but never got an answer. I was also told to visit a baby cafe. The nearest one was a 15 min walk away which to me just seemed like an eternity, and when I steeled myself to go found that it was closed for 2 weeks summer holiday. When I got to the baby cafe (eventually!) they were brilliant. I spoke to a peer supporter and the first thing she said was, is it a tongue tie. A tongue what? None of the midwives or HVs and even suggested this to me! Turns out that was the problem, I had it corrected, nipple healed and I'm still BF my girl who will turn 1 this weekend.

Sorry for such a long post but I'm honestly welling up now - I just keep thinking how different those first couple of months would have been with my daughter if only someone had listened to me and checked for a tongue tie sooner. And so many babies are affected by tongue tie - yet it was barely even mentioned in NCT or NHS literature I received. I'm glad we got through it because I love BF now but it was SO hard I just had no idea.

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