Breastfeeding Network CEO Shereen Fisher responds to the recent press coverage on the link between breastfeeding and reduced chances of childhood obesity.
Late April saw a flurry of articles from the Guardian covering breastfeeding. It’s useful to see the media give attention to the subject but especially so when it highlights robust research alongside the very sorry state we are in when it comes to supporting women and families with breastfeeding.
The standout piece for me was the article of April 30th, ‘Breastfeeding reduces child obesity risk by up to 25%’. This article gives new evidence to the very real contribution that breastfeeding makes in reducing child obesity while at the same time supporting a wide range of improved health outcomes for women regardless of their backgrounds.
The data came from nearly 30,000 children monitored as part of the WHO Childhood Obesity Surveillance initiative (COSI). Launched in 2007, COSI is continuously being updated and now receives data from about 40 countries on children aged six to nine. But rather awkwardly not the UK. With one in five children in the UK already overweight or obese before they start school, the measures offered by the UK at 4 and 11 seem too little – too late.
In a society that struggles to accept breastfeeding as a universal norm, the contribution that independent evidence can make to help shape public opinion is powerful. However, it must be used proactively by Governments to invest in measures to protect breastfeeding and invest in the support services that enable mothers and families to carry out their choices.
We have a problem in the UK in that we fail to support a woman’s intention to breastfeed.
Here’s the story. In the UK most women start to breastfeed, (initiation rates are over 70%). However, many women reduce or stop breastfeeding in the first few days and weeks. The majority of mothers want to carry on. Many mothers say that they stopped because of lack of support – no time or skilled guidance was around to help them learn to do it. For many women who want to breastfeed but struggle to do it through lack of support this becomes a personal failure. The injustice of it is that they are being failed. The rapid drop off rates in breastfeeding represent feelings of crashing disappointment for many women who tell us they carry the pain of their breastfeeding struggles for years. Lack of timely, quality and consistent early days support leaves them ill-equipped to deal with the challenges of coping with a newborn, they then return home to struggle on in communities where breastfeeding culture varies widely and support around them may exist or not, and may not be easy to access.
We agree with Kate Brintworth, head of maternity transformation at the Royal College of Midwives, who said the study reinforced the need to put more resources into supporting women to breastfeed: “We need both more specialist breastfeeding support for women after the birth and more time for midwives to offer the support women are telling us they need. It is important that we respect a woman’s infant feeding choices, and that if a woman chooses not to breastfeed, for whatever reason, she will need to be supported in that choice.”
In the UK, obesity costs are estimated to be at least £27 billion every year and obesity is poised to overtake smoking as a key cause of cancer. It’s critical that national leaders champion for change and for investment in obesity prevention and for support services to start much earlier. However, the UK government does not have a strong track-record in addressing infant feeding as part of the obesity agenda, despite there being a wealth of evidence about the importance of it. In the childhood obesity strategy published in 2016 the top line was introducing the soft drinks industry levy.
The Breastfeeding Network would like to see the Government go further. While focus on the problem of pervasive junk food advertising at children and families is essential, we must not ignore the role of breastfeeding in contributing to improved health outcomes for children and mothers and offering protection against obesity. The positive research from WHO is another crucial building block of evidence of the health protection benefits that breastfeeding offers, and it is one that Government should not ignore.
This is Hannah – you may recognise her from recent social media posts, after she was interviewed while running the London Marathon last month. What’s so special about that, you might wonder? Well, not many runners had scheduled stops to breastfeed their eight-month-old daughter along the way. We were blown away by Hannah’s achievement – here’s what she had to say when we caught up with her for a chat.
I have previously run marathons before, Manchester marathon I had ran 3 times. I had run London once before in 2017 and had gained a ‘good for age’ place for 2018. However, I fell pregnant and deferred my entry to 2019. Once my daughter Skye came 2 weeks late (and via emergency c-section), I felt it took me a very long time to feel myself again and have energy and a want to run – or move any faster than walking! Being a first time mum who decided to exclusively breastfeed, I found myself exhausted. I spent the first 16 weeks still feeling battered and bruised.
But I felt like this might be only chance to run the London marathon again, as it is so very hard to get in through the ballot.
My training was non-existent, after about 5 months I managed to walk/run 5km. I used to really enjoy running pre-baby, but did not enjoy running these very few times I went out. I was slow, it was hard. I took Skye in her pram a couple of times – it wasn’t a running specific pram but I was going sooo slowly I decided it would be okay and tried to include it whilst she was sleeping. In March I did my local park run (5km) without baby and then 2 weeks later my partner and I did a 10km run. That was the first time I ran 8km without stopping. At the beginning of April I decided I was going to do the marathon. My partner, Max, is a teacher and I said I was going to use the Easter holidays to try to run, while he was around to look after Skye. In that time I managed about 4 runs, which got me up to 10 miles the weekend before the marathon.
On the day of the marathon, I had planned for Max to come with me to the start of the race and I was going to give Skye a feed before I went in. However, I had fed her from 6am-7am and she was asleep as I continued to get ready to leave – so I made the tricky decision to leave her at home and just meet them both at our first meeting spot. We had arranged meeting points ahead of time, at around 13.1 miles, 21 miles, and finally at the end, where I fed her before starting our journey home. I had packed Skye some food for the day – cucumber, celery, green beans and baby corn. We started weaning a couple of months ago so I thought of things she may enjoy whilst waiting for feeds.
We didn’t make any special arrangements with the stewards or race organisers ahead of time. When I reached our designated feeding spots there were an awful lot of people, it was really crowded. For my first feed I came off the race course and sat behind the crowd on a little wall. Later on, a nice marshal said I could lean against the railing of the race and I sat down on the curb and fed her there. The marshal was really nice and offered me food and drinks, as well as another member of the public who passed by and gave me some blueberries.
My tip to any other mums who are thinking about embarking on big fitness challenges would be, go for it! Get yourself a good bra that is supportive. Train when you can, don’t put any pressure on yourself. If you don’t feel like going for that run or doing that class, don’t, go later or rearrange. If you do it and you don’t enjoy it, stop. Be flexible and adaptable.
I would definitely do the London marathon or a different marathon again. I will be shuffling my way through Hackney Half marathon in ten days, but I won’t need to feed Skye along the way, just before and after. And then I’ll be putting my feet up for a while!
If Hannah has inspired you to get your trainers on, why not sign up for BfN’s Mums’ Milk Run? You can set your own challenge (it needn’t be a marathon, or even a run!) and any funds you raise will be used to help support breastfeeding families. The event runs throughout May – click here for more info and to register: https://www.breastfeedingnetwork.org.uk/get-involved/fundraising/mums-milk-run/
We call on
Government to increase investment in public health in England to prevent ill
health, reduce health inequalities, and support a sustainable health and social
care system.
Public health
is facing a funding crisis. The NHS Five Year Forward View argues that “the future health of millions of children,
the sustainability of the NHS, and the economic prosperity of Britain all now
depend on a radical upgrade in
prevention and public health”.[i]Despite this, the Government has
continued to cut the Public Health Grant year-on-year. Because of this, local
authorities’ ability to provide the vital functions that prevent ill health are
being severely compromised.
In the 2015
Budget, the Chancellor announced a £200 million in-year cut to the Public
Health Grant, followed by a further real-terms cut averaging 3.9% each year
(until 2020/21)in the 2015 Spending Review.[ii] Overall,
the Public Health Grant is expecting to see a £700 million real-terms reduction
between 2014/15 and 2019/20—a fall of
almost a quarter (23.5%) per person.[iii] In 2019/20, every local authority
has less to spend on public health than the year before. According to analysis
by the Health Foundation, almost all
local authority public health services faced cuts between 2014/15 and 2019/20: for
example, spending on stop smoking services and tobacco control are expected to
fall by 45%; sexual health spending is expected to fall by 25% and specialist
drug and alcohol services for young people is expected to be cut by over 41%.iii
Local
authorities have made efficiencies through better commissioning, but cuts are
nevertheless impacting frontline prevention services. As an example, research conducted by Action on Smoking and Health and Cancer Research UK shows that, following year-on-year reductions to
the Public Health Grant since 2015, stop smoking services have been
persistently cut across local authorities. Now, the majority (56%) of local
authorities are no longer able to offer a stop smoking service to all smokers
in their area.[iv]
Taking funds away from public health
is a false economy. Unless we restore public health, our health
and care system will remain locked in a ‘treatment’ approach, which is neither
sustainable nor protects the health of the population as it should. In the UK,
smoking caused an estimated 115,000 deaths in 2015,[v]
whilst alcohol caused around 7,700 deaths in 2017.[vi] In
England, there were around 617,000 hospital admissions where obesity was a
factor in 2016/17.[vii]
These preventable factors increase the risk of certain cancers, type 2 diabetes,
lung and heart conditions, musculoskeletal conditions and poor mental health. Obesity
alone is estimated to cost the NHS £5.1 billion every year, with wider costs
estimated to be around three times this amount.[viii]
The Government must equip local
authorities with adequate resources to provide vital public health functions. The
Government currently plans to phase out the Public Health Grant by 2020/21,
after which they propose to fund public health via a 75% business rates
retention scheme. Whatever model is ultimately implemented, it must generate
enough funding for local authorities to deliver their public health
responsibilities, enable transparency and accountability, and be equitable so
that areas with greater health needs receive proportional funding.
In her speech
on 18 June 2018, the Prime Minister called for a renewed focus on the
prevention of ill-health:“Whether it is cancer, heart disease,
diabetes or a range of mental illnesses, we increasingly know what can be done
to prevent these conditions before they develop – or how to ameliorate them
when they first occur. This is not just better for our own health, a renewed
focus on prevention will reduce pressures on the NHS too.”[ix]
We urge the
Government to deliver on this promise by increasing investment in public health
in England.
As part of caesarean awareness month in April, we’re sharing some information on breastfeeding after a caesarean section. Your caesarean may be planned or unplanned, but either way it needn’t derail your breastfeeding journey – the key is to be informed so you can be as prepared as possible.
First, BfN Supporter Zoë Chadderton shares some information on caesarean births, how they can affect breastfeeding, and steps you can take to help get feeding established – with links to a factsheet by BfN pharmacist Dr Wendy Jones. Then we’ll hear from Alyson, a BfN peer supporter, on her experience of breastfeeding after a C-section.
About caesareans & breastfeeding: Zoë Chadderton
There are three types of C-sections:
Planned (also called elective) – this is planned ahead of
time, and may be for a number of reasons, e.g. placenta praevia.
Emergency – this takes place during labour, normally because
of slow or no progress in labour or
baby/mum in distress. Despite the term “emergency”, the actual surgery is
performed in much the same way as a planned section, it just hasn’t been
planned ahead of time.
Crash – an actual emergency, mainly if the baby is in danger
and needs to be born very quickly.
Most sections happen under
local anaesthetic – an epidural or spinal block. General anaesthetics are rare,
but can occur.
Generally speaking, a caesarean birth can cause breastfeeding to be a little delayed compared to a vaginal birth because mum doesn’t get the natural surge of oxytocin that can help with her milk supply. However, that absolutely doesn’t mean that you can’t breastfeed after a C-section – just that you need to be aware of the issues that may arise, and how to deal with them to help get feeding successfully established.
Planned sections can be better in some respects because mum isn’t exhausted from the stresses and strains of labour, and she can plan what she would like to happen such as skin to skin in theatre, immediately after birth. Mums who are planning a section can also think about hand expressing colostrum before the birth (antenatal expressing), which may help if baby is delayed in going to the breast, and more importantly helps the mum be secure in her technique in a non-stressful situation (it can be quite stressful learning how to hand express because you HAVE to, because your baby isn’t feeding, rather than relaxed “I’m learning a useful skill” antenatal expressing). Even if you are not planning a caesarean birth, it can be a good idea to learn how to hand express before your baby is born – you can start after 37 weeks, and information on technique can be found here*.
Pain can be an issue – many mums worry about baby kicking their scar – and you may struggle to sit up for a while after surgery, so there are several feeding positions you can try to work around these issues. Lying down on your side with your baby beside you on the bed; underarm (also called rugby hold); and in some cases laid back feeding (also, confusingly, called upright hold or biological nurturing) can be really useful. Try out a few positions and see what works for you (see here for some tips). Check out BfN pharmacist Dr Wendy Jones’ factsheet for information on your pain relief options while breastfeeding – there are many options which are perfectly safe for you and your baby. Don’t be a hero – take that pain relief.
Get some skin to skin
contact with your baby as soon as you are able – preferably in theatre
immediately after birth. Mention it to the midwives, even in an emergency – it
can make a real difference to baby’s instinctive behaviour at the breast by
getting hormones flowing for both of you and
allowing both you and baby time to get to know each other and start your
feeding journey.
Finally, be patient. Take your time, baby might not
feed as quickly as you expect (this applies to all babies!), but skin to skin,
hand expressing and help from the ward staff or breastfeeding peer supporters will
all help. Good luck!
*(N.B. this video refers to small babies – however the technique remains the same for all babies, the only difference being that colostrum would more likely be collected in a syringe or cup rather than a spoon.)
~~~
Alyson & Charlie’s Story
I had always intended to
breastfeed my baby, and throughout my pregnancy was hoping for as natural a
birth as possible. I’d read about how breastfeeding often gets off to an easier
start after a natural labour, so I felt I would be giving myself and my baby
the best possible chance of success.
But apparently my baby hadn’t
read the birth plan. I found out at 36 weeks that he was breech, and to top it
off, his head measurement was (literally) off the charts…a trait he inherited
from both me and my husband. We were told there was a 50/50 chance that he
would turn head-down, but that if he didn’t and we tried for a breech birth,
there was a high chance that his big head would get stuck and we’d have to have
an emergency (or even a crash) C-section.
I was shattered by the news.
I felt like the natural birth I’d planned for was disappearing before my eyes,
and my chances of breastfeeding along with it. We decided to take a week, to
see if the baby turned, and to fully research breastfeeding after a C-section so
that we could be prepared. I was pleasantly surprised by what I found, and
realised that a C-section needn’t spell disaster for breastfeeding – I just
needed to be aware of what might happen and prepare for it. This was just as
well. Despite me doing various bizarre exercises to try to spin him around, the
baby remained resolutely breech, so we booked a C-section for 39 weeks…and
suddenly everything seemed very real indeed!
I visited my local
breastfeeding drop-in group before the birth, to speak to the peer supporters
there and get some information. They were amazing. They showed me some
positions (“laid back” feeding, and the rugby hold) that minimised the risk of
the baby kicking my incision, and that would mean I wouldn’t have to completely
sit up – since my core muscles would take a while to heal. They also explained
how I wouldn’t experience the same hormonal changes that I would have done in
labour, and how this might mean my milk was a little delayed in coming in. To
combat this, they advised lots of skin to skin contact with the baby, starting
immediately after birth and continuing throughout the first days and weeks.
They explained that this would help to get the oxytocin flowing, and also give
the baby a chance to follow his instincts and find his own way to the breast.
On the day of the birth, I
discussed our plan with my midwife and surgical team. They were very helpful,
and showed me how to put on my gown so it could be easily pulled down for skin
to skin. When Charlie was born (complete with frankly enormous head), he was
placed onto my chest almost straight away, and I held him like this, skin to
skin, for the first couple of hours. I was amazed to see him start “rooting”
for the nipple – it sounds unbelievable, but he did a sort of sideways
shuffle/crawl until he was lined up, then latched himself on and stayed there
for an hour. I had heard about this in my research and my visit to the
breastfeeding group, so I knew I should just leave him to it as long as I
wasn’t in pain, but it was still amazing to watch.
There was some concern from
the midwives that he slept for a long time after this first feed, so we spent
an hour trying to wake him up and persuade him to latch on, but he was
absolutely zonked out. One midwife suggested we give him some formula, but my
instinct (and everything I had read about getting breastfeeding established)
was to avoid this if at all possible. While I was not against formula per se, I
didn’t want to fill him up with it and therefore reduce the amount he needed
from me, which would impact on my supply and potentially delay my milk coming
in. Luckily another midwife suggested we express some colostrum into a syringe,
so that we could feed him that. She showed me how to hand express, and I was
delighted to see drops of thick, yellow colostrum coming out – the midwife told
me this was a great sign that things were happening as they should. I’ll never
forget her, she was so kind. I managed to express a couple of millilitres,
which we carefully dropped into Charlie’s mouth and he lapped up without even
waking up! About an hour later he woke up again and latched on for another feed
– we were observed by a midwife, who told us that the latch looked good, and
that she didn’t have any concerns about him feeding. This was very reassuring.
We were discharged from
hospital after 36 hours, and went home to begin our lives as a family of three.
Charlie spent the first night at home feeding A LOT. It was pretty constant
from about 9pm to 4am, not wanting to be put down, and only really being
content on the breast. If I hadn’t spoken to the peer supporters, I think I
would have really panicked that the C-section had messed things up, that I
didn’t have enough milk and that he was starving – but as it was, I’d been
warned that this may happen, that he was just “putting his order in”,
stimulating the breasts to kick-start my supply. I don’t know if this was more
pronounced because of the C-section – it may well have happened anyway. It was
pretty gruelling, but being prepared for it was key…I got comfy on the sofa
with a mountain of snacks, drinks and a whole lot of Netflix. I felt very lucky
to be facing this after a straightforward birth, rather than an exhausting
labour, so that was a definite positive of the C-section for me. I also sent my
husband off to get a bit of sleep, so he’d be refreshed and ready to tag in for
a while later! Obviously he doesn’t have boobs, so did a lot of cuddling,
bouncing and singing for an hour or so while I grabbed a quick nap. This really
helped. It’s an absolute myth that dads can’t help or bond with their breastfed
babies, there is so much that they can (and do) do.
My milk came in on day 3. I
felt like I transformed into a Pamela Anderson lookalike overnight, which was
both alarming and reassuring…this breastfeeding thing was really working!
Charlie continued feeding like a trooper, and over the next few weeks my supply
regulated and I felt more normal again. It was also really useful to use the
hand expression technique I’d been taught in hospital, when I needed to keep things
comfortable between feeds.
I found the “laid back”
position really helpful, semi-reclined on the sofa/bed with Charlie lying
diagonally across me. It felt very comfortable and seemed to give him the
chance to follow his instincts without too much interference from me. Over time
we adapted the position so I could feed him sitting more upright, with him
straddling my leg. I found, with a bit of practice, I could feed like this in
many situations – useful when we were ready to go out for a coffee! At night,
his side-sleeper cot was a lifesaver – because of my incision, I found it
really tricky to get in and out of bed in the first few days, so it was great
to be able to just slide him towards me and feed in the laid back position.
I was lucky that Charlie took to breastfeeding pretty easily, and never had any real issues with latch etc. After a normal weight loss in the first few days, he gained weight well, and continued to breastfeed for almost a year. My C-section did have an impact on breastfeeding, but since I knew in advance, I was able to prepare and combat it – through immediate skin to skin, understanding frequent feeding (aka normal newborn behaviour!), avoiding unnecessary top-ups, and overall being led by my baby and feeding on demand, to let nature take its course. I was so pleased that we were able to breastfeed successfully, despite not having the natural birth we’d planned. I struggled for a while with the feeling that I hadn’t given birth “properly”, that my body had somehow failed me (I’ve now worked through this and know that any means of safely getting a person out of yourself is the “proper” way to do it, and is the opposite of failure), and breastfeeding really helped me to feel that something was working out the way I intended.
My advice to anyone intending to breastfeed would be to find out as much as you can before your baby is born, including the possible implications of a C-section, whether you’re planning to have one or not. As I discovered, birth plans are just a plan, and they don’t always work out the way you expect. Most of all, don’t assume you’re doomed before you even start – do your research, find a local group, ask your midwife, call the National Breastfeeding Helpline. They will be able to give you support and information, even before the birth, and help get breastfeeding established. You’ve got this!
Law firm Slater and Gordon recently published a report on the rights of breastfeeding mothers returning to work, highlighting the fact that many employers are unaware of the law. Slater and Gordon have written the following guest blog for us, explaining the top five things you need to know about returning to work whilst continuing to breastfeed.
1. Plan your discussion with your employer in advance of your return
Take time to consider the support and facilities
you need to help you breastfeed or express at work before you go back to work
and plan to have a conversation with your manager or HR, ideally well in
advance of your return date. You may wish to use one of your KIT days
to arrange a meeting.
The support you need will very much depend on your own
personal circumstances. Some mothers would like to visit their baby during the
working day and others plan to express breastmilk.
Check whether your employer has a breastfeeding policy, or a return to work policy outlining the type of support they provide or what you need to do to request support. Most good employers will.
2. Know your rights
The law does not currently allow a simple, straightforward right to breastfeeding breaks though employers are required to provide a place for breastfeeding mothers to rest.
In terms of breastfeeding support, the Health and
Safety Executive and guidance from the European Commission recommend that
employers should provide:
access to a private room where women can breastfeed
or express breast milk;
use of secure, clean refrigerators for storing
expressed breast milk while at work, and
facilities for washing, sterilising and storing
receptacles.
The ladies toilet for example is
never a suitable place in which to breastfeed a baby or collect milk.
ACAS guidance also
gives the following advice to employers when asked to consider additional
breaks for breastfeeding:
“Employers should consider providing short breaks for breastfeeding or expressing milk, weighing it up against the likely impact it might have on the business. Employers should be careful not to discriminate against breastfeeding employees. If employers are unable to grant additional breaks, they could consider slightly extending normal breaks for the employee such as a mid-morning coffee break or leaving earlier in the day to minimise any disruption to the business.”
3. Consider a request for flexible working, such as for reduced hours
If you have worked for your employer continuously for 26 weeks, you have the right to make a request for flexible working. You are likely to qualify to ask as maternity leave counts as continuous service.
You might want to reduce your hours,
change which hours you work (to start later or finish earlier) or work the same
number of hours but over fewer days. You may also want to work from home or as
a job share, or return part-time. Your employer must agree to flexible working
where it can accommodate the request, but can turn it down on business grounds
defined in flexible working regulations (there are 8 grounds including
inability to meet client demand and detrimental impact on performance).
However, it must make sure it does not discriminate and cannot simply refuse a
request without fair process or reasons.
Employers are obliged to deal with requests in a
reasonable manner. If your employer refuses your request you should have a
right to appeal your employer’s decision so that you have an opportunity to
clear up any misunderstandings or explore other options. If you do not appeal
there is a risk that this implies you accept the decisions made.
If it is still refused you should seek legal
advice, as you may have claims for discrimination, including indirect
discrimination if your employer for example has a policy or practice which
disadvantages women and which cannot be justified by the employer.
For example, an employer might require all posts to
be full time. If a breastfeeding employee asked for a temporary alteration in
her hours in order to continue breastfeeding and she would be disadvantaged if
this was refused (because she would be unable to breastfeed), her employer
should grant her request unless there are good business reasons for refusing.
4. Consider whether there is a health and safety risk to you and your baby, and know your rights
Is there a risk to your health or safety or that of your baby from your working conditions or hours?
All employers have a duty to protect the health and
safety of their employees. While you are breastfeeding, you and your baby have
special health and safety protection under the same regulations that give
protection to pregnant employees.
Employers of women of childbearing age employers
must also carry out a ‘specific’ risk assessment of risks to new and expectant
mothers arising from ‘any processes, working conditions, physical, biological
and chemical agents’.
Some hazardous substances can enter breastmilk and
might pose a risk to your baby. If your work brings you into contact with a
dangerous substance, your employer should take appropriate steps to make the
job safe, remove that risk or if that is not possible they may have to explore temporarily
changing your working conditions or hours, such as working shorter shifts,
giving regular shifts or avoiding night work or overnight stays.
Reasonable action to protect your health and safety
while you are breastfeeding could include adequate rest breaks to ensure proper
nutrition, access to water and washing facilities. Your employer should ensure
that the environment is not too hot or too cold. Employers should also consider
levels of fatigue, stress and changes in posture.
If adjustments to your working hours or conditions
would not remove identified risks, then you should be given a temporary
transfer to alternative work, or suspended, without loss of pay.
5. If your employer is not supportive and you have concerns about harm to you or your baby or in relation to possible discrimination of harassment, know your options
If support is not forthcoming, then it may be concerns need
to be raised. It’s usually best to raise concerns informally initially with
your manager or HR, and if that isn’t successful, it may be necessary to raise
concerns more formally in writing through a grievance process. If the
concerns relate to working hours, you may wish to firstly consider making a
formal flexible working request. If support is still not forthcoming, you have
to consider a more formal route again, such as exploring potential legal
claims. You should seek support from your trade union or seek legal advice in
these circumstances.
Do keep a record of the requests being made, the
experiences you’ve had and the responses received.
It is worth noting that if you
consider your situation is serious enough to merit taking legal action, there
are strict time limits and you only have three months less one day from the
date the last act of discrimination took place to lodge a start the compulsory
ACAS Early Conciliation process with a view to bringing an Employment Tribunal
claim.
It is important to take advice
quickly and you should seek support from your trade union or take specialist
advice if you find yourself in this situation.
You can find information on returning to work, discrimination and flexible working on the Slater and Gordon website, and on the ACAS and gov.uk websites.
Yes, support for breastfeeding can mean someone to sit and help you latch your baby on – but it also means acceptance, a better environment to feed in, and investing in infrastructure to make it easier.
The phrase ‘we need better support for breastfeeding’ can sometimes feel like a suggestion that if women just had a little more help latching their baby on, and tried a little harder, then all their problems would disappear. It can attract a lot of backlash, and with that perception you can understand why.
But when we call for ‘more support’ we don’t mean that at all. Yes, support for breastfeeding can mean someone to sit and help you latch your baby on, moving them a little left or right so that latch is more effective and comfortable for you. And timely, skilled support like this can make all the difference to breastfeeding working out.
But it’s certainly not the only thing we mean. We mean that women deserve high quality information about how to know when breastfeeding is working… and when it isn’t. A better environment to breastfeed in. Acceptance. Value in what they are doing. Investment in the infrastructure that makes it that bit easier. And more than that again.
So here’s a run down of what ‘more support’ actually encompasses.
1. In the early hours and days…
High quality information antenatally about what breastfeeding is like – how milk is produced, how often babies feed, what normal baby behaviour looks like.
Individualised support during birth that reduces risk of unnecessary complications and interventions. Information on how any interventions might affect milk supply.
Support after the birth to breastfeed as soon as possible. Continued support with picking up and positioning if the mother is in pain or immobilised.
Infant feeding specialists on the hospital ward and in the community, who can visit as often as needed. Peer supporters working alongside them. And time. Time for them to sit, really listen and give emotional support too.
Accurate information on how to increase milk supply. The importance of responsive feeding is. How to spot effective milk transfer. When is feeding often, too often?
2. For more complex cases…
If babies aren’t gaining weight, support with increasing supply or transfer of milk. Support with topping up. Guidance on when formula might be necessary, and how to ensure you carry on increasing your own milk supply alongside using it.
Good advice on how to use a pump if required. A high-quality pump being available. Information for women who decide to exclusively pump. And information for women who need to mix feed for whatever reason.
If a baby has tongue tie, then rapid identification and treatment where necessary. And for other complications that might make breastfeeding more challenging like cleft lip and palate. Identification, expert support, and accurate information.
Accurate advice for women who need to take a medication, including alternatives, rather than misinformation that they always need to stop.
More research into unexplained low milk supply and other complications.
A full explanation, debrief and support with formula feeding for those who wanted to breastfeed but were unable to do so.
Enhanced donor milk provision so that all sick and premature babies whose mother cannot produce enough milk, can be offered it rather than just the most vulnerable.
3. From friends and family…
Better support for mothers to recover after birth and get to grips with feeding. That might be from a partner or family. Or it might be from a doula. Or peer supporter. Or all of them. Anything that means new mothers are nurtured in a way that focuses on caring for her, not offering to give the baby a bottle.
Knowledge of how breastfeeding works, how to spot difficulties, and that there are other ways to bond with than using a bottle.
Advocates that stand up for the mother if she cannot get the support she needs or is feeling pressured unnecessarily to stop breastfeeding.
A shoulder to cry on when things are tough rather than an automatic suggestion to stop breastfeeding if she is not ready.
4. In the community…
A knowledgeable community that understands how breastfeeding works. That understands frequent feeding, normal infant sleep and a baby’s need to be held. That shares this knowledge with others, so that it becomes common knowledge.
Well-funded peer support groups so that mothers can spend time with others who are going through the same challenges, or have come out the other side.
A society that recognises breastfeeding as an utterly normal thing to be doing in public. One that sees it as a baby needing to eat, rather than an act of exhibitionism by a woman.
A society that values mothers, recognising that what she is doing is important. Not one that suggests she is failing if she doesn’t get her ‘life back’, ‘body back’ or ‘get back’ to paid work asap. One that celebrates her new normal rather than suggesting she is somehow failing.
Educational programmes that ensure children grow up knowing how the female body works, how breastmilk protects babies, and how breastfeeding is a reproductive right.
5. At a government level, one that invests in breastfeeding by ensuring…
Hospitals and communities are well staffed, so that every mother who needs support gets it.
Generous and well-paid maternity and paternity leave, so that families have the time to establish breastfeeding.
Full legislation to support breastfeeding mothers on return to work, and workplaces are encouraged to support them.
Educational programmes based on the best possible research to update professionals across the spectrum.
Legislation to ensure formula milk is an accessible, high quality affordable product, not pushed on families by industries wanting to capture their ‘market share’.
‘More support’ doesn’t suggest that with a bit of help and determination that all women can breastfeed. Rather it highlights how women are currently being let down at every level. The list is long, and likely incomplete. We have far to go but while women are still falling through the gaps at every stage we will keep fighting for ‘more support’ across every dimension this entails.
Professor Amy Brown is based in the Department of Public Health, Policy and Social Sciences at Swansea University in the UK where she leads the MSc in Child Public Health. This article was originally published on Huffington Post, here, and is reproduced here with the author’s permission.
Emma Pickett is the chair of the Association of Breastfeeding Mothers, and also works as a lactation consultant. Here we share her article on breastfeeding through pregnancy, and potentially continuing to breastfeed two (or more!) children, known as tandem nursing.
Let’s imagine you are breastfeeding your toddler and you discover you’re pregnant. It’s a much wanted pregnancy but perhaps you weren’t expecting that positive test quite so quickly. And now here you are, pregnancy test still drying, teeny tiny new person inside you and less teeny person on the outside, very much still in love with breastfeeding.
By still feeding your toddler, you’ve already been up against it in terms of what most modern cultures find comfortable and acceptable. Now you’re ticking the box for another misunderstood area of breastfeeding: one full of myths and nonsense and one lots of uneducated people claim to be experts about.
A useful starting point is finding a group online of mothers who have breastfed through pregnancy and beyond. That can be reassuring and immensely helpful but it’s worth remembering that every woman’s experience is different and it’s very hard to make predictions about how things will go for you.
I’m going to guess that when many people are looking at the drying pregnancy test, their thoughts shift to the consequences for their current nursling. Then soon, you wonder about the baby-to-be. Is breastfeeding during pregnancy ‘safe’?
What does the research say?
Let’s look at this study from 2012: A comparative study of breastfeeding during pregnancy: impact on maternal and newborn outcomes. Madarshahian F, Hassanabadi M. The study looked at 320 women in Iran, some breastfed during pregnancy and some did not. It showed that, “Results found no significant difference in full-term or non-full-term births rates and mean newborn birth weight between the two groups. We further found no significant difference between full-term or non-full-term births and mean newborn birth weight for those who continued and discontinued breastfeeding during pregnancy in the overlap group.”
So, breastfeeding during pregnancy didn’t ‘take nutrition away from the baby’ and it did not cause prematurity.
Another study of 57 Californian women from 1993: Breastfeeding during pregnancy. Moscone SR, Moore MJ. Just under half continued to breastfeed through pregnancy and after the new baby arrived. The new babies were healthy and appropriately sized.
However, it’s not all clearly positive. Another research study on 133 women in Peru found a link between breastfeeding through pregnancy and 125g on average less weight gain for the new baby in the first month. (Postpartum consequences of an overlap of breastfeeding and pregnancy: reduced breast milk intake and growth during early infancy. Marquis GS, Penny ME, Diaz JM, Marín RM. 2002)
Another study looked at 540 women in Egypt with sub-standard nutrition. Effect of pregnancy-lactation overlap on the current pregnancy outcome in women with substandard nutrition: a prospective cohort study. Shaaban OM, Abbas AM, Abdel Hafiz HA, Abdelrahman AS, Rashwan M, Othman ER (2015). This was not all positive news with increased risk of maternal anaemia and issues with infant growth. BUT there was NOT an increase in miscarriage risk when women breastfed through pregnancy.
How’s your nutrition and how are your iron levels? If you are a mother with access to good nutrition, it appears you have less reason to be concerned.
Does breastfeeding trigger early labour? Even for those women who were struggling with other issues, it doesn’t appear so.
Hilary Flower is the go-to person on the subject of breastfeeding during pregnancy. Her book, “Adventures in Tandem Nursing” is considered the bible on this subject. It was first written in 2003 and is now out-of-print but a second edition is currently being worked on. Her focus was on bringing the facts to pregnant mothers and she looked at this idea of triggering contractions or early labour in detail. She reminds us that we need oxytocin to trigger a milk ejection reflex (the letdown reflex) and this is also the hormone that can trigger uterine contractions. However, this doesn’t mean that breastfeeding in pregnancy triggers risky contractions and there are several safeguards in place. We need hormone receptor sites to exist before hormones get acted on by the uterus and they remain small in number until around 38 weeks of pregnancy. And even the hormone receptors that are in place can’t really do their job of causing contractions as there are oxytocin blockers in place like progesterone (made by the placenta) and proteins missing which would act as special agents to help the oxytocin do their job. Triple protection! So, oxytocin can carry on doing its breastfeeding jobs while baby remains protected in the uterus.
I think we can say science is on our side. Which makes sense when you think that throughout history women have been breastfeeding older babies and having sex and getting pregnant.
Do you know anything about the history of pregnancy testing? Today, we might know we are pregnant days after conception. For generations, it was based on guess work, someone examining your urine’s appearance and something about rabbits (early 20th century pregnancy tests involved injecting urine into a rabbit and observing a change in their ovaries). A lot of breastfeeding women couldn’t rely on whether they had missed a period as periods may only just be settling in or may not have even appeared yet. Some breastfeeding mums get pregnant without yet having a period. They ‘catch the first egg’. Then they go and see their doctor and the doctor brings out the chart that predicts due date based on last menstrual period, “errr…2015?”
Nature isn’t daft. If breastfeeding during pregnancy was hazardous, I doubt you nor I would be here. Hilary Flower mentions that if you have a high-risk pregnancy, you should talk to your health care providers about your specific situation but if you are safe to continue sexual intercourse, breastfeeding is very very likely to be fine too.
Science might say that breastfeeding during pregnancy is safe but that doesn’t mean you have to do it, or that it’s super easy for everyone. There is a wide range of experience and you need to reflect on what feels right for you.
The age of your current nursling might be a factor in your decision. If they are 7 months, you might feel differently than if they were 4 years old and you were getting a bit tired of breastfeeding a plastic truck several times a day.
If your baby is 7 months, or at any age where milk is still a significant proportion of their nutrition, you’ll need to do some thinking. It’s likely they will need an alternative source of milk (still doesn’t mean breastfeeding needs to end). Most women who are breastfeeding when they are pregnant do notice a decrease in milk supply – often a very significant one. This can start as early as the first few weeks after that positive pregnancy test. Whatever you do, your body will be resetting in its lactation story and you will go back to making colostrum during your pregnancy. It happens at different times and some mums might go through a period of feeling like they have virtually nothing and their child is ‘dry nursing’ before colostrum then appears and quantities seem to increase again. Nurslings behave differently during the changes of pregnancy. Some self-wean as the quantities drop. Some self-wean when things seem to taste a bit different. Some care not a jot that changes are happening and would carry on breastfeeding whatever was coming out or if nothing was. Word of warning: colostrum has a laxative effect. That’s one of the reasons it’s so great for newborns as it helps them to pass meconium. Potty training a toddler? Brace yourself.
What else can you expect? For some women, not much else. Pregnant and breastfeeding felt a lot like not pregnant and breastfeeding. You’ve just got to worry about the bump being in the way towards the end. (This was my experience).
Other women struggle with sore nipples from increased sensitivity that probably has something to do with hormonal changes and sometimes aversion to breastfeeding can be a problem.
The reduction in milk supply can also be upsetting for some. It can come at a time when we might already have mixed feelings about giving birth to another child. We know what positives a new sibling can bring for your toddler but there’s sometimes a feeling of loss or even guilt as we’re concerned how their life is going to change – especially in the first few months. And when milk seems to be going too – that can feel doubly hard. Unfortunately, there isn’t much you can do to increase milk supply in pregnancy when changes are starting. All the usual stuff doesn’t work: pumping, herbs, just feeding more frequently. Many herbs that we might consider when we want to increase production are not thought to be safe in pregnancy. It appears that milk storage is affected for almost all women (only a small minority don’t feel their supply has diminished). You might want to consider using a supplementary feeding system at the breast, so baby can remain attached and get other milk through a lightweight tube.
It’s important to remember though (and this is engraved on the heart of many of us in breastfeeding support) that BREASTFEEDING IS NOT JUST ABOUT MILK. Your little bloke with the plastic truck might not care a jot if supply diminished and milk tastes different because this is only partially about milk. It’s also about connecting to you, relaxation, safety and contentment. That big world out there is only getting bigger and breastfeeding is home.
If you are happy to continue with that, breastfeeding is still working.
You might also be wondering what life is going to be like when the new baby arrives. How does breastfeeding work when there is a newborn and a toddler? Pretty much like it did the last time there was a newborn – nature gets on with it. While breastfeeding during pregnancy doesn’t ‘use up’ colostrum, during in the first few days after the birth, it’s sensible to let the newborn do their thing first before the older nursling gets a turn. And once your mature milk transitions, you can make decisions based on how your newborn’s nappies and weight gain are getting on. Sometimes there is talk of restricting a baby to one breast and a toddler to another. Most lactation consultants agree that’s not sensible. Ideally you want the newborn to have the option of both and continue to have the option of both fully lactating as their breastfeeding experience continues. Toddlers feeding after newborns are very effective at helping a milk supply to develop and tipping into oversupply is more of a worry than running out of milk. A toddler is also fabulous at relieving engorgement in the early days post-partum. Flashback to my 3-year-old son announcing proudly to his grandmother (not entirely on board with natural term breastfeeding) that he ‘helped mummy because her milkies were really full’!
Does the toddler feel jealous of the baby having ‘their milk’? I have yet to meet a mother who feels that’s been a problem. In fact, many feel that it can help in the arrival of a new member of the family. Toddlers are likely to need some extra support, but breastfeeding is still there for them. The thing that has always provided comfort and reassurance. And good news! It’s changing back to regular milk and there’s lots more of it! What might not be sensible is weaning a toddler in the last few weeks of pregnancy so if you are thinking tandem breastfeeding really isn’t for you, it might be wiser to wean sooner rather than just prior to baby arriving. If that’s you, I wrote an article on weaning an older child which you might find helpful: http://www.emmapickettbreastfeedingsupport.com/twitter-and-blog/weaning-toddler-bob-and-pre-schooler-billie-how-do-you-stop-breastfeeding-an-older-child
It sometimes happens that an older child who hasn’t breastfed for a while asks to do so again when a new baby is on the scene. That might be because they weren’t a fan of the colostrum. Or there might be some other things going on in their head. Are they ‘testing’ whether they still get to be your baby? Are they just curious? Some resume breastfeeding at this point. Some are happy to have a taste of expressed milk in a cup. Some ask and run away giggling and don’t mention it again. There’s no right or wrong answer on how to deal with this but ideally, we’re looking for ways to minimise rejection and any refusal is done so as gently as possible.
Still think it’s a bit hippy and ‘risky’? This is the American Academy of Family Physicians (folks on the opposite end of the spectrum from hippy and risky): “Breastfeeding during a subsequent pregnancy is not unusual. If the pregnancy is normal and the mother is healthy, breastfeeding during pregnancy is the woman’s personal decision. If the child is younger than two years, the child is at increased risk of illness if weaned. Breastfeeding the nursing child during pregnancy and after delivery of the next child (tandem nursing) may help provide a smooth transition psychologically for the older child.” We can’t guarantee it’s all smooth but breastfeeding through pregnancy and beyond is something mothers have been doing for millennia and there’s very little to fear and lots to embrace. Those of us who do it are often those who have taken the path of child-led weaning and it instinctively feels right to let the nursling make the call. But you’ll make the decision that’s right for you.
A new report is published today evaluating the impact of the Breastfeeding Network’s Drugs in Breastmilk Information Service. This service provides evidence based factsheets and one to one support about taking medications or having medical procedures while breastfeeding to over 10,000 parents and professionals each year.
The Drugs in Breastmilk information
service was set up more than 20 years ago by the Breastfeeding Network and has
been funded by the charity ever since. It was established in response to
reports of many breastfeeding women receiving inconsistent or inaccurate advice
from some health professionals when they were prescribed a medication or
procedure. This service enables them to access the latest evidence-based
information on risk, from an experienced pharmacist.
The
research, led by Professor Amy Brown in the Department of Public Health, Policy
and Social Sciences at Swansea University, will be presented at the All-Party
Parliamentary Group for Infant Feeding and Inequalities in Westminster today.
It explored the experiences of mothers, health professionals and mother
supporters who had used the service.
The
evaluation found that the majority of mothers who contacted the service were
enquiring about every day medications and procedures, such as antidepressants
or antihistamines, where there is an established evidence base that continuing
to breastfeed whilst taking these medications is not harmful. Yet women had
been told by their GP or pharmacist that they could not continue breastfeeding
whilst taking it. On contacting the service, mothers were given the information
that they could continue meaning that many had the confidence and reassurance
to continue breastfeeding for longer.
Professor
Amy Brown explained ‘The findings are a
concern as we do not know how many women did not contact the service and
stopped breastfeeding through incorrect advice from medical professionals. This
service is clearly plugging a gap in the knowledge of some GPs which should
urgently be tackled by considering how medical professionals are trained not
only in the risks of medications and breastfeeding but also in the value of
breastfeeding for many mothers. Mothers highly valued the information they were
given by the service as it enabled them to continue breastfeeding and take the
treatment they needed. But they also particularly valued the support and
reassurance given by the service around making any decision. Mothers described
how before contacting the service they often felt dismissed and that their
desire to breastfeed did not matter, but after contacting the service they felt
reassured and listened to for the first time, describing the service as ‘a
lifeline’.
Indeed,
the evaluation examined how mothers felt before and after contacting the
service, highlighting a highly significant improvement in maternal wellbeing,
Mothers reported they felt more informed, confident, reassured, supported and
listened to after contacting the service, even if they were given the advice
that they couldn’t breastfeed whilst taking a prescribed medication.
Dr
Gretel Finch, Research officer for the project noted ‘We expected to see that the service would be rated positively by those
who used it but were struck by just how significant the impact was for maternal
wellbeing. Even when mothers were told that they could not breastfeed and take
a medication they reported feeling listened to and cared for, rather than
simply being told they couldn’t breastfeed. Given what we know about the
devastating impact not being able to breastfeed can have for maternal mental
health, this service is playing a key role in helping alleviate that by
providing women with answers and support, rather than a simple ‘no’.
The
report found that for many mothers, if they had not received information from
the service, they would have made the decision not to take their prescribed
medication, rather than stop breastfeeding. GPs often assumed mothers would
stop, but in reality, they valued breastfeeding so strongly that they would put
their own health at risk in order to continue doing so.
Dr
Heather Trickey, Research Fellow at the University of Cardiff School of Social
Sciences explained ‘It is clear that
breastfeeding women who are given incorrect information when prescribed a
medication face a difficult choice. Many stated that they would decide to
continue breastfeeding over taking the medication, putting their own health at
risk when in fact there was usually evidence that it would not be harmful to
continue breastfeeding. This is a common theme for new mothers when it comes to
information about caring for their baby. Many are not given accurate
information by health professionals about the real risks to them and their baby
putting their physical and psychological wellbeing at risk. Women deserve the
level of accurate information and support this service brings.’
The
evaluation clearly shows the impact the service has and the gap that it is
filling. As a result of the report the Breastfeeding Network are calling on the
government to ensure that this gap is not left to a charity organisation to
fund.
Shereen
Fisher, Chief Executive of the Breastfeeding Network, who commissioned the
evaluation, said ‘Many of the mothers who
contacted the service stated that they were only able to continue to breastfeed
because of the support and information they received. The service is vital for
women yet we rely on funding from the charity, goodwill and fundraising appeals
to provide it. Given the impact of the service upon maternal and infant health
and wellbeing we are calling for the Government to reverse cuts to the Public
Health Grant and to provide funding to support the continued work and expansion
of the service’.
The BfN Drugs in Breastmilk Service can only continue with sufficient funding. To donate to help keep the Drugs in Breastmilk Information service running, text BFNDIBM to 70085 to donate £3. This costs £3 plus a standard rate message. Alternatively, you can opt to give any whole amount up to £20 by texting BFNDIBM 5 to donate £5, BFNDIBM 15 to give £15.
One of the founding members of the Breastfeeding Network (BfN), and their resident pharmacist for over 20 years, Dr Wendy Jones, will receive an MBE at Windsor Castle this Friday.
Wendy set up the BfN Drugs in Breastmilk
information service in 1997 after being asked to update a basic information
pack about the safety of drugs in breast milk. Gradually the service grew and
now she now leads a small team of volunteers who offer individual support to
more than 10,000 families and healthcare professionals each year via email and
social media.
Commenting
on the award which Wendy receives for services to mothers and babies, Shereen
Fisher, CEO of the Breastfeeding Network, said:
“We are delighted with the news that Wendy is receiving this award in
recognition of her work. Wendy is an inspiration to us all. She has dedicated the last twenty years to
supporting mothers and families through the drugs in breastmilk service she
founded. Day in day out, she responds to
phone calls, emails and now social media messages from parents and healthcare
professionals who need reliable, evidence based information about the safety of
medications and treatments while breastfeeding.
The work she does allows parents to make their own informed decisions,
undoubtedly saving breastfeeding journeys.”
A soon to be published evaluation of
the drugs in breastmilk information service was overwhelmed by responses from
mums and healthcare professionals when they were asked for their thoughts on
the service. A mum of four said: “Wendy
has saved me and my daughters many times over. I can honestly say I would have
committed suicide after my second baby was born had it not been for her support
to keep taking my meds and to keep breastfeeding.”
A consultant paediatrician in the
same evaluation said: “Wendy’s
information is presented in a way which is accessible to non-medical mothers to
understand, but also written in a way that doctors who know little about
breastfeeding will take seriously.”
On
hearing about the award, Wendy said: “I
couldn’t be more proud that I have been awarded an MBE as Founder of the
Breastfeeding Network Drugs in Breastmilk Service for services to Mothers and
Babies. In 1995 when I wrote the first
information on drugs in breastmilk I could never in a million years have
imagined this happening. I followed my dreams and the opportunities given,
massively supported by my family and particularly my husband Mike who gave me
the opportunity to leave paid work and develop my passion.
Nothing I can do would be possible if breastfeeding advocates didn’t
spread the word that you can breastfeed as normal when you take most medication
or there are ways around it. So, this MBE is for all of you too for all the
hard work you do in groups, on the helplines, face to face, via social media
and just at the school gate or supermarket checkout. You are all amazing.
Thank you everyone for your wonderful comments. I’m treasuring them in
my heart and taking inspiration from them to keep challenging and to carry on
supporting mums, dads, grandmas, peer supporters and everyone to keep
breastfeeding these special precious babies. I’m hoping that this is the
beginning of a year when breastfeeding and its support gets the recognition it
deserves and just maybe some funding as a public health issue.”
Earlier
this year Wendy was also awarded a Points of Light award by the Prime Minister.
The BfN Drugs in Breastmilk Service can only continue with sufficient funding. To donate to help keep the Drugs in Breastmilk Information service running, text BFNDIBM to 70085 to donate £3. This costs £3 plus a standard rate msg. Alternatively, you can opt to give any whole amount up to £20 by texting BFNDIBM 5 to donate £5, BFNDIBM 15 to give £15, etc.
Wendy’s story
Over the past 40 years, Community
Pharmacist Dr Wendy Jones has made a huge impact on the lives of thousands of
families across the UK. In this time she has helped people manage issues such
as weight loss, cardiovascular disease and smoking cessation alongside her
general pharmaceutical duties, but her real impact has been felt by new
mothers. Wendy has dedicated her life to researching the effects of medication
and medical treatments on breastfeeding mothers and their babies.
In 1997 she was one of the founder
members of national charity The Breastfeeding Network, and in 1999 she set up
the Drugs in Breastmilk helpline. This telephone helpline was set up in
response to the number of questions the charity was receiving from
breastfeeding mums about prescribed medications. At that time there was no
easily accessible, reliable information for mums who had been told to stop
breastfeeding in order to take certain forms of medication. Wendy has
singlehandedly filled this gap.
In many cases where a mum is told to
stop breastfeeding, there is no evidence to support the need for this. The mum
can be left feeling she has no choice but to stop breastfeeding (even if she
wants to continue), or she may choose not to take the medication prescribed.
The impact of having to make a decision like this can be far reaching for some mums.
In a very few cases, evidence shows the mum does need to stop breastfeeding,
and then, being able to understand the reasons behind this may help the mum
with this process. In most cases, the evidence shows the mum can continue
breastfeeding safely and for many, to know this is possible is a huge relief.
Over the years, the service Wendy
provides has grown – she now leads a small team of volunteers who offer
individual support to more than 10,000 families each year via email and social
media. She is contacted by mums and
families, as well as health care professionals.
She has also written more than 50
information sheets about the most common medications breastfeeding mums ask
about – these infosheets cover everything from postnatal depression and anxiety
to cold and cough remedies, to contraception, hayfever, headlice and norovirus.
She was awarded a PhD in 2000 and has
written several books on this topic, as well as speaking at numerous national
and international conferences, study days and other events.
She is extremely well known and
highly regarded by breastfeeding supporters across the world. Her knowledge,
patience, understanding and support has been felt and appreciated by thousands
of families.
With her unending, selfless
commitment and passion Wendy is an inspiration to many. Her work is so far
reaching, it is impossible to measure the difference she has made.
BfN recently attended an event in Edinburgh run by Family Nurse Partnership, an organisation that provides dedicated support for young mums. At this event, BfN Supporter Melanie met a young mum called Susan (pictured above with her daughter Maisie). Melanie was so inspired by Susan that she asked her to share her story. Susan agreed, and has written this guest blog for us.
I fell pregnant with my daughter at the age of 19 and gave birth at 20. I have always felt very maternal and knew that my one real dream in life was to become a mother.
Sadly I lost my mum 4 months before I fell pregnant, this is a pain that never fades. However my little girl has brought so much joy back in to my life and I really believe she was sent to me by my mum.
I said from the very start that I was going to try and breastfeed as I wanted to do what was best for my baby. I told my midwife I was not going to put pressure on myself or my newborn and if it was too stressful or we had problems then I would change to bottle feeding.
On 4th November 2017, I gave birth to the most precious gift I’ve ever received. My daughter Maisie. I had a horrendous pregnancy and suffered with hyperemesis gravidarum and was in and out of hospital constantly. After a traumatic birth, I was very weak and I was kept in the labour suite longer to be monitored. During this time I had Maisie laid on my chest, skin to skin. The best feeling in the world. Within a few hours of her birth she became hungry and knew exactly what she wanted and how to do it. I was in total awe of this magical feeling and bond I was sharing with my baby and I knew in that moment that I wanted to give this “breastfeeding journey” a real go.
For the first few weeks it was quite a blur and some days were tough as she cluster fed. I worried that she was hungry and wasn’t getting enough, but with the support of my health visitor and support groups I soon realised this was all normal behaviour. I planned to breast feed until 6 weeks.
By 6 weeks we were doing so well, I wasn’t willing to give up. Maisie was very unsettled and colicky and so people would come out with retorts such as “its cause your breastfeeding” or “she will sleep better on formula”. I tried not to take any of these comments to heart but in the end I was exhausted and I decided what harm would it cause if she just took 1 formula bottle a night from daddy so I could rest?
Well if only I had known! She broke out in a horrible rash and I freaked. We rushed her straight to the hospital who ran tests and then came back to us with “its just baby acne”. So off we went home, I felt awful for over reacting and wasting hospital time.
However over the next few weeks this rash persisted and she became so unsettled and I knew something wasn’t right. It took a lot of trips to the hospital and GP to get an answer. When she started to have blood in her nappies I was adamant that there was something wrong so pushed for a diagnosis.
This is when we finally discovered she had CMPA. This is an allergy to the protein in cows milk. We cut out the added formula top ups straight away. I felt so ashamed and upset that I had been feeding my daughter something that was causing her so much pain.
At this point, I had two choices. Stop breastfeeding and feed special prescription formula, or change my diet to exclude cows milk and continue our breastfeeding journey.
I wasn’t ready to stop and wanted to give my daughter the best again after what she had gone through. So that’s what I did.
It was very hard and on some occasions I was so ready to give up but watching her feed and seeing the comfort and love she got from it I powered on through.
We did trial some special formula to which she couldn’t tolerate either so it became clear that breastfeeding was our only option.
None of my friends really understood, a few did but not all. I often got comments like “just put her on the formula it will be easier for everyone” or “well you can’t breastfeed her forever can you!?”
These comments really got to me, and I tried my hardest not to let them eat away at me.
I was part of online support groups and these really helped me through the darkest of days.
Watching my daughter grow and learn boosted me though and helped me to keep going with our breastfeeding journey.
I returned back to study when Maisie was 9 months old. I was worried how I was going to manage to feed her and keep my supply up.
Thankfully my college have been so supportive and have gave me my own private room with fridge to express in. Everything went smoother than expected with this transition.
My daughter has just turned 1 year old and I always thought I would definitely want to stop by this stage but, after everything that we have both been through to get to where we are, I’m now in no hurry to stop.
I will continue to feed my daughter for as long as I see fit and as long as she wants to, I have learned to ignore the negative comments and focus on how far we have come.
Never let anyone tell you that you can’t, and if they do, use it to fuel your fire to keep going. Mothers have hidden strength inside and you will find it. So when any of you new mummies are having a bad day please remember you are not alone and that it does get better.
The good days will always outshine the bad ones.
If you need breastfeeding support, please contact the National Breastfeeding Helpline, or reach out to the BfN through our website or social media channels (click here for our Facebook, Instagram & Twitter). We will always strive to give evidence-based, mother-centred support and information to help you make the right decisions for your family.
