My feed
Premium

Please
or
to access all these features

AIBU?

To be angry at this GP

164 replies

yevans · 28/09/2020 20:17

Went to my usual surgery and saw a lovely GP. She was really great until she found out that I was pregnant (first trimester) and also breastfeeding my 1 year old at the same time. I then got a lecture about how it could be dangerous to breastfeed whilst pregnant and that I should think about stopping. I am really mad about this. I told her that it was only an issue if you have problems with pre term labour previously. She disagreed and seemed to refuse to believe me. I'm glad I knew that it was fine for me to carry on but others may not and if told that would be guilt tripped into stopping before they or baby are ready.

AIBU to be really angry that breastfeeding is pushed so heavily when your baby is little then as soon as they are over 1 it's frowned upon and not supported? Why is this??

OP posts:
Report

Am I being unreasonable?

415 votes. Final results.

POLL
You are being unreasonable
57%
You are NOT being unreasonable
43%
MagpieSong · 28/09/2020 22:22

@Volcanicorange

Falling pregnant so soon after your last pregnancy increases the risk that you will be deficient in important nutrients. For instance, you have a greater risk of developing iron deficiency and anaemia (Morasso et al; Vandenbroucke et al) and gastroschisis (Getz et al).

-You have an increased risk of placental abruption (Blumenfeld et al).
Compared to women who wait two years to conceive, you are 3.4 times more likely to experience labor or delivery complications (MDCH).
If your previous birth was via caesarean, you are at an increased risk of uterine rupture if you attempt a VBAC. To give you the stats: waiting less than 6 months before trying again will triple your chances of uterine rupture during VBAC (Stamilio et al; Esposito et al 2000).

-Your baby is at a greater risk of having a lower-than-expected or low birth weight (less than 2500g), being preterm (King). This is thought to be linked to the low collagen concentrations in the cervix of women with closely spaced pregnancies (Sundtoft et al).

-They are also at increased risk of suffering from congenital anomalies (Chen et al), schizophrenia (Gunawardana), menstrual disorders (Smits et al), and low IQ (Probert; (Pettersson-Lidbom and Skogman Thoursie). The latter is particular so if your child is a boy.
Your baby is also at an increased risk of stillbirth or succumbing to early neonatal death, even if you live in a high-income country. Ouch! (Wendt).
You are more likely to develop the baby blues (Gürel).
The shorter the interval between pregnancies, the higher the SIDS rate (American SIDS Institute).
Over-supply of breastmilk is more likely to occur if your children are closely spaced. It’s as though your body is producing milk for a bigger baby and your newborn struggles with the faster flow of the milk (Cave and Fertleman).
-Looking after a baby while you’re pregnant can be very tiring. Your body won’t have fully recovered from the last pregnancy. You may be excessively tired and easily run down. Iron and calcium stores will not have had time to replenish (Winkvist et al; King).

-Anything less than an 18 month gap has been shown to reduce a woman’s life expectancy (Centre for Population Studies; The Independent).
-Some studies suggest that you will be more likely to mistreat your children if you have spaced them this closely. 18% more likely, to be precise (Thompson et al).

-Having a gap of less than 17 months is associated with a significantly increased risk of having a baby of prematurely and underweight. The risks are highest for babies conceived less than six months after the birth of a previous child (World Health Organisation; Conde-Agudelo et al).

-Your children will be at an increased risk of attachment problems. The theory is that neither child gets enough attention from the mother to create the close mother-child bond that children need to flourish (Kauai Longitudinal Study).
Common interests lead to competition and one of the children (usually the youngest) can become insecure if he constantly does less well than his older sibling.

-It’s not all good news for the first-born either. Because their sibling was born before the older child lost the belief that they’re responsible for everything that happens, a long-last psychological legacy often occurs: essentially, the older child, driven by fear of rejection, will have a chronic tendency to be highly self-critical and less likely to forgive themselves when they make mistakes. Many firstborns never lose this tendency to feel guilty and/or overly responsible when things go wrong (Blair).

-Some recent studies suggest that children who are born only a year after an older sibling are three times more likely to be diagnosed with autism (Gunnes et al; Cheslack-Postava et al). This is because women are more likely to have depleted levels of nutrients such as folate and iron, as well as higher stress levels, after a recent pregnancy (affecting fetal brain development).

Many studies do not explain other causes and reasons for links eg. deprivation and poverty, malnutrition prior to initial pregnancy, mothers history of parenting by her own mother, access to contraception and abortion, genetic history of autism and associated disorder, lack of helpful advice and support for mothers etc.

Having a sibling with attachment disorder myself (sibling and I are adopted) I can tell you it would not go unnoticed if almost every set of twins or close in age sibling sets had attachment disorder. Equally, I know several siblings born close together with great parental and sibling relationships. Attachment disorder is related to secure attachments not being formed in early life, this can be caused by many things including needing an incubator and not having bonding opportunities due to medical need (especially in years gone by, nowadays they try to support relationships and bonding, including cloths smelling of mum etc), being moved from one family to another, having several caregivers (eg. Some children would be cared for by nurses on the ward whilst awaiting a foster family) as well parents who consistently do not respond to babies crying, do not engage baby in play and eye contact or cruicial touch (stroking, patting back, bathing, skin to skin). If a mother struggles to cope or has mental health issues that affect her ability to bond and respond, a baby may develop attachment problems, this can occur with no siblings at all. It is not the sibling that makes the difference, but the parenting and the support that the mother receives in coping with two young babies. The parenting she received also comes into it, as does her own beliefs and expectations of her children and the experience of motherhood.

Sorry, but that study just seemed a bit bonkers. It doesn’t really give a picture of how big an issue attachment disorders are when someone has them, for them and their family, and it certainly gives a wishy washy reason for them. They’re really about trusting your caregiver will and can respond to your needs correctly and lovingly, or in the case of a disorder - your experience being that they won’t. Your experience of the world as a baby is your caregiver, so if you learn that you can scream but no one will come (Or maybe someone shouts at your or hurts you) and you still stay hungry/hurting/wet, you stop screaming and believe the whole world will behave in the same way to you. Having a loving mum pop you on her other boob while your sibling takes the other does not cause this terrifying view of the world and other people to develop.

Anyhow, YANBU OP. GP should have admitted they weren’t certain. They should know basics like this, but then i was shocked when I gave birth with only paramedics who turned up halfway through and had never seen a birth! Had no experience but a paragraph from a text book, didn’t tell me when head was coming and kept trying to move me though I was 5 minutes from crowning. Any medical person not experienced in labour, breastfeeding, newborns and babies needs to check if they’re uncertain really. It isn’t good to give out incorrect advice.
Report
yevans · 28/09/2020 22:22

@MsEllany it was something unrelated. I just wonder if my baby had been under 1 and I was still feeding whether I would have been met by the same resistance to breastfeeding or not.

OP posts:
Report
Bizawit · 28/09/2020 22:23

Omg YANBU OP. This is absolutely ridiculous, and so out of order that the GP said that to you. But 57% of people on mumsnet think YABU?? WTAF?

Report
justasking111 · 28/09/2020 22:25

The only person who questioned it was a dean of dentistry who was concerned about the mothers teeth rather than the unborn child. A pregnant mothers teeth lose out to the developing fetus add in breastfeeding that can exacerbate the situation. So OP I would certainly keep an eye on those.

Report
perfectstorm · 28/09/2020 22:26

@yevans Grin

Report
ticktackted · 28/09/2020 22:27

YANBU. You are right. Some polite feedback via the practice with links to good resources is probably the best way to handle it! There are some doctors trying to change things from inside (hello!) but generally knowledge on infant feeding (and nutrition in general) is not a big part of GP training. And of course you won't be "sucked dry", what a horrible way for PPs to talk about something that is totally evolutionarily normal...

Report
Ninjamilo · 28/09/2020 22:33

No wonder breastfeeding rates are so low in this country going by some of these comments....I can’t believe how many people spout such incorrect bullshit. I wish people would do more of their own research and make informed decisions rather than simply believing the so called professionals....they’re really not always right, and can’t be expected to be when they cover such vast topics!

Please mention if to the practice, a more fragile mother may not be as confident to continue breastfeeding in a similar situation

Report
Coquohvan · 28/09/2020 22:33

@Volcanicorange

Babies born within 18 months of a previous baby are associated with an IQ deficit due to the depletion of the maternal nutrients.

And that's WITHOUT breastfeeding while pregnant.

I do hope you’ve got a link to this statement! Or it’s not a fact just your I’ll informed opinion.
Report
bythehairsonmychinichinchin · 28/09/2020 22:39

Breastfeeding, pregnancy and menopause are 3 things that most GPs seem to know very little about...

Report
Hollyhobbi · 28/09/2020 22:45

My sister fed her eldest for a few weeks while she was pregnant until her milk dried up as she suffered from hyperemesis gravidarum! Which meant she ended up on a drip in hospital regularly in early pregnancy. Of course this is unusual and most women are perfectly fine to continue feeding. I always remember hearing about a woman who was travelling on a train in India seeing a mother with a newborn, and two older siblings. She was amazed to see the mother breastfeed the newborn and then the middle sibling and then the eldest child. So it is common in other parts of the world.

Report
mineofuselessinformation · 28/09/2020 22:48

For the people excusing spouting shite about GPs who aren't up to date, surely in that case they should be telling patients they will look into it and then advise?
Anything else is negligent.

Report
DramaAlpaca · 28/09/2020 22:56

I got pregnant while still breastfeeding DC1, who was almost 7 months.

My GP recommended that I stop breastfeeding, advice which I quietly chose to ignore Grin. This was 26 years ago, I'd have thought GPs would be better informed these days.

I was happy to carry on breastfeeding for a while but DC1 decided to wean himself off when he was 9 months and I was 12 weeks pregnant. The only downside of that was the minute I stopped breastfeeding the morning sickness kicked in. Urrgh.

Incidentally, there's only 16 months between them. DC2 was full term, healthy and I'm pleased to say has no developmental or other issues whatsoever.

Report
Pleasegodgotosleep · 28/09/2020 23:00

What a load of nonsense. As long as you have no pre-existing issues with miscarriage or preterm labour then of course you can keep feeding. I think they used to recommend an extra 200 cals a day after the first trimester of pregnancy and an extra 200 - 500 cals a day depending on how much you're breast feeding. If only feeding twice a day then prob say 200? So extra 400 cals a day to be on the safe side? Easily done. Good luck.

Report
Sweetnhappy1 · 28/09/2020 23:00

Sorry OP, I haven't read the entire thread but am a GP. Sorry to hear about your experience, your GP was incorrect. Prior to having kids and breastfeeding myself (including during pregnancy) I knew very very little about breastfeeding. It wasn't covered at any stage of my training. The GP Infant Feeding Network are trying to change this now but it really will take a while to trickle through. Rather than make a complaint, it may be worth giving constructive feedback by emailing the NHS link that has been posted above to your GP, they will learn something new and it will prevent them giving incorrect advice to another person.

Report
Wobbitcatcher · 28/09/2020 23:00

I’m 39 weeks and bf my toddler all the way through. There’s new evidence to suggest that breastfeeding is currently providing protection against covid. I felt it would be odd to stop during a pandemic when I could be providing my son some protection.
I do not trust gps with bf information. I had to have a biopsy on my breast while lactating and the surgeon wanted to know when I planned to stop as he preferred to wait until then (baby was only 4 months old) I told him I intended to feed in-line with the WHO recommended minimum. The well respected breast surgeon had to ask me what the WHO guidance was Hmm

Report
Serin · 28/09/2020 23:01

I fed both my boys at the same time, they are 14months apart.
The youngest is actually even bigger than his brother (both over 6'2") so it dodnt do him any harm.
And my boobs are my best asset, so it didnt ruin them either Wink

Report
MotherOfDragonite · 28/09/2020 23:09

@bythehairsonmychinichinchin

Breastfeeding, pregnancy and menopause are 3 things that most GPs seem to know very little about...

It's strange that....

I wonder what those things have in common Hmm
Report
CayrolBaaaskin · 28/09/2020 23:10

I wouldn’t get angry at her, nor would I necessarily believe La Leche League over her. The references from that article are not scientific studies. Carry on breastfeeding if you like but given that there’s a risk of miscarriage associated with it, why would you be angry at gp for advising you to stop (or not accepting your googling as superior medical advice).

Report
caoraich · 28/09/2020 23:11

I'm a doctor and I would complain in your situation. Postgraduate education in lactation is patchy at best. This link is for a recent guide for GPs and I know a number of people who have found it useful in interactions with HCPs as it is written by a GP and paediatrician. abm.me.uk/breastfeeding-information/breastfeeding-beyond-infancy-a-gp-guide/
They say "some mothers fall pregnant whilst breastfeeding, and may continue to breastfeed their older child throughout their pregnancy and once their baby is born (tandem nursing). There is no evidence that breastfeeding during a normal pregnancy causes miscarriage or premature labour (37)"

Report
sparkysdream · 28/09/2020 23:19

@CayrolBaaaskin

I wouldn’t get angry at her, nor would I necessarily believe La Leche League over her. The references from that article are not scientific studies. Carry on breastfeeding if you like but given that there’s a risk of miscarriage associated with it, why would you be angry at gp for advising you to stop (or not accepting your googling as superior medical advice).

Except the NHS guidance says no issue, as do all the GPs and midwifes posting got on this thread so I think it’s very reasonable to be angry.
Report
Horrible76 · 28/09/2020 23:24

Yanbu. I'd complain.

Report
ThePlantsitter · 28/09/2020 23:32

@Volcanicorange I realise it was a while ago but I'm literally sitting here with my mouth open that somebody would take the time to type out such an utterly mean-spirited post to a woman who is pregnant with her second child.

Also your little brackety sources don't do anything other than make you look like a twat if you don't provide a reference list.

OP you seem like you're level-headed enough to deal with that mess of pseudo-academojizz without being upset by it; imagine if you were a more fragile person.

Report

Don’t want to miss threads like this?

Weekly

Sign up to our weekly round up and get all the best threads sent straight to your inbox!

Log in to update your newsletter preferences.

You've subscribed!

LabiaMinoraPissusFlapus · 28/09/2020 23:39

This is so wrong, it is totally safe to breastfeed whilst pregnant. Your body will actually make very little milk as the pregnancy progresses, but it is still really good for your toddler in terms of nutrition and comfort. GPs do not get trained in breastfeeding. I am a midwife and lactation consultant.

Report
LabiaMinoraPissusFlapus · 28/09/2020 23:41

Just to add, I think this warrants a complaint to your GP practice.

Report
bumbledeedum · 28/09/2020 23:47

I'm amazed by some of the comments on here! I would definitely raise this with the practice, I completely agree with you OP, it's very sad to think some women might feel they should stop based on incorrect advice. Just because someone has received medical training doesn't make them infallible to being wrong and needing to update their knowledge.

Report
Please create an account

To comment on this thread you need to create a Mumsnet account.