We are stuck between a rock and a hard place as midwives. The training is shocking and most midwives themselves haven’t breastfeed so can not come at it from a peer support standpoint.
If you are lucky to train or work in a BFI accredited hospital at a decent level then you will get a better level of training.
Why as caring professionals can’t we help more? Because we have to many women and babies and not enough staff, because we can’t cope. Breastfeeding is hard work for mums, babies and midwives, it doesn’t always come naturally.
Then throw in a compromised baby, who is maybe prem or jaundice, and the doctors become involved, they outrank midwives, we have to do as we are told, we have to follow guidelines which unfortunately means following sometimes ridiculous feeding plans.
The education for SHO’s is shit, some have just come from geriatrics for gods sake and suddenly they are prescribing formula and making us give “top ups” which are actually full feeds!
If we give the full risks of formula we are seen to be scaremongering, if we don’t then we haven’t given informed consent!
Sometimes midwives just can not win and it’s really demoralising when you spend HOURS with a woman and then she pulls out a pre made bottle of formula, unfortunately another women would have missed out on that help and it might have made all the difference!
Honestly we all want to help, but it is like doing your job with one hand tied behind your back at the moment. It’s a really hard environment for everyone involved.