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Infant feeding

Get advice and support with infant feeding from other users here.

Bloody hypocritical NHS about breast/bottle feeding

80 replies

Somersaults · 14/02/2012 12:36

When pregnant and a new mother I could definitely feel pressure from all the health care professionals I saw to exclusively breastfeed. Which was fine because I was planning on doing so anyway. And then since DD was born every HCP has nodded approvingly or looked delighted when they've asked how she's feeding and I said ebf.

I get to clinic yesterday to have her weighed, explain that she's had sickness and diarrhea for two days, and that I'd had it for another day and a half after that, but they still told me I should think about giving her a bottle of formula every day because she's only gained an ounce in the two weeks since she was last weighed and her weight has dropped below two centile lines from her birth weight.

Argh! Of course she's barely gained anything! She kept nothing down for two days and then I fed her for another day and a half without eating anything myself!

I just find it hypocritical that they push so hard for breastfeeding and the minute the baby doesn't gain the prescribed amount they start recommending formula! The book says that a child who falls anywhere within those centile lines is of a normal weight! It also says that they are expected to drop centiles if they are I'll but should be back on track within two to three weeks. Not two to three days like apparently my HV expects! And then, probably not on purpose but still, made me feel like I was doing something wrong by saying I wanted to continue to ebf. I've got to take her back next week when if she's not gained enough they'll tell me again to start giving her formula! I'm not bolshy enough to keep saying no so if that happens I'll end up stopping taking her to be weighed. I'll have to do it on my kitchen scales!

OP posts:
worldgonecrazy · 14/02/2012 12:53

Welcome to the wonderful cracked-up world of NHS feeding which is all pro-breastfeeding before birth, just to encourage that post-birth guilt in non-bfing mothers, and then after birth is all pro-formula if there's a hint of a problem.

You do know that you don't have to see a HV at all dont' you? If you feel a bit guilty about not showing up, just phone and say "She's doing fine so I'll let you get on with seeing those mums that need your support" and leave it at that.

Somersaults · 14/02/2012 13:31

That's what will happen if they keep pushing. I know that there's nothing wrong with giving one bottle of formula a day but I'd rather not as long as she's thriving which she obviously is. So what if she's on the 25th centile instead of the 50th? If I'm concerned about her I can take her then but I'm not going to keep going to be told I'm doing it wrong!

OP posts:
edam · 14/02/2012 13:36

I'd ignore them, it's extremely bad advice. The latest thinking is that the charts are wrong anyway - babies are expected to gain too much weight and a slower trajectory would be far healthier. Whatever the truth of that, it's hardly call for a panic if baby doesn't gain as much as would be expected normally when they've been ill. Your baby is a human being, not a ruddy performing seal - and she hasn't read the charts.

bonzo77 · 14/02/2012 13:42

ignore them. I've come across lots of mums who found that the HV scales were wrong and baby was gaining fine! Oh, and the red book says not to weigh more frequently than every 2 weeks, so I certainly wouldn't take her next week. If your baby is cheerful and has wet nappies that's a good sign.

nickelDorritt · 14/02/2012 13:47

the thing that worries me most is that they spout this crap to women who aren't bolshy and strong, and who don't realise that it's crap. and that haven't read the information about how food works, and that haven't got any support or real information.

Sidge · 14/02/2012 13:49

I wouldn't take her at all unless you had concerns about her growth.

(And I'm a HCP.)

Healthy babies do not need regular weighing. And if every baby was on the 50th centile there would be no blooming centiles. Grrr.

Babieseverywhere · 14/02/2012 13:50

You could ask your HV for more information. Ask her why would a bottle of formula improve baby's weight, any more than offering an additional breastfeed, as they are both practically the same calorie wise ?

Useful Kellymom Page

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Agincourt · 14/02/2012 13:51

I never felt under any pressure to breastfeed but like you, everytime I went to the clinic I was told to start giving formula even when they were gaining weight Confused and I started to think that health visitors are actually quite scared of breastfeeding

tricksybaby200 · 14/02/2012 14:08

I could rant for hours about HV (apologies to those who are good at there job, unfortunatly the ones I have met have not been) my issue is there in ability to plot correctly. With my first 4 out of 5 of his weights were incorrectly plotted by DIFFERENT hv. luckily i am more than competant at this, it's not rocket science! and each time corrected it. The worse occasion was when she started to ask me about why he had dropped was there an issue. because of earlier experience I asked to see the book. she'd plotted the wrong age as well as weight. the correct weight put him on the 75th line as always.

I completely believe you know your own baby best. if you don't think there's a problem there probably isn't. my local breast feeding group used to weigh as well. You could see if theres one that does near you.

tiktok · 14/02/2012 14:08

(edam - nothing wrong with the charts in current use. They are based on good data. But it's the interpretation of them in relation to individual babies that's dodgy, too often. )

OP - extra bf would address the weight issue, if there is a weight issue :)

Somersaults · 14/02/2012 14:17

Thanks everyone. I've always breastfed on demand. She feeds little and often in the day, and cluster feeds late evening. She almost sleeps through then has a massive feed first thing. Throughout the daytime I just feed whenever she needs. I honestly feel like she's fine. I know she's been ill and do hadn't gained much but she still gained. I will take her back next week to reassure myself that she's gaining but as long as she is gaining I'll be happy. She's a very happy baby who seems to feed and sleep well. She has plenty of wet nappies every day and is back to normal after her bout of D and V last week.

OP posts:
TheRealMBJ · 14/02/2012 14:45

Unfortunately I think many HVs (and other hcps) are scared of breastfeeding. They haven't got enough training, have little experience of exclusive bf and feel more comfortable with formula Sad

Agincourt · 14/02/2012 15:02

My last one was adament that i shouldn't let the baby feed 'for comfort' and she was persistent that I give him a dummy Confused he was my third though so I just ignored her, actually I didn't ignore her she was concerned about my PND and I convinced myself she kept coming round because she wanted to take my baby because he was a really cute baby Shock Blush damn that PND!

TheRealMBJ · 14/02/2012 15:36

I'm sure he is a very cute baby Grin

DS was born in the winter if 2009 just before it started snowing. We life in an old house with only part double glazing. Even with the both heating on and a fire going all day, our house was cold. DS wouldn't settle anywhere but in my or DH's chests. We were virtually snowed in for 4 weeks.

At 3 weeks old my (actually quite supportive and generally lovely) HV told me that I had to put him down to sleep awake on his own or see he would never learn to sleep on his own* Luckily I thought better of it and just did what felt natural to us.

*she may have been right, we still co-sleep 2 years later

Agincourt · 14/02/2012 15:40

oh I do know what you mean, my very cute baby is 4 now and is still co sleeping with us Hmm we do also live in a very cold house though:o

nickelDorritt · 14/02/2012 15:42

i doubt any baby learns anything at 3 weeks.

we have the same sleep issue.
interestingly, BFing is a lot easier for me when we're co-sleeping. Grin

Somersaults · 14/02/2012 17:00

Can I ask you co-sleepers a question which may have an obvious answer I just haven't thought of, or it may just be a silly question...

If your baby sleeps on your left for example, do they just bf from the same side for every feed throughout the night? Or do you turn over and switch them to the other side of you for every other feed and then move them back to the other side of you to sleep when they're done?

I hope that makes sense!

OP posts:
Agincourt · 14/02/2012 17:30

I used to swap them onto the other side but there was loads of times when they used to just feed off the one as I had fell asleep Blush and I would wake up with one incredibly engorged bosom!

TheRealMBJ · 14/02/2012 17:31

I do feed from the left only at night. Did with DS and am with DD

jaffacake2 · 14/02/2012 17:41

Can I just throw in another thought about babies falling down centile charts.
Where I work as an HV we are under guidelines by the paediatricians that if a baby drops 2 centiles over a short period of time we should initially think of a feeding issue.This doesn't necessarily mean top ups but needs monitoring.If the baby is still not gaining weight then the baby should be examined by a Dr.
Over the years I have come across medical reasons why baby have not thrived including undiagnosed heart defects and metabolic disorders.True these are a small percentage but thats what we are trained to look out for.
So maybe scales have a place with a baby who is not thriving.

crustyonion · 14/02/2012 17:47

The HCP's made me feel so lousy and paranoid about DS's weight gain from the midwife who felt it necessary to tell me if he was 200g lighter he'd be in SCBU. Thanks for that. Spent the first few weeks terrified. I had to bring him every week for weight checks for months & was always made to feel bad. When DD was born I took her 6 times in total. I BF both until they weaned themselves. Both are healthy, neither are in their age group clothing. I don't fret about it anymore.

Somersaults · 14/02/2012 19:05

Jaffa thank you. I appreciate a more balanced perspective and u would much rather they monitored it to keep her healthy. I just think that perhaps they need to look more at what the problem could bf before suggesting formula straight away.

OP posts:
PenguinArmy · 14/02/2012 20:14

I feed from both breasts while laying on the same side,

DD had a 1oz over two week gain. No illness, it wasn't even mentioned other than she's clearly fine

Somersaults · 14/02/2012 20:55

Thanks penguin. I could so easily be panicking over her weight gain, or apparent lack thereof, that it makes me upset for all the mums who do panic in similar situations. As it is I'm trying desperately to feed her up but as I was already feeding on demand there's not much more I can actually do! I can't force her to feed when she doesn't want to!

OP posts:
Eglu · 14/02/2012 21:04

Somersaults it is sad that your situation is all too common. I am incredibly lucky that I have two excellent hvs. They are both very pro-bfing and know what they are talking about. They also run a bfing support group.

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