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Infant feeding

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

Where are the guidelines that midwives should follow when giving advice about breastfeeding?

12 replies

bumbleweed · 25/06/2006 09:19

Can anyone point me or link me to the actual guidelines from the NHS or Unicef or whatever about breastfeeding and what information midwives provide to new mothers?

I had a real struggle breastfeeding in the early days, and am proud to be still doing it 8 months down the line, but this morning was reading my diary from the first 4 weeks and felt when I read:

"dd seems to want to feed every 2 hours or even more often .. the midwife has been again and said she is snacking rather than feeding, and I just try to get her to go at least 2 hours ..."

"dd seems to have wind or colic, the midwife says the frequent feeding is causing the tummyache and she would be better feeding for longer but less often, but she falls asleep during the feeds and I cant seem to keep her awake"

"dd only ever wants to feed whenever she is in my arms and cries if I try to put her down or try to hold off feeding her a bit longer, what am I doing wrong, I feel so inadequate?"

Now having read what I have read on here, and in books, I know that newborns should be fed on demand, and that can be virtually constantly in the first few weeks and they are supposed to be held in their mothers arms and that feeding frequently is actually fine.

I had 4 different community midwives, and they visited every other day for 2 weeks and all gave me variations on the theme above. I now feel I was given wrong information, and only managed to actually continue to bf through sheer perseverence and determination and no wonder so many give up. I had quite severe nipple pain for about 4 weeks but the midwives didnt check if dd was latching on properly, talk about thrush, or explain about let-down.

Should I write to the health trust and what information do I need to back me up?

OP posts:
purplemonkeydishwasher · 25/06/2006 09:48

Bumbleweed - sorry I can't really help with info for you. I just wanted to comment because I totally agree with you on this.
Thankfully I started to go to a BF group at about 3 weeks and all the moms there told me that it was normal and just to go with it. It just goes to show that we all help each other more than healthcare professionals help us. It's good that mom's can support each other that way, but really unfortunate that we can't count on the people who are paid to help us.

sfxmum · 25/06/2006 10:05

oh bumble! sorry you had such poor advice, much like, to be honest after the awfull experience in hospital i gave up on them and got in touch with NCT and la leche league. from then on i just fed dd when she wanted, sometimes over an hr and she wanted feeding again within 2hrs i just went with it.
you are doing great!
i still do twice a day but it sure wasn't on the 'helpful' advice from midwifes.
i think a lot of them are not very pro BF. they come from the general society and if said society is not very pro BF...

sfxmum · 25/06/2006 10:27

meant to say i have a link for unicef uk called babyfriendly.org.uk but link not working sorry

tiktok · 25/06/2006 10:36

There should be no 'uk' in that URL. sfx.

Snafu · 25/06/2006 10:38

Bumbleweed, don't know if this is of any help but if you go to www.babyfriendly.org.uk/pdfs/ed_stds_publication.pdf (won't let me link I'm afraid!) there is an outline for the course that I am currently following as a student midwife. There's lots of other stuff on the the Baby Friendly site that may be useful to you.

My university is one of the very few that is working towards Baby Friendly accreditation for the midwifery course itself. IIRC that it is only KCL and another university in Scotland who follow this course - which is insane imo. It think it's a pretty good course and certainly a lot more than other students seem to get. We also have practical examinations on things like hand expressing, correct positioning and attachment etc.

Before I started the course I'd learnt everything pretty much I knew about bfing from Mumsnet, not from a midwife/hv, which just goes to show the parlous state of bf education in this country...

I hope this helps. I think it's an excellent idea to write to your health authority, point out your experience and ask them why they're not accredited or at least working towards it. There is no excuse, imo.

Caligula · 25/06/2006 10:40

Interesting that all the mw's gave you advice which demonstrates how very uncomfortable they are around the whole subject of breastfeeding. It's almost like they were looking for reasons to find breastfeeding a problem. One HV I had breathed an almost audible sigh of relief when I gave up bf - it's almost like they feel it's something out of their control and expertise, and therefore their comfort zone when giving advice.

It really shows how much training is needed for mw's and HV's in this area.

Well done you for carrying on regardless. It's a pity so little support is forthcoming though, from the very source where a new mother would expect it.

Snafu · 25/06/2006 10:40

That should be ed underscore stds underscore publication.

moondog · 25/06/2006 10:42

BW,my MWs were unbelievably fantastic and it was a shock to me to learn that this was the exception rather than the rule.
A virtual hug of solidarity for you.

sfxmum · 25/06/2006 10:46

have a look at this
you can get to other links from there
thanks tiktok , also meant to say dd has just turned one
keep it up

Snafu · 25/06/2006 10:50

Umm, the url works find with a 'uk' for me...just takes me to the BFI homepage

bumbleweed · 25/06/2006 16:03

Thanks for the URLs and links, as I never seem to find exactly the right thing when I google. According to that site, my hospital is accredited BabyFriendly, but does that also apply to the community midwife team?

sfxmum, I agree that society in general doesnt seem very pro-bf, but I thought midwives would be, surely its their job to be? Prob sounds naive but thats like saying 'doctors, some are into making people better, others not so much'.

Will quote the unicef leaflet for parents in my letter.

Actually at the time, md, I thought my midwives were great - and I think they were genuinely trying to help me cope with the pressures of breastfeeding, but its with hindsight that I am thinking that what was advised was confusing and just plain wrong and out of date.

OP posts:
2plus2plus1 · 25/06/2006 20:04

My midwife said something about the fact that they had to be trained to teach new mothers verbally, without physical assistance and that it had to be consistent betwen midwives so there was no conflicting advice (she was talking to a student actually). However, that did not stop the conflicting advice & actually the first time I got dd3 properly latched on & feeding was when a community MW shoved half a boob down her throat & held here there almost at force on the third day. Definately couldn't have done it without the physical help, but could have done without the conflicting advice.
HTH & I don't know how much of the original statement is true.

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