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WHAT CAN BE DONE TO INCREASE BREAST FEEDING RATES IN THE UK.

359 replies

lissie · 14/07/2007 18:01

we all know that postnatal care is a huge factor, but what else can be done?


i speak as a failed bf-er who will try again with every baby i have, but supports the mothers right to choose.

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terramum · 16/07/2007 18:14

The thing is though, society in general will never be comfortable with bfing as long as there is a very well marketed alternative so widely available. Yes putting it on prescription only is a radical step & would need an awful lot of work to succeed properly & I agree that in it's current state the NHS would never be able to cope with such a measure...not least because hardly any of its health workers have any of the BFCing skills they need. It would, I should think involve a few baby steps building up to it...like unbranding formula & then having it for sale in only certain places etc....to ensure that formula isn't just taken away from women using it. But I do feel that if formula were taken away as a "choice" then the bfing rates would inevitable rise & bfing would utimately be seen as the normal thing to do when you have a baby. It would also ensure that if you couldn't excl bf or bf at all for any reason that formula was still available (& free to boot as of course you don't pay for prescriptions post-natally!) but being prescribed as a medical alternative to bm - which is all it was ever meant to be.

IIRC Norway has formula on prescription only & has a 98-99% bfing rate - speaks for itself really!

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GooseyLoosey · 16/07/2007 18:18

My biggest problem was feeding when out of the house. I had a real problem with feeding in public places - reinforced by asking other people what they thought of b/f mothers and the consensus being that it was something no one wanted to see.

Mothers need to be aware that it is acceptable to do this in public places but more than that, other people need to be taught that it is a natural non-sexual thing and if they can't deal with it they should look away but should not criticise the mother for giving her child the best start in life.

Also for those people who cannot bear to feed in public, somewhere better than some pokey broom cupboard with no windows or natural light would be nice.

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Leati · 16/07/2007 18:34

Moms Fight to Breastfeed in Public
Run Date: 11/22/04
By Juhie Bhatia
WeNews correspondent
As the number of breastfeeding moms increases, their acceptance in public hasn't kept pace. Breastfeeding in public is a legally protected activity in over half the states, but moms are still being asked to cover up.


(WOMENSENEWS)--The first time Lorig Charkoudian was asked to cover up was in early July, as she nursed her 14-month-old daughter in a Maryland Starbucks.

Only one other customer was in the coffee shop, and Charkoudian had her back to him. Still, a Starbucks employee asked her to cover her daughter's face with a blanket or suggested she nurse in the bathroom. No one had complained, he said, he was just being pro-active.

Charkoudian isn't alone when it comes to being told how and where to nurse in public. Even as the number of breastfeeding women rises, some breastfeeding advocates say their acceptance in public hasn't kept pace, despite it being a legally protected activity in over 30 states. If anything, they add, as more women breastfeed, more are likely being discouraged from nursing while outside their homes, ultimately proving counterproductive to breastfeeding campaigns.

"The more roadblocks you put in the way of a new mom to nurse, the more chance she will feel embarrassed and shamed because new moms are already nervous and unsure with nursing," said Lorrie Leigh, who's been teaching childbirth and breastfeeding in Silver Spring, Maryland for five years. "When you discourage women to breastfeed outside, you encourage them to quit sooner."

Legally Protected
Public breastfeeding is nothing new, though mothers potentially risk being cited for indecent exposure for doing it in the 15 or so states that do not protect nursing mothers.

The laws that do help to clarify or enforce a women's right to breastfeed in public vary from state to state. Some of these laws ensure that breastfeeding isn't a criminal offense, while other states, such as New York and California, go further and permit a mother to sue for civil rights violation if she is prevented from breastfeeding in public.

Maryland's legislation, enacted in 2003, provides that a mother may breastfeed her child in any public or private place where they are authorized to be, without any restrictions or limitations on this right.

Starbucks has admitted it unintentionally violated this legislation, but has not agreed to adopt a national corporate policy to stop asking women to cover up when breastfeeding.

"While Starbucks does not have a formal policy regarding mothers breastfeeding babies within our stores, we welcome a broad and diverse group of customers to its stores, including nursing mothers," Audrey Lincoff, director of media relations for Starbucks wrote in an e-mail to Women's eNews. "Additionally, Starbucks complies with all applicable state and local laws regarding breastfeeding."

Such new laws don't necessarily change public attitudes. Mary Lofton of La Leche League International, based in Schaumburg, Ill., that educates mothers on breastfeeding, says that breasts are so over-sexualized, it's hard for people to associate them with their natural function.

"At the beginning of the last century a woman in the South could breastfeed in church without people batting an eyelash," said Lofton. "In the 1950s the breast became an erotic symbol in Hollywood. Now there's a real aversion to opening the blouse slightly to nurse, even though the average teen-ager in a mall exposes more breast."

Leigh is concerned that discouraging women from breastfeeding in public may set back progress. Breastfeeding rates have been rising after a low in 1971, when around 25 percent of women breastfed in hospitals after birth and only 5 percent were still doing so after six months, according to a survey by formula maker Ross Products in Columbus, Ohio. By 2002, breastfeeding in hospitals rose to 70 percent and after six months it was 33 percent.

Much of this is thanks to increased publicity about the health benefits of breastfeeding. Breastfed babies may have lower rates of diabetes, respiratory illnesses, diarrhea, allergies and obesity, while nursing mothers' benefits may include a reduced risk of breast and ovarian cancers. Because of this, the American Academy of Pediatrics recommends that women breastfeed through the baby's first year. Less than one in five do, according to the Centers for Disease Control and Prevention.

"The number of women who breastfeed initially is higher," Charkoudian said. "Long-term breastfeeding--those numbers more reflect how accepted it is in public since the first six weeks are more or less at home."

Fighting Back
A few weeks before Charkoudian's incident, a woman breastfeeding in a Target at the same shopping center in Silver Spring was also harassed, said Leigh. Last fall, Kasey Madden in Chicago was asked to move by a manger at Lifetime Fitness health club for nursing her baby in the gym's day care area.

Some of these moms are fighting back. When Starbucks didn't respond to Charkoudian's demand that they create a nationwide policy preventing employees from asking breastfeeding women to leave, she and around 30 nursing mothers staged a nurse-in. They filled the coffee shop in August, wearing shirts that read "What's more natural than coffee and milk?" Their nurse-in encouraged another one by a breastfeeding group in an Austin Starbucks.

Meanwhile in Illinois, Madden took on the corporate offices of Lifetime Fitness by writing to state lawmakers. Her case was the catalyst for a new state law that was passed in August, giving breastfeeding mothers the right to nurse their babies in any location, other than in places of worship and private homes, adding Illinois to the list of states that legally protects breastfeeding in public.

Some women's groups, however, say that public breastfeeding in now being used as an act of defiance when it really isn't asking too much for some basic cover up.


"Public breastfeeding should be done with discretion and regard to others' feelings," said Charlotte Allen, co-editor of InkWell, a Web blog on the Independent Women's Forum site, a Washington-D.C.-based conservative women's group. "It's a question of desires of women to breastfeed babies versus social customs. We have a standard of decorum and some are offended."

Groups like La Leche League International are working to change these social norms. They've been doing breastfeeding awareness and training since 1956, their latest programs focused on minority women, who have lower rates of breastfeeding.

In June, the U.S. Department of Health and Human Services also stepped in. They launched a public health campaign about breastfeeding with the Ad Council, a New York nonprofit. Their ads not only encourage women to breastfeed, but also warn of the risks of not breastfeeding.

"We wanted to make sure women understand that if they opt to not breastfeed, it's their choice but it could have consequences. It created a bit of controversy," said Kathy Crosby, senior vice president group campaign director of the Ad Council.

The campaign was supposed to be launched a year ago. Many breastfeeding advocates, such as Leigh, believe pressure from formula companies led to this delay and to the resulting "watered-down version" of the campaign.

But mothers like Charkoudian aren't waiting around for the government effort to create a pro-nursing culture. Her next plan is to organize regular nurse outs in Maryland, where nursing women pick a spot in the city and collectively nurse.

"Some work is at the legislative level, some at the corporate level," said Charkoudian. "And some of the issue is that people aren't used to seeing a mom nurse a baby. The more you see, the more normal and part of culture it becomes."

Juhie Bhatia is a writer based in New York City.

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Leati · 16/07/2007 18:40

In the US there is still a stigma in alot of places about nursing in public. I always tried to cover up but my daughter pulled the blanket down, she hated being covered. I think it is ridiculous that in an educated society that people still get thier feathers ruffled when someone is nursing in public. Yet in many third world countries, people would never even bat an eyelash.

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tiktok · 16/07/2007 18:53

terramum, you're wrong about Norway and prescriptions. You can get formula on prescription (just as you can here) but you are not forbidden to buy it.

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Leati · 16/07/2007 18:58

Mothers in the US are educated about the advantages of breastfeeding but still free to make thier own choice. 75% of woman initially nurse thier baby but as woman go back to work the numbers significantly drop to 33% by six months.

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terramum · 16/07/2007 19:01

oops - thanks for correcting me tiktok! I wonder where I got that idea from?

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yogimum · 16/07/2007 19:56

leati, women go back to work a lot sooner in the US don't they?

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TheDullWitch · 16/07/2007 20:05

They should get some celeb mums - quite mass market ones, I dunno, Posh or Geri Halliwell type people* ? and get them to do a poster campaign about how breast feeding is COOL. I am really serious. I think, that would do more than anything to shift the image of breastfeeding among low-income mums (least likely to bf) from being a bit middle class, yukky and uncool.

*of course it may be hard to find slebs who breast feed but there must be some.l

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Pannacotta · 16/07/2007 20:29

I think its really important to
a) offer lots of info/help/support to new mothers who want to breastfeed
b) educate the general public so they are more accepting/supportive of breastfeeding mothers
c) pass a law (like in Scotland) making it illegal to ask a breastfeeding mother to move on.

Also think it would help if breastfeeding could be normalised eg seeing people breastfeed in public/the media/on TV, making the sign for feeding facilites a woman feeding and not a bottle etc etc.

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Pannacotta · 16/07/2007 20:31

oh and increase paternity leave so new mothers have the chance to establish breastfeeding and the necessary time to devote to feeding a newborn.
Pet leave is much longer in eg Sweden and breastfeeding rates are much higher there.

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JennsterSlugSlayer · 16/07/2007 20:34

Read recently that Maggie Gyllenhal was papped in Central Park breastfeeding and there was uproar about it.

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Pannacotta · 16/07/2007 20:38

As a culture we seem to have forgotten.lost touch with the fact that breasts are for feeding and not simply for sex. Very depressing

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Walnutshell · 16/07/2007 21:47

Reclaim our bosoms!

I wonder what our daughters will make of this dilemma?

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MrsTittleMouse · 16/07/2007 23:38

Liv Tyler breastfed. Although in interviews she said that she didn't lose the baby weight until she stopped, which doesn't make it sound quite so cool!
I took part in a survey of BFers post-6 weeks for a university study. There was no question about the DP/DH's input! Just friends and mother/MIL, which I thought was a bit weird. There was also nothing about online support, so I added both in at the end.
The only thing that kept me going was MN telling me over and over again that it was perfectly normal to have problems, that growth spurts can come thick and fast but will pass eventually, and that it will all be worth it in the end. Now that DD is almost 9 months, I can't believe how easy BFing is, even though she still tries out her new teeth occasionally. We joke that I BF because we're too cheap to buy formula and too lazy to clean bottles.

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Rosetip · 17/07/2007 08:01

When I was pregnant with my first baby 5 years ago in London, some of my friends who were exclusively breastfeeding were asked by the midwives to come to the hospital ante-natal classes and give their first hand experiences of breastfeeding to pregnant mothers.
I thought this was a fab idea at the time and was quite put out that I hadn't been invited (maybe because I was mixing breast with the occasional bottle about a month after the birth).
It made the breastfeeding mums feel really proud and would have been very useful for the pregnant mums I'm sure.
Since then I've had two babies in Kent and they don't seem to run the scheme here.

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Northumberlandlass · 17/07/2007 08:10

A friend of mine has recently trained as a bf counsellor and once a week meets new mums at the HV clinic for a coffee morning and informal chats / advice on bf. She finds it very rewarding.

I bf my ds for 6 months (with hind sight I wish it had been longer), in that time he was bf in church, at a rugby match, on a park bench in Newcastle - I have never felt 'out of place'. I have to say that I would rather sit on a bench in the sunshine that go into a little smelly, stuffy room with no windows.

We have a lovely cafe in the middle of our town that has a bf friendly sticker in the window !

I received loads of help / advice when ds was born, but I know the small midwife led unit I was transferred to is very supportive to new bf mums.

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Leati · 17/07/2007 09:02

In the US women return to work between 6-12 weeks depending on vaginal or c-section. We have a good rate of initial nursing but as you can see it drops dramitically by six months. I recently was surprised to see a pamphlet that suggested, mothers nurse for six because when I had my others it was a year.

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Leati · 17/07/2007 09:02

In the US women return to work between 6-12 weeks depending on vaginal or c-section. We have a good rate of initial nursing but as you can see it drops dramitically by six months. I recently was surprised to see a pamphlet that suggested, mothers nurse for six because when I had my others it was a year.

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Skimty · 17/07/2007 09:04

I haven't had a chance to read a lot of this but, in my experience, more needs to be done at 4 weeks +. I established breast feeding fine but then got into problems. BF counsellor was good but had never seen a baby this age (7 weeks) and HV advised me to give up at 4 mths as not much point now! I stuggled on till 6 months with very hungry baby. Other women I've spoken to have had the same problem. Newborn advice is good around here (Kingston) but advice on things such as expresssing which support you when you need more independence just was non-existent. Am I right in thinking that the start-up rate in quite high but then tails off at around 4 weeks? Could some focus be put there?

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Skimty · 17/07/2007 09:10

Sorry x posted

Yes, here most people told me there was no benefit after 6 months

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lissie · 17/07/2007 09:15

rosetip, thats the sort of thing i had in mind!

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lyra41 · 17/07/2007 09:18

How about the nhs paying mums to bf. that's a bit radical isn't it, and I'm sure it's full of holes and problems, not fair on mums who have a genuine medical reason preventing them etc. but people usually respond to good old money don't they?

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tiktok · 17/07/2007 09:18

Skimty, you're right there is a big drop off after the beginning. The biggest drop is at the beginning and thereafter it falls off all the way - stats don't show anything particular at 4 weeks, though, just the same-old-same-old of poor info and support.

Your HV sounds hopeless.

I can't imagine what sort of breastfeeding counsellor you saw - one who had never seen a baby of 7 weeks?

This cannot have been a trained breastfeeding counsellor, just someone using the name

Can you remember who is was you saw? Someone from the NHS?

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tiktok · 17/07/2007 09:19

lyra - very cruel to pay women for bf, given there are many women who break their hearts trying to, and don't get the right info or support, or are prevented in other ways. And how on earth would you police it?

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