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Infant feeding

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

Why are BF rates so low in the UK?

139 replies

LastNerve1 · 09/06/2021 13:56

Compared to other parts of the world, e.g the Scandinavian countries. And why is the level of BF knowledge sometimes so low/inadequate amongst HVs/midwives? Just curious.

OP posts:
Justgettingbye · 10/06/2021 10:34

In my situation I accept certain risks are reduced but not enough for me to battle through those early days. If it was a certain eg if you breastfed your baby they won't get allergies then yes I probably would be more tempted to persevere.

Also I have hay fever and eczema, would I even have any immunity to pass onto the baby? All the hcp I mentioned this to didn't seem to have an answer. I guess again it's a lottery so in the end I thought there's pros and cons and benefits and risks and no certainties I may as well do what makes us happy.

RidingMyBike · 10/06/2021 10:39

I know some don't find it 'hellish' but it was the complete lack of balanced info about it that really got to me - all the info I got in advance (3 hr BFing antenatal class, leaflets, patronising LLL book, endless MW pressure) was so overwhelmingly positive, made BFing sound so amazing. I was so excited about BFing and then it was so awful. There will be some for whom it is amazing, but also a considerable number who hate it, or are meh about it, or who only like it sometimes, or who find it a good way of getting milk into a baby but who don't feel overwhelmed with joy about it. It would be better to say 'some women find BFing enjoyable' or 'some women find BFing helps them bond'.

As for expense. Antenatal class had told us BFing is free. It turned out the calorie cost (extra food for me) to do it was about £1 a day, as our food bills went up. We budget quite carefully. We were doing combi because of my milk delay so spending £5 a week on formula, and £7 a week on extra food for me. So the basic cost is already higher. Then you get the extra costs involved, more so when you have problems, especially as we needed a pump to try and force my milk to come in so pump (£120), weekly trip to BFing support and petrol/parking (£3 per week), Lansinoh nipple cream (2 x £11), emergency readmission to hospital because baby seriously dehydrated (£50 in taxi fares and then bus fares for DH to visit us whilst baby in SCBU for four days), nursing bras (£40 for 4), having been assured you didn't need special clothing for BFing I found my existing tops didn't work so another £50 on secondhand BFing tops (because you need a certain number as baby invariably spews on them). I didn't incur the costs some did £100s on lactation consultants (free at the hospital, £1 donation at BFing support), or go down the gimmicky route of BFIng pillows, teas, herbal supplements etc. We had to buy bottles and steriliser anyway as my milk was delayed so I was triple feeding and topping up with formula.
The trouble with all that is that it's very front-loaded and uncertain. In the first fortnight of our baby's life we suddenly had to pay out £200+ because of problems with BFing. Some families will just absorb extra costs like the increased food bills or the trips to support but others would find that difficult. And not everyone could afford to splash out that £200 suddenly. Crazy things like being told BFing is free, then suddenly baby is here, immediately get told that £11 nipple cream is essential!
So, again, better info antenatally - eg 'you may find that BFing is quite low cost, but these are some costs you may incur. These are things you definitely don't need [gimmicky products]'.
And more info about risk factors for low supply etc would also help eg it turned out I was about 100% likely to not produce enough milk for my baby - knowing this in advance would have prepared us for problems, meant we could have learnt how to prepare formula, budgeted for buying equipment etc. Instead I was simply encouraged to set unachievable BFing 'goals'.

RidingMyBike · 10/06/2021 10:48

It was very noticeable at a baby class I did in nearby posh area - everyone BF, I was the only one openly also using formula. And all the other women had huge amounts of practical support - cleaners, meal services/healthy takeaway type stuff, one had an actual housekeeper. They all had infrastructure in place to look after everything else in their family's lives, which just wouldn't be available to many families.

Parker231 · 10/06/2021 10:52

@RidingMyBike - I buy perfect prep machines as a present for friends having a new baby as I know anything to make life easier is appreciated.

DappledThings · 10/06/2021 10:58

[quote Parker231]@RidingMyBike - I buy perfect prep machines as a present for friends having a new baby as I know anything to make life easier is appreciated.[/quote]
Presumably after checking how your friends intend to feed their babies and not just on spec? It wouldn't have made my life easier, I've never made up a bottle.

RidingMyBike · 10/06/2021 11:02

Also, dodgy info about BFing benefits - I was told at BFing antenatal class that EBF would ensure our babies were exposed to a wide variety of flavours and would go on to eat a wide range of foods because of this. I queried this at the time as I'm veggie but wanted baby to grow up eating meat and was told it wouldn't make any difference Hmm.
Years down the line - some children are fussy eaters, some aren't. Doesn't seem to be any connection with whether they were BF, FF or both...

Parker231 · 10/06/2021 11:02

Obviously only gift it if they say they are formula feeding. Another friend buys the microwave steriliser. They are popular presents and much appreciated.

redheadonascooter · 10/06/2021 11:59

When I was a baby (in the mid eighties) my mother tells me everyone she knew breastfed. But it wasn't a big thing, the norm. There was no huge debate like there is today. I don't know if the official stats show BF was more prevalent then or not! But DM also tells me that babies generally were not BF until 2/3/4 etc. Everyone around her BF until around 6m or a little later, then it was onto food, cows milk and water. It was also not common to wear babies, bedshare for years on end etc so maybe the breastfeeding journey as a whole was easier. They had family support and old school midwives to help, they stayed in hospital longer after birth so had more support there and they did it for a few months and that was it with none of the difficulties that lots of ebf mums face today where they can't leave their baby at 8/9/10m because they need to feed, or put them into their own beds etc.

For me personally (more recently in the last 5 years) I found expectations v reality was a big thing. After doing NCT, swallowing all the breast is best and 'everyone can breastfeed if they do it right and it doesn't hurt' information etc I found I was determined to breastfeed. In reality, after a horrendous birth and a baby who would not feed not matter what I did (and I had support in hospital and at home for 3 weeks after birth) I just found it soul destroyingly hard and painful and I didn't want to do it. So I expressed for 6m and mix fed but mostly BM, massively at the expense of my mental and physical health.

Second baby I tried (easy birth!) it was on for a few days then more of the same happened. So I stopped and she got 3m of expressed milk and I was done. I felt so much better and really regret being so hard on myself about it first time because it really really doesn't matter!

lavenderandwisteria · 10/06/2021 13:40

It may not matter for you personally now. I’m afraid it very much matters for me.

MoreAloneTime · 10/06/2021 14:29

As well as the BF vs FF debate I think there is also a bit of a divide between those who feel it shouldn't matter and those it did matter to.

RidingMyBike · 10/06/2021 14:50

A lot of BFing promotion and 'support' is geared to convincing mums it does matter enormously and to carry on with it no matter the cost to yourself. It's very very hard to go against that. Coupled with the idea that all women can EBF (they never have been able to, it has a natural failure rate, plus there are women having babies now who would never have attempted BFing in the past because they wouldn't have been able to get pregnant or survived the birth). I remember reading Joan Wolf's Is breast best? whilst BFing and thinking what a load of lies and hyperbole I'd been told to get me to do it.
More realistic info is needed. And based on the reality of someone's situation. It's all very well telling everyone not to introduce a bottle until 6+ weeks, but if they're intending to return to work at 3 months, try a bottle at 2 months and discover they've got an EBF baby that will not take a bottle, that's not supporting them, is it?

I suspect there are actually more women BFing for longer now but not doing it openly (for me and my colleagues we were BFing for years, once or twice a day, at home, with no need to do it outside the house. I only know because of some chance remarks in staff room as no one is collecting stats on this).

Parker231 · 10/06/2021 15:41

There needs to be more easily available support for those who want to bf - either initially or long term and acceptance that many of us don’t want to bf at all and have no guilt or concerns about using formula from day one

fantasmasgoria1 · 10/06/2021 16:01

I have known several people who breastfed. Most did so until 6 months then swapped to formula. I didn't breastfeed because I really didn't want to. Sounds silly perhaps but the thought of a baby sucking milk from me made me feel weird and a bit nauseous. Everyone has different reasons and all are valid.

woodhill · 10/06/2021 20:19

Interesting on dragons den now about a nursing bra

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