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We need to change the conversation around breastfeeding

186 replies

pisces5891 · 18/10/2026 21:28

I am writing this post knowing that it will potentially kick off a bit of hornet's nest. I'm just really fed up with how much pressure there is on women to breastfeed, when all the evidence suggests that a significant number of women simply cannot exclusively breastfeed. I would even hazaard a guess that more than 50% of women cannot exclusively breastfeed. Its making women miserable and is the number one cause of post natal depression. Enough!!!

When I tried to breastfeed, I had real trouble providing enough supply for my baby. I was told that with the right support, almost every woman can breastfeed. I received help from 3 different lactation consultants. the first told me, less than 5% of women have actual low supply, and if low supply was really true of a lot of women, then the human race would have died out. This is objectively speaking totally false. Historically, women would share feeding of babies with other lactating women, and even then, lots of babies died. So the fact that the human race still exists is absolutely not evidence that the majority of women have enough supply. the second lactation consultant told me that if there was no formula, I would have found a way to exclusively breastfeed. this is also not true. My mother grew up in a tiny village overseast, where there was no access to formula. And she told me that it was rare that one woman would exclusively feed their own child, it was normal that it would be shared amongst the group and in the case that there were not enough other lactating women, they would put the baby at the teet of a goat in order to feed it because it was understood that it would be rare that a mother could exclusively feed her child from her breast. In my nct group, there are 10 women. One chose to formula feed from birth. The other 9 all wanted to exclusively breastfeed. only 2 of them are. and every single one of those 9 had the support of private lactation consultants, so we cannot say they are unsupported. A variety of issues from latch to supply to mastitis- so many problems that we all tried desperately to resolve, and we couldnt.

The third lactation consultant actually watched and listened to me breastfeeding and told me that my baby was not transferring enough milk. She was the only one of the 3 lactation consultants who had actually worked in a nicu ward and was able to recognise the signs of hunger. my baby thankfully was not starving but had I listened to the first 2 Lactation consultants, I think she would have been . This lactation consultant told me that it is very common on the Nicu ward to find very thin very hungry babies of mother's who are desperate to exclusively breastfeed, the babies are literally starving, drawn, crying and lethargic, because they are not being fed enough.

mixed feeding needs to be a system that is properly introduced to mothers. Mother's need to also be shown what an actual wet nappy looks like. I was told 6 to 8 wet nappies were a sign that my baby was getting enough food. Now that she is getting enough food because she's mixed fed, I can see what an actual wet nappy looks like, and it's really heavy compared to what it looked like when I was breastfeeding her.

I think this is a real issue and mumsnet is partly to blame for it, because the amount of threads I see where someone posts that they're struggling with breastfeeding, and they're told to keep going even when their baby is dropping centiles. It's the latch! It's tongue tie! Try an osteopath! Breastfed babies always lose weight! Its ok to drop centiles! You'll get there! It gets easier! Please PLEASE stop advising women to keep going no matter what, because in some instances, those women and there babies will end up in emergency care. Of course, many breastfeeding problems can be overcome with the right support, but in my experience, it sometimes never resolves, and the absolutely right and moral thing to do is to introduce the bottle.

I'm not blaming women here; the fault is in the system. Breastfeeding needs to be properly researched, but like all womens health, it's ignored.

I am still breastfeeding my baby girl, we mix feed very successfully. For anyone reading this struggling with breastfeeding, know that you're not alone.

OP posts:
ExtraHotDoubleShot · 19/10/2026 09:34

ScaredButUnavoidable · 19/10/2026 09:31

To play devils advocate though, of those 50%, I wonder how many of them are elective?

I imagine a lot of them are chosen by the women because of the crappy state Maternity Care is these days as opposed to them being an emergency CS because an attempted vaginal birth didn’t occur.
Or they choose to to have a planned section because their previous vaginal birth was so traumatic because of the poor maternity care they received.

A lot of women choose to have planned c-sections now because they believe them to be the safer option rather than risk theirs and their baby’s life by turning up in labour at the local understaffed maternity ward.

Please ignore this comment though if your statistic was specific to unsuccessful attempted vaginal births.

I know and maternity care needs a massive overhaul, I have birth trauma from my second baby. I understand, I really do.

But midwives are becoming more and more deskilled, and risk aversion higher and higher with inductions; and even then we are having worse outcomes than less risk averse countries.

We need to be honest about why women’s bodies are struggling to conceive; maintain a healthy pregnancy; give birth and then breastfeed. I suspect hormonal disruption, age, obesity among other things.

HairsprayBabe · 19/10/2026 09:36

It is cultural, one of the number one indicators of a long BF journey is if your mother had one. If you don't effectively have that "ancestral" knowledge on hand you are likely to have a harder time.

There is a lot of anti breastfeeding sentiment that comes from women who had a hard time, and those voices seem to be the loudest - warning all new mothers that it is impossibly hard puts some off from trying at all.

I expected a hideous breastfeeding journey filled with painful nipples, a non gaining baby, no help and a litany of judgment. In reality it was literally so easy, sit down boob out have hobnob from day one.

More women willing to talk about their positive experiences would have been hugely helpful to me so I didn't spend nine months dreading and overthinking something that was fine.

SalmonOnFinnCrisp · 19/10/2026 09:37

I had a HORRIBLE time BFing I spent thousands literally on various consultants, tongue tie - clipped then lazered ...
Nipple shields silver nipple cups
Pumps blah blah blah.
I went to laleche, BF cafes, BF support clinics
The list was fucling endless....

I got to the point where i was pumping 800ml plus a day but my dd just wouldnt take it from the breast. Was she crap at feeding or I was crap at feeding her... ??? Who knows???

It was so horrific I just didnt even try 2nd time round.

However....
I still think women should be encouraged to BF and more time money and energy should go into normalising BF and teaching women how to for a variety or reasons.
I am happy I tried and actually if I had a third I would try again I think..my second was born so close to my oldest i was still het up about it.

ExtraHotDoubleShot · 19/10/2026 09:39

HairsprayBabe · 19/10/2026 09:36

It is cultural, one of the number one indicators of a long BF journey is if your mother had one. If you don't effectively have that "ancestral" knowledge on hand you are likely to have a harder time.

There is a lot of anti breastfeeding sentiment that comes from women who had a hard time, and those voices seem to be the loudest - warning all new mothers that it is impossibly hard puts some off from trying at all.

I expected a hideous breastfeeding journey filled with painful nipples, a non gaining baby, no help and a litany of judgment. In reality it was literally so easy, sit down boob out have hobnob from day one.

More women willing to talk about their positive experiences would have been hugely helpful to me so I didn't spend nine months dreading and overthinking something that was fine.

My mum exclusively breastfed 4 kids for up to 2 years each, by the time I had my first baby (who was breastfed for 6 months then switched to formula as I needed to take a breastfeeding unfriendly medication), we were no longer in contact. So no support or ancestral knowledge from her; but I do wonder if genetics have a part to play, or other upbringing factors.

Out of the last 25 births in my mums lineage, 23 have been vaginal, with the other 2 planned caesareans. Nobody has gone into labour and been unable to give birth vaginally. All bar 2 have then gone on to breastfeed for as long as they desire, and one of those was a caesarean. I do wonder if there’s a link there.

Ohhelpwhatnow · 19/10/2026 09:42

Nobody should be pressured, but breast feeding is extremely valuable for babies and new mums need to know that. If they can't do it they can't, but aiming for at least some breastfeeding is a good thing.

Natsku · 19/10/2026 09:47

Looking up babies suckling from goats led me down a weird rabbit hole where pregnant women used to be encouraged to breastfeed puppies in the last weeks of pregnancy to toughen their ripples in preparation for breastfeeding.

HairsprayBabe · 19/10/2026 09:48

The reason that it is more challenging for an induced birth or CS birth to have a successful feeding journey is layered

  1. trauma to the body/recovery - even a positive elective CS is massive trauma to the body, induced and augmented births are also physically "harder" than a SVD because of the syntocinon contractions
  2. hormones, we know the oxytocin is the birth and breastfeeding hormone, this is either not present in a CS birth or disrupted by synthetic hormones in an augmented/induced birth
  3. IV fluids, this is often hugely overlooked - babies whos mothers are given IV fluid drips as part of their intrapartum care have elevated birth weights this means when they are weighed at day 5 and 10 they can often appear to have lost a much higher percentage of weight than they actually have and mum panics that it is because she is not producing enough

on top of already stretched support services it is not surprising that the rates in these groups are lower.

ScaredButUnavoidable · 19/10/2026 09:51

HairsprayBabe · 19/10/2026 09:36

It is cultural, one of the number one indicators of a long BF journey is if your mother had one. If you don't effectively have that "ancestral" knowledge on hand you are likely to have a harder time.

There is a lot of anti breastfeeding sentiment that comes from women who had a hard time, and those voices seem to be the loudest - warning all new mothers that it is impossibly hard puts some off from trying at all.

I expected a hideous breastfeeding journey filled with painful nipples, a non gaining baby, no help and a litany of judgment. In reality it was literally so easy, sit down boob out have hobnob from day one.

More women willing to talk about their positive experiences would have been hugely helpful to me so I didn't spend nine months dreading and overthinking something that was fine.

I agree, being around mothers who had positive experiences and being around mothers who can provide empathy and reassurance through the difficult times is extremely beneficial and will increase the likelihood of a breastfed mother continuing.

Women who had difficult experiences and stopped breastfeeding and switched to formula are much more likely to encourage other mothers to do the same.

Cultural and Peer influences can play a huge role in the outcome of breastfeeding.

I actually read an article a few days ago where a programme was being implemented in one County where GPs with newborns were being given regular breastfeeding support from Lactation Consultants to increase their chances of a positive and successful breastfeeding experience. The reason for the programme is to see if when those GPs return to work and see new mothers with breastfeeding difficulties (weight loss usually) they are more likely to want to help the mother continue breastfeeding and put strategies in place to achieve this, rather than advise giving formula as most GP’s currently do. The idea is that improving the experiences of those who support new mothers with breastfeeding difficulties will generally increase breastfeeding rates.

Lhori · 19/10/2026 09:56

Some women seem to feel a lot of guilt and emotion when feeding their babies and that makes them very sensitive to what other people say. I exclusively breast fed my first baby and mix fed my second. I never felt any pressure or judgement from anyone. It is incredibly important to the mother of the baby, but I don't think other people really care that much.

Attitudes towards breastfeeding in public can be very backward in this country though. I work with people who find it hilarious and shocking that women breastfeed in front of other people. One woman (mother of three) was telling me a story about someone doing this and her punch line was 'I didn't know where to look!'.

scoutzx · 19/10/2026 10:06

Biologically speaking, nearly all women can physically breastfeed their babies.
Global health organizations, including the World Health Organisation and NHS, estimate that only a small percentage of women (roughly 1% to 5%) suffer from medical conditions that prevent them from producing an adequate supply of milk.

HairsprayBabe · 19/10/2026 10:08

Let's not forget that "fed is best" came directly from the formula companies - it was first used on focus groups by Abbott Nutrition (Similac formulas parent company) in about 2014 before being rolled out in American hospital literature for new mothers.

It wasn't until about a year later that the "Fed is best" foundation was set up and they within weeks received its first major funding and professional PR support from shock horror Abbott Nutrition.

Then all the (mainly American) formula companies starting using the phrasing, obviously this isn't allowed here but by 2018 the phrase was ubiquitous globally because while we have strict formula marketing laws the government can't prevent you watching international content creators that are exposed to this kind of advertising in there countries.

SFRSmum · 19/10/2026 10:17

I found the opposite to OPs example during my childs NICU stay.
I had to really, really fight to breastfeed. The pressure to bottle feed was extreme, and I was made to feel like an inconvenience for insisting I breastfed.

Had I been a first time mum, I would have definetly caved

pisces5891 · 19/10/2026 10:22

Community knowledge is everything: in uganda, they begin eating barley oats at 6 months pregnant as they're thought to increase milk supply. Pearl barley in the middle east. Maybe old wives tales but these they do seem to understand in these countries that it doesnt necessarily come for free.

There's always people in these threads saying how easy there own breastfeeding journey was. I think that's great, and I'm happy not everyone went through what i did. But you can also see from these threads how many women struggled terribly. I think it would have helped me immensely to know that side of the story.

One poster said if you can't breastfeed its a body issue, and apologised saying that might sound harsh. I don't think its harsh at all! I also think it's a body issue! I think some women's bodies simply can't ebf for various reasons. And some babies can never be taught to latch.

OP posts:
HairsprayBabe · 19/10/2026 10:35

@pisces5891 I am sorry you has a difficult journey, and I am really glad you are doing so well now but I have to ask where have you been? I have been on MN since I was 19, long before I had kids (at 28) and I only ever saw stories of how hard breastfeeding is, literally eveyone talks about the challenges of breastfeeding.

On social media - the message pretty much across the board is that BF is hard and painful and knackering. We don't need more of this messaging. We need more support.

WHO is clear that the levels of women who can't BF are around 5% (for various reasons)

Look at Australia, Norway and Sweden at 6 months nearly around 70% of babies are still breastfed. These countries have a similar PND rates 10-15% as the UK. These women don't have super boobs, they have the same anatomy as British women.

Saying "so many more women cant breastfeed and BF causes PND is just buying into anti-breastfeeding sentiment encouraged by the formula companies.

The companies want you to think it is an almost impossible task - it benefits them if more women don't even try.

ThatMintMember · 19/10/2026 10:39

Breastfeeding is bloody hard and can come with some massive hurdles to get there successfully but that doesn't mean that lots of women are simply unable to do it/produce enough milk. Only a small number are genuinely unable to produce milk.

When I was pregnant with my first I saw everyone packing ready made formula into their hospital bags incase there were any issues with breastfeeding. That instantly ended the breastfeeding journey for many of the women in my NCT group, they believed they weren't producing enough milk and within 24 hours had given their baby formula. This prevented them actually attempting to feed their babies, so their bodies didn't get the demand to make the milk and then they didn't succeed. I have a very close friend and sister who breastfed and suggested I don't take formula to the hospital or buy any or i would be tempted to use it, so I didn't. It wasn't plain sailing at all, nipple trauma from bad latch on the first day, baby only fed from one side for 5 days, had to pump as was so engorged on that side, baby had tongue tie which needed cut, he had horrendous reflux and i had blocked ducts many times. I had so much support with midwives, health visitors, breastfeeding support clinics, breastfeeding groups etc and it was still very difficult.

Education around breastfeeding is a big issue. I wasn't told anything in my NCT class of what to expect, my mother and mother in law didn't support breastfeeding as they hadn't done it themselves. My husband wanted us to have formula in just in case. If I hadn't had some friends that had given me advice and shown me it was doable I would have probably given up, instead I breastfed for almost 3 years.

pisces5891 · 19/10/2026 10:42

I think this is the heart of the issue; it becomes a tribal argument, formula vs breastfeeding. I'm not buying into anti breastfeeding sentiment. I'm pro breastfeeding, I'm still breastfeeding! I can just see all around me that it's not working for lots of women, and i think the 5% statistic is totally wrong. Womens health simply isn't researched enough. And ask any gp, the number 1 cause of pnd is struggling with breastfeeding. I know because it's what my own gp told me, but its hardly surprising. Whats happened is that the WHO is trying to change the discourse after the fornula companies did terrible work in the 70s and 80s, convincing women that formula was better than breast milk, and giving away formula at hosputals etc. This was awful and so wrong. But to rectify it, the wHO have swung too far the other way

OP posts:
ScaredButUnavoidable · 19/10/2026 10:46

ThatMintMember · 19/10/2026 10:39

Breastfeeding is bloody hard and can come with some massive hurdles to get there successfully but that doesn't mean that lots of women are simply unable to do it/produce enough milk. Only a small number are genuinely unable to produce milk.

When I was pregnant with my first I saw everyone packing ready made formula into their hospital bags incase there were any issues with breastfeeding. That instantly ended the breastfeeding journey for many of the women in my NCT group, they believed they weren't producing enough milk and within 24 hours had given their baby formula. This prevented them actually attempting to feed their babies, so their bodies didn't get the demand to make the milk and then they didn't succeed. I have a very close friend and sister who breastfed and suggested I don't take formula to the hospital or buy any or i would be tempted to use it, so I didn't. It wasn't plain sailing at all, nipple trauma from bad latch on the first day, baby only fed from one side for 5 days, had to pump as was so engorged on that side, baby had tongue tie which needed cut, he had horrendous reflux and i had blocked ducts many times. I had so much support with midwives, health visitors, breastfeeding support clinics, breastfeeding groups etc and it was still very difficult.

Education around breastfeeding is a big issue. I wasn't told anything in my NCT class of what to expect, my mother and mother in law didn't support breastfeeding as they hadn't done it themselves. My husband wanted us to have formula in just in case. If I hadn't had some friends that had given me advice and shown me it was doable I would have probably given up, instead I breastfed for almost 3 years.

At one point I was training to be a Breastfeeding Counsellor with the NCT and at the end of my first year I had to attend some of the Breastfeeding Sessions they do with the expectant couples and they sell an image of how lovely and easy breastfeeding will be, with absolutely no discussion about the potential difficulties women will face. It felt like the women were being set up to fail.

If any of those women faced a common problem I’m pretty sure they would have started introducing formula because they hadn’t been informed about potential complications and how to manage them without jeopardising breastfeeding and instead would have just assumed they had somehow “done it wrong” or think they “couldn’t do it” etc.

I didn’t complete my training as it wasn’t an Ethos I wanted to be part of.

HairsprayBabe · 19/10/2026 10:48

@pisces5891 you can think it is wrong all you like - but that is what the experts have worked out to be the rate, they have nothing to gain from making up the numbers and if the facts we have available make you uncomfortable or angry that is really something you need to deal with on your own rather than making unfounded accusations that they are making things up.

Anecdotes from a GP are not evidence, and if you look at the evidence we have breastfeeding is actually associated with a lower PND rate.

I don't care on an individual personal level how people choose to feed their babies of course there are personal circumstances in every family - on a national public health level, as many people as possible should breastfeed, that is the evidence.

That is the problem with breastfeeding messaging - countries are looking for a national solution to something that is very personal.

pisces5891 · 19/10/2026 10:54

ScaredButUnavoidable · 19/10/2026 10:46

At one point I was training to be a Breastfeeding Counsellor with the NCT and at the end of my first year I had to attend some of the Breastfeeding Sessions they do with the expectant couples and they sell an image of how lovely and easy breastfeeding will be, with absolutely no discussion about the potential difficulties women will face. It felt like the women were being set up to fail.

If any of those women faced a common problem I’m pretty sure they would have started introducing formula because they hadn’t been informed about potential complications and how to manage them without jeopardising breastfeeding and instead would have just assumed they had somehow “done it wrong” or think they “couldn’t do it” etc.

I didn’t complete my training as it wasn’t an Ethos I wanted to be part of.

This is exactly how i felt at my nct session on breastfeeding. Thank you for saying this

OP posts:
MistyCats · 19/10/2026 11:02

Some of the posts here reinforce what I say about expectation setting.

My kids are double digits now so I’m out of the loop I guess and my SM is not full of baby stuff, so whilst I’m happy to hear that struggles are being normalized I am keen to hear if that is enough to set the expectations properly?

Or are we still, despite mention of struggles, seeing rose-tinted perspectives?

Women need to be told that, especially for the first baby, it will be hard, it will most likely hurt but you can most likely push through it, it will get better but you do need to sit on the sofa with your tits out for 3 weeks and do not much else.

Lactation consultants and bf support groups come too late in the game if you’re thinking it’ll be natural/easy and I’ll be out and about breezing everything in a couple of days. Realistic earlier education on bfing is needed. And it’s v disheartening to see that the NCT version is still unicorns and rainbows…

Would love to know what factors really drive the higher bf rates in other developed countries….

InSlovakiaTheCapitalOfCourseIsBratislava · 19/10/2026 11:06

There should be more education about how little and how often newborns need to feed, that ebf babies need feeding through the night, and that the suction is murder on the nipples and them looking like they they’ve been chewed is perfectly normal , and also that you need to eat and drink more - is what is to be expected
The bliss and peace is around month four

HairsprayBabe · 19/10/2026 11:10

@MistyCats I think that wholly negative approach is damaging messaging - it can be hard, but it isn't for everyone and telling everyone it will definitely absolutely 100% be hard puts some people off from trying at all, there has to be a balance somewhere surely.

My kids BF like ducks to water and slept in 4-6hr stretches from day one. Gained weight like troopers and I didn't have any true pain, just massively full boobs when my milk came in. They are still little now so I'm not looking back over decades reminiscing!

I think there is a lot to be said for approaching it like birth education - everyone knows birth, however you choose to do it is a marathon, and "hard" but some people do have an easier time of it than others. ( I also had easy births, please don't hate me I had shitty hyperemesis that makes up for it!)

january1244 · 19/10/2026 11:12

I do understand some people are saying how tough it is to breastfeed. I honestly had no issues from the start, and I was very prepared for it to be awful. A friend even gave me her hospital bag formula to take with me at birth, and I wasn’t sure I was going to breastfeed. I honestly had no nipple pain, no issues, latching was fine with mine, I didn’t feel there was a crazy amount of cluster feeding. I was out and about from about a week old meeting friends for coffee, had a UK holiday with family etc, not trapped with boobs out. My second slept for hours through the night from a few weeks old. I pumped and could be away from the baby (my first was in NICU) and it didn’t affect supply. They both took bottles.

I think if I’d heard more negative issues about pain, bleeding, how awful it was, etc I probably might have been less inclined. What would have been really helpful would have been practical trouble shooting - how the latch should look, how you can tell if they are getting enough etc. as a PP said, I didn’t really know how dirty a nappy should be

MistyCats · 19/10/2026 11:21

Yes of course, it’s all about balance, but being realistic is important. Of course not everyone struggles and there are a gazillion benefits too but like a pp said I think a lot of women stop because it’s not what they thought it was going to be. And the alternatives make it easy (and ok) to stop.

Bobbieiris · 19/10/2026 11:24

I pumped 10 times a day when my twins were in NICU/ SCBU. After 8 weeks I had had enough and switched to formula. They weren't latching and I was just constantly trying to breastfeed or pump. My milk supply didn't increase however much I breast pumped. I felt relief at switching to formula, although every nurse seemed to think I would feel incredibly guilty over it, I just didn't...I felt proud that I had managed to feed two tiny baby's through an NG tube with my own milk for two months but just knew I would be a better mum without the stress of constantly trying and failing to produce enough. Im hoping to have another baby and will try to breast feed but if I can't then would feel no guilt about switching to good old cow and gate

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