Getting Ready for Breastfeeding

However long or short your breastfeeding journey is intended to be, both you and your baby will receive lifelong benefits from your efforts, and the longer you feed, the greater the benefits to both parties.  However, whilst the World Health Organisation (WHO) recommends that all babies should be exclusively breastfed for 6 months, the UK statistics fall woefully short of that with only a quarter of mothers breastfeeding at 6 weeks, and just 1% by the time their baby is 6 months old. 

Mums cite numerous reasons for giving up prematurely - primarily including poor professional guidance with inconsistent advice and lack of easy access to support over the first six weeks. The seemingly relentless pressure from babies on their tired breastfeeding mothers while only she can deliver the goods is also a common complaint for deciding that formula feeding offers the respite she seeks. Some early thought and consideration to forward planning can, however, help to increase the chances of breastfeeding easily and for longer, with all the benefits to mothers and their babies that this carries.

 

Think and plan ahead!

It is so often clear to me as I deliver my service to new parents, that they have returned home after delivery, physically exhausted and emotionally spent following their baby’s arrival. Many ante- natal classes equip parents-to-be supremely well to deal with contractions and labour, often over several days.  Birth plans are drawn up to cover all possible obstetric eventualities for their baby’s arrival, but clients tell me afterwards that nothing was mentioned of the need to reserve essential energy for the exhausting first six-week marathon of new parenthood. Many say that if they had known what was coming, they would have made very different choices in labour. Continuous contractions and delivery are incredibly hard work (hence the term ‘labour!’) and particularly if protracted, have a real bearing on the subsequent breastfeeding journey. It is my firm belief, after 30+ years of providing breastfeeding support, that sheer post-delivery physical and emotional exhaustion are major reasons why mothers abandon breastfeeding earlier than they had intended. Novice athletes train for months ahead of running a marathon, but there is rarely talk of any preparation ahead of the marathon that the first weeks of breastfeeding can be. 

 

So how do we do that?

Think and plan ahead and longer term!  Don’t simply focus on labour and delivery being the tiring bit – that’s actually just the beginning! Avoid working right up to your baby’s due date - however good you may feel at that point. Poor sleep and fatigue in late pregnancy contribute towards a higher incidence of complications and intervention in labour, as well as adversely affecting breastfeeding afterwards.  Learn the knack of napping (or at the very least, resting – on the bed, feet up, with no electronic distractions) during the afternoons in the weeks before your baby arrives – you will reap the benefits after delivery when you will need to catch up on sleep to keep up with your baby’s demands.

 

During labour, bear in mind that the course of labour and delivery cannot be termed ‘normal’ until after the event – you never know what’s around the corner in the coming hours. If you’re labouring at home, eat small regular healthy snacks to keep your energy levels up. Once in hospital, no medals are presented for bravery - prudent use of pain relief enables you to rest, and in some cases (injectable pain relief and epidurals) actual sleep while labour progresses – so many women decline it, in the belief that it may adversely impact their baby, but used wisely it can provide an opportunity to recover and recoup some energy - even while labour progresses - for delivering your baby and for the weeks beyond. Being able to breastfeed successfully because you have saved some stamina for that 6 week marathon will deliver short and long term benefits to your baby, and make your own first weeks of motherhood infinitely more enjoyable. These benefits will more than likely outweigh the impact of a timely dose of pain relief in labour. 

I always chat to my clients before delivery to discuss these various options available to them in labour which will positively impact their chances of breastfeeding successfully.  Make a point, if you get the chance, to speak to your midwife in labour about using pain relief which will allow you to get some respite without delaying progress. Listen to what your body is saying – will it still be able to manage the breastfeeding marathon? It’s your body – you know it better than anyone.

Find a source of knowledgeable support

Whether it’s a local breastfeeding support group or a professional 1:1 support service like my own, consistent, knowledgeable advice is key to successful breastfeeding. If you’ve never done it before, you will have little idea of the challenges that lie ahead.  I provide step-by-step support to my clients from the day of birth and throughout the six weeks that I liken to an apprenticeship, and during which both the skills and the physiology of breastfeeding become established.  We chat frequently by video while I sit with them during feeds, offering tips and advice to enable them to feed comfortably and effectively, pre-empting problems and showing them how to resolve pain, negotiate tricky feeding patterns and baby management issues so that their babies feed and settle well.  We may chat over several feeds on the same day to iron out positional or latching problems, and along the way I anticipate the babies’ growth spurts, and offer advice to deal with these, or provide practical guidance for stocking up on expressed breast milk to relieve the pressure and maximise sleep during these difficult periods. Talking to other breastfeeding mums at a support group can help with similar issues, too. Having a source of support and the answers to your many questions, is key to relieving stress and maintaining a relaxed mindset which is so important in the process of delivering nutrition and comfort to your baby.

Identify a source of support before your baby arrives, so that you know where to turn to if you hit problems.  When you’re tired and emotional, it’s difficult to think straight, so have this invaluable contact noted down ahead of the point at which you may need it. 

 

Research and shop ahead for equipment

I always provide a shopping list ahead of delivery for my breastfeeding clients when we meet for a session before their babies are born.  The items on the list provide for almost all routine and unforeseen eventualities that may arise during breastfeeding, but also include standard essential equipment which will support the breastfeeding process or simply provide personal comfort to mums while they feed. You will be spending many hours over many days, feeding, so it needs to be as comfortable and convenient as possible. Included on my list is a breastfeeding pillow which ties around the mother’s waist to support their baby in a favourable position to nurse, meanwhile allowing the mother to relax and achieve her own comfortable position without the need for several cushions which can fall all over the place.  Hippychick are now stocking a great feeding pillow, covered in washable 100% cotton, that can be used pre-delivery to support your bump for comfortable sleeping in bed, and later to position newborns optimally for effective nursing. TheLatch.com is delighted to have partnered with Hippychick to offer our clients a 20% discount on this lovely nursing pillow which comes in a variety of colours. Click here to view the range.

 

One of the most important pieces of equipment that the vast majority of breastfeeding mums will need to support nursing their babies alongside busy lifestyles, is an effective, hands-free breast pump.  I recommend use of these from the first days of breastfeeding.  Their primary use - as soon as the milk comes in - is to enable mums to build up a store of breastmilk so that their baby can be fed breastmilk by partners or carers while mum is able to snatch some sleep.  Later, they are invaluable in short-cutting growth spurts or boosting the milk supply by stimulating the breasts to produce more milk over a shorter time. If this can be done while they get on with their lives, even better. The new kid on the block in the range of breast pumps on the market is the ‘wearable’ Fraupow pump, which does just that.  

The Fraupow is a lightweight cordless, rechargeable pump which is receiving great reviews from users, and is great value compared to other brands.  TheLatch.com is pleased to be able to offer our clients a further 20% discount on the Fraupow, again through our partnership with Hippychick.com. Please click here to see the Fraupow range.  With no cords or pipes to tie you to using your pump in one place, the Fraupow can be worn inside your bra to accomplish pumping on the go, whether it’s resting, ironing, or chatting to friends over coffee.  Wear a baggy top over the pumps, and you can even discreetly do the weekly supermarket shop as you pump – the ultimate in getting all your family food supplies sorted!  Make it even more efficient by using pumps on both breasts simultaneously. 

By thinking and planning well ahead, getting the right equipment, and a reliable source of ongoing advice and support, you can significantly increase your chances of being able to breastfeed your baby. So many new parents look back with regret at the period over their baby’s arrival and wish that they had understood the impact of the actions and decisions which ultimately affected whether or not they are able to enjoy the precious experience of breastfeeding.  It really isn’t down to pure luck and doesn’t always have to be so! 

Why wouldn’t you breastfeed?

The advantages and disadvantages of providing your baby with the most perfect form of nourishment available are well documented. On-going researchcontinues to identify huge numbers of substances that are present in breast milk, which are absent in formula milk, and are impossible to produce artificially. In addition, the composition of breast milk varies throughout each and every feed, and over the months and weeks of breastfeeding, to ensure that the baby receives precisely the optimum amount of fluid and nutrients required at that specific time. Every time they go to the breast, the feeling of well-being that the baby experiences prompts triggers to further develop and grow their brain.[i]  Breastfeeding studies have demonstrated [ii]that breastmilk affords protection against a wide range of conditions and infections, including diarrhoea, middle-ear and respiratory infections; several types of skin problems, allergies and asthma; obesity (which in itself carries the risks of heart disease and a variety of cancers) and types I and II diabetes; childhood leukaemia, sudden infant death syndrome (SIDS) and a serious gut emergency called necrotizing enterocolitis which can affect newborns. 

Benefits to the breastfeeding mother include regulating fertility during the early period of nursing, also reducing blood pressure and the risk of post-natal depression. Studies[iii]have also demonstrated long term health benefits for those who have breast fed, including reducing the incidences and risks of ovarian and breast cancer in later life, gall bladder disease, osteoporosis, and type II diabetes, hypertension, cardiovascular disease, various allergies and Crohn’s disease; further lowering cholesterol, and being associated with lower rates of obesity and higher IQ.  Protection against many of these conditions has been shown to increase (particularly against breast cancer) the longer feeding continues[iv]. Women who nursed for longer than 13 months have also shown a 50% lower incidence of rheumatoid arthritis in later life than those who didn’t breastfeed, and were 25% less likely to develop it if they breastfed for less than 12 months.[v]  On the financial side, a study[vi]commissioned by UNICEF BFI (United Nations International Children's Emergency FundBaby Friendly Initiative) to calculate the potential savings to the NHS of a ‘moderate’ increase in breastfeeding showed that amongst other savings, £40 million per year could be saved on the care of sick babies, and £21 million on the treatment of women with breast cancer alone. 

In attending ante-natal classes, and reading the content on TheLatch.co.uk, you have sought to arm yourself with information which will guarantee, as far as one possibly can, that your baby will be born as perfect as possible. Following delivery, the ONLY perfect food available for you to give your baby is breast milk. It does not make sense to nurture your unborn baby so meticulously, and then feed them on a substance which we know is not perfectly suited to them!  Consider also the ever increasing concern regarding the detrimental effects of our actions on the environment – formula feeding contributes to global warming through cattle grazing, the use of fossil fuels for the production costs of formula milks, their packaging (most formula milk packaging is not recyclable), bottles and teats etc, not to mention the disposal of all of this after use, with plastic bottles and teats containing toxins which are estimated to take up to 450 years to break down in landfill[vii]

The World Health Organization (WHO) recommends[viii]that all babies, worldwide, should be breastfed exclusively (ie without receiving any other fluids or foods whatsoever) for the first six months of life, and thereafter, alongside a mixed diet until the baby is 2 years of age, in order to maximize all the benefits of breastfeeding, to the baby, their mother and the environment. In the UK, 48% of mothers in 2012 were exclusively breastfeeding at one week post delivery.  This figure plummets to 25% at 6 weeks, and only 1% at 6 months.[ix]  Whilst the WHO recommendation may seem daunting, many mothers find that once they have succeeded in mastering the skills of breastfeeding, they realize precisely how rewarding nursing their baby has become, and choose to continue for much longer than they had perhaps intended.  Inevitably there are those who ultimately decide, for a variety of reasons, that breastfeeding is not for them, and naturally, it must always be the mother’s prerogative to decide how her baby is nourished. The Latch will always support our clients’ choices, meanwhile emphasizing that however short a period a new mother may breastfeed, she has provided her baby with invaluable protection against illness, deepened the maternal/infant bond, plus the boost to the baby’s brain development that breastfeeding is now know to provide.

At The Latch, we aim to provide the necessary tools - education, knowledgeable, evidence-based advice, plus the personal support required, to get new mothers off to a sound start with their breastfeeding. Nursing your baby for six months is indeed a very significant commitment, and it can sometimes be a bumpy ride, particularly given the constraints of 21st century life alongside broken nights, returning to work etc.  These issues are not, however, insurmountable, and with a bit of expert advice to adapt your own routine, can usually be modified to accommodate the demands of breastfeeding. There is no other single action which will give your baby the very powerful start in life that breastfeeding provides (with the additional benefits to his mother and to the environment), and with sound understanding of how the lactation process works, expert guidance, and close support, the journey can be a deeply fulfilling and enjoyable one for both the mother and her baby. 


Sources

  • [i][i]Graignic-Philippe et al, 2014

  • [ii]Ip et al 2007

  • [iii]Singhal, 2001; Armstrong & Reilly, 2002; Cregan et al, 2002; Owen et al, 2008; Khan et al, 2009

  • [iv]Ip et al, 2007

  • [v]Pikwer et al, 2008

  • [vi]Renfrew et al 2012a

  • [vii]WABA, 2005; Palmer 2009; Linnecar et al, 2014

  • [viii]WHO, 2002, 2014a

  • [ix]McAndrew et al (2012)