Gathering information, making the decision and preparing for breastfeeding

During pregnancy, the women we spoke to gathered information about breastfeeding from a wide variety of sources and had a lot to say about the quality and practical use of that information. They spoke to family and friends about birth and breastfeeding, they read leaflets and books and watched videos about the subject and some of them searched the internet for suitable websites. The women found a lot of these sources very helpful. However, some women felt that too much information could be a “bad thing”. One woman read so much that she felt confused by all the different advice while another thought that written information made breastfeeding sound “incredibly complicated”.

The internet was particularly important for information and contact with other women via a forum…

Age at interview 34

Gender Female

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Most women went to antenatal classes and specific breastfeeding sessions offered by a variety of providers, such as the government or NHS (local hospital, maternity service, midwives, GP or health centre, or Sure Start), voluntary groups (National Childbirth Trust, La Leche League) and private providers (independent midwives, obstetrics/gynaecology and lactation consultants, breast pump manufacturers). Opinions of the classes covered the whole range from “very, very good” to “limited”.

She attended antenatal classes run by the NCT which included a demonstration, a video and…

Age at interview 37

Gender Female

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Her friend took her to Bosom Buddies meetings run by the local PCT and Sure Start. She found the…

Age at interview 19

Gender Female

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A friend introduced her to La Leche League meetings while she was pregnant. She saw women happily…

Age at interview 36

Gender Female

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Many described the information that they gained from antenatal classes as theoretical rather than practical. Many said that they were too focused on the forthcoming birth to think about breastfeeding. Some pregnant women valued informal opportunities to chat and learn about breastfeeding from breastfeeding mothers whom they met at groups. Some women believed that there was no substitute for experience in learning how to breastfeed. Some said that they needed the breastfeeding information more after the baby was born.

She saw a video of someone breastfeeding at her antenatal class but she was too focused on the…

Age at interview 33

Gender Female

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Her antenatal class, run by the hospital, included the use of dolls and balloons to imitate…

Age at interview 38

Gender Female

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Several women found the advice and information they got from antenatal and other classes not that useful when faced with breastfeeding difficulties. Lizzie said that the class she attended didn’t discuss what to do if you have very low milk supply. Jessy found that the courses she attended provided no information about medical conditions or medications that could affect breastfeeding. (See ‘When breastfeeding doesn’t work out’ and ‘Medical conditions that could affect breastfeeding’).

Lizzie says that, at her breastfeeding class, breast milk was talked about only in terms of being plentiful. She didn’t expect to have any problems regarding milk supply.

Age at interview 33

Gender Female

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Some women did not attend antenatal classes because they either didn’t get around to it, hadn’t planned to breastfeed specifically or the baby arrived before they had begun or completed the classes. Others talked about barriers to attendance such as language difficulties, the lack of classes in their locality or their husband’s/partner’s refusal to attend.

Newly arrived from Pakistan, she was not confident enough to attend antenatal classes, so she…

Age at interview 24

Gender Female

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The decision to breastfeed was made by different women at different points: before pregnancy, during pregnancy or after the birth. Several women said that it seemed like the ‘natural’ way to feed a baby but some felt uncomfortable about the idea at first. Most women were asked by their health professionals how they planned to feed their babies and that was recorded in their medical notes. Several of the women decided to breastfeed because their religion recommended it.

She followed Islamic literature and the Koran that recommended breastfeeding for two years.

Age at interview 25

Gender Female

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As well as ensuring that they were well informed in preparation for breastfeeding some women purchased bras, breast pads, nipple creams and breast pumps while others said that there was no need to purchase anything except perhaps for bras and breast pads (see ‘Advice for pregnant women and new mothers’). Some women attempted to express colostrum prior to the birth, usually as reassurance that they would have milk afterwards. One woman spoke of moisturising and stretching her nipples prior to birth in an attempt to strengthen them and prevent sore nipples*. Others ensured that their partners knew of their desire to breastfeed in case there were complications during the birth. One woman used pregnancy yoga and swimming to help her withdraw from using drugs by the time that her baby was born.

She received so much advice about breastfeeding that she began dreaming about it and woke to find…

Age at interview 29

Gender Female

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* Footnote: Nipple preparation used to be recommended but recent research has shown it to be unnecessary and ineffective.

Previous awareness of breastfeeding

Most of the women whom we interviewed knew very little about breastfeeding at the time that they became pregnant except that many thought it would...

The first breastfeed

Every woman's experience of the first time they put their baby to the breast was unique. For some of the women we spoke to the...