Support from hospital staff

Most, but not all, of the women we interviewed gave birth in some form of maternity or birthing unit. Emotions ran high in the neonatal period and they spoke powerfully of the impact of the support and care that they received from staff on the quality of their experience. Many mentioned the need to be able to trust the people who cared for them and to have confidence in their professional experience and knowledge. It often came down to the support of one specific person, usually a nurse or midwife, offering the right advice and encouragement at a crucial moment. Many women were offered support and advice in the middle of the night when their baby was a bit restless and found it very comforting.

When her baby wanted to feed constantly she received help with attaching her. She appreciated the…

Age at interview 31

Gender Female

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There was a nurse, in a one-to-one session in the middle of the night, who taught her how to…

Age at interview 37

Gender Female

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An invaluable piece of advice from a midwife allowed her to feel comfortable feeding all night….

Age at interview 34

Gender Female

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Several women appreciated the opportunity to spend extra time in hospital to take advantage of the freedom from other responsibilities and the availability of expertise in order to feel confident about their breastfeeding before going home with the new baby.

The ‘nurses’ helped her breastfeed straight after a caesarean section and even though her baby…

Age at interview 40

Gender Female

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It was not only maternity care staff members who were important. Those mothers who were themselves very ill or who had very ill babies spoke of the impact that staff on both adult and neonatal intensive care wards, who often had little breastfeeding knowledge, could have upon breastfeeding outcomes (see ‘When extra care is needed for mother and/or baby’).

In adult intensive care, no-one thought to express her milk. One nurse/midwife held her baby to…

Age at interview 36

Gender Female

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She and her baby required specialist care after birth and were separated. Her baby was cared for…

Age at interview 32

Gender Female

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Many women talked about how busy the delivery suite was at the time that they gave birth and were very generous in the allowances they made for over-stretched and occasionally poorly informed staff members. However, for some, this was a less than satisfactory experience, particularly for those women who were reluctant to bother busy midwives to ask for help and for those who felt that they were being bullied or blackmailed into getting breastfeeding going properly or bottle feeding before they could go home. As a result of unsatisfactory care, negative staff attitudes and a general dislike of hospitals, several women discharged themselves early.

Her hospital stay was so horrendous that she discharged herself early. She did not get the…

Age at interview 23

Gender Female

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She had an unplanned pregnancy and it took her a while to accept her baby after the birth. She…

Age at interview 19

Gender Female

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Conflicting advice from a variety of staff members and the lack of continuity in their care because of shift changes led to confusion for some women. There was also some criticism of early intervention in the feeding process, particularly the introduction of bottles of either expressed breastmilk or infant formula to deal with the baby’s low blood sugars or jaundice, when breastfeeding alone may have managed the situation (see ‘Dealing with difficult times’).

Conflicting advice in a busy ward confused this woman and made her anxious until she received…

Age at interview 31

Gender Female

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Early interventions in the hospital (infant formula, syringe, cup and bottle feeding) could have…

Age at interview 30

Gender Female

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Her baby had not breastfed properly on discharge and it was only after readmission to hospital…

Age at interview 31

Gender Female

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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...