How to help breastfeeding mothers overcome challenges and shatter stigmas
|Published
This Breastfeeding Awareness Week (August 1–7) addresses mothers facing common challenges such as latching difficulties, lack of support and workplace obstacles.
It aims to shift the stigma surrounding breastfeeding and formula feeding, highlighting the critical role of support networks while exploring solutions to these challenges.
Breastfeeding is often portrayed as a natural and straightforward process but many mothers face significant hurdles that lead to early cessation.
The most common struggles are:
Latching difficulties
A proper latch is crucial for effective breast-feeding, yet many infants struggle to latch correctly. This can result in pain for the mother and insufficient milk transfer for the baby.
Latching issues often stem from anatomical challenges, lack of immediate postnatal support or both.
Lack of support
Successful breast-feeding requires a supportive environment. Without encouragement from family, friends, and healthcare providers, mothers may feel isolated and overwhelmed.
Community support, breastfeeding groups and access to lactation consultants are vital for sustaining breastfeeding practices.
Returning to work
The transition back to the workforce is a significant barrier. Without adequate facilities for pumping and storing milk, and without flexible schedules, many mothers find it difficult to maintain their breastfeeding routine.
Concerns about milk supply
Many mothers worry about their milk supply being insufficient. This concern can be fuelled by societal pressures, misinformation, or a lack of visible milk during pumping sessions.
Understanding normal feeding patterns and growth indicators can alleviate these concerns.
Shifting the stigma
Londekile Ntsiba, affectionately known as Sr Londie, is a dedicated midwife with over a decade of experience supporting women through their motherhood journeys.
Her expertise bridges both private and public healthcare sectors, giving her a comprehensive understanding of the diverse needs of childbearing women.
Breastfeeding is a deeply personal journey that varies greatly among mothers. Some may breastfeed briefly, while others may continue for years. It's crucial to acknowledge and normalise this diversity.
According to Sr Londie, there is a societal stigma attached to not breast-feeding, often exacerbated by the phrase “breast is best”. While breast-feeding has many benefits, it is essential to acknowledge that feeding is best.
Formula feeding can be a healthy alternative, providing necessary nutrients and allowing mothers who cannot or choose not to breast-feed to ensure their babies are well-nourished.
She argues high-quality formula products are designed to closely mimic breast milk, supporting infant growth and development. Supporting mothers means respecting their choices and providing the resources they need to nurture their babies.
Support networks play a crucial role in helping mothers achieve their breastfeeding goals. Lactation consultants and healthcare providers offer invaluable assistance in overcoming breast-feeding challenges.
Additionally, fathers and partners can be powerful advocates, providing emotional and practical support that enhances the breast-feeding experience.
By being present, encouraging, and helping with tasks that ease the mother’s burden, partners can significantly contribute to a successful breast-feeding journey.
Globally, rates of exclusive breast-feeding in the first six months of life have increased by 10 percentage points over the past decade, reaching 48% in 2023, nearing the World Health Assembly target of 50% by 2025.
Significant progress is observed across various regions, with 22 countries in Africa, Asia, Europe, and Oceania documenting increases of more than 10 percentage points in exclusive breast-feeding since 2017.
Breastfeeding offers numerous benefits, including optimal nutrition, immune support, and bonding opportunities between mother and baby. It also contributes to the mother's health, reducing the risk of certain cancers and post-partum depression.
Common issues with stopping breast-feeding too soon or not breast-feeding at all health risks for babies
Increased risk of infections: Breast milk contains antibodies that help protect babies from infections. Babies who are not breast-fed or are weaned too early may have a higher risk of ear infections, respiratory infections, and gastrointestinal illnesses.
Higher chances of allergies and asthma: Studies show that breastfeeding can reduce the risk of developing allergies and asthma. Babies who are not breast-fed might be more prone to these conditions, which can affect their quality of life as they grow.
Increased obesity risk: Breastfeeding helps regulate a baby’s appetite and metabolism. Not breastfeeding or stopping too early can increase the likelihood of childhood obesity, which can lead to various health issues later in life, such as diabetes and heart disease.
Digestive issues: Breast milk is easier for babies to digest compared to formula. Babies who are not breast-fed may experience more digestive problems, such as constipation or colic.
Progress and challenges: While global rates of exclusive breast-feeding are improving, many mothers still face barriers, especially in the workplace. We call on policymakers to prioritise breast-feeding rights and support initiatives that enable mothers to breast-feed without barriers.
“As Breastfeeding Awareness Week approaches, it's important to reflect on the diverse experiences of breastfeeding mothers,” said Sr Londie.