Lizzie
Lizzie had gestational diabetes during pregnancy and believed that breastfeeding was crucial to protect her son from developing the condition in later life. She held the view that breastfeeding was the most natural and hence, uncomplicated thing to do. Lizzie never had sufficient milk to satisfy her son’s hunger. Feeding on demand, using a breast pump did not stimulate her milk supply but only feelings of exhaustion and of failure. After three months she started to top up her breastfeeding with baby formula. She continued to breastfeed with both breastmilk and formula until her son was five months.
When Lizzie got pregnant, she had an idealised expectation of motherhood and breastfeeding in particular. All the information she got from the parental skills classes, from midwives and health visitors and her own reading made her believe that breastfeeding was natural and therefore, an uncomplicated thing to do. She very much wanted to breastfeed her child but from the maternity hospital onwards she started to experience problems. In hospital, she noticed that she did not have enough milk but was reassured by the breastfeeding expert that after the colostrum, her milk would come; that breastfeeding would stimulate more milk. The main message was it would come’.
Back at home, she continued breastfeeding but her baby wouldn’t settle down. The baby was latching well but the health visitor noticed that he had tongue tie – something that Lizzie points out should have been picked up in the hospital. She and her husband were relieved to have found – what they thought – was the answer to the breastfeeding problem. The hospital’s waiting list was for several weeks and they decided to pay for a private midwife and have their son condition corrected.
Breastfeeding difficulties continued however, because Lizzie did not have enough milk to satisfy her baby’s hunger. Breastfeeding wasn’t the experience she had pictured in her mind. Instead, she spent long hours during the day and night breastfeeding her baby who slept very little, and cried a lot. Health professionals continued to tell her that her milk would come’, that she had to persevere and try and stimulate her breast to be able to have more milk. To that effect, she hired a breast pump and at night because she read somewhere that milk production is at its peak at night – she would sit pumping her breasts. She also used the pump in between feeds during the day. This lasted three months during which the family was exhausted and in despair. Lizzie felt a deep sense of failure.
At the baby clinic, and after she had cried for the third time, the health visitor started to pay more attention to her and to do regular home visits. She was asked to fill in a questionnaire because they assumed she had post-natal depression. Lizzie accepts that some of the questions described how she felt at the time but she also knew that her problem wasn’t depression, but exhaustion, and feeling like a failure for being unable to breastfeed her baby.
A conversation she had at the baby clinic made her reassess her situation. The GP told her that it was not a disaster if she didn’t manage to breastfeed for six months; that the gestational diabetes she had during pregnancy didn’t have to affect the health of her child; that the baby wasn’t going to become diabetic just because he didn’t breastfeed for six months, that a healthy or unhealthy diet throughout his life were more crucial determinants for the onset of type 2 diabetes.
After three months, Lizzie felt in control and started making choices based on her baby’s needs. She started to top up breastfeeding with baby formula and her baby now satisfied – changed from a miserable to a happy one.
Lizzie’s advice to health professionals is for them not to be so ideological about breastfeeding. From her reading and experiences of other mothers, she knows that if the milk doesn’t come in the first six weeks it is unlikely to come at all. She would have liked to have been told this so to have made informed choices earlier without feeling guilty or a failure. Sharing realistic expectations and experiences before birth would help to prepare mums better.