Breastfeeding after a life-threatening emergency in childbirth

Establishing breastfeeding can be very difficult after a severe medical emergency. Women were sometimes in intensive care units (ICUs) for several days, still critically ill and separated from their newborn babies. Even when women were not in intensive care, some women we spoke to, while very keen to breastfeed, found they did not feel strong enough or were in too much pain. Several women found expressing milk stressful.

Sometimes women who were in intensive care were supported by staff and able to establish breastfeeding. A combination of breastfeeding, expressing milk and supplementing with bottle-feeding made this possible. But it was often a struggle.

Although she had breastfed her first child and felt confident in what she was doing, Hannah often felt powerless while she was in ICU. After the birth of her first child, Alison was supported by staff to try to breastfeed, but she found it an enormous struggle after her hysterectomy and haemorrhage (heavy uncontrolled bleeding).

Hannah was able to establish breastfeeding while she was still in intensive care. But it was a…

Age at interview 36

Gender Female

Age at diagnosis 34

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Alison was eventually successful in breastfeeding her son, and went on to feed him for a year…

Age at interview 32

Gender Female

Age at diagnosis 30

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Cara was supported in establishing breastfeeding and managed for about three weeks, but after…

Age at interview 37

Gender Female

Age at diagnosis 29

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Hana had severe complications after developing obstetric cholestasis (a problem with the liver that causes a persistent itch) and having an emergency caesarean to deliver her twins. She felt pressure to try and breastfeed her babies, but found it a “physical, emotional nightmare”. With the support of her midwife, she felt able to start bottle-feeding them.

Hana struggled to establish breastfeeding her twins. It was a nightmare and when she stopped she…

Age at interview 38

Gender Female

Age at diagnosis 38

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Some women we spoke to felt very strongly about breastfeeding their newborns. For some, like Hannah, it was all the more important because they had not managed a “normal birth”.

Alex was determined that she was going to breastfeed her second daughter, as it was “the only thing I could do for her” while she was in neonatal intensive care.

Alex had her baby prematurely due to her placenta praevia. Being able to breastfeed her daughter…

Age at interview 37

Gender Male

Age at diagnosis 36

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Lisa was determined to try to breastfeed because after having a hysterectomy she knew it would be the only chance she would have to do it. Samantha had pre-eclampsia (high blood pressure) and tried to breastfeed her daughter. It didn’t work out, which she found “upsetting, so I felt like a failure”.

Sometimes women found it difficult to talk to their midwives about whether they would breastfeed or formula feed their baby. Although Lisa had briefly started breastfeeding while in intensive care, she felt the midwives in the maternity ward discouraged her from breastfeeding because she was too ill after her haemorrhage and hysterectomy. But she wanted a chance to let her milk come in and felt “robbed” of the opportunity to breastfeed.

Amy had a haemorrhage and was “really cross” when she saw the midwives bring a bottle to feed her daughter. She felt it was really important for her to be able to breastfeed her, “to form a bond”, as she felt she had “totally failed and let her down”. She was grateful for their encouragement when she did successfully breastfeed.

Lisa only experienced an hour of breastfeeding before her haemorrhage. After the emergency she…

Age at interview 36

Gender Female

Age at diagnosis 35

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Women may feel concerned about breastfeeding when they are taking strong medication to recover from their medical emergency, but this need not always be an obstacle, as Clare eventually discovered.

Clare was wrongly told to stop breastfeeding for a few days when taking warfarin after a deep…

Age at interview 34

Gender Female

Age at diagnosis 34

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