Feeding and caring for the baby

Infant feeding is an important and complex topic. Here we focus on what information about feeding and caring for the baby parents would have liked before and after the birth and how the reality compared to their expectations. You may also be interested in our breastfeeding section.

Most people got some information from antenatal classes, but some felt the focus was too much on the birth itself and would have liked more about parenthood (see ‘Antenatal classes and preparation’). However, some women thought there was a limit to how much they could learn until they had their own baby, including a young single parent who had plenty of childcare experience.

The responsibility of caring for her daughter was overwhelming at first, but she was determined…

Age at interview 20

Gender Female

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In some areas, postnatal classes offered advice on a range of childcare topics. Women also valued advice from midwives and health visitors, and from other mothers they talked to at baby clinics and mother and baby groups. They often worried about whether they were doing the right thing and needed reassurance, especially with a first baby.

Postnatal support has been very good. Her local postnatal group has covered lots of useful…

Age at interview 29

Gender Female

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Tina was given safety advice about caring for her baby because of her epilepsy. She found this worrying.

Age at interview 33

Gender Female

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Amanda had community midwives coming daily for the first few weeks, then Team around the Family support.

Age at interview 35

Gender Female

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Tina found it scary to begin with when she went home with her baby.

Age at interview 33

Gender Female

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Many women asked their family for advice, although occasionally it conflicted with professional advice and they had to decide which to follow. One woman’s mother was too embarrassed to talk to her about breastfeeding, but she was convinced it was the best thing to do.

Her mother was too embarrassed to talk to her about breastfeeding, but she was convinced it was…

Age at interview 28

Gender Female

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The reality of breastfeeding often differed from what people expected. One woman who found it much harder than she expected wondered if it would help to have more detailed information beforehand, or whether it would put people off. A breastfeeding counsellor from a support group encouraged her to keep trying.

She had not expected to find breastfeeding so difficult. A La Leche counsellor encouraged her to…

Age at interview 33

Gender Female

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Other people found breastfeeding easier than they expected after hearing stories about how difficult it would be, including a mother who had a few problems but was determined not to give up.

Other people told her breastfeeding would be hard, but she found it easier than expected. She had…

Age at interview 31

Gender Female

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Another woman who had bottle fed her babies had since trained as a SureStart volunteer and learnt more about breastfeeding. She wished she had been given more information and encouragement at the time. Particularly with her second baby staff assumed she knew what she was doing and left her to it.

She chose to bottle feed both her babies, but now wished she had been given more information and…

Age at interview 30

Gender Female

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While some people thought midwives and health visitors should provide more support and encouragement for breastfeeding, especially with a first baby, others worried about women feeling they had to keep trying at all costs.

She would like the NHS to provide more specialised support for breastfeeding, especially for…

Age at interview 29

Gender Female

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A mother whose baby was premature and spent five weeks in special care had wanted to breastfeed but felt staff unintentionally put pressure on her to keep trying. Another agreed that women should not torture themselves with guilt, but thought much of the pressure came from women’s own expectations rather than from staff.

She believes there is unrealistic pressure from society and women themselves to conform to an…

Age at interview 33

Gender Female

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She wanted to breastfeed her baby in special care. In trying to support her, staff made her feel…

Age at interview 33

Gender Male

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Views were mixed about the advice on baby care while in hospital. Some people who had to stay in hospital several days, for example after a caesarean, valued having extra time with midwives to learn how to bath the baby and get feeding established. Women recovering from a caesarean may need special help in finding a comfortable position for feeding. Others found it easier when they got home and felt more relaxed. A few had encountered staff who were unsympathetic or abrupt.

There were also mixed reactions to the midwives offering to look after the baby over night so the mother could get a good night’s sleep – some mothers were relieved, but one mother was distressed and felt the midwife did not really understand her feelings.

She panicked when the midwife took her second baby away to give her a rest. The midwife did not…

Age at interview 34

Gender Female

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Some women may have particular difficulties with breastfeeding, for example pain (see Interview 04), feeding constantly (see Interviews 15 and 12) or being concerned about the amount of milk being produced. One woman had not been aware that having an elective caesarean might affect her milk coming in, but she was happy to change to bottle feeding (including some expressed milk). (There is some research evidence that after a caesarean women may produce a smaller volume of milk during the first few postnatal days, but the reasons for this remain unclear).

She did not know that having an elective caesarean might affect her milk coming in, but she was…

Age at interview 31

Gender Female

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Others had specific physical problems, for example women who had had breast surgery.

Babies who are born very early or need special care may also find it difficult to feed (see Interview 12 above and ‘Looking back – preterm birth and special care’).

See also our Breastfeeding section.

Stillbirth and neonatal death

A few women had lost their baby either during pregnancy or shortly after birth. Stillbirths and neonatal deaths are fortunately rare but very distressing. One...