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Dublin: 10 °C Sunday 26 May, 2013

Column: Breast feeding? Nobody tells you about the bleeding nipples

Breast might be best – but it’s not for everyone, so spare us the guilt trip, writes Siobhan Corcoran.

Siobhan Corcoran

SO I’M JUST going to go ahead and say it… Breast feeding ain’t all that. I should know, I’ve done it. Or should I say survived it. Now, with a few weeks of blissful formula-fed perspective under my belt, I feel I can express my opinion and not just my milk.

I laugh and shake my head when I think of my pre-baby stance on breast feeding. As a junior doctor working in Obstetrics and Gynaecology I was smugly camped on the “breast is best” bandwagon for years. I pursed my lips and shook my head when pregnant women informed me they weren’t even planning to try breastfeeding. I rhymed off the mantra – all the benefits for mother and baby’s health.

When I rounded on tearful mums asking for a bottle for their baby in the postnatal ward I rebuffed their complaints and questions about breast feeding with the stock answers we’d been given by the lactation consultants: “You need to feed on demand”; “Sleep when your baby sleeps”; “Your breasts will make as much milk as your baby needs”; “ It’s not sore if you do it right, if your attachment is right”.

Well, I have news for the pre-baby me. It is bloody sore, it is phenomenally exhausting and in a first world country with excellent sanitation you are not going to scar your baby for life if you formula feed.

Don’t get me wrong. If breast feeding works for you, great! Well done you! It’s the guilt and condemnation suffered by the deserters that bothers me. Having your first baby is the steepest learning curve I’ve ever been on. Those first few days and weeks, no matter how prepared you are antenatally, can only be described as traumatic.

‘I lasted two weeks’

Now I’m well used to sleep deprivation – as a junior doctor in our crazy health system I routinely work 30-hour straight shifts and upwards of 70-hour weeks. But breast feeding a hungry baby is sleep deprivation on another scale. Previously after a day and night on call I would come home and collapse into bed (usually still in my clothes) for a 12-hour undisturbed slumber. However breastfeeding doesn’t work like that. The baby doesn’t just sleep when you’re a physical wreck. No-one can just take over for a couple of hours while you doze. You’ve got the boobs. You’re it. Always.

No matter what anyone says, it is painful. Those first few moments when the baby latches are excruciating. No matter how good your “attachment technique”, your nipples still crack and bleed. Nobody tells you about the bleeding nipples. No matter what kind of breast pads you use there will be times when you leak – usually in public, or in front of a very embarrassed old man. I lasted two weeks.

Last week was National Breastfeeding Week, otherwise known as National Irish Mammy Guilt week. The doctor in me realises the importance of this public health message. With rising obesity levels and obesity having its roots in childhood, it is important to get the ‘breast is best’ message out there. But it’s also important to say to mums for whom it just doesn’t work that it’s OK.

Once I started formula feeding, my husband could take a feed or two and this allowed me to sleep, finally. I was much less tearful , crazy and anxious about my little baby after a few hours of undisturbed sleep. Dare I say, it I even started to enjoy her.

Listening to a male expert commenting on the radio last week on the importance of breast feeding and how Irish women need to “wake up” and realise they must do it made me laugh. Get back to me when you’ve had the bleeding nipples mate.

Siobhan Corcoran is a specialist registrar in obstetrics and gynaecology.

Column: Breastfeeding in public is natural, and we need to see it that way>

More: Irish breastfeeding rates below European neighbours>

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Comments (145 Comments)

  • i remember that pain all too well. But I also remember the unhelpful platitudes being passed off as advice in the hospital. My son was eight weeks old before we figured out latching without pain or damage. And in the end, I had to resort to the internet to find the solutions I needed to the breastfeeding issues I encountered. That to me is the real problem when it comes to the breastfeeding debate in Ireland. Plenty of enforced guilt, and no real educated medical support when you need help.

    I couldn’t care less whether someone chooses to breastfeed or to bottlefeed their child. But what I do care about is that if someone chooses to breastfeed, she gets the help she needs to make that happen. As I learned the hard way, there are lots of potential causes, and plenty of solutions for bleeding nipples. And if our medical professionals who are so keen to hand out breastfeeding “advice” were properly educated about feeding issues, then they could actually help the women who come to them for help, instead of doing as you say you did, and piling on the guilt without any real understanding or practical solutions to go with it.

    Reply
  • I don’t think we should judge other mothers on their choices. I had a really hard time for the first week or so with my first and would have definitely given up if I hadn’t been shown how to get the baby to latch on properly. After that I never looked back and am glad I stuck with it. If it doesn’t work out for some mothers, they shouldn’t be made to feel guilty. It’s hard enough without these pressures.

    Reply
    • It’s not about making people feel guilty. It’s about pushing to change attitudes and provide families with the right support to allow them to have the breast feeding experience they want to have. There is so much to change. Sadly, this article is not a positive call to change. It’s entrenching the issue firmly in its misguided past.

      Reply
  • Every pregnancy, birth and indeed breastfeeding experience is different with each baby. There are so many factors involved not least of which being a new Mother exhausted because you have just given birth to a baby. Not all women breastfeed their babies but they are entitled to try without prejudice. Support from mothers who have breastfed and correct information are the key to getting off to a good start.

    Reply
  • breastfeeding::: the things that no one tells you

    the second night will be hard. it will be exhausting, and the reason is so simple and clear. baby is new to this world, and your breasts are their connection back to mother. to safety. to security. their suckling at your breasts are laying the foundation for your milk. it is beautiful and aching and hard. it is hard to be tucked away in a hospital, away from family. this isn’t how it should be, but it is the reality for many women.. the second night- you are a warrior. and you will make it through.

    you will find more wisdom through your body than you ever knew before.. suddenly, the questions you had in pregnancy of ‘how will i know when there is milk there?’ ‘how will i know when they are done?’ ‘how will i know, what does it feel like?’ you will know, because you are wise, your body is wise, and you are listening to your baby. and your baby is communicating to your body.

    that sometimes, an eager mouth coming to your aching nipples is the scariest thing in the world… but having a gentle, loving woman guide you to breathe.. to relax your shoulders back down. to show you another position. to help you to see that you are progressing, that you look beautiful when you nurse– that will help build your confidence, is one of the best things that can be done for you in your early days of new motherhood.

    that, suddenly.. before you know it, or even fully realise it- you’ll be nursing your baby while eating dinner at the same time… and my my.. how far you have come from the weeping woman in the hospital, with a sore cooch and a brand new life before your eyes.

    that you fall in love, over and over, every single time you nurse. whether that’s for the 20th time in the day, or the 7th time in the night. that when you let go of the idea of what you are ‘supposed’ to do, and just do what you feel you should do– you can enjoy it.. it is good.. and it feeds your soul and body.

    no one ever tells you about the way your baby will look at you..

    the way that, when you lay in bed at night, your babe at your breast, and your partner at your other side– that you will feel like the universe. like the creator, the creatrix, the world. that your entire universe is in your bed, you are the sex goddess, and the nurturing mother, and your own beautiful self. it is overwhelming, and also powerful. YOU are powerful.

    no one tells you that you will become an activist for women, advocating for breastfeeding– not because you believe you are superior, but because you discovered the most amazing drug in the world, you are high, and in love, and want all women to experience this goodness– and you believe that they all can.. they just don’t realise their potential yet. they don’t know how good it can be… and you want to share it with them.

    no one tells you the good things. because they are scared that you won’t believe it, that you’ll think they are crazy, that they’ll offend you. no one tells you the good things, because no one wants to listen to the good things- they only hear the bad. because there is more scare-mongering in the world, and unfortunately- their voices are louder.. one bad apple that ruins the entire damn pie.

    no one tells you the good things, because as a pregnant mama- you’re hormonal, and conflicted- and have lost a lot of belief in yourself and your body through the media and society you have grown up in. you no longer trust your ability to birth your baby, or to make adequate milk. you are bombarded, whether you realise it or not- with negative influence, and have been since you were a wee girl born into this earth.

    but. my. how you are powerful, when you believe it and allow it.
    and breastfeeding, like birth- can be challenging, sometimes painful- and then it no longer is.. and it’s blissful, as you hold your own sweet flesh.

    Reply
  • itaryan 11/10/12 #

    Three years ago when in hospital after baby two I dragged myself out of bed and crawled to a ‘feeding class’ in Tralee hospital. It was ENTIRELY about bottle feeding – I couldn’t believe it.

    I had bleeding nipples and agonizing pain for 4 or 5 days. Then talking to my sister she said you need to use different positions to give your nipples a rest. The very next feed was easier and by next day I was pain free (new Mums – try the rugby position it’s got totally different pressure points from the others).

    Yes bf is not for everyone but as others said there’s no support for it here. Lip service but nothing practical. The UK where I had baby one was nearly as bad, they shoved a bottle at him when I was too tired to try feeding just after an emergency c section.

    Benefits of breast-feeding:
    - you don’t really have to get out of bed and can doze through night feeds
    - I found it unbelievably calming when feeling post-natal-depressed-ish
    - no matter where you are, you can always feed the baby (eg traffic standstill on motorway)
    - invest in a shawl and no-one even notices you’re doing it
    - you can sit down to feed the baby and have a nice rest. No-one else can do it, so you can let them do the housework
    - it’s nice

    As others said, it’s up to each individual. I don’t really comment when friends don’t do it cos I know they’ll think I’m judgemental, but it makes me really sad because I think they’re missing out.

    I expressed milk for baby one cos he had tongue tie so I know what it’s like getting up at night to warm a bottle and bfn is SO much easier.

    Reply
  • Having lived in Ireland for 5 years – I also gave birth to my little boy there – I can attest to the horribly high level of absolutely shitty medical professionals there who seem to have a gaping hole in their breastfeeding knowledge. Thank god for La Leche League, Friends of Breastfeeding and a Cork-based breastfeeding group (with a WONDERFUL lactation consultant giving her all there!!). They are the people in the know. The ones to encourage and advise and support. Without them, it’s possible I’d have stopped about 2 months in. Now my baba is 18 months old and still feeding away happily. :)

    Reply
  • I bf’d both of mine and yes it was hard work I’m pregnant with number 3 and hope to bf again but I have always said to any friend who was unsure of trying even if its only one feed, one hour, one day, one week give it a shot it might work, it might not. women are the worlds worst at beating each other up over things like this I feed mine till beyond 16 months it doesn’t make me a better or worse mother than someone who never tired or is still feeding at 4 its personal choice why can’t we respect each others choices and stop making the worlds hardest job harder on ourselves and each other.

    Reply
  • My name is Chris Finn and I am National Co-ordinator for an Irish charity called Friends of Breastfeeding. Your article today entitled “Breastfeeding? Nobody tells you about the bleeding nipples” compelled me to write in. It is so sad that there are so many women in this country having experiences like those described in the article! Pain, bleeding nipples, feelings of guilt, of being judged by other mothers for having ‘failed’ at breastfeeding – all of these common experiences. I’m sure there are lots of mothers who will read this article, empathise and tut at how the “Breast is Best Brigade” are judging these mothers for failing at breastfeeding.

    Coming from Friends of Breastfeeding, I only have to say the name of our organisation, and I can practically see the preconceived notions jumping into people’s heads. They instantly assume I am one of “those” women, a member of the breastfeeding elite, one of those militant breastfeeders who look down their nose at mothers who choose not to or who “fail” at breastfeeding.

    The reality for me – and I think, for almost every nursing mother – is that my baby arrived and I discovered that far from being the “natural” experience I had thought it would be, learning to breastfeed was actually one of the most frustrating things I had ever done. I had no confidence in knowing when my baby was fed enough and I received conflicting advice from every direction.

    Looking back, I realise that it was mostly luck, the support of my incredible husband and some wonderful mothers I’d met online that got me though those early weeks and months. Somehow, I managed to navigate my way past all sorts of issues that could easily have stopped me had I not had the support of others who had been there and done that all before. Then one day I woke up and those early days were gone. Breastfeeding my baby was suddenly easy, and nice!

    When I look back on my own experience, it’s easy to understand how many mothers don’t muddle through. Mothers who didn’t have the support I did and who faced far greater physical and emotional challenges. These women did not “fail” at breastfeeding. They were failed. Failed by a society that has lost its breastfeeding culture and by a system that does not know how to properly support and nurture the breastfeeding mother and child.

    Do I judge them for not breastfeeding? Hell no. I can see how easily that could have been me, my own story could have been very different indeed.

    Friends of Breastfeeding works to support mothers to have the breastfeeding experience they choose, whatever that may be. We aim to do all we can as an organisation to help mothers avoid common pitfalls and to find support options in their area. Something we really need to acknowledge is the fact that our main problem in this country is a lack of breastfeeding culture, which causes the majority of problems. 99% of mothers in Norway nurse their babies and I’m pretty sure they’re not all martyrs to the cause, walking around with bleeding nipples. Something is broken in Irish society and it is not Irish women. We as a nation need to step back and take a good hard look at what needs to be done to fix it. Judging each other isn’t going to get us anywhere.

    If you re-read the article in question, the only person this woman mentions judging her, really, is herself, and that is such a shame. She seems to be assuming that because she was so judgemental of others before she had her baby, that everyone else is judging her now. The truth of the matter though, is that far from judging her harshly, the vast majority of Irish mothers do not have the breastfeeding experience they want and understand her story all too well.

    If I were to say one thing to this mother it would be: Go easy on yourself! I’m sure you did the best you could with the information you had available to you at the time. Welcome to the guilt trip that is parenting.

    Reply
    • Thank you for writing this Chris. I think it tells the truth about where many breastfeeding advocates in Ireland are coming from. I know from my own personal point of view, the reason I want to see better breastfeeding support in Ireland is not because I think people should breastfeed whether they want to or not. Not at all – in fact I strongly believe that it’s important to want to breastfeed if you choose to do it, because otherwise the difficulties you may encounter would be even more overwhelming and negative.

      The main reason I advocate for breastfeeding on my blog and in my life now is because I can look back now and see how much more difficult things were for me because of breastfeeding myths being pushed on me, and the minimal effective support that was available, and I dearly want to raise the issue in the hopes that women in the future in Ireland who make the decision to breastfeed are not faced with the same stumbling blocks that I had to deal with.

      Reply
  • To all the comments referring to breastfeeding advocates who spoke up on this article, I don’t see much judgement to be honest, but a lot of sadness at yet another mum who was let down by the system.

    Making an informed decision not to breastfeed is fine, making a decision TO breastfeed but being let down is not, and will never be.

    Reply
  • It really annoys me when women criticise each other when we’re all doing the best job we can.plenty of people commenting here full of righteous indignation!she tried to breastfeed and surely her effort is worth some commendation.if it’s making you miserable and teary then that’s not conducive to being the best mammy you can be.I think baby would benefit more from having a happy mammy than anything else.I breastfed both my babies for as long as I felt able to but it is hard work no matter how many people try to say otherwise

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  • The truth is, with the right info and support, 98% of women can breastfeed. It is as natural as walking and talking BUT you need support and info. The proof is in the numbers: breastfeeding rates in Norway are around 98%. Because they have a culture who supports breastfeeding.

    I am truly sorry you did not enjoy the breastfeeding experience your child and yourself deserved. To all expectant mums wishing to breastfeed and reading this: please visit a breastfeeding group before you give birth. Have numbers for support organisations at hand, as well as lactation consultants’, and don’t be shy: ask them any questing you want.

    Reply
  • I had a similar experience with breast feeding. I looked for all the support. It wasn’t there. I tried to get a lactation consultant privately, there was none in my area. I rang the breast feeding support groups a number of times and only got an answer machine. I couldn’t get to a support group before baby was born as they only met during work hours. Their meetings are infrequent in my area so I would have been waiting 2 weeks for the next one.
    So I feel I made all the effort I could and sought the support. I so wanted to be able to do it. But I’m left feeling so guilty that somehow I failed, that maybe I should have tried a little harder. I think that’s the point she is getting at with this article. That there are others who tried and failed. I for one am glad to read this. It won’t turn me off trying again.

    Reply
    • Jane, you didn’t fail. You were let down by lack of breastfeeding support, which is unacceptable.

      Reply
    • No, you did NOT fail, you WERE failed. I wish more women realised that this is the truth, and get angry instead of guilty. An earlier poster made the point that the HSE are pushing the unhelpful ‘breast is best’ slogan on people and guilting them without actually offering them any practical support or solutions. I’ve heard some horror stories tbh.
      I’m so sorry this was your experience, and I hope you get teh chance to get the experience you want. The other thing about Ireland is that no one lets you be sad about not getting to breastfeed – ah sure, isn’t the bottle just as good, I was never breastfed and look at me, etc etc. Why won’t people recognise that some women feel huge loss about it? And that that’s their right, it’s something to grieve for, if they need to.

      I’d always recommend searching out the support groups while you’re pregnant, the lac consultant and doing classes, so you’re set up to get help the minute you need it. It’s so hard when you’re sore and tired and emotional and worried just after the birth. Hopefully there’s a lot more out there now than there was.

      Good luck xx

      Reply
  • Do people not realise that breast feeding used to be a communal thing , wet nurses helped mothers. So she wasn’t doing All by herself . I tried for nearly 8wks with my little girl and I will admit it was a living hell for me. I tried everything and it just never worked out. I was crying over my child and full of guilt and I was sleep deprived. I was honestly on the verge of a meltdown. I have been feeding her on an organic formula and she has thrived. I am sick of people guilting me for “not” trying hard enough. I don’t understand this Black and white attitude. I’ve had my bfing friends assuming I’ll feed my child crap which I obviously have no intention of . I’ve done both and I will continue to do what is best for me and my child. Sorry for the rant.

    Reply
  • You also highlighted the sad reality that plagues breastfeeding women in the first world – inaccurate information, lack of support, disbelief and no trust in our bodies or our babies, following schedules and needing our babies to adjust to ours- rather than having the time and grace period to just simply be. In the first world, we birth our babies- by hook or crook, and then we immediately feel the need to watch the clock, to follow the books, to read everything- to do it right… yet, it is innately in us to mother. When we listen to our body and our baby- we are following the greatest instinct to be the mother that our child needs us to be, and to listen to what our baby is asking of us. When we live in a society that freely breastfeeds in public- where young boys and girls see it as the norm, there is generally no problem learning to breastfeed as a first time mother- because it comes naturally as does birthing. There is little fear or doubt of our ability- we just do it, because we are women- and this is what we are designed for. Does that mean that we never run into problems? Of course not, and this is where having our communities of support comes in hand.

    A woman should never suffer alone, she should never suffer pain or regret of her birth or breastfeeding experience- and when she has, society has failed her– she has not failed herself, or her baby- society, the system- failed her.

    I am so very sorry that this was your experience with breastfeeding, and I am glad that you have been able to resolve and build a positive relationship with your baby. The guilt that you refer to- is a guilt that all mothers carry- regardless of how we feed our babies. Mothers carry guilt, and women seem to love to pit others against each other. The reality is, formula feeding mothers are the MAJORITY, and breastfeeding mothers are the minority in Ireland. The guilt you speak of- is coming from yourself, and no one else.. But trust, we all have it, we are all asking if we are doing enough… if we could do better, what if we tried harder etc. etc. It is the never ending cycle of motherhood… The guilt that you speak of today will continue to transform into other forms of guilt as your baby grows into child, teen, adult.

    The notion behind one week of the year, the 40th week of the year- to signify the relationship between mother and child, severed at the umbilical cord, and the beginning of their breastfeeding relationship- is not to make mothers who never chose to breastfeed, or tried to and moved on to feel guilty. The idea behind it is to offer one week of the year to highlight a very valid and important act of mothering. A choice, a chance to empower and educate women- and give support to much of the minority that do breastfeed.

    Women are not stupid, and breastfeeding mothers that are advocating for breastfeeding are not doing so because they feel superior- they are doing so, because they wish to share this incredible bond with other women and their children. Just as you may have found something wonderful, or a ‘secret’ to mothering that has made your life wonderful- they too are doing the same. Their voice is still the minority… We all have valid points and valid experiences. I will take your woes and wisdom on– and validate it, by reassuring you that yes- the first two weeks are the hardest two weeks. I will validate it, and tell you that you were failed by the system, by the system that you work within. I will validate it, and tell you that you were failed by a society that has lost it’s tribes of women, it’s culture of breastfeeding, and is incredibly daunting to breastfeed in. I will validate it, and tell you that formula companies in Ireland are particularly viscous with their marketing and advertizing, and are clever in the way that they undermine ALL mothers. This is their job, and they make a lot of money in doing it, it has no reflection of you as a mother– it has been so ingrained.. I will validate your breastfeeding struggles, because it is not always easy in the beginning, and I will do my best to continue to support, educate, and provide a system that gives help to women who are suffering in the early days of their breastfeeding relationship- so that way I can do something to help them have a successful relationship.

    Reply
  • Amen !!! So many babies are not breast fed and are still alive, healthy, even college students at this stage. Get off the high horse. Do what works for you. The baby will be fine !!!!!

    Reply
    • Have you read much about the virgin gut, about cancer risk rates, obesity, diabetes, breastmilk content v formula content, and on and on? Are you aware that nutritional choices that parents make in pregnancy and beyond can affect your children and their children three or more future generations? Or for example that it takes three generations for essential fatty acid deficiency to become apparent?

      Saying ‘well MY child is fine’ is great for you, but does not negate the science of what breastfeeding can do.

      Reply
  • I’m delighted that this point was made by a health professional – some mothers not only don’t enjoy the experience, they find it horrendously painful, but there IS a huge guilt piled on if you are forced to stop.
    Giving birth to a whole other new human being with the attendant responsibility is something that already has lashings of built-in guilt without the new (usually exhausted) Mum being made to feel selfish, neglectful or deemed “wrong” if she opts not to breastfeed. It is wonderful if you can do it, but you shouldn’t be made to feel bad if it doesn’t work for you. Simple as! Well done Siobhan – enjoy your little ‘un :)

    Reply
    • Still, there’s nothing professional about this piece, it’s opinion, and a deeply subjective one at that. Her experience and choice is her own, completely, but you can’t push that on others as if it’s hard fact.

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  • My 4 children were bf by their mother even through post natal depression criticism from my family & her family & our friends who were concerned for her health. I also have to admit periods of my own doubting & even though my life was made much easier by her bf I was concerned about her lack of sleep & different issues that are complicated by bf. However I admire her for her commitment to our children & the fact that even though she was questioned by everyone including me, she had a goal to provide for her children & that was far beyond the comprehension of anyone else. Breastfeeding is not for everybody & does not determine that you are a better mother but it is the actions of the bravest women who know like anyone else in the know that breast is best.

    Reply
    • Actually, just as a data point, I found breastfeeding through postnatal depression actively helpful – it was an aspect of my life/mothering that I actually felt good about, I found it calming, and it didn’t make me notably more tired (though did permit the almost constant consumption of biscuits).

      Reply
  • I breastfed my two kids and I got more sleep with the second because he didnt even go near bottles. It was hard both times for the first two weeks as your nipples become over sensitive. I had a wonderful experience and never bought formula or got up in the middle of the night to make bottles. I breastfed my daughter for a 1 1/2 years and my son for 2 1/2 years. I let them wean when they wanted and they went straight to cups. Both were really healthy, no colics and no colds. Once they were weaned off, they started to get sick.
    I enjoyed breastfeeding and I got my figure back in no time. I was working full time and breatfeeding. I used to express milk every day and the childminder would give that milk to my child. I find it sad that Irish women dont really breastfeed, you rarely see them and it’s not actively encouraged. It’s a wonderful experience of bonding.

    Reply
  • My god what a depressing piece! And that its written by a colleague annoys me even further. To make so many references to her job in the article stops it from just being her opinion and strays into the territory of advice from a doctor in my opinion.
    As a paediatrician I come from similar training but wasn’t afraid to ask for help, now blissfully feeding my third I am able to offer the mums of my patients much better advice.
    My first 2 latched on like little dreams and I needed no more support than the (excellent) hse leaflets. I fed my first for 6 months and my second for 12 months. With my third I had painful, cracked, bleeding nipples. Knowing there was a problem I asked for help and after her tongue tie was snipped on day 10 we started the same blissful feeding I experienced with my first 2 kids.
    It’s not difficult for everyone, there’s a lot of help out there and online if you look for it and its so so so wonderful that I cannot imagine parenting without it!

    Reply
  • I think her point is breast feeding is not for everyone, it wasn’t for her and this column tells us why. Women who don’t want to breast feed often feel attacked by health professionals and god forbid other women. It doesn’t work for everyone yes everyone should try at least give it ago, in my opinion anyway. And for all those women giving out about her giving up after two weeks surely that’s this mothers choice? Oh and I did breast feed my baby until almost 6 months and I had bleeding nipples and my latch was fine thank you very much!

    Reply
  • EVERYBODY tells you about the bleeding nipples! You cannot even mention breast feeding without people shoving their horror stories down your throat, not quite the support that an expectant mother needs.

    Breast feeding is exhausting, and can be painful at times. No one has ever denied this. The slogan is ‘breast is best’, not ‘breast is easiest’.

    The rewards of breast feeding, and there are many, can only be reaped after putting in a lot of groundwork.
    This is not for all women. Some women genuinely try their hardest and do not succeed, and I can only imagine how upsetting that must be. However, an article like this which focuses solely on the negatives, absolves the mother from any responsibility of educating or preparing herself, which sets up all women to ‘fail’ is very, very sad to see.

    Reply
  • Shame Sioban didn’t get any effective support to establish WHY her nipples were bleeding, another Doctor that’s now carrying their own emotional baggage, great!
    http://milkmatters.org.uk/2011/04/15/hidden-cause-of-feeding-problems-however-you-feed-your-baby/

    Reply
  • “No matter how good your “attachment technique”, your nipples still crack and bleed.”

    But that’s just untrue. If you think it’s normal for a woman’s nipples to crack and bleed, you need to think again. That is absolutely NOT a normal breastfeeding experience. There were either very poor latches going on (despite looking ok on the outside) or, more likely, your child has an undiagnosed tongue tie. Sure, it’s normal to experience some tenderness at first, but it does not last through the feed, nor does that pain cause cracking, let alone bleeding.

    Breastfeeding IS all that…you just didn’t get to experience it before giving up and I’m sorry about that both for you and your child AND for your future patients who now have a cynical caretaker. You probably had a lack of GOOD support, despite being surrounded by medical professionals (who quite often know the least about fixing bfing issues, anyways).

    Not everyone has an easy start, and those who have a rough time and aren’t given adequare help and support do quit sooner.

    Reply
  • Woo hoo, I’m with you on this one, load of rubbish, hated breastfeeding, but tried on the first, not for me so that was the end of that…guess which one had asthma etc, the first one! If it suits you great, if not great.

    Reply
    • u said u “tried” with yo first baby and he/she is the one with asthma etc…maybe if u had “tried” and given up after 6 months exclusive breastfeeding then this may not have been the case! u seem to imply that your bottle fed child is healthier than your breastfed one, but sounds like u gave up the breastfeeding way too soon.

      Reply
  • New mums do not need guilt trips & we need to absolutely stop doing that.

    One’s own experience, choices are never a guide to what others SHOULD do, any more than vice versa.

    On the other hand, good factual information & lots of support for the whole person – for their desires & intentions, for their health, for their happiness – can never go astray.

    Sadly, when it comes to breastfeeding, both of these are very much lacking in the Irish Health service until recently (It’s improving, but is still patchy).

    We also need to realise that breastfeeding, like many other human skills is learned, partly by imitation, partly by peer-to-peer instruction. How many opportunities are young children getting these days to watch & see breastfeeding happening & gain insight into how it works? & how many peers these days are actually getting to be experienced “old hands”?

    Because I had an abundance of both of the latter – plentiful opportunities to observe breastfeeding as a child, & plenty of “old hands” to consult when I needed to – I was able to bypass and overcome the deficiencies in information & support within the Irish health system & breastfeed my two with little difficulty.

    I can sympathise with anyone contending with the lack of all three – visual opportunity, “old hands” and institutional info/support. It would be practically impossible to be successful straight off the bat!

    In such a case the doctor is right. Keeping mum happy & healthy is the best way to keep baby happy & healthy!

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    • M Barron 12/10/12 #

      You’ve hit the nail on the head Auntie Dote, wish you were my Auntie when I started breastfeeding ;-)
      There is really only lip service paid to breastfeeding in our health service, the resources are just not there. Yes midwives will do their best to help you, for the few minutes these overworked angels can afford to spend with you. Yes you can avail of a lactation consultant, again, she will get you latched on, clap herself on the back and be on her merry way. I don’t mean any disrespect, but not everyone’s breastfeeding problems are straightforward and fixed by simply latching the baby on correctly once and hoping for the best. Many women need to see breastfeeding mothers in action and to speak with them and ask questions. Ideally this should be before they even attempt to breastfeed. La Leche League is excellent, but as someone already mentioned they meet during working hours so it’s impossible for some women to make even one meeting before they have their baby.
      So, I am appealing to people who successfully breastfed their babies – some women really want it to work, try against all the odds mentioned above and go through an extremely hard time – stop trying to make them feel guilty. They know breast is best/natural. They know how wonderful it is when it goes well. They also know they are doing the right thing for their babies when enough is enough. You can do a lot more harm to your baby by not giving them enough love and attention, by being too exhausted to play and read to them and all the other aspects of parenting that we seem to have forgotten about. I applaud the doctor for her article, she is speaking from her own experience.

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  • Yup, the forst two weeks are tough but I’d imagine that the first two weeks are tough for bottle fed babies too and traumatic too. You are recovering from giving birth and bringing a little person into the world, breastfeeding or not that takes time to recover from, a baby will need a bottle when you are exhausted and in the house on your own too.
    Yes, it hurts and for me the first 4 weeks were really tough recovering from an emergency section too but now, 6 months on I have to say it is so convenient and ‘easy’. I am sure he’d be grand with formula, not bother to him but it suits us and the HSE in Limerick are very supportive with weekly meetings in the maternity hospital and follow meetings in the outskirts. They provide a lactation consultant who helps both new and established breastfeeding Mums, I have seen women come in at their whits end one week and the following week delighted. No, it does not work for everyone and that is OK and no we should not be listening to any man on the subject but the system should be as supportive as possible to breastfeeding mothers. I was lucky with my little man, I know that and I would have been devastated if it did not work out but the support here in Limerick has been great, hopefully these support systems will survive the cuts enabling women to choose for themselves. it is tough, but sure having a baby is tough and it gets easier, so much easier in fact I LOVE it!
    Overall I am disappointed that such a negative picture has been painted.

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  • Having spent over 20 years as a practicing midwife, there is so much truth in this story. I certainly think that being a doctor of obs and gynae probably meant that the health professionals assumed that she knew everything.

    There is nothing wrong with breast or bottle feeding . They all work. Good luck with your lovely little one.

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    • Tried it on both children and it was a nightmare , I was so sore I broke into a cold sweat when they use to wake up for a feed, the nipple protectors were good though but I have to be honest I hated every minute of it, my boys are 14 and 9 and they’ve never had an antibiotic in their lives so far so. Whatever works for you is great but
      stop with the guilt trips in the hospitals

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    • Would you as a midwife with 20 years experience in different areas around the coutnry, assume that a new mum knew everything she needed to know about breastfeeding just because she was an obs/gynae reg?
      If yes, that is another awful reflection on our health care professionals, the training they receive, the expectations they have of each other, and again of our health care system as a whole.
      The breastfeeding culture simply isn’t present in Ireland any more, and saying breast and bottle feeding “all work” is an insult to ALL mums. They don’t ALL work. While I wouldn’t be knowledgeable on the problems bottle feeding parents have, I assume there are plenty of difficulties- more colic, constipation, etc, and as is all too clearly stated in the original article, breastfeeding doesn’t work- not because it can’t, but because HCPs don’t have a clue where to start to help mums make it work like it should.

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  • ‘The bleeding nipples’ what a great name for a rock band! as kenny everet once said ” i’m all in favour of breast feeding, its free ,its healthy and it comes in such cute containers”.

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  • Whilst I’m pro breast feeding and did do for my little boy I welcome the sentiments of this article! I know I’ll be criticised by people that I share views with but while I think it’s the best for baby it’s also a choice. Women need to know the facts and let them make a choice! My baby had two teeth by the time he was 6 weeks and had me shredded!!! I decided to express as i didn’t like him getting “pink” milk but still wanted to do it! Was made feel inadequate by public health nurse but my boy got natures best and when his appetite was satisfied I’d put him on the breast for comfort and he wouldn’t hurt me then….win win but was still made to feel a failure by the powers that be! Funny thing was that I managed it for 12 months based on this and delighted I stuck by my guns (no pun etc).women should be allowed feel comfortable in their choice and then if they decide to go ahead should be supported in the way that works best for them!! If I allowed the pressure to get to me I would have stopped at 6 weeks!

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  • I am a first time mom with a 7 week old, he was born in turkey where breast feeding is the norm and formula is seriously frowned upon. I suffered through 48 hrs of bleeding nipples and an extremely upset baby trying to suck everything including my husband before I cracked and gave my baby formula. He is now a happy healthy baby who is bottle fed half his feeds and breast the other. But I have to suffer the open scorn of every Turkish woman I meet. A Turkish friend of mine has three children under the age of 7 all breast fed until 20 months she works full time and wakes herself up every hour during the night to pump milk for the next day. She proudly boasts she hasnt slept in 7 years, but I can proudly boast that I enjoy my baby. Whatever works for you and for your baby is what is best, you shouldn’t be judged for it whichever way you go

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    • “wakes herself up every hour during the night to pump milk for the next day”????

      Why in the name of all that is holy is she doing that? That sounds absolutely bizarre, and I speak as someone who was (in Irish terms) an “extended breastfeeder” and went back to work full time while still BFing my son.

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  • Good morning,
    I agree. I am currently breastfeeding my five and a half month old daughter and the first three months were torture for the most part. Nobody prepares you for the complete exhaustion of doing two hourly feeds not to mention the fourteen plus hours a day spent nursing on the couch during the growth spurts. Meanwhile your friend’s formula fed babies are sleeping though the night and your friend’s get to do things like get their hair done or leave baby with a sitter and go out! Don’t get me wrong, I am glad I persevered because it does become enjoyable after a time but a little bit of honesty from the midwives etc would have gone a long way in those early days. It was a very lonely and terrifying place to be- wondering if she’s getting enough food, the sore, cracked nipples, the out of body experiences due to lack of sleep. But you do it and pretty soon it all becomes a little easier. It turns out that the only truly frustrating thing about breastfeeding is the immense pressure from friends and relatives to put her on formula. It is hailed as the cure for everything. How did this happen? As far as I can see, a little bit of honesty and reassurance would go a long way in supporting the choice to breastfeed in this country.

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  • I’m glad she had a chance to practice what she preached! There is nothing more disheartening to mothers when a doctor is telling them to “get on with it” “it’s not that bad” “it’s good for you and your baby” when they haven’t even. Tried it! So it’s great to see she experienced it and can now see it from both sides and take a more understanding approach to breast feeding! A lot of people and doctors are so dead set on the idea they forget to take into consideration that everyone is different. What worked for you might not for other women. Pro breast feeders out there, be mindful of this. Not all women want to give this a go and it’s their choice at the end of the day. There was a stand all about breast feeding in college last week and I have to say I did learn a lot I didn’t know which was great. But there was one pushy lady who just wouldn’t leave me alone or stop trying to force her view on me! I’ll decide when the time comes thank you.

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  • I’m really sorry to hear that you had such a dreadful experience breastfeeding Siobhan. Breastfeeding should not be painful – if it is, something is wrong (eg latch, position, or possibly a tongue tied baby). All of these issues can be rectified with the right information and support. Did you get support from either Cuidiu or La Leche League, or a private lactation consultant? I would hope that if as a medical professional you encountered Mums having difficulty with breastfeeding, you would refer them to their local Cuidiu or LLL support group.
    Breast isn’t best – it’s just the normal way to feed a human baby. There are no benefits, but there are implications for the health of both mother and baby when the baby is fed artificial cow’s milk formula (eg infants who are not breastfed are 51% more likely to be obese at the age of nine, Mums who don’t breastfeed are statistically more likely to get breast cancer and ovarian cancer). I’m not stating thses facts to make anyone feel guilty, but just stating them for the people who maintain there is no difference between feeding breastmilk and formula.

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  • Breastfeeding is a lot tougher than it looks and took me months to the hang of. I can’t say I loved breastfeeding but I believe that it is the best for the baby and I wanted to keep it up so I got help with it from a lactation consultant.
    However I do think that if a woman is not 100% behind breastfeeding like the author and it is stressing her out beyond belief, then don’t feel bad about ultimately switching to formula. Being a mother is hard enough without feeling guilty about not breast feeding on top of it.
    There are some women who have tried bfeeding and don’t want to keep it up or get additional support full stop. Im sure they are aware of what support is out there as the author must have been but had already taken the decision to stop. They are just doing what is best for their situation.

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  • I was the only one out of four that wasn’t breastfed because I was premature. I am rarely sick and do well academically. The bottle did me no harm. Yes there are many benefits to breastfeeding and you won’t know until you try it if it’s for you but if it’s really not don’t do it. Your baby will be fine and it doesn’t make you less of a mother.

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  • Just goes to show how bad our health system is when even it’s own employees don’t get the support every mother deserves. I don’t agree with the way this article is written, but it’s more disappointing that another mum has been failed by the system.

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  • ‘No matter how good your “attachment technique”, your nipples still crack and bleed’ – is this statement from your control group of one? It’s not ok to tell women this sort of thing, in this way. It’s so sad you had such a hard time – but your stance that breastfeeding is always torturous and damaging and we shouldn’t all have to suffer it is horribly misleading.

    Where is the story about the lactation consultant, the advice you sought, the solutions you tried? Two weeks of feeding on bleeding nipples would result in a bloody mess, yes, if you didn’t pursue solutions. It can be extremely hard, I don’t deny, but help is out there – far more useful to point the way to it than perpetuate the idea that breastfeeding is a martyring torture.

    Breastfeeding can also be easy, instantaneously, should be painless, is immensely satisfying, though, yes, it can be tiring and challenging – as can formula feeding. This was not my experience. There’s not a lot here about the dangers of choosing formula to counterbalance your subjective experience, just dismissal of a hell of a lot of good science.

    Your experience is upsetting, but so is what you’re choosing to do in this article. You’re validating your choices, which were based on lack of education and adequate support as well as an unfortunate and unpleasant experience. This article needs to be rethought. For mothers’ and babies’ sake.

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    • Yes, this. I never had bleeding nipples at any point. I’m not saying it was always super easy at the start (my personal problem was oversupply/engorgement/blockage), and I’m sorry the author of the piece had a bad experience, but it’s not a given that you’re going to suffer the torments of the damned, and from what I can tell many women don’t.

      The whole idea that breastfeeding is some kind of hideous martyrdom (possibly that women do to feel superior to other women because hey, we love that kind of thing) is really quite damaging. Obviously it’s also damaging to gloss over the difficulties and claim that it’s always easy, because it isn’t, but I do think a lot of people don’t even consider it because of horror stories about BF babies never sleeping, agonizing pain, never being able to go out again, etc. etc.. Also it’s *definitely* damaging to promote BF without there being any support and help for those difficulties that do arise, which seems to be the case a lot of the time here and with the original author.

      Also tired of the general reaction in this country that saying anything negative about BF is “yeah! telling it like it is! not like the BF propaganda!” but if anyone talks about their positive experience they’re “being judgemental”.

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  • I am so disappointed to read a healthcare professional has such a one sided view. First thing I want to say is that it gets better once you and baby learn the ropes. just like riding a bike! the idea I get from reading is that you are coming from your own place of feeling guilt and not caring how your public doing might affect others. I’ve breastfed my 6 children, for varying lengths of time. I’ve also had mastitis, bleeding nipples and all the rest… although certainly not with all my children! I’ve shopped for preemies to week to feed to put in their gastro tubes and fed cluster feeding monsters thinking I might actually not survive another day…. however, these were the short, difficult times – certainly not a representation of breast feeding as a whole. my 6 th child is almost 11 months old and I’m so dad I will bear get to do something as special again, once she’s weaned. am I super woman? hell no. did I decide to go through the learning curve and deal with the setbacks and difficult weeks to do something that I deemed important for myself and my child – yes. I’m not saying everyone should breastfed ( although it is ultimately the ideal situation ) but your advice as a medical professional is that you couldn’t do it … all you other women out there don’t even bother to try! …and its not that important anyhow. my god what a message to send. and for the record I always am open when I support a woman considering bf’ing. yes about good & the bleeding nipples and all.

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  • Well done Siobhain for speaking up. U will always get criticised by the know alls whose attitude only see 1 side of the issue, personally I wudnt shove my opinions upon people, I think each to their own

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    • Except this article is entirely ‘opinion’ shoved upon the reader and it gives an absolutely biased and negative view of breastfeeding. Doctors should be well versed in using ‘evidence-based research’ to back up whatever information they are giving and they should know better than to mistake ‘fact’ for ‘opinion’. This article is just one person’s experience of breastfeeding. I agree with you, she deserves a ‘well done’ – not for speaking up but for TRYING to breastfeed. It is unfortunate that she did not find the right support and information to carry on – if that is what she wanted. Perhaps she simply didn’t wish to breastfeed for longer and her previous stance on the issue marred her ability to make an informed choice (as opposed to a personal one). If you are a doctor and you are constantly faced with the robust and valid research that significantly supports the numerous and undisputed benefits of breastfeeding, I can understand why you would feel guilty when giving up.

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    • Maybe well done for speaking up but not well done for saying openly that she is a healthcare professional because it is actually illegal for a healthcare professional to make the comments she did in this article against breastfeeding.

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  • Peter 12/10/12 #

    She must be pitching for a job in Nestlé.

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    • eilis 12/10/12 #

      Really surprised to read this article from a doctor. If it is personal opinion then it should be written as such. The constant references to the author’s profession – for the new or pregnant mum – gives the article and the point of view expressed therein an additional weight. I hope Journal.ie redresses this imbalance with an article addressing the benefits of breastfeeding for mom and baby. And why is the author even talking about women judging one another?

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  • Its a shame the writer had such a bad breastfeeding experience and it seemed the right choice for her to give up but if this article turns anyone off trying to breastfeed please keep in mind some women find breastfeeding very easy. I was lucky and suffered no bleeding nipples or pain but I went to an excellent breastfeeding class before my baby was born and made contact with local support groups so I had someone to call the minute I felt I needed help. This made all the difference and while the first 6 weeks were exhausting and challenging after that it was pretty easy and made life so much easier, especially on my second when I was juggling a toddler and a newborn. I breastfed my first child to six months and my second to nine months, it was a great experience and im sure the fact my kids are rarely sick is in some part due to being breastfed. Also I lost my baby weight really quickly without any dieting which I wouldnt have had the time or energy to do. Thats my experience and if any mums to be are reading this it could be yours too so dont dismiss breastfeeding.

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  • Poppy 11/10/12 #

    It’s a pity to give up after two weeks….you’ve the hardest part over at that stage. The nipples really toughen up after that & it becomes much less painful. I did have bleeding cracked nipples with all of mine even though I was experienced at breastfeeding. The first 2-3 weeks were hellish for all of my babies but from then on it was such a rewarding experience. I know it’s not for everyone but giving up after 2 weeks is a shame as it would have gotten easier.

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    • But 2 to 3 weeks of cracked and bleeding nipples is not the norm and not ok! It’s not about toughening up! In fact the damage will often get compounded if you don’t find the source of the problem. All we should have to get used to is the slightly shocking feeling of initial letdown for the first few seconds of a feed. It’s not damaging pain like bad latch that leads to cracked nipples – you don’t just grin and bear it through conditions like thrush, or a baby’s tongue tie, or various latch problems. You get help and diagnosis, available through a variety of support options. Check http://www.friendsofbreastfeeding.ie for all the options available to you in your area.

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    • Poppy 11/10/12 #

      With respect Jo…..I’m very experienced at breastfeeding having fed all my children to the cup stage. With each new baby I experienced 2-3 hellish weeks where the initial 90 seconds after latching on was excruciating. I can only speak for my own nipples & they were cracked on each occasion & did toughen up !! My 4 sisters also breastfed & experienced very similar symptoms in the initial weeks. This is why I knew to persist as they advised me it would get better & it did.

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    • But, Poppy, it’s also possible that your babies and nieces and nephews just matured enough to feed more effectively and outgrew their positioning or latch issues. I deeply commend your bravery and perseverance – and I would go through the same as a personal choice, yes – but I think it’s dangerous to present this level of pain and damage as the norm, and as what’s expected of them – and also deeply off putting for women who are terrified of this sort of experience.

      I don’t believe it has to be like that – as Ina May Gaskin says, at her birth centre they never have these sorts of breastfeeding problems – because all the midwives just know what to do. It’s all nipped in the bud (er, excuse the expression)before it starts.

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  • It’s not sore if the latch is right, not all women end up with bleeding nipples and pain unless there is some kind of explanation for it! I hear that you had pain and bleeding nipples, your article seems to imply that it goes with all breastfeeding though, and it doesn’t!

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  • Lay off the poor woman….she’s actually giving an open and honest view on the realities of bf as opposed to the usual bs advice you get from the MALE doctors. I only lasted a few weeks too….I cried thru every feed and seeing the blood on my childs mouth was very upsetting. Not EVERY woman can do it….my sister ended up in hospital very sick with infections in her breasts from bf. I bf one child and bottle fed another and the bf child has been very sickly and the bottle fed one strong as a horse!!!!

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    • So if I was worried I had testicular cancer, I should only go see a male doctor? Hmmm …I wasn’t aware that they had started training doctors differently based on their gender. Ah well, I shall have to change my doctor from a female one now then. Obviously all those years studying HUMAN medical care are negated by the fact she hasn’t got a pair of balls and therefore couldn’t have a clue about it.

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    • Well done, Geraldine, you’ve rumbled that conspiracy amongst all the male doctors to intentionally make their female patients suffer

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  • bitty ;-)

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  • I am shocked and sad about this column being published. I understand this mum story is quite stressful but is far, far away from what women should read about breastfeeding. Should we start writing about what can go wrong with bottle feeding (real experiences with colic babies. allergies to cow’s milk etc)??? What is worst is that she is a health professional and should distinguish between her experience and what research shows. Certainly it does not work for everyone but what is most worrying is that an obstetrician who ‘looks after women and their babies’ is (after a personal experience) more likely to say to her clients: ‘don’t worry…just give the baby a bottle’, rather than ‘look for proper advice ie. friends of breastfeeding or a lactation consultant…’

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  • that should read ‘ pumped for preemies too weak to feed ‘.

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  • Brave article – good on you! I prefer the new slogan ‘every breastfeed counts’ over ‘breast is best’. Tried on both babies HATED it, cracked, sore, bleeding and mastitis for my trouble. And I wasn’t doing it ‘wrong’, lactation consultants and support agogo but it wasn’t for me. Yep, most people banging the drum have either never breastfed or been very lucky.

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    • On your last point- I would doubt most people “banging the drum” have never breastfed or been very lucky. Quite the opposite. From experience, I have often found that a lot of the mums/ parents that are passionate about breastfeeding are those who have overcome problems, and just want to help other mums that are struggling to find a solution.
      Personally I went through 14 weeks of excrutiating pain until we had issues resolved (And no, I’m not a martyr, or “militant”), I just wanted my baby to have the food that he was meant to have. It was only because of searching for the right support that we now have a successful breastfeeding relationship.
      I’ve commented before about support being essential, but unfortunately at the moment with our system the way it is, the onus is on the mum/ parents to seek out proper help and sound advice if they want to continue breastfeeding. It is out there, and accessable to anyone with an internet connection or a phone, even if they can’t physically get to support groups.

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  • Is this a doctor saying everyone get bleeding nipples? For real? It’s just not true. Sorry you had a traumatic experience but get your facts right before using your credentials to ruin it for others. Each to their own but people need support- not scaremongering.

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  • Did you not seek help Siobhan? Would you advise your clients to seek help if they were injured and in pain?

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  • So agree – sore bleeding nipples, blocked ducts, antibiotics for infections and abcesses that needed surgery and still i tried again on baby number two and three out of bad mammy guilt!! National “Its ok not to breast feed” week would also be great!!

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  • I’m sadened to read this, I believe that done right breastfeeding is best for mum and baby. The problem lies with what is ‘right’? At times any activity that involves a baby can be exausting and frustrating – support at all times it very important. Medical support, for me, is not the way- support from nonjudgemental female friends who will not try guilting you if you make different choices to them.

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  • The mind boggles. In Sweden you get looked at funny if you bottlefeed. This article has neglected to look at the supports available to help with breastfeeding. All this author has done is use a public forum to validate her decision

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  • I think this article is a valid perspective on breast feeding but it must be part of a wider conversation. It’s bad biological luck that we try to have to start breast feeding when the Mom is at such a exhausted and vulnerable stage after childbirth. But just to add another perspective, if you can get through those awful first weeks (the author is right, it can be so painful and confusing) it is a really worthwhile. Forget all the holier than thou health stuff, it can be a really lovely experience for the mother as much as the child. We need a more honest supportive approach and we need to share the little tricks that can make it less painful to make it achievable for more mothers.

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  • I think its a sad day when a female doctor in Ireland is so negative about breast feeding. Im Irish living in Australia which has an amazing positive attitude towards breast feeding. I was shocked at how few women choose to breast feed at home. It is an amazing event in a mother and childs life. Its not as easy as bottle feeding but then nothing worthwhile is ever easy !

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  • Before formula was invented, though, what would you do if you “couldn’t” do it? Just not feed your child?

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    • Other women would breast feed your child if you couldn’t. In rich circles they called it a wet nurse, although that was more a class thing.

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    • There’s that word again…couldn’t. If it wasn’t supposed to work for every woman why have they developed to breast feed naturally? It’s society putting the doubt in people’s minds.

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    • @john childbirth was the number one cause of premature death in women for thousands of years too – Mother Nature doesn’t always get it right!

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    • sara 11/10/12 #

      Not everyone is built for it look up the term flat nipples, makes it extremely difficult as its near impossible for baby to latch on properly and cause huge amount of pain for mother, I was pratically milked like a cow by one nurse just to get a couple of ounces in a syringe for baby cause she was starving!

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    • ‘Couldn’t’ is a tiny percentage – for example, the breastfeeding rate in Sweden is 96%. Our rate is a third of that and have the breastfeeding problems we do here because of our cultural attitude to it, our learned perceptions of it, and the abysmal lack of support and knowledge in the country that should stop problems like cracking nipples before they start.

      It’s not as simple as ‘oh, some people can’t’ – you have to look behind that statement for the sources of the problem, and fix that, not just continue to dismiss the value of feeding children the colostrum and milk that’s made for them.

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    • Wet nurses would take over John. Out of curiosity if a man is impotent and couldn’t get it up would you be so bloody judgemental. I had infections in both breasts, my supply never really got established and i was at the point of a meltdown , thats why I couldn’t. Before formula other women could’ve helped and in modern 3rd world countries children are given a mix of water and rice.

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    • They were called ‘Wet Nurses’, John.

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  • the breastapo are gonna be after you following this well written honest opinion on breast feeding. you are completely right to voice as a frustrated breastfeeding mother no matter what your profession.

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    • As mentioned earlier, the sadness some of us felt reading this article is not about the author not breastfeeding, but about her WANTING TO and not succeeding.

      It highlights the lack of a positive breastfeeding culture in Ireland, and the difficulty some women experience in finding support.

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    • Have you any idea how offensive that term is? Do you really understand the implications of comparing people who want the best health and start for as many babies as possible to perpetrators of genocide? Do you actually understand what you’re saying?

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  • Surely as a junior Doctor years you would know that if the latch is correct than bleeding nipples don’t occur. It’s even stated above! Thanks media, yet again for thwarting the attempts to normalise breastfeeding. If our ancestors had given up due to sore nipples would we be here? Typical attitude in this country, “if it ain’t easy, it aint worth doing”.

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  • Perhaps her time wasted writing this would have been better spent in coming up with a support group or program for women who want to breastfeed. I had horrible issues at the start, first two weeks were grand but my little man had tongue tie. I caught lactation thrush, mastitis, nipple infections. Everything going because I was living in Australia I got HUGE support and help. Breastfeeding is not easy you have to learn how to latch your baby properly, how to unlatch the baby if it is hurting you, how to hold the baby in the right position so you can latch the baby properly, the baby is also learning. I was so innocent I just thought pop him on it will be grand. Easy as. Sure it’s nature. Ya right. As soon as I had someone to show me different ways I could hold my baby so I could get comfortable then how to hold my breast where to position my babies mouth we were like a duck to water in a matter of minutes. Women need SUPPORT & EDUCATION on how to breastfeed not here’s your baby away you go. Fathers of newborns and family members should be allowed to attend an education class for breastfeeding so they can give the support and encouragement to new mums. If a new mum wants to breastfeed my advise would be tell people not to visit you in hospital so you can concentrate on learning everything you can while you are there.if it hurts one single but then stop and start again it doesn’t hurt when your doing it correctly. You shouldn’t get blisters or bleeding nipple if your baby is latched on correctly. EDUCATION & SUPPORT before and after the baby is born is what is needed to help women to succeed with breastfeeding. Then if it is not for you or you can’t do it you can formula feed & know your doing the best for you and your baby.

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  • We get the doctors we deserve. I don’t think 2 weeks is much if an effort to be honest. Breast feeding is not easy and can be painful but then that could be said about nearly anything. The child won’t die, we know kids grow up OK who weren’t breast fed but every single study has shown ( as far as I know) it’s better, there is no downside for the baby. It does not suit everyone and not everyone is able but I don’t think the doctor should be airing these types of view. Doctors should give the best advice not the outcome of their own feeble efforts.

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    • I don’t think that’s the right response either. Trying to breastfeed when it’s not working and no one knows how to help you is agonising, terrifying and spirit sapping.

      I know what it’s like to sit watching your baby sleep, dreading the moment they wake for another agonising feed.

      HOWEVER: again, the problem is inadequate knowledge and resources. It’s a whole different issue when there’s an educated, experience lactation consultant there to guide you and sort out the problem – you can go on to feed for happy months and years after a difficult start – I had a few months of undiagnosed thrush that were murder – but in the long run of three and a half years of feeding, I’m still glad I didn’t quit. I’m just sorry I didn’t get the right help sooner. And it should have been really easy. I just didn’t know the right questions to ask of the right people.

      It’s not about being ‘feeble’, that’s offensive, and not constructive. But blaming the breastfeeding is the wrong angle here. Blame the system, not the mother.

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  • I cannot get over the sanctimonious, ignoramus’s posting here. Bottle or breast it makes no odds whatsoever to the child. There is absolutely no scientific evidence that proves otherwise. Whatever works for mum, works for baby. I am the proud father of a 7 month old girl who was bottle fed from day 1. We pre planned this as I wanted to be able to feed and bond with her just as much as my wife. “Breast is best” brigade can move on and quit the bleeding heart martyr act.

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    • Totally agree

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    • You’re incorrect in this, there is a huge body of scientific knowledge that does show there is a difference to the child.

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    • There is huge evidence that breast is best for mum and baby. Too many to list for babies but for mums it helps there body to go back into its pre pregnancy shape quicker by triggering the tummy muscles to contract with every feed, it’s reduces the rick of breast cancer, woman’s body produces a hormones with each feed that relaxes her and makes her feel good, it slows down the return of her period straight after giving birth giving her time for her body to heal. It can be used as contraceptive but a woman needs to pay attention to changes in her body so she can be aware of when she starts to ovulate again. Usually around time baby starts sleeping through the night. Helps woman to lose baby weight you burn 200-600 calories more a day making milk while breastfeeding. If a woman becomes ill her body produces breast milk tailored to help baby fight against the illness the mum has. That’s just some of the benefits for the mum. Fathers can still help feed the baby. I expressed milk with a pump so my husband could feed our little man. BUT all that said its what works best for YOUR family & baby that counts.

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    • While it can be hard at the start, with the right support and network, bf is an amazing experience!!! It was hard with my first, and a breeze with my second! Each to their own with how they feed the babies, but don’t blame anyone on your decisions! Only on my second I did more research and realise of the risk if bottle feeding, incorrect making of bottles, increasing the risk of obesity, etc etc. it’s not that breast is best, it should be breast is normal!!! I I had some serious, cracked nipples that took forever to heal, but once that got sorted, it wasn’t bad at all!!! It’s really a pity that a gynaecologist, doctor that gives second hand advice to pregnant woman and new mums had such a bad experience that had the need to write such a negative article!

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    • Um, there’s a veritable host of scientific proof. Have you ever read any of it? Or do you just have an opinion and a keyboard?

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  • Hmmmmm 14/10/12 #

    Two weeks does not a breastfeeding expert make. Breastfeeding isn’t about being a martyr or none of us would ever do it. It does take work for the first few weeks as you and your baby get the hang of it, but the pay offs are fantastic. In the past our mothers, grandmothers, sisters and friends would all have helped us breastfeed. Those skills have been lost, so please please go to a breastfeeding class while pregnant, read some books about breastfeeding (try The Womanly Art of Breastfeeding or Baby-Led Breastfeeding), and head along to some of the many breastfeeding support groups there are around the country. Breastfeeding is one of the most worthwhile things I’ve ever done, I can’t encourage anyone enough to seek out the support you need in those early weeks to make it work.

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  • I really find this article very sad and not at all helpful to first time mothers, even more so coming from a doctor. Yes, breast feeding can be hard, I had a very tough 6 weeks breast feeding my first child, but got through it knowing it is the normal way to feed a baby. Considering this person is in the medical profession, help should have know to her, in the form of lactation consultants and similar groups. They don’t even get a mention, no support groups at all. Most women cannot do it on their own.

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    • I think these ones that are coming down on this lady for given her honest opinion need to cop on. I breast feed 2 out of the three (was not well enough to feed middle child)and all are well healthy and well adjusted . Sure sometimes it was enjoyable knowing I was supposedly doing the best for my children but mostly it was damn hard , I did all the cracked, bleeding, leaky nipples and it still got to the stage where it felt like he was continuously feeding,….. If it suits you and you have all day to sit around and feed said baby fair play to you but in my case I had very active small children/toddler ,,,,4 months was my limit. .

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    • Susan of course she has the right to express her opinion , the issue here is that she is medical professsional so her views have more far reaching implicatiosn . My wife BF 3 babies for a minimum of 6 months each and it was damn hard , no doubt , but this is not news , As a Doctor has Siobhan not heard this a 1000 times . I have yet to hear from any woman that it easy . Who would do it if it were not for the benifits so stringently oulined by the medical professiona . Ireland already has the lowest BF rate in the EU and amongt one of the worse childhood obesity rates which of course there is proven links .really is this article helping anybody in anyway ?

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  • I breasted two girls, no bleeding nipples, got into a feeding and sleeping routine very quickly, this is very negative coming from a doctor……hard enough to get women to try it!!

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    • You’re lucky. But that doesn’t mean it works out for everyone. Live and let live, I say.

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    • Not everybody is the same. I got my son into a routine very quickly but I was exhausted from low iron so breast feeding him too made me extremely tired. Whilst I enjoyed the whole bonding experience with him I’m very happy to be weaning him now at three months. He even seems to have taken to the bottle better. He was always a sleepy feeder and it can take ages but he just can’t get the bottle down quick enough.

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  • 2/3 weeks really is not long enough to try it for, if it hurts your doing it wrong, simple. There a nipple shields that would help until women find what works.

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  • mick k 11/10/12 #

    Survived?

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  • Not everyone gets bleeding nipples! And research has shown that in general bf mums get more sleep. I find it very disheartening that a health professional would come out with this, how is it going to improve our bf rates?!

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    • I got less sleep, she woke every 40 mins from 6 months to have a suckle, I could be up 11 times a night with her. migraine every day from lack of sleep. I never had bleeding nipples in my 2.5 years if breast feeding her but she bit me twice and gave me ulcers where she broke the skin.

      she was 9lb 1 and 54 cms and arrived at 39 weeks, she stayed a big baby and toddler, but it didn’t do her teeth or health any good. she was always up on the weight chart on or over the top percentile for weight and on top percentile for height.

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    • It seems this is part of the ‘hero mother phenomenon’ invented and perpetuated by ….women

      The idea that you are letting the side down by admitting its very difficult is to be admired, yet you will be criticised by ‘hero women’ admirers on here.

      Its similar to the mothers who are trying to juggle a home life and a job. Its almost impossible but ‘hero women’ can do it !!!

      Whoever sold women that myth has a lot to answer for.

      Regarding breastfeeding, why not express the milk beforehand ??

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    • my daughter refused to take a fake nipple, she wanted skin. if I had of starved her for 10 or so hours she might have given it a go, but I’m not that cruel. to hear her cry for me was heart breaking so I would feed on demand. expressing for me wasn’t an option.

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    • I agree Mandy. I think what we think of as normal here would be considered bizarre by most of the rest of the world and we don’t realise how weird our situation is. We have the lowest breastfeeding rates in Europe, and by a big margin… The fact is that a mother who breastfeeds for the recommended time for the health of her baby (9 months exclusive breast milk) is made to feel like a freak in this country, not the other way around. We just don’t realise that we have normalised a bizarre situation where it is seen as a ‘choice’ between different but equal feeding methods. The fact is that breastmilk is food for babies – they can’t get the nutrients from solids as well and that is why exclusive bf up to 9 months with no other foods is recommended.

      What formula does is use science to try to somehow reproduce all of the complex elements of human baby food with other animals’ milk and missing vitamins and minerals, essential fats etc, but not in the natural form they come in with breastmilk, and they are constantly discovering things they did not know. For example, they never used to realise the importance of omega 3 essential fats for the baby’s brain development, then they discovered it and put it in. Breast milk also changes in composition day to day to meet the growing developmental needs of your baby – no formula can do that. It gives antibodies to your baby and protects them against a raft of stuff nobody would want for their baby – breastfed babies have less incidence of asthma, gastrointestinal illness and cot death for example.

      Knowing all this, why on earth would you choose a cobbled together chemical formula that tries, but fails, to reproduce the natural food you have in your body? It simply is not the same thing. To me if would be like not feeding your older child real food, but giving them vitamins instead, with artificial roughage and drinks and thinking because this matches some of the constituents of real food it is OK.

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    • Childhood overweight and obesity linked to non-breastfeeding and starting solids before six months

      http://www.growingup.ie/index.php?id=240

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    • What happened to my kids ? They’ve been bottle fed and they’re skinny !

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  • Perhaps if you had gotten helpful advice you might have been able to resolve the issue and enjoy the breastfeeding experience. It is a shame for you personally that you didn’t and also for the women who will read this column and may not attempt to breastfeed or seek help with breastfeeding problems because of the comments you – a doctor – have made here. If Irish medical “professionals” were better educated regarding breastfeeding and how to help women experiencing difficulties you may have had a better experience and not be passing on your ill-educated solution to a problem created in part by a medical system that is to a large extent, in this regpositively ignorant.

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    • An ill educated solution??
      A persons experience is exactly that. An experience can not be learnt from a book. I for one am grateful to Siobhan for writing such an honest article. More articles like these please!

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  • No one can make you feel guilty but yourself. This is a very sad article by a very sad woman trying to justify to herself & the world that giving up breastfeeding was ok. Fair enough but that’s like telling an overweight person trying to lose weight that its ok that they failed. Don’t feel guilty, you tried your best, you’re health will be alright, you might suffer a bit of illness related to your poor diet but sure what about it.

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    • Sorry there, are you the breastfeeding police? Giving up breastfeeding IS ok if it is not working out, that is the whole point of her article.
      There is so much published about why we must breastfeed, this is just one article about what it is really like for many women. Women should not be made to feel guilty if they have tried breastfeeding, suffered bleeding nipples, etc and made the decision that it is best for them and their baby to formula feed. So many women try their best and are made feel guilty by people like you when it doesn’t work out. Clearly it worked out for you and that’s wonderful, but that is not the case for everyone, so get down off your high horse and give fellow mothers a break.

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    • M Barron, this isn’t about saying it’s not ok to give up breastfeeding. It’s about saying it’s not ok to tell women that they will bleed violently from the nipples for weeks when they tried to breastfeed and that health professionals endorse bottle feeding so give it up now as it’s a bad job.

      You can pretend this article is about choice, but it ain’t.

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  • The bf parade is turning into the god squad with their lack of respect for others views. Its not about getting numbers up. And there are benefits to both forms of feeding

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  • Not only is it better for your child’s growth, mental and physical it is better for you, to become attached to your child. It is well researched. I feel this is a selfish article that is only thinking of yourself and not the benefits for a child. Further, the bleeding problems etc may be due to the fact that you are not doing it right??? Strt thinking about the child!

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    • sara 11/10/12 #

      Oh how I hate the “attached to your child” argument!! My babies got to bond with me and daddy equally he was the first one to feed our second child and over the moon by it!! I think this an honest article and finally someone coming out and saying its ok don’t feel bad! Another they don’t tell you is you can have the wrong type of equipment up top so after 3 days of crying and bleeding and my baby becoming jaundice from lack of food bottle was best for us!!! Each to their own I say as long as baby is fed at the end of the day and mammy is happy, happy mammy = happy baby!

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    • That is exactly the attitude that makes new mothers ,who already feels guilty enough, like a failure.

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    • The hilarity of men telling women what to do never gets lost on me. It’s a matter of choice, do we trust women to make the right decisions, in consultation with their doctor. I know I do. Eerily similar to another argument going on at the moment…

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  • Cylon 13/10/12 #

    It can be very painful if you’re not doing it right. A good lactation consultant can fix the problem and bleeding nipples can heal in a couple of days.

    It’s easy to wimp out of breastfeeding. Just get on with it. It’s what the twins are there for.

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    • “It’s easy to wimp out of breastfeeding.” Are you kidding? This is the judgemental nonsense that needs to stop. If a woman cannot get the help she needs to overcome the difficulties she encounters in breastfeeding, that is not her fault – and the guilt is not on her. You should direct your judgement to the people and systems whose roles it is to help her, who have failed her.

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  • I’ve 2 beautiful nieces one was breast fed for 2 months my poor sister would be in tears breast feeding ah she was told she wasn’t doing it right by the nurses and everyone bleeding else she woke up when my eldest niece was 2 months old and went out and both baby formula!! My youngest niece bottle fed from start when my sister was put down for not she kindly told the nurse to F off!!!!

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  • Apologies, the end of that sentence should have read “in this regard, to a large extent, positively ignorant”

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  • I decided to breastfeed my baby for 5 months after hearing all of the benefits of breastfeeding from the nurses and in my prenatal classes.
    However, none of them told me of how hard it can be.
    You are completely drained, you end up doing all of the night feeds because pumping is a pain in the ass, you are constantly hungry and thirsty, you may suffer with low milk supply which stresses the baby, it takes a lot longer than bottle feeding. The list goes on.

    In saying that, I would do it again because breast milk is easier for the baby to digest and has many conveniences. I just wish I had got a 360 view of breastfeeding from the medical profession rather than the “breast feeding is great and and formula feeding is not” approach. I am feeding my baby formula now and she is fine. Each to their own.

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  • Great article. There seems to be a school of thought that if you don’t breast feed then you are a bad mother, but you are right it is soooo hard. That said i did it, for eight months on both mine- until they learned to bite, ouch. To this day i don’t know how I did it. It is very hard, it got better, but it hurts a lot at first. Someone told me it takes 3 weeks to get better, my baby was about a week old and I cried, how would I last three weeks? I did’t think I would make it. So i say great if you can do it, but if you can’t don’t listen to the nay sayers, it doesn’t make you a bad mother, and if you are less sleep deprived, less sore and calmer doesn’t that make you more able to cope with the constant demands of a new little person?

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  • Katie HK 10/11/12 #

    I went through all the same things. But I persevered. Because I personally felt it was worth it. We nursed for 16 months because if you actually give it a chance – it gets easier.

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  • the author says she started to enjoy her baby when she stopped breastfeeding, but did her baby enjoy her after breastfeeding ceased??

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