Breastfeeding ‘failure’ fuels depression

Women need considerable practical and emotional support in the early days of breastfeeding to make it successful. Those who do not want to breastfeed must be listened to, respected and understood, rather than simply told ‘breast is best.

An opinion poll commissioned by the Priory Group from amongst more than 1,000 parents from across the UK, found that 81% of those who recognised this pressure to breastfeed thought that this was a contributory factor to depression in mums, where breastfeeding was painful or unsuccessful.

The UK remains at the bottom of the “league tables” in terms of the numbers of new mums who take up breastfeeding as well as the high level who stop soon after they have started.

To redress the balance, new mums need to be gently encouraged to explore all reasons as to why breastfeeding might not be working for them – and that an excessive amount of pressure, although well-intentioned, from health professionals and peers may do more harm than good.

I am convinced that many mums would breastfeed their babies happily and for longer if early help from professionals and experienced mothers was available at the exact moments when mums are faced with a screaming, hungry baby who hasn’t quite worked out how to ‘latch on’. Practical help and emotional support is needed now. In the UK this doesn’t usually happen. We set mums up to ‘fail’.

It’s not uncommon for pregnant women to feel ambivalent towards, or against, breastfeeding. The key is to be courageous and ask, ‘what are the reasons behind my negativity?’ As parents we frequently endure emotional discomfort on behalf of our children; breastfeeding is important enough to mean it’s worth working out your reasoning, despite the discomfort it may cause you. For example, for some, the bodily changes of pregnancy and the physical closeness of breastfeeding may feel unbearable perhaps due to an eating disorder history or other past issues.

If so, specialist perinatal psychotherapy can transform these feelings and prepare women for motherhood.

According to wider research, whilst 81% of new mothers have tried breastfeeding at some point, the UK has the lowest breastfeeding rate in the world3, (just 25% at 6 months and 0.5% at 12 months). By comparison, in Scandinavia, 98% of women breastfeed immediately after birth and 80% are still doing so at six months.

A study published in the Journal of Maternal and Child Health4 supports the Priory’s findings about a link between depression and breast feeding “struggles”, reporting that those who planned to breastfeed but had not managed to, were 2.5 times more likely to develop postnatal depression, compared to those who hadn’t planned on breastfeeding.

According to research, only 1-2% of women are physiologically unable to breastfeed, suggesting there are also psychological factors, as well as physical reasons such as mastitis.

But while society continues to urge women to breastfeed, women are frequently unable to access the emotional and practical support necessary to achieve this goal.

The scope of issues affecting a new mum’s ability to breastfeeding could be varied and complex: Life with a demanding and hungry new-born can be an emotional roller coaster – there can be great highs when everything’s going well as well as lows when things don’t go according to plan. If breastfeeding is part of the problem, then giving up might seem the solution to avoiding additional stress

Despite the great strides made in promoting breastfeeding, some women still feel embarrassed or unwelcome in public places

Although generally seen as positive and helpful, some women describe the hands-on approach of midwives and counsellors as crossing personal boundaries

Breastfeeding can symbolise a loss of independence, particularly if the pregnancy or labour has been difficult. Some women – particularly if suffering from sleep deprivation and fatigue – describe breastfeeding as draining or literally “sucking their energy” away

Much is made of breastfeeding being “a powerful symbol of a new role as a mother” but if it doesn’t happen, it can lead to great feelings of disappointment or of “failing” to live up to their own expectations”

We know that once mum and baby are in the ‘groove’ of breastfeeding, it can be an immensely enjoyable time of intimacy and connection.

I would therefore recommend to any new mum to proactively find out about support in her area, including breastfeeding cafes and drop-ins. It’s also vital to talk about breastfeeding struggles and not to be afraid of asking for help, whether from your midwife, GP or health visitor – or even being brave and requesting more specialist advice and support.

Life does change – and, little by little, all new mums can become the mum they want to be for their children. And, if and when it feels right, that can certainly include successful breastfeeding.

 You can find out more information about the Priory’s new ‘family service’ at its Harley Street Wellbeing Centre.
Dr Kathryn Hollins

Dr Kathryn Hollins

Priory consultant psychiatrist, Dr Kathryn Hollins is a UK expert in parent and child mental health who heads up the Priory’s new ‘family service’ at its Harley Street Wellbeing Centre.
Dr Kathryn Hollins

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2 Comments on "Breastfeeding ‘failure’ fuels depression"

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R.Ross
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What fuels depression in new mothers is a medical system which has turned pregnancy and childbirth into a disease to be feared and where no woman is competent enough to give birth without the intervention of mechanised, male-dominated medicine.

A woman giving birth today, the most empowering human experience, is told she is incapable and her body cannot be trusted and she must surrender to doctors, generally male, machines, and others – that is enough to depress anyone who is then called to nurture and protect a new and fragile life.

helenccowan
Member

Thoughtful piece. Yes support is vital – donor milk for a while may remove some of the pressure women feel when it comes to establishing breastfeeding. Here’s my piece with an interview from the Hearts Milk Bank https://www.readersdigest.co.uk/health/wellbeing/the-human-milk-bank