While some mothers may choose not to breastfeed for personal reasons, a significant number enter motherhood with the intention to do so. Unfortunately, many of these mothers find themselves unable to achieve their breastfeeding goals. A 2012 study in Pediatrics revealed that 85% of mothers plan to breastfeed exclusively for at least three months; however, actual statistics tell a different story. According to the 2014 Breastfeeding Report Card from the CDC, while 79% of mothers initiate breastfeeding, only 40% are exclusively breastfeeding by three months, and by six months, that number drops to just 18%. The American Academy of Pediatrics advocates for exclusive breastfeeding for the first six months, making these statistics alarming.
So, what’s going wrong? Are mothers’ bodies inadequate? Are their babies struggling to latch? Is breastfeeding simply a biological challenge? As a physician with experience in maternal health and lactation support, I can confidently assert that, in most situations, it’s not the mothers or their babies who are failing; it’s the support system that’s lacking.
It’s important to acknowledge that biological issues can arise; not every woman can produce an adequate milk supply, and some babies may have anatomical differences that complicate breastfeeding. However, for most of these cases, solutions exist. Women can successfully combine breastfeeding with supplementation, allowing them to nourish their babies effectively. Even those with breastfeeding challenges, such as tongue ties, can find ways to breastfeed with proper medical support and interventions.
The crux of the issue lies in the lack of accessible resources and support for mothers. Many don’t realize that help is available, lack the financial means to obtain it, or find that their insurance doesn’t cover necessary lactation consultations. Furthermore, the demands of everyday life, including household responsibilities and caring for other children, often hinder mothers from dedicating the time needed to overcome breastfeeding hurdles.
In the early days postpartum, many women receive limited support from lactation consultants, often just a brief visit at the hospital. Once at home, they might experience issues like engorgement or delayed milk production, which can lead to discomfort and frustration. It’s entirely normal for the initial weeks of breastfeeding to be challenging, and it often requires patience and persistent efforts to establish a successful routine.
Breastfeeding is a natural yet learned process that requires support and encouragement. Unfortunately, many mothers lack access to the necessary guidance, which can lead to feelings of failure and guilt. They may feel overwhelmed by the responsibilities awaiting them at home, making it difficult to focus on establishing a breastfeeding relationship.
In contrast, many other countries prioritize maternal health by providing extensive support systems and adequate maternity leave. Mothers there are encouraged to focus on healing and learning to breastfeed without the immediate pressure of returning to work or managing household tasks.
The reality is that our current system is not supportive of breastfeeding mothers. It’s often easier to opt for formula than to seek out affordable, compassionate lactation support.
To any mother who feels she has “failed” at breastfeeding, let me assure you: you did not fail. You put forth tremendous effort and had every intention of succeeding. You found ways to nourish your baby and formed a deep bond, regardless of the method. It’s unfortunate that you did not receive the support you needed, and it’s a disservice to mothers everywhere.
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Summary
Breastfeeding challenges are often a result of systemic failures rather than individual shortcomings. Mothers entering motherhood with the intention to breastfeed face numerous obstacles, including a lack of support and resources, which can lead to feelings of failure. It is essential to recognize that many women do not receive the help they need during the early stages of breastfeeding, contributing to early cessation. A supportive system for new mothers is crucial in ensuring they can cultivate a healthy breastfeeding relationship.
