Breastfeeding: Government Support

Clive Efford Excerpts

Tuesday 8th March 2022 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for bringing forward this debate. She has certainly been a champion on this issue—that word is used often in this House, but it is applicable to her. Following on from my work with her in the all-party parliamentary group on infant feeding and inequalities, I met a lady called Claire Flynn—a Breastival board member from Belfast—who I think the hon. Lady knows. She said that breastfeeding strategies and plans vary across Scotland, Wales, England and Northern Ireland. Does the hon. Lady agree that there is a real need to reinstate the infant feeding survey? We understand that work on that is under way at Public Health England. Northern Ireland must be included and funding must be made available to enable that. Through the hon. Lady, I ask the Minister to consider a UK-wide approach.

[Clive Efford (in the Chair)]

Order. For those who missed the start of the debate, and so that people do not miss out on their time—we are tight for time—let me just say that we had planned to give Alison four to five minutes, and she has that now. Then the SNP spokesperson will have three to four minutes, Back Benchers two to three minutes and the Minister 10 minutes. I thought it would be worth intervening with that so that Members could work out the timing of their speeches.

[Kirsty Blackman (Aberdeen North) (SNP)]

On a point of order, Mr Efford. I am happy to squeeze my speech if my hon. Friend would like to extend hers.

[Clive Efford (in the Chair)]

Okay.

[Alison Thewliss]

Thank you, Mr Efford. I had a conversation with some of the senior Clerks, and I had thought I would be allowed to slightly extend my time if we could get back quickly from the Chamber after the statement.

I agree with the hon. Gentleman’s comments about Breastival; it is a wonderful event in Northern Ireland and I have been able to participate in it. I agree very much that we need to have consistency and the infant feeding survey.

The World Health Organisation and UNICEF published a report last month entitled, “How the marketing of formula milk influences our decisions on infant feeding”, which found that this $55 billion industry is still doing all it can to target families and to influence their feeding choices,

“undermining women’s confidence and cynically exploiting parents’ instinct to do the best for their children”.

Their data estimates that scaling up breastfeeding globally could prevent the deaths of 800,000 children under five and 20,000 breast cancer deaths among women every single year, which is quite astonishing.

Exposure to formula milk marketing reaches 84% of all women surveyed in the UK. We all know that this advertising works—that is exactly why companies invest so much money, time and effort in it. It influences which brands we choose and how much we spend. The report states that the evidence is strong that formula milk marketing —not the product itself—disrupts informed decision making and undermines breastfeeding and child health. Those who responded to the survey for this debate agreed. Deborah said:

“The aggressive advertising of infant milks and bottles undermines the giving of human milk at every step. It feeds us doubt of our own bodies.”

Stacey said:

“Advertising infant formula basically makes out that breastfeeding should be done for 6 months maximum, then baby should be on ‘proper’ milk. It is completely untrue and it needs to be better regulated as people just assume a baby will be bottle fed formula and advertising does an excellent job of solidifying this belief.”

Much of the marketing in the UK is done through traditional means such as television, but there is also a lot going on in social media, through companies’ advertising and influencers, and through online baby clubs run by formula companies, which are a tool to recruit and to market to families, and are a lot harder to monitor. What discussions has the Minister had with her colleagues at the Department for Digital, Culture, Media and Sport about whether such marketing should be brought into the scope of the Online Safety Bill? After all, this is about the health and wellbeing of parents and the best start for our youngest citizens.

Alongside investing in comprehensive service provision, the Government should do their bit to advertise breastfeeding. There was a brilliant campaign by the Public Health Agency in Northern Ireland called “Not Sorry Mums”. I encourage the Minister to watch it and to see what more her Department can do to protect, promote and support breastfeeding through the means at her disposal. After all, if there can be giant billboards promoting levelling up, there is no reason why there cannot be breastfeeding ones on exactly the same scale. The new mural in Greenock by graffiti artist Smug depicts beautifully a breastfeeding mermaid across a whole gable end. Some have argued that normalising breastfeeding ought to use real women rather than fantastical mermaids, but it is beautiful and we should have a lot more of that.

I repeat that it is crucial to have the service provision there, not just the advertising or the advice; otherwise, we are setting women up to fail. Emma, who responded, said,

“there is a lot of information promoting breastfeeding through the NHS but then very little actual support to help facilitate it. This mixed messaging then causes women to feel like a failure if they are not successful meeting in their breastfeeding goals.”

Donor milk has a crucial role to play in supporting babies in neonatal units. I am proud that Scotland has had a national milk bank based in Glasgow for some years now, but the picture is a bit patchier in other parts of the UK. Professor Amy Brown and Dr Natalie Shenker have been researching the impact that milk banks can have on the mental health of women and their families, in offering both reassurance and support for mums until their own milk comes through. I urge the Minister to engage with that research and see what more can be done to develop and support milk banking.

The provision of tongue-tie treatment is also patchy, but it can make all the difference to parents. Siân contacted me to share her experience, the distress she went through and her heartfelt thanks to her fairy godmother Lisa, a specialist breastfeeding support worker who listened to her and got her the support she so desperately needed. Everyone should have access to a Lisa.

I would add that it is also important to recognise the other disparities and inequalities that exist. Those living in deprived communities are less likely to breastfeed—although there is some evidence in Scotland of the difference we are making on that. Those who are new to the UK also encounter barriers coming into a bottle-feeding culture and feel pressured to adopt that culture rather than continuing to breastfeed, as their families would have done before. There are also barriers for those who are HIV-positive, who can receive very variable advice, and barriers put in the way of LGBT couples. Laura-Rose Thorogood of The LGBT Mummies Tribe contacted me to highlight the lack of support that she and others like her had experienced. I hope the Minister will meet that group, too, to discuss support further.

I could speak about this for much longer, as I am sure you are aware, Mr Efford. I could give numerous examples and testimony to illustrate what more needs to be done. I would like the Minister to agree to look seriously at the funding of all services and at the full implementation of the international code of marketing breastmilk substitutes, as the World Health Organisation and UNICEF have called for. She has the power to make this change to protect, promote and support breastfeeding now and in the future.

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[Karin Smyth (Bristol South) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Efford.

I thank the hon. Member for Glasgow Central (Alison Thewliss) for securing this important debate, which warrants more time and discussion. I agree that, as we participate in this debate, we are thinking about those women in Ukraine who are either giving birth or are about to give birth in the most extraordinary of circumstances and about the difficulty they face in feeding their children. For those of us who have given birth in normal circumstances, that is a truly horrific thought.

We know that the first few months of a child’s life are crucial for their later development and that parents need support in their choices for their children. I welcome the Minister’s commitment to additional funding for breastfeeding support, but it is clear that the cuts, particularly to Sure Start, were a really bad false economy, with centres having closed, parents lacking support and advice, and children being let down. I was proud to be a governor of a Sure Start early years centre and I know how valuable such centres were.

We have heard that women’s isolation during the pandemic was exacerbated because more services were cut. It was horrific to hear the evidence given by my hon. Friend the Member for Putney (Fleur Anderson) that it was only when she rang up that she found out that the centre she mentioned had closed. We already know that there is a shortage of such venues and that we need more of them.

Disadvantaged mothers are more likely to have babies of low birth weight, and low birth weight is associated with raised blood pressure and coronary heart disease, as well as reduced educational attainment, qualifications and employment. Sure Start centres help to level up and supporting them would be a really easy, quick win for the Government to support women in optimal infant nutrition, particularly breastfeeding.

We know how much breastfeeding increases children’s chance of a better life. According to analysis from the millennium cohort study, by the age of five breastfed children were already one to six months ahead of those children who were never breastfed.

I was fortunate to have three healthy children. I fed them all myself, with variable results; it was difficult with some of them and not with others—I will not say who, because they might at some point watch this debate, and you can never have favourites. When breastfeeding works, it works well, and when it does not work, it is extraordinarily difficult and stressful.

We also know that those households in the lowest socioeconomic groups have significantly worse health outcomes. We know that women in those households need support and that such support yields results in later life. This is an important debate, particularly on International Women’s Day, and I hope that we can have some positive news from the Minister to support women across the country.

[Clive Efford (in the Chair)]

As the Minister knows, we will be suspending the sitting at 4.55 pm, but if she can make a start now perhaps I can give the mover of the motion longer for summing up at the end.

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[Maria Caulfield]

I do not have that information, but I was interested to hear about the experience in Putney. I will take that away because I spoke to midwives who were redirected during covid, but I am not aware of which services have and have not restarted. I am keen to look at that, so I will follow that up. I am happy to conclude, Mr Efford, if that would be helpful.

[Clive Efford (in the Chair)]

The message we are receiving is that the Chamber has been suspended. I was going to suspend the sitting at 4.57 pm, but if the Minister has finished, we can suspend now and come back after.

[Maria Caulfield]

I will just conclude by thanking everyone. There remains a huge amount to be done. I very much take on board the points that have been raised in the debate, and I will follow up with colleagues because we need to put breastfeeding higher up the agenda.

[Clive Efford (in the Chair)]

I am suspending the sitting for 15 minutes, but we will start as soon as people are back in their places.