National Breastfeeding Week Debate
Full Debate: Read Full DebateKirsty Blackman
Main Page: Kirsty Blackman (Scottish National Party - Aberdeen North)Department Debates - View all Kirsty Blackman's debates with the Department of Health and Social Care
(9 years, 4 months ago)
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I want to speak particularly about the asks that my hon. Friend the Member for Glasgow Central (Alison Thewliss)—I want to say Councillor Thewliss—mentioned.
My situation is similar to my hon. Friend’s. My children are not that different in age to hers and I was also a councillor when I had both my children. I was lucky to be able to go back to work so quickly and to take my children with me. That worked well for us in terms of breastfeeding.
My second child was an absolute dream to feed. She was wonderful and knew what she was doing from day one. She was just a dream come true. However, it was still painful at times. Even in the most ideal circumstances, breastfeeding is not plain sailing all the way. My first child was a nightmare to feed. We had a horrendous time. Nearly all the things that can go wrong with breastfeeding went wrong. My son was re-admitted to hospital at five days because he was not gaining weight, so for a while we had to pump exclusively and then he was weaned back on to breastfeeding.
The support networks and breastfeeding cafés, which hon. Members have mentioned, are so important. There are proven statistical outcomes from breastfeeding cafés and people having physical support. I am not sure whether hon. Members are clear about how the outcomes are achieved. My hon. Friend mentioned the huge online support network, including Mumsnet and Facebook groups. Those places are good and people can get a huge amount of information from others there, but that does not compare with having somebody physically present who knows what they are talking about. In those early days, when people do not know what they are doing, and when their baby does not know what they are doing, they need somebody there to help and show them what they are doing wrong, or what they are doing right, and to explain it. It is not something that can be learned from a video on the internet, because every mum and every baby is a different shape and every baby reacts differently. Somebody must be physically there, and they must have huge experience and know what they are talking about.
A three-day training session on breastfeeding does not, in many cases, equip a midwife or health visitor with adequate means to provide mums with all the support they need. Those people also need experience behind them: they need to see many babies breastfeeding and speak to lots of people before advising in all cases.
In terms of the support available, the Government in Scotland and the Government here—Governments all over the place—need to think about the voluntary organisations providing support. People who have been through breastfeeding and experienced the problems—and those seeking support—are getting involved in the La Leche League and with NCT breastfeeding support, for example, to help people. When I was being shown what I was doing wrong, those were the people I found most helpful, because they knew what they were talking about. Training systems are a great idea, but we need to make sure that voluntary groups and breastfeeding cafés, which have experienced staff, are kept going. If we lose that experience, we cannot get it back. We need to keep these groups going to keep up the breastfeeding rates.
There is a postcode lottery in terms of support. People without a local support group near them have either to travel a long way to get to a group or rely on the internet. That is not ideal.
The World Health Organisation guidelines suggest breastfeeding exclusively up to six months and that breastfeeding onwards to two years or beyond is desirable, advised and good for children and mothers. This is not widely known in the UK: people even get funny looks when breastfeeding a child over six months. People do not understand that that is actually good and has health benefits.
I breastfed my children for a total of three years—adding them both together—so I had that experience of breastfeeding a child who is running around. That is totally shocking for so many people and it should not be, because World Health Organisation guidelines and statistics suggest that there are health benefits from breastfeeding. There is a job of work for all of us to normalise breastfeeding and to explain it to people. If people say, “What are you doing?”, we should explain to them, “This is right. This is not in any way unnatural. This is totally the right thing to do and has benefits for everybody.”
My hon. Friend the Member for Glasgow Central mentioned formula milk and the way it is advertised and classified. I spoke to some of my online friends who have been involved in supporting people with breastfeeding, and one of their biggest concerns, and one of the things that makes them most angry, is the advertising of follow-on milk. Follow-on milk is allowed to be advertised because it is not aimed at mothers with babies, and the adverts for follow-on milk have very small babies who are obviously just six months old. That is the way that the companies can get round the rules, because they are not advertising to mothers with a baby who is under six months; they are advertising to mothers with babies who are older than six months. Before the ban on advertising baby milk was introduced, there was no such thing as follow-on milk; the companies have just invented it so that they can still advertise. That is a concern.
We should have formula, and women who choose to formula-feed—or women who end up formula-feeding not by choice—need to have options in terms of formula. But formula should not be pushed at every opportunity by the companies, and we should not allow them to do so. We should try to avoid that situation.
The last thing I wanted to mention was the pressure to breastfeed. It is very positive that we are promoting and encouraging breastfeeding, but there is a fine line; some women feel that they cannot give up breastfeeding in the very early days without experiencing a huge amount of negativity. Breastfeeding is hard for some women at the moment, particularly when the support is not there nationally.
I have heard of women who have said that not being able to breastfeed caused them to have post-natal depression. The issue was the expectation—that they felt they had to breastfeed, but nobody was there to support them. What they wanted was somebody to show them what to do and to help them, and not having that help is costing the Government and the devolved Administrations through the outcomes for those babies, as they are more likely to cost the NHS more in later life; through the outcomes for the mothers; and through the outcomes for some mothers who really struggle with having to give up breastfeeding, and end up in the mental health system as a result. That really concerns some of my friends and some of the other people I have spoken to about the issue.