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Pregnancy & children
Breastfeeding
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Full list of topics
Deciding to breastfeed :
Previous awareness of breastfeeding
Gathering information, making the decision & preparing for breastfeeding
Getting started with breastfeeding :
The first breastfeed
Support from hospital staff
Positioning & attaching/latching the baby at the breast
The milk coming in
Sore nipples
The sensation of breastfeeding
Feeding patterns in the early days
Going home with a breastfed baby
Managing breastfeeding :
What daily life is like with a breastfed baby
Breastfeeding during the night
Getting support for breastfeeding
Monitoring baby's growth
Dealing with difficult times
Impact of breastfeeding upon the mother
Changing family relationships with breastfed baby
Breastfeeding an older baby
Breastfeeding and working
Breastfeeding away from home
Variations of the breastfeeding experience
Emotional & psychological aspects of breastfeeding
Cultural aspects of breastfeeding
Breastfeeding in special circumstances :
When extra care is needed for mother and/or baby
Breastfeeding more than one baby
Weaning the baby from the breast :
Introducing solid foods
Managing weaning including thoughts and feelings
Reflecting upon breastfeeding :
Advice for pregnant mothers and new mothers
Comments for health professionals
Thinking about the wider breastfeeding environment
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Breastfeeding
Subject index
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Pregnancy & children
>>
Breastfeeding
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Age 35-39
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Interview 33
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Her breasts became so full during a meeting that she had to go and express some milk. Eventually she became self-employed to give herself more flexibi
Water birth, easy breastfeeding with first child. Sleep deprivation and mastitis with second. Weaning to bottle at six months in order to go back to work.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 18
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The first time she had engorgement she expressed and had an abundant milk supply, the second time she did not, her baby was not interested in feeding
Bottle fed first baby; breastfed second (6 months, enjoyable, copious milk supply) and third for six weeks (difficult, unsettled).
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 48
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She describes her let-down and the reassurance that she gets from knowing that her milk is there.
Apprehensive at first about not feeding straight after the birth and then positioning baby at the breast. No problems thereafter. Managing gradual weaning.
Pregnancy & children
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Breastfeeding
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Age 25-29
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Interview 20
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Having a baby brought about lifestyle changes and the social life that he and his wife gave up was for such a short time in the bigger scheme of thing
Two bottle fed and two breastfed children. Closely involved in baby care, supportive of breastfeeding. Difficulties with an unsettled baby who was eventually diagnosed as dairy intolerant.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 01
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She expressed every evening after her daughter had gone to bed so that she could donate breast milk to the milk bank.
Long labour, emergency caesarean section. Cracked nipples. Baby fed constantly but failed to thrive. Discusses chiropractic sessions, supplemental bottles, early solids, and milk donation. Now enjoying breastfeeding.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 08
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In desperation, she gave her baby artificial milk which made her baby sleep but quickly led to the cessation of breastfeeding. In retrospect she feels
Struggled to feed first baby, feeling very isolated in the Middle East. Second baby easier, fed through gastroenteritis infection. Both babies had short time in Special Care.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 35
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Her health visitor suggested solids at four months but they distressed her and her daughter so she waited until six months when they were both more re
Pre-eclamptic fit, caesarean section, breastfed in intensive care and later in coronary care (heart failure/post partum cardiomyopathy). Determined breastfeeder. Peer counsellor and breastfeeding programme administrator.
Pregnancy & children
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Breastfeeding
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Age 25-29
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Interview 20
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He supported his wife in her breastfeeding and says that he can experience feeding with a bottle of expressed milk. Becoming a parent has meant accept
Two bottle fed and two breastfed children. Closely involved in baby care, supportive of breastfeeding. Difficulties with an unsettled baby who was eventually diagnosed as dairy intolerant.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 13
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She remembered with warmth in her heart the professionals who were helpful but also wished that others would listen to women and refer when outside th
Long-term breast milk expression for two babies with cleft palate. Relactation for second baby (viral meningitis at birth), extreme dairy intolerance, breastfed after operation to repair cleft.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 13
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Being unable to breastfeed her baby felt like grief because she had lost something that was very important to her. Providing her milk was curative and
Long-term breast milk expression for two babies with cleft palate. Relactation for second baby (viral meningitis at birth), extreme dairy intolerance, breastfed after operation to repair cleft.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 13
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Diagnosis of Pierre Robin Syndrome for her first son born with a cleft palate was a positive turning point. She expressed breast milk for him and had
Long-term breast milk expression for two babies with cleft palate. Relactation for second baby (viral meningitis at birth), extreme dairy intolerance, breastfed after operation to repair cleft.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 13
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She expressed breast milk long-term for her two babies with cleft palates. Her second son was able to breastfeed after his cleft palate repair operati
Long-term breast milk expression for two babies with cleft palate. Relactation for second baby (viral meningitis at birth), extreme dairy intolerance, breastfed after operation to repair cleft.
Pregnancy & children
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Breastfeeding
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Age 25-29
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Interview 37
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She regrets weaning her first baby to return to work but says that she will not make the same mistake again.
Unsatisfactory hospital experience with first baby; other two were home births. Regrets stopping breastfeeding her first child to go back to work. She didn't do that again.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 42
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She wanted her daughter to gradually get used to a bottle before she returned to work.
Difficult birth, engorgement, sore nipples, used nipples shields, unsettled baby required walking, rocking and massage, expressed breast milk for many months, talks about going back to work.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 49
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Understanding her let-down reflex and how it worked helped her to mimic the baby's action when expressing breastmilk.
Caesarean section, cracked nipples, blocked ducts and mastitis. Breastfed exclusively for 26 weeks before introducing finger foods. Trying to cut out night feeds.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 13
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Her milk supply went down because her baby with a cleft palate was unable to feed properly. It took a long time and a lot of effort to bring her milk
Long-term breast milk expression for two babies with cleft palate. Relactation for second baby (viral meningitis at birth), extreme dairy intolerance, breastfed after operation to repair cleft.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 50
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She learned to attach her baby when she had colostrum but then they both had to learn again on their own at home when her full milk came in.
Exclusively breastfeeding twins with a toddler in the house. First child almost rejected the breast at three months. Mother's comfort (cushions essential) and positioning the baby/babies at the breast important.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 13
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She expressed long-term for her baby with a cleft palate. She talked about the experience of expressing and storing breast milk*2.
Long-term breast milk expression for two babies with cleft palate. Relactation for second baby (viral meningitis at birth), extreme dairy intolerance, breastfed after operation to repair cleft.
Pregnancy & children
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Breastfeeding
>>
Age 35-39
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Interview 26
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Becoming a parent was a reality check for him. He saw his role as one of support which was not easy but very important.
Father of three. Supportive of long-term breastfeeding and co-sleeping.
Pregnancy & children
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Breastfeeding
>>
Age 35-39
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Interview 42
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She expressed her breastmilk in the mornings so that her husband could be included in the feeding experience by giving their daughter a bottle when he
Difficult birth, engorgement, sore nipples, used nipples shields, unsettled baby required walking, rocking and massage, expressed breast milk for many months, talks about going back to work.
Pregnancy & children
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Breastfeeding
>>
Age 35-39
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Interview 41
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Being able to provide breastmilk for her daughter, who was very ill in hospital and so helpless, kept her going and made her feel like she was doing s
Breastfeeding easy. Baby critically ill at 8 months, eventually underwent a heart transplant operation. Fed expressed breast milk in hospital and baby returned to breastfeeding at home.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 27
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She knew that the only thing she could do for her daughter was to provide breast milk. She learned from a book called 'Breastfeeding Special Care Babi
Nursing strikes with her son. Daughter required heart surgery after birth. Expressed breastmilk for her and also provided some for the milk bank. Working and breastfeeding.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 34
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Most of the midwives were “fantastic” but she was furious when a midwife in Special Care gave her baby infant formula against her wishes.
Caesarean section, daughter in special care, thrush, continued to breastfeed because the baby had an infection. Long-term breastfeeding with her son also.
Pregnancy & children
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Breastfeeding
>>
Age 35-39
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Interview 41
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At first, she was so focused on her very sick baby that she omitted to take care of her milk supply. She used regular expression and medication to bri
Breastfeeding easy. Baby critically ill at 8 months, eventually underwent a heart transplant operation. Fed expressed breast milk in hospital and baby returned to breastfeeding at home.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 27
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Her daughter received milk from the milk bank so she expressed and donated to the milk bank herself which made her feel good.
Nursing strikes with her son. Daughter required heart surgery after birth. Expressed breastmilk for her and also provided some for the milk bank. Working and breastfeeding.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 41
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Her eight month old baby underwent a heart transplant. She built up her milk supply and provided breast milk for tube feeding. Her baby eventually bre
Breastfeeding easy. Baby critically ill at 8 months, eventually underwent a heart transplant operation. Fed expressed breast milk in hospital and baby returned to breastfeeding at home.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 45
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She went back to part-time work and left expressed breast milk for her son. It was easy for him but hard for her.
Loves breastfeeding despite painful beginning. Used nipple shields. Hates being separated from her baby. Feeding time is family time. Husband works away from home during week.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 27
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She got a good breast pump for double pumping when she went back to full-time shift work, pumped at work and stored breast milk for each of her childr
Nursing strikes with her son. Daughter required heart surgery after birth. Expressed breastmilk for her and also provided some for the milk bank. Working and breastfeeding.
Pregnancy & children
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Breastfeeding
>>
Age 30-34
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Interview 27
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She exercised her right to express breast milk and work and then attempted to change company policy so that other women could do the same.
Nursing strikes with her son. Daughter required heart surgery after birth. Expressed breastmilk for her and also provided some for the milk bank. Working and breastfeeding.
Pregnancy & children
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Breastfeeding
>>
Age 35-39
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Interview 17
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She did not have the birth that she had planned and found breastfeeding difficult. She thinks that these things may have led to feeling depressed and
Difficulties with breastfeeding including positioning, sore nipples (used nipple shields), low milk supply, poor weight gain, possible depression. Having nightmares about going back to work.
Pregnancy & children
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Breastfeeding
>>
Age 30-34
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Interview 36
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She thought that buying an expensive breast pump would make her life easier. That didn't help so she tried infant formula and her son soon preferred t
Caesarean section, extended family support, thrush, early bottles of expressed breast milk and infant formula led to weaning at ten weeks. Discusses breastfeeding café and special foods.
Pregnancy & children
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Breastfeeding
>>
Age 20-24
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Interview 15
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She thought that health professionals can be patronising and need to be clearer in their advice especially with women who have difficulty reading pamp
Bad hospital experiences. Copious milk supply, leaking, engorgement, solids at four months followed by breast refusal and early weaning. Now a peer supporter for other breastfeeding women.
Pregnancy & children
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Breastfeeding
>>
Age 35-39
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Interview 25
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She is in total harmony with her eight week old baby's feeding pattern in contrast to her experience with her first son when she was expressing breast
Special Care separation from 1st baby emotionally difficult. Got into cycle of engorgement, expressing, mastitis, too much milk for six months. Has not expressed for second baby.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 04
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She and her husband practised kangaroo care with their premature baby. The milk that she expressed was hard to come by and she did not like to see it
Baby 7 weeks premature, incubator and special care, 4-hourly pumping/feeding schedule, milk dried up soon after going home. Discusses mixed emotions, kangaroo care, pressure to breastfeed.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 31
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Her mother-in-law was supportive even though she had not breastfed herself. She talked about the Indian traditions surrounding the birth of a baby, pa
First month of breastfeeding was the hardest thing she has done in her life. Very sore and cracked nipples. Fussy babies at 4-5 months, early weaning with first baby.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 47
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She got “a bit panicked” about going back to work until she realised that she would be at home with her baby more than she would be at work.
Excellent help with getting breastfeeding established with first child. No problems with either. Anxious about going back to work and being separated from baby.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 05
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Early interventions in the hospital (infant formula, syringe, cup and bottle feeding) could have caused later problems. She expressed for ten weeks be
Fed daughter expressed breast milk via bottle for 10 weeks until baby learned to breastfeed. Discusses pumping, mastitis, breast milk donation, weaning. Son's feeding straight forward.
Pregnancy & children
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Breastfeeding
>>
Age 30-34
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Interview 24
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Her baby had not breastfed properly on discharge and it was only after readmission to hospital that she received the help that she required.
Ceasarean section with first baby, nipple shields, abundant milk supply, mastitis. Has breastfed toddlers and tandem fed new baby with toddler.
Pregnancy & children
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Breastfeeding
>>
Age 30-34
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Interview 31
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Both of her babies became fussy at about three months of age which she thinks is because she didn't have enough milk. She felt like a failure.
First month of breastfeeding was the hardest thing she has done in her life. Very sore and cracked nipples. Fussy babies at 4-5 months, early weaning with first baby.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 25
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She had two very different experiences of breastfeeding after a caesarean section. Positioning for feeding was important and lying down was the easies
Special Care separation from 1st baby emotionally difficult. Got into cycle of engorgement, expressing, mastitis, too much milk for six months. Has not expressed for second baby.
Pregnancy & children
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Breastfeeding
>>
Age 30-34
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Interview 24
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She had an abundant milk supply, frequent bouts of mastitis and occasional blocked ducts. She discusses the symptoms, solutions and causes.
Ceasarean section with first baby, nipple shields, abundant milk supply, mastitis. Has breastfed toddlers and tandem fed new baby with toddler.
Pregnancy & children
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Breastfeeding
>>
Age 25-29
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Interview 30
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She had several ways to relieve engorgement, including feeding the baby, having a hot shower, massaging her breasts and hand expressing some milk.
Enjoyed breastfeeding, few difficulties, support network extremely important to her especially family, friends and the breastfeeding support group, La Leche League.
Pregnancy & children
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Breastfeeding
>>
Age 25-29
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Interview 22
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Her baby's weight gain slowed so she gave her top ups of expressed milk and infant formula. She used Domperidone* to improve her milk supply.
Difficulty with latch-on; poor weight gain; mixed breastfeeding and bottle feeding (expressed breast milk and formula); baby on regular 6 feeds during the day.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 25
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She began expressing to deal with engorgement and mastitis and continued to do so for six months. Expressing built up her milk supply beyond what her
Special Care separation from 1st baby emotionally difficult. Got into cycle of engorgement, expressing, mastitis, too much milk for six months. Has not expressed for second baby.
Pregnancy & children
>>
Breastfeeding
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Age 25-29
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Interview 30
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She developed a strong emotional bond with her daughter and had to work hard at allowing other people to develop their relationships too.
Enjoyed breastfeeding, few difficulties, support network extremely important to her especially family, friends and the breastfeeding support group, La Leche League.
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