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Breastfeeding
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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
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Breastfeeding
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Breastfeeding
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Comments for health professionals
Comments for health professionals
Pregnancy & children
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Breastfeeding
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Comments for health professionals
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Comments for health professionals
Comments for health professionals
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Pregnancy & children
>>
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 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
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Age 30-34
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Interview 14
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She did not find the professionals that she dealt with very helpful and is critical of the western system of childbirth and infant feeding.
Talks about "natural" birth and breastfeeding; pressure from Social Services and health professionals to conform to expected behaviours; conflicting advice, prolonged breastfeeding and the difficulties of weaning a toddler.
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 said that breastfeeding is not a technique, it is an experience and that professionals need to spend time listening to a woman's story but are con
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 05
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She was annoyed about the early introduction of infant formula which impacted upon her breastfeeding experience.
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
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Age 35-39
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Interview 33
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She valued the advice and support from her family more than her health professionals, who may not have had the knowledge or the experience of breastfe
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 25-29
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Interview 12
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As a breastfeeding support worker, she was aware of unsupportive practices amongst health professionals and the impact that they had on women.
Breastfeeding wonderful, easy. Demand fed even when baby was in an incubator after becoming jaundiced. Encourages other women in her role as breastfeeding support worker. Breastfed through Ramadan.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 31
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She thinks that consistent advice and continuity of care would mean one less stressful burden for women to think about around the time of their baby's
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 24
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She advises health professionals to encourage women and women to find someone who they know and trust. She wishes there were more breastfeeding clinic
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
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Age 20-24
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Interview 16
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She said that health professionals need to believe in breastfeeding, be better trained and be more accessible to women.
Baby in Special Care, fed expressed breast milk via tube, syringe & cup. Problems at home, slow weight gain, mixed feeding. Support from lactation consultant for five months.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 31
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As a pharmacist her training focused on infant formula but all knowledge “went out of the window” when she became a mother and she relied on her insti
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 25-29
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Interview 22
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Her medical training did nothing to prepare her for the practicalities of how to breastfeed or how to teach someone else to breastfeed.
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 35
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She developed the confidence to trust her instincts and realised that her baby wanted to be with her and that they would learn together as a family.
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 30-34
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Interview 01
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She thinks that her badly damaged nipples were the result of a difficult birth for her baby. Nipple shields, chiropractic manipulation, and cream help
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 30-34
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Interview 27
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She knew that breastfeeding was the most important thing that she could do for her baby in Special Care and communicated her breastfeeding plan to her
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 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 40-45
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Interview 19
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It was easier once she knew that her baby definitely had Down's Syndrome but that does not define her daughter. It is just something that she has.
Breastfed baby with Down's Syndrome. Jaundice. Slow weight gain led to mixed formula and breastfeeding, possibly due to heart problem that required surgery at 4½ months. Baby constipated on formula.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 21
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She knew that it was not her but her baby who was having trouble with breastfeeding. She found special weight charts for babies with Down's Syndrome.
Breastfed 1st baby with ease. 2nd baby has Down's Syndrome, breastfed but it wasn't easy. Gives tips for breastfeeding a Down's Syndrome baby.
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
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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 40-45
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Interview 19
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She breastfed her baby with Down's Syndrome until doctor's recommended infant formula for slow weight gain which turned out to be caused by her baby's
Breastfed baby with Down's Syndrome. Jaundice. Slow weight gain led to mixed formula and breastfeeding, possibly due to heart problem that required surgery at 4½ months. Baby constipated on formula.
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 baby required surgery immediately after birth for a heart condition. Being separated was difficult but she focused on providing her breast milk. (
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 35
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She was extremely ill with eclampsia and postpartum cardiomyopathy but the most important thing to her was to be able to breastfeed and mother her dau
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 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 25-29
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Interview 10
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Breastfeeding is not common in her area and she received undermining suggestions from a lot of people around her about introducing infant formula.
Little help from midwives in hospital. Used nipple shields for inverted nipples, affected milk supply. Postnatal depression with one child. Dairy intolerance with another. Practices attachment parenting.
Pregnancy & children
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Breastfeeding
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Age 25-29
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Interview 22
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She received variable advice from a variety of health professionals and doubted her ability as a mother until she attended a lactation clinic for expe
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 08
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She was isolated from family and friends with her first baby but had their support with her second. She says to accept help when it is offered.
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 30-34
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Interview 04
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She described the routines in the German hospital where she gave birth. Staff members were supportive but breastfeeding was more regimented than would
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 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
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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
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Age 30-34
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Interview 49
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Her baby's weight gain slowed at about four months of age which she thinks is typical of exclusively breastfed babies.
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 30-34
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Interview 01
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She didn't want to supplement her baby and thinks that health professionals have different views about weight gain and different levels of training in
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 25-29
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Interview 37
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She began to question herself and her milk supply when her baby gained weight slowly and got help from a breastfeeding counsellor and reassurance from
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 17
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Her baby failed to thrive so she tried extra breastfeeds, expressing breast milk and medication to improve her milk supply.
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
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Age 30-34
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Interview 49
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She discussed unhelpful attitudes towards breastfeeding and some ways of encouraging and supporting women from disadvantaged areas.
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 17
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She suggested that all health professionals should do 'Baby Friendly' training and that all women should take as much maternity leave as possible.
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
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Age 25-29
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Interview 22
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Breastfeeding has been a fantastic experience for her and she has an incredible feeling of satisfaction and achievement for having kept going through
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
>>
Age 25-29
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Interview 12
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Hospital staff tried to persuade her to give her jaundiced baby a bottle feed but she persisted with frequent breastfeeding.
Breastfeeding wonderful, easy. Demand fed even when baby was in an incubator after becoming jaundiced. Encourages other women in her role as breastfeeding support worker. Breastfed through Ramadan.
Pregnancy & children
>>
Breastfeeding
>>
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
>>
Breastfeeding
>>
Age 25-29
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Interview 10
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She had great difficulty in getting a diagnosis of dairy intolerance but noticed a dramatic difference in her baby when she cut all dairy products fro
Little help from midwives in hospital. Used nipple shields for inverted nipples, affected milk supply. Postnatal depression with one child. Dairy intolerance with another. Practices attachment parenting.
Pregnancy & children
>>
Breastfeeding
>>
Age 30-34
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Interview 31
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As a health professional, she was aware of the advice about co-sleeping but decided to sleep with her babies because it was easier to breastfeed and s
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
>>
Breastfeeding
>>
Age 25-29
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Interview 10
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Her baby sleeps with her and after a breastfeed her husband brings their baby downstairs to settle.
Little help from midwives in hospital. Used nipple shields for inverted nipples, affected milk supply. Postnatal depression with one child. Dairy intolerance with another. Practices attachment parenting.
Pregnancy & children
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Breastfeeding
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Age 35-39
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Interview 51
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Not attaching her first baby on properly led to later problems. She learned how to do it and had no problems with her other three. She says that breas
Latching-on problems with first baby leading to cracked nipples, engorgement & mastitis. Good milk supply. Joined breastfeeding support group. No problems with next three babies.
Pregnancy & children
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Breastfeeding
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Age 30-34
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Interview 47
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Her health visitor advised her to give her baby water as she introduced solids and cut down on the breastfeeds.
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 35-39
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Interview 28
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She let her babies take the lead regarding solid foods and thinks that it is not a sign of readiness when they start putting things into their mouths.
La Leche League Leader, long-term breastfeeder, needed to take care with latching on, engorgement, dealt with occasional blocked ducts herself, breastfed while pregnant, tandem fed baby & toddler.
Pregnancy & children
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Breastfeeding
>>
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
>>
Breastfeeding
>>
Age 25-29
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Interview 38
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Her one year old daughter was not very interested in solids. She ignored inappropriate advice from health professionals to stop breastfeeding and foll
Breastfed - almost exclusively, only just beginning solid food at one year. Sleepy baby with jaundice, occasional blocked duct. Baby shares mother's bed. Support group important.
Pregnancy & children
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Breastfeeding
>>
Age 35-39
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Interview 34
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Her children were both big babies and her health visitors told her that her daughter was overweight and her son would be malnourished without solids.
Caesarean section, daughter in special care, thrush, continued to breastfeed because the baby had an infection. Long-term breastfeeding with her son also.
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