BREASTFEEDING IN THE UK

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Up until 2010 there was a national survey of infant feeding practices every 4 years, which showed that initiation of breastfeeding was slowly climbing and had reached more than 80%. Smaller National Maternity Surveys since then have shown static initiation rates. Rates of any breastfeeding continue to slowly improve but are still low relative to other countries. Breastfeeding figures from the Department of Health and Social Care have always been lower than the national surveys - both ways of estimating have their weaknesses. These two figures are from the 2018 National Maternity Survey.

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Exclusive breastfeeding (not counting complementary feeds) is around 25% at around 2-3 months of age and 18% at 6 months.

Certain factors are associated with lower initiation and continuation rates - mothers who are more economically deprived are most at risk - for example those in the most deprived quintile had an adjusted odds ratio of 0.68 for breastfeeding initiation. Younger people and smokers also show reduced breastfeeding rates. In general, people from black and minority ethnic groups have higher initiation and continuation rates for breastfeeding, but this may hide significant differences among specific ethnic groups with different historical and cultural attitudes to breastfeeding. Rates are lower in the devolved nations than in England.

There are many reasons for the poor state of breastfeeding in the UK, compared to other high income countries. The UK World Breastfeeding Trends Initiative Report in 2016 identified insufficient training for health professionals as one of seven key gaps.

Figure from WBTi UK, click on the picture to go to the site

What do families say?

The 2017 Scottish Infant Feeding Survey reported that:

  • Two thirds of those who had initiated breastfeeding reported experiencing some problems

  • Half had difficulty with attachment to the breast in the early days

  • 65% were concerned about their milk supply in the first few weeks

  • A quarter said that they had been made to feel uncomfortable when breastfeeding their baby

  • Three quarters of those who stopped breastfeeding wanted to continue

  • Of those who stopped breastfeeding, 77% had problems with attachment to the breast and 86% were concerned about their milk supply

The 2018 National Maternity Survey in England showed that a third of woman wanted more help with breastfeeding than they received.

It is also important to note the mental health impact of this steep drop off in breastfeeding rates. Those who plan to breastfeed and don't succeed have a 50% higher rate of postnatal depression than those who plan to breastfeed and do so. This is a useful website for families and health professionals to work through their feelings about feeding.

ABOUT US >

Thank you for visiting the Hospital Infant Feeding Network. This website is a repository of relevant knowledge and best practice resources for health professionals. To join the conversation, ask questions and share your experiences please join us on Facebook or Twitter.

 

We will be running Q&A sessions on various topics, which will be advertised on our social media sites. Please email if you have ideas or want to get more involved. We welcome health professionals passionate about supporting breastfeeding and lactation in the hospital setting to join our steering group, please get in contact if this is you!

You may have noticed that we use 'additive' language on our website to refer to lactation and human milk feeding. This means that we might refer to 'breastfeeding/chestfeeding'. Chestfeeding is a term that some non-binary people use to refer to feeding their child at the chest if the word breast is not congruent with their gender identity. Using additive language helps reduce a feeling of exclusion for non-binary and transgender people, without taking away from the importance of words like breastfeeding and mother. There is a much more detailed description of the additive approach here.

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