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"Breastfeeding Support"

About: Highland Community Services / Breastfeeding Support Service Highland Community Services / Midwives Raigmore Hospital / Maternity care

(as a service user),

I gave birth to my son via c- section and had planned to breastfeed. This is my first child and first time breastfeeding and so I required some support in establishing feeding. The midwife’s and feeding supporters in Raigmore’s 9A were helpful in teaching me how to express my colostrum and spent lots of time with me to teach me how to latch. Unfortunately baby dropped 12% of his birth weight and so the staff got me established with a breast pump and showed me and my partner how to cup feed to top up after breastfeeding. one member of staff in particular was amazing and supportive! Expressing and cup feeding meant that I was able to continue to provide breast milk and not confuse him with a bottle. It also meant I knew what to do once home to keep gaining weight.

Once my son reached his 10% we were discharged from the hospital but he was slow to put his birth weight back on at home. We made slow gains each day but not huge gains. Once in the community I found some of the midwife’s knowledge of breastfeeding and support in establishing breastfeeding quite poor. I felt enormous pressure to get the weight back on as we had daily visits to weigh in and scaremongering comments about referrals to paeds from one  particular midwife shattered my confidence in breast feeding. She questioned my approach of cup feeding (which is recommended by WHO), asked why I wasn’t supplementing with formula and even suggested to me that I might have poor/low quality milk. I felt my attempt to continue breastfeeding were not being supported. A separate midwife also kept suggesting nipple shields, which I didn’t feel were necessary or something I was wanting to use. I felt pressure to get a quick fix so that his weight would be gained and I could be discharged to the Health Visitor.  We just needed time, patience and a little practical help from an expert to get going. The pressure of putting on the weight as quick as possible also took a mental toll which impacted my confidence in being able to feed.  

Fortunately,  I had already been in touch with the Breast Feeding support workers who were incredible! They came to visit, watched me feed, checked baby’s latch, sent videos and reliable information. Reassured me (particularly about the poor milk comment, there is no such thing as poor quality breast milk) and taught me lots of things about breastfeeding! At 2 weeks old, we thought there may be a tongue tie. Which I got fixed privately (as the NHS clinic in Raigmore was suspended). They continued to support me with visits and texts when we developed thrush, gave lots of useful suggestions for managing pain and pointed me in the direction for NHS Highlands policy on treatment of thrush in breastfeeding mothers. Turns out I would need this as I had to see THREE gps before I was given the correct combination of treatments to successfully get rid of the thrush. 

All in all, I cannot express how much gratitude I have for the Breast Feeding Support Workers. They were absolutely vital in my ability and decision to keep breastfeeding. Their professional knowledge of breastfeeding cannot be underestimated. As I have experienced, there are many medical professionals that are simply not equipped with the correct knowledge to support women breastfeeding. If we want women to continue breastfeeding then posts like the breast feeding support workers are an absolutely vital piece of post-natal care and must be protected. 

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Responses

Response from Karen MacKay, Senior Health Improvement Specialist (Infant Feeding Advisor), RM, IBCLC, NHS Highland 3 years ago
We are preparing to make a change
Karen MacKay
Senior Health Improvement Specialist (Infant Feeding Advisor), RM, IBCLC,
NHS Highland
Submitted on 22/02/2022 at 17:13
Published on Care Opinion on 23/02/2022 at 12:20


Dear Fesivityje99,

Congratulations on the birth of your son and thank you for taking time to tell us your breastfeeding story.

Thank you for highlighting the excellent support you got from the breastfeeding team in hospital to support you after a caesarian and during a period of weight loss and also the continuity of having the team in the community.

The care and support you were given in the hospital is so great to hear. Weight loss in the first 3 weeks is common but very scary for families, as you have described. Supporting with expressing and cup feeding is crucial in protecting breastfeeding and I am so glad to see you were supported to do this in the hospital environment and I will pass this on to staff there.

You have detailed very clearly the problems that you encountered and I am sorry to hear that you received conflicting advice and information from some of the staff who looked after you. All NHS Highland staff are trained in line with UNICEF Baby Friendly standards to support consistent guidance and care. I have taken your feedback to NHS Highland Head of Midwifery, who will follow this up with community midwifery colleagues. Please feel free to e-mail me at karen.mackay3@nhs.scot if you wish to discuss these issues further to ensure that we target some additional breastfeeding training in the team where you received your care from.

The community breastfeeding support workers are encouraged to share policies with parents to ensure consistency of advice and empower parents and it is lovely to hear that you were able to use the thrush policy to this effect. I will share this with them as they will be delighted to hear that they helped you with your breastfeeding.

Thank you again for taking the time to tell us about your experiences.

Kind regards

Karen Mackay

Infant feeding advisor

Public health, NHS Highland

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Response from Karen MacKay, Senior Health Improvement Specialist (Infant Feeding Advisor), RM, IBCLC, NHS Highland 2 years ago
We have made a change
Karen MacKay
Senior Health Improvement Specialist (Infant Feeding Advisor), RM, IBCLC,
NHS Highland
Submitted on 03/02/2023 at 09:05
Published on Care Opinion at 09:47


Good morning Festuvityje99,

I just wanted to up-date you to let you know that we have trained a total of 522 staff so far this financial year in breastfeeding to try to further reduce any conflicting advice that women may receive. We have also now included the children's ward and medical paediatric staff in our on-going training to widen the staff that we capture and also have linked in with third sector organisations such as Homestart.

Thank you again for highlighting your experience as it certainly gave us an insight into what patients are experiencing and I am incredibly thankful that you took the time to share this.

Kind regards

Karen Mackay, Infant feeding lead, NHS Highland

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by festivityje99 (a service user)

What a fantastic response and so amazing to hear that others have received training to support breastfeeding women. So thankful for the involvement I had with the community infant support workers right at the start and I credit a lot of their help to still successfully and happily breastfeeding 14months later. Thank you!

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