As the world celebrates World Breastfeeding Week from August 1-7, it’s vital to highlight the irreplaceable benefits of breastfeeding for the growth of children, the well-being of mothers, and the strength of communities.

Breastfeeding support is crucial during the first week after birth when healthy routines and habits are established. The benefits of breastfeeding are extensive, with breastmilk being nutrient-dense, aiding in digestion, and strengthening the baby’s immune system. It also offers significant advantages for preterm infants and supports maternal health.

Data from the World Health Organisation (WHO) shows that breastfeeding children from 0 – 23 months improves IQ, school attendance, and is associated with higher income in adult life.

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Despite that, data also shows that South Africa does not promote breastfeeding as an enormous natural benefit for children. The Alliance for Science reports that only 32 percent of South African children are exclusively breastfed for the first six months of their lives.

Adding to this conversation, Life Healthcare’s Dr Khungelwa Mrwebi says that many new mothers battle to breastfeed.

“While the ‘breast is best’ messaging is important, we must consider that some mothers may have unique situations and should feel able to choose what works best for them and their baby.”

The reality is that breastfeeding can be difficult at the beginning, as both mom and baby are learning, and in some cases, babies struggle to latch. Breastfeeding problems can also include structural problems of either the tongue or lips of the baby. The mother may have incredibly sore nipples or even low milk supply. This can cause much anxiety for mothers.

Dr Mrwebi acknowledges that some moms may also need to avoid breastfeeding due to medications or medical treatments or medical conditions that are incompatible with breastfeeding and thus pose a danger for nursing.

“Fortunately, almost all these problems can be resolved with better support and the right advice – preferably from a certified lactation specialist”, adds Dr Mrwebi.

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“Parents might also consider pumping breast milk to feed their baby via a bottle, or temporarily pausing breastfeeding and then resuming later,” she says.

Another countermeasure to that, she shares, could be utilizing donor breast milk banks that exist in South Africa, offering a solution for some.

The right to breastfeed, or express milk is protected under South African law, but it’s important that working mothers engage with their employers before they return to work to ensure they can continue providing breast milk efficiently, and without interrupting their routine.

“Breast milk should not be pumped before the first six weeks, as this is how long the body takes to adjust to producing milk,” explains Dr Mrwebi.

Breastfeeding should be a platform for optimal health for the baby and a healthy relationship between mother and child. It should be encouraged and supported in every family and every community.

“We must, however, recognise that there isn’t a one-size-fits-all answer for breastfeeding,” adds Dr Mrwebi. “Moms who are struggling to breastfeed can and should get support. For those women who chose not to, or who are unable to breastfeed, we should be mindful of not judging them. The pressures of motherhood are many and it’s important that their choices or circumstances do not negatively impact their mental health.

“If you are struggling with your mental health at any point during or after pregnancy, it is important to speak to your doctor”, says Dr Mrwebi.

Dr Mrwebi is responsible for leading the group’s clinical maternity initiatives.