That breastfeeding is the optimal start for children is unquestioned, but there is little support for mothers who want to continue breastfeeding and put their babies in childcare. The default assumption is that mothers will have introduced a bottle, and often formula, in preparation for their return to work. In reality, there are many things that childcarers can do to facilitate the breastfeeding relationship.
Pumping and giving expressed milk
Breastfeeding mothers are entitled to expressing breaks, so it is possible for mothers to continue giving her baby breastmilk by pumping ready for the childcarer to give in a bottle or cup. Expressed milk needs to be stored, handled and warmed appropriately and you can find more details on the La Leche League website. Mothers usually store expressed milk in small amounts to minimise wastage so it should be defrosted or heated as needed. Paced feeding is particularly important when feeding predominantly breastfed babies and many mothers prefer a variflow teat which can mimic the flow of milk from the breast.
Direct feeding
If the mother works at home, or close by, then she may be able to take a couple of feeding breaks through the day. Nannies or childminders may also be able to bring the baby to the mother’s workplace or nearby.
No milk in the day
Once solids are established it’s not worrying if a breastfed baby refuses all milk during the day and feeds all night as long as the mother is comfortable with that. This feeding pattern is called reverse cycling.
Mixed feeding
Even when formula is introduced during the day mothers can still continue feeding morning and evening for as long as desired. Any breastmilk is better than none, and the mother’s body will adapt to the reduced demand. There are things that childcarers can do to help minimise the impact of introducing formula such as trying not to give a large bottle just before the mother arrives and encouraging the mother to breastfeed as soon as she arrives by providing a comfortable space.
It may feel strange at first as extended breastfeeding isn’t normal in the UK, but keeping an open mind and respecting each mother-baby dyad will get you a long way!