
Cómo la presión para amamantar puede afectar la salud mental
Revisado por pares por Dr Sarah Jarvis MBE, FRCGPÚltima actualización por Lydia SmithLast updated 27 de enero de 2022
Cumple con las directrices editoriales
- DescargarDescargar
- Compartir
- Language
- Discusión
- Versión en audio
- Add to preferred sources on Google
The phrase 'breast is best' is commonly heard by expectant mothers, but it can leave women feeling pressured, stressed and guilty if they are struggling to breastfeed. Although nursing might come easily to some new mothers, breastfeeding is often painful and difficult to establish, with milk supply issues a reality for many. However, instead of being supported, lots of women feel judged for turning to formula feeding. This can have a negative impact on their mental health.
En este artículo:
Almost three-quarters of women in England start breastfeeding after giving birth, but less than half are still doing so two months later according to NHS and Public Health England data. This is less than the PHE-recommended six months.
Many women are aware of the benefits of lactancia, which can boost a baby's ability to fight illness and infection, reduce the risk of digestive problems and encourage bonding between the mother and baby. However, the challenging reality of nursing is often glossed over, leaving women feeling as if they have failed.
Continúa leyendo abajo
Common breastfeeding problems
There may be problems with the way the baby is latching onto the breast, a lack of milk, mastitis, pain and sore nipples. Women often struggle with the pressure to feed very regularly, as well as the lack of sleep due to nighttime feeding. As a result, lots of new mothers find themselves feeling overwhelmed, exhausted and struggling with their salud mental.
"Women should never feel guilty if they are struggling to breastfeed their baby or choose not to. While evidence shows that lactancia in line with WHO guidance brings optimum benefits for the health of both mother and baby, it is not always possible," says Alessandra D'Angelo, quality and standards advisor for the Colegio Real de Matronas.
"There are many reasons why difficulties may arise, for instance, it can take longer for your milk to come in after a cesárea than after a vaginal birth," she adds. "Some babies are born with tongue-tie which can prevent them from latching on properly - which can then lead to sore or cracked nipples or blocked ducts and mastitis. This can also impact a woman's bienestar mental."
Women may choose to switch to formula milk for a variety of reasons. For example, if they need to return to work, have other caring commitments or if breastfeeding simply doesn't suit their needs. Although choosing how to feed their baby is a personal choice, many women are made to feel ashamed about their decision.
Breastfeeding problems and maternal mental health
Volver al contenidoResearch suggests the pressure to breastfeed can have a negative psychological impact on women. According to a estudio of more than 2,500 women, women who had a negative experience of breastfeeding were more likely to have symptoms of postpartum depression. Separate investigaciones has found that women who planned to breastfeed but were unable to have higher rates of depresión.
In a Priory encuesta of more than 1,000 parents, eight in 10 believe breastfeeding problems fuel depression in new mums when unsuccessful or painful. The vast majority of those polled said the pressure to nurse contributed to postnatal low mood, ansiedad and feelings of guilt and shame. From 'mummy bloggers' to friends and relatives, this pressure to persevere with breastfeeding -regardless of the impact on maternal salud mental - can come from all directions.
"Of course, every woman wants the best for their baby and many women try to breastfeed their newborn with the best intentions to sustain it, but this isn't always possible," says D'Angelo. "We understand that this can be stressful, but women should try to not let this impact their mental health and wellbeing as there is a lot to contend with when you become a mother."
Continúa leyendo abajo
How to cope with the pressure to breastfeed
Volver al contenidoIt's important to rethink how we treat embarazada women and value their choices, particularly when it comes to feeding. While the benefits of lactancia should be made clear and adequate support and advice provided, there should be no pressure to nurse - particularly if it is causing harm or distress to the mother.
Seek support if you want to breastfeed or formula feed
If you are worried about your baby and how they are feeding, don't hesitate to speak to your midwife, health visitor or doctor.
"It's important to seek support from your midwife or health visitor especially in the first few days or weeks if you feel you are struggling to breastfeed or have any concerns," says D'Angelo. "They can give breastfeeding mothers and their partners information and support to help manage the physical, mental, emotional, and societal challenges of lactancia."
Similarly, parents of babies that are formula-fed, whether exclusively or partially, should be provided with the information to enable them to do so safely. "They should be given support to encourage the bonding process," says D'Angelo. Regularly picking up your baby and engaging in skin-to-skin contact, either while feeding or not, can help you build an emotional connection with your newborn.
Hable con su médico
If you are struggling with your salud mental at any point during or after pregnancy, it is important to speak to your doctor. Your health visitor can also support you during the postnatal period too.
From asesoramiento y terapia to medication, there are many different ways to manage and treat postnatal mental health problems - your midwife, healthcare worker or GP can help and refer you if needed. You can also self-refer for therapy on the NHS and may be bumped up the waiting list if you are pregnant or have recently given birth.
Postnatal mental health problems are common and there is no shame in asking for help. Between 10% and 20% of women have depression and ansiedad in pregnancy and after birth.
Speak to trusted friends and family
It's also essential to talk to trusted friends and family about how you feel. New parenthood can be a difficult and isolating time, particularly if you are struggling with feeding. Antenatal and baby groups are a good place to chat with like-minded people who may well be feeling the same as you.
Patient picks for Alimentando a tu bebé

Salud infantil
Una guía para amamantar cómodamente en público
Breastfeeding is legal in public spaces across the whole of the UK. However, many mums still have difficulty breastfeeding comfortably outside the home.
por Lawrence Higgins

Salud infantil
¿Es la lactancia materna adecuada para mí? Los pros y contras de la leche materna y la fórmula
Deciding whether to breastfeed or formula-feed isn’t an easy decision. For some, breastfeeding is enjoyable and practical, but this isn’t the case for all mums - and feeding your baby with formula may be an easier, more comfortable option. Ultimately, how you feed your baby is a personal decision with no right or wrong answer - you need to find the healthiest choice for you and your baby. Here are the pros and cons of both breastfeeding and formula-feeding.
por Lawrence Higgins
About the author

Lydia Smith
Feature writer
BA, MA, MSc
Lydia Smith is an award-winning journalist and feature writer who has written extensively on women's health and mental health. She is currently studying for an MSc in psychology.
About the reviewerView full bio

Dr Sarah Jarvis MBE, FRCGP
Consultora Clínica
MA (Cantab), BM, BCh (Oxon), DRCOG, FRCGP, MBE
After training in medicine at Cambridge and Oxford, Dr Sarah Jarvis MBE became a GP.
Historial del artículo
La información en esta página es revisada por pares por clínicos calificados.
27 de enero de 2022 | Última versión
27 de enero de 2022 | Publicado originalmente

Pregunta, comparte, conecta.
Navega por discusiones, haz preguntas y comparte experiencias en cientos de temas de salud.

¿Te sientes mal?
Evalúa tus síntomas en línea de forma gratuita
Suscríbete al boletín de Patient
Tu dosis semanal de consejos de salud claros y confiables, escritos para ayudarte a sentirte informado, seguro y en control.
By subscribing you accept our Política de Privacidad. Puedes darte de baja en cualquier momento. Nunca vendemos tus datos.