Investigating the experiences of mothers feeding their newborn babies and smoking during pregnancy

Healthwatch County Durham undertook research on mothers’ experiences of feeding their newborn babies and smoking during pregnancy. The work was commissioned to help understand two key maternity outcomes: breastfeeding at 6-8 weeks and smoking at the time of delivery. Healthwatch engaged with 18 groups across the county and gathered responses from 152 women about infant feeding and 47 women about smoking during pregnancy. 

The research found that most women felt supported in their feeding choices, with 83% encouraged to breastfeed and 82% feeling supported by healthcare professionals. However, many mothers felt that antenatal information did not reflect the realities of breastfeeding, particularly the challenges of breast pain, difficulties with latching and tongue tie. Women frequently sought help from midwives, health visitors, family members, social media groups and breastfeeding support organisations. 

Women generally understood the risks of smoking during pregnancy, and most had discussed their smoking with midwives. However, half of those referred to stop smoking services did not attend their appointment, often because they did not want to engage with the service. The research also found that many women who stopped smoking during pregnancy required ongoing support to remain smoke-free after giving birth.

Healthwatch recommended earlier and more proactive smoking cessation support, including carbon monoxide monitoring at all booking appointments and immediate referrals to stop smoking services. It also recommended providing more realistic information about breastfeeding, improving support for mothers experiencing difficulties, increasing awareness of community breastfeeding groups, and ensuring that women who choose to formula feed receive appropriate practical and emotional support.