Book Review by Sophie Burrows IBCLC
The Breast Book by Emma Pickett

This book came on Friday 15th March after I pre ordered it before the end of last year. I’ve been looking forward to it and read it in a matter of hours! Defiantly worth the wait for sure. This book is the book I wish 10-year-old me read for many reasons. My only thought about this review is I’m 30, this book is aimed at girls going through puberty so I am looking at it with my 30 year old eyes and not the 10 year old me eyes. I cannot say if it works for that age range but it is uncomplicated and to the point with some excellent moments of humour spread throughout, these really made me smile and want to continue the read. I suppose it’s only a slight disclaimer to remember I am not 10 and you will know your around about 10-year old’s ability and need for this book better than me (target market is I believe 9-14 years of age). One thing is for sure it’s a book all women should read at some point, even if you are way past the target age. The breast book talks about breasts for their main purpose, it helps girls know that they are like others and my favourite part of :
“no one feels like they are normal”
news flash really goes well with the whole theme of the book.

The book encourages closeness with our young infants and why breasts are part of that connection which was lovely to read. There is description of all the different mammals, why humans milk is like it is and why its like that which should really help for future mothers to understand. Around pg. 26 is a description of the day in a life of a baby and their normal feeding and activity. This is really really lovely and something I would love to see on a handout to give to mothers. I especially liked the phrase “cuddly parent” for the parent not lactating showing that they are an important part of the picture and that’s the other parents special time to bond.
This book talks about consent in a very good and needed way. Consent with everything to do with our bodies and sex and why we might be blindsided by breasts for logical reasons. The normalisation of breastfeeding throughout is wonderful and that breastfeeding is more than just the milk.
There are stories from others throughout the book which are really well put together and aptly placed, really enrich the book and is meaning. I especially liked Philippa’s story in page 152, Philippa talks about her Tubular breast syndrome. For me as some one who deals with breastfeeding mothers often these stories are important. It’s important, I feel, that the community are aware of things to look out for. By the sounds of things (and personal experience) many people in the health service aren’t aware of these types of issues and how they might affect milk supply. I’m pleased this story was featured as a way of hopefully spreading the word so the next person who comes across something like this might know what to do before it becomes and issue.
The book talks in a useful and thought-provoking way about formula advertising too (and how they are very good at how they play their game). It talks about things we should question and that its ok to be angry about things and question things. It also talks about choice, some women may choose not to breastfeed or they may need to stop or stop because of lack of support. This is not a “force you to breastfeed” book, it’s a “this is a breast book, breasts provide this function” book.
A very well put together book that touches on needed and major issues and hopefully, positively changes and directs our young women’s mindsets for a future we would like to see blossom. So many times, in my adult life I have had realisations that are within this book. Well done Emma, thank you for putting in such hard work to produce a book that will be a great resource for young females going through some of the biggest changes in their life and allow them to think deeply about some of the greatest difficulty’s women face in their lifetimes.
I’ve noticed a trend within my work as an International Board Certified Lactation Consultant. I often look over to my bag and wish that there’s a magic wand in there.
I’m contacted by families when they want help and often it’s at the make or break point of a Breastfeeding relationship. I’m a helper, I want to make things better, I’m paid for this role, I’m a qualified person providing a service. My service is to help people meet their feeding goals.
Humans like seeing results fast and as some one who really cares, I want to see those results fast for those I help. Some times we have to remember though that it often doesn’t work like that, things take time to heal, they take time to learn and there’s never a one step solution to a Breastfeeding issue. It’s often a multi step approach that gets to the end desired result not a swish of a magic wand and all is better moment.
I’ve also noticed that my level of knowledge is now so normal to me that I think I have no knowledge at all. This can be slightly unnerving at times and I may panic inwardly at a situation thinking I must be really complicated when actually it isn’t. I’m just assuming I won’t know the answer.
It’s a heck of a ride being a lactation consultant IBCLC, I’m very privileged to have this qualification I will be forever learning and probably forever wishing that magic wand is inside my bag!

The first 1000 days of life (2.7 years)
The newest report by the House of Commons, Health and Social Care committee called “First 1000 days of life”

A disappointment for those in the breastfeeding community. A disappointment for mothers and families in the country. A well written report that focuses on key points but devastatingly missed out breastfeeding.
When I’d heard about this report being put out to the public, I quickly sent it to my printer and grabbed my pen. I read and read and read. I hoped that on the next page infant feeding might be noted as an important factor for babies and for parents. I turned to the next page, and the next. No infant feeding mentions. Not until the Annex about the mum’s net forum.

There’s the one and only mention of breastfeeding in the report.
That’s it.
Yes, to mention of:
- Problems with variation on family support and its priorities
- Staffing number issues
- Acknowledgment that the first 1000 days are important and policy makers don’t give it enough attention.
- Government not intervening soon enough in childhood
- Acknowledgement that a child’s health and development are able to be influenced. And theirs parents diet has a bearing.
- Parents feel lonely and isolated
- Parents experiencing depression

- Issues with local authorities not prioritising early years and government should be incentivising and supporting them to do so.
- Knowledge that since 2009 there an estimated over 1000 children and family centres closing which is having a negative effect on families and children.
- Parents reporting that they are having limited opportunities to feed back about their experiences of the services they have received and are rarely told how their feedback is acted upon.
- Parents reporting that help takes too long to get in many aspects to do with immediate family care.
- Issues with those giving interventions perhaps not doing it with the most up to date evidence.
- Highlighting the need for the whole family to receive support, dads are important (or partners)
- Sex and relationship education should be getting taught at school (would be nice if they included breastfeeding here)
- Continuity of care is a really important factor, same HV, Midwife for appointments.
- Funding needs to be increased for these early years not decreased





Despite at least 3 organisations writing with clear evidence of the importance of infant feeding and nutrition to the committee
Yet breastfeeding is invisible still. We are literally made of the stuff we eat, especially in those early days. Every cell is a result of what we ingested and for those early years its human milk that should be supported to be going in.
More needs to be done to get breastfeeding in front of those that need to know that this needs to change. All of us who support breastfeeding are part of that change. Getting in contact with local infant feeding leads. Going to meetings about infant feeding. Taking the opportunity to bring it up with your MP are all ways of making sure they cannot ignore it.
There should be at least one person trained to IBCLC level that is available for access within every GP surgery, every clinic, every hospital, every family centre 24 hours a day 365 days a year to support normal infant feeding (breastfeeding). To advise when an infant has issues with feeding or when a mother has issues. The NHS should be telling mothers about the organisations around to help with breastfeeding and they should be encouraging communication with them in regards to long term support. The science you need to know why this is important will be in those responses that the three listed organisations above sent in.
Government policies make a difference to our overall care and this report essentially sets the tone for breastfeeding for the next year to come. It’s not important according to the government.
I’ll tell you who thinks otherwise, all the mothers, the 80% who begin breastfeeding, WANTING to breastfeed and the 76% of mothers who give up by 6 weeks because they couldn’t keep going any more with pain, discomfort, not know if there was enough milk or not, the worry the lack of support given to them by untrained people with lack of time to give and the 99% by 6 months no longer breastfeeding because no one gave them the support they needed.
I’ve recently heard of midwifes having to stop practicing for a time to begin to feel again. They lose their excitement at each birth and realise that its complete burnout that they are experiencing. This must be happening in all other sectors too.
Mothers report a lack of empathy from their health care providers constantly when I’m with them.
Burn out is real and its in the NHS and their customers are suffering because of it, this report doesn’t highlight that and its at the detriment of the children’s first 1000 days of life.
I am sad about this report. I am angry about this report. I’m frustrated about this report. I want breastfeeding to be given the space and voice it needs within our culture and community as an important part of the healthy development of babies and children. I hope you will all join me to do just that in the future.
I think about breastfeeding every day, its my job to. I try and view it from as many angles as possible to gain a deep understanding of breastfeeding for as many different people as possible. I realise there’s this picture portrayed to those who are thinking about breastfeeding of beauty, ease, natural and best. There also seems to be a side of it being cringy, odd, sexual, harmful and even abusive. (those lists could go on and the way you might interpret the words may not be the angle I was coming from) some people might just see it as a food source. Some might see it as something that happens for a very short amount of time. However we interpret it, we all seem to have an opinion on it.
Simply; lactation is a normal human function that occurs as a result of birth (induced lactation is another way)
Breastfeeding is not always easy, its not always enjoyable – birth can have a negative effect on the outcomes, anatomy can mean things aren’t as easy, struggling to latch baby on, babies with oral abnormalities, parents who haven’t been given evidence-based information to make an informed choice upon, mothers who experience pain or aversion.
In my role, I will often see mothers at the difficult points of their feeding relationship, rather than their highs. I have seen mothers in their high points, especially the ones who come along to local support groups to connect with other local mothers and show their support but its probably a very rare mother who breastfeeds without any bumps in the road. Those bumps don’t stop at a magical age either, they develop and grow with your child. Once you feel like you are past one thing something else might come along. They are often only slight niggles but they are there.
This image of breastfeeding having blue birds flying round and a LALALA tune going on isn’t always the case and I feel may be a shock to many new mothers. The whole process of becoming a mother is sometimes quite turbulent and testing. Alongside that monumental earth shift there’s also this whole new dance to learn with a brand-new human… how to feed them.
Something that I hear time and time again is “everyone gave me different information”
Mothers become pregnant, they give birth and they begin to feed their babies. That whole process is overseen by medical professionals (thank goodness for them). The sad part, they don’t have an abundant amount of time for all of their patients, nor do they have much lactation training (don’t believe me? See here for the World Breastfeeding Trends Initiative UK information on that)
Mothers encounter breastfeeding problems, they often will first seek help from their midwife, GP or health visitor because that’s often the limit of the contact they have had thus far. And as you can see by this picture:

They often don’t have the training in the areas to help and, as I previously said they are often really really strapped for time. Appointments in GP surgeries are often limited to 10 minutes. My consultations often take at least an hour and a half. Sadly, they are still under the influence of formula advertising too, even while researching links for this blog I’ve come across medical professional targeted adverts from formula companies. And yesterday I was listening to a podcast (see end of this blog to listen)
In which Maureen Minchin described looking at an independent scientific review and not seeing any reference to formula milk recalls she knew of within it. Maureen brought this up with the author to be told:
“after the disaster in 1979 (when babies were brain damaged because one change of formula actually took out something more than they had intended to and you ended up with babies who were damaged intellectually,) American parents were absolutely terrified about infant formula, we have to reassure them that American formula is safe because American society depends on bottle feeding.”
I’ll let that sink in a bit. Even though I heard it yesterday, writing it and hearing it again now is still jaw dropping to me but at the same time I know this is still true to day in other ways.
This information means that even though we all might be working our back sides off trying to achieve our breastfeeding goals (or in my case help you to achieve yours) its likely our governments are not working with us to achieve that goal so NO WONDER BREASTFEEDING ISNT EASY.
Mothers are told over and over again “its your choice to breastfeed, your choice, no one else can say weather you should breastfeed or not, its your choice” with a side hand of “I don’t know how to help you with this problem while breastfeeding so its probably best to wean from breastfeeding” and so very common at the moment “breastfeeding is pointless after (insert something along 6 months)”
Let me tell you, mothers are very aware its their choice, they most defiantly don’t need to be told in such a way. Stats show mothers WANT to breastfeed, a high percentage, 81%, initiate breastfeeding after their babies are born. Then day by day the number still breastfeeding drops and drops until at 6 weeks only around 24% are breastfeeding and at 6 months 1%. If a mother is seeking help with something to do with lactation, she wants to continue to lactate, unless she’s asking to not lactate any more. It’s as simple as that. Yet, every time she goes to an appointment or maybe even out for coffee someone decides to imply, she should wean in some way for whatever reason they deem fit and for some mothers this is the hardest part of their feeding journey. Putting on a suit of armour to deflect these some times mighty rocks in confidence that makes breastfeeding a whole other level difficult.
I wont lie, some times the high of the oxytocin rush of breastfeeding is a welcome relief, especially in a tense situation of if your baby hurt themselves and needs the comfort of a breast. And I know many of you will have experiences the beauty of breastfeeding, I’ve seen it. But I really think its important to talk about it not always being a dreamy picture and to identify why it sometimes isn’t so we can either prepare for those situations or change them to protect the next generation.
Looking for some one qualified and skilled in breastfeeding to appear on your media outlet?

Please send a detailed email to sophie@theboobladyibclc.com
Charges vary, all travel must be paid.

Chose a topic for me to cover, have me at your venue to offer breastfeeding “drop in” style support or hire me to provide up-to-date information to your staff members on infant feeding. I am happy to work with you to make a service that suits your setting.
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This weekend I made the 4 hour round trip to Whitstable to go the Carmen Pagor IBCLC’s #fillyourcup day with the wonderful Zainab Yate and Lindsey Hookway as guests of topic. I’m still getting over the anxiety of the whole event as I struggle being away from my family and my comfort zones. Luckily, I knew many of the people attending any way, and I was flanked by La Leche League Leaders too so had my comfort zone with me in effect. I also have a great but long-distance friendship with Zainab Yate. Zainab and I have met on a number of occasions to do with breastfeeding.

Zainab is the “go to” person for Nursing Aversion and Agitation (she’s got a support group and has a support course too). Having experienced this herself and not finding any information when she searched, she began a long and fruitful journey of discovery which has helped thousands of women finally put a name to at times very scary experiences they had gone through when breastfeeding their children. I can tell Zainab has a book in her we’ve just got to get the energy and time to get it done (if anyone knows were more energy comes from when you are a parent let me know)
The day started with tea and some sweet treats many of which were vegan which is great and catered to everyone pretty well. We had group discussions with Lyndsey Hookway and Zainab at the “helm”. Lyndsey is the author of “holistic sleep coaching” a new to the scene book aimed at health professionals to guide them on how to advise parents who are often at their wits end in terms of sleep and their kids. Lyndsey runs a 14-week course for professionals to take which includes case study work and weekly webinars and then gives the title of holistic sleep coach.
Carmen’s house is a beautiful space. It felt safe. We covered the topics of sleep and aversion with conversation running in different directions with ease and before I knew it, we were at lunch time.

Lunch was two different vegan soups with bread (Carmen’s husband is a very skilled baker so we were treated well in this area).
Lunch ended and we went back to our seats. We introduced ourselves at my request as having a knowledge of who was in the room really helped in terms of networking and addressing people according to their ability. There were many IBCLCs as well as tongue tie practitioners, breastfeeding councillors and birth workers (other professionals too with amazing skills). We continued the conversation around sleep and ideas of things to introduce with the parents who really want some sleep strategy ideas and are at the end of their tether.
Zainab spoke about the different cohort groups she has identified that might experience nursing aversion and agitation. There was a group that might score higher on a test called an ACE score, these individuals may well have had traumatic childhood’s, a cohort group who had experienced sexual assault, a cohort group who were highly stressed and a group who were pregnant or tandem feeding. There may well be other groups of mothers but so far Zainab has identified these and is working at collecting relevant information about them to potentially help in the future. Every time I hear more about it, it makes sense. I experienced nursing aversion which can be a really strong scary and powerful experience so it’s a topic close to my heart and I see many women enduring it in my daily work.

The event was an excellent way to meet some people I’ve only been lucky enough to meet online so far. I wish I had more time with them to talk in an even smaller environment and look forward to doing that in the future. This connection of my peers in the larger community means a lot to me. I feel we can do bigger and better things by being connected like this. I want us to all connect to gather ideas and energy to make a difference in the breastfeeding world especially with all of our skills. I want those women who start out wanting to breastfeed to be able to do that and feel we might all hold the collective key to make that possible.
The travel to the day made it hard for me to unwind into things I felt but, I have been getting over a virus that seems to be causing havoc to my vocal cords and giving me the feeling like I’m dragging a ton weight around my head currently so that is probably a contributing factor. Sadly, my cup doesn’t feel filled but I can fully see how it will and does fill other peoples. (Please don’t take this as a negative think I’m just not 100%)

Carmen organised the day beautifully, we had little goodie boxes given to us at the end too which was a lovely touch. We also had tea and cake brought to us as the day was coming to a close which was lovely.

I wonder if there will never be enough hours in the day for me to talk or listen about these topics because they for some reason mean so very much to me. I am so privileged to be able to even be part of these conversations and I must never forget that. These link ups and talks all mean something, they make us better at our passion.
Thank you, Carmen, for organising and hosting the event, thank you everyone for going to it and thank you for reading this.

*This event cost me £100 to attend plus travel.
Gift vouchers are avalible for purchase and a great gift for baby showers, grandparents wanting to offer skilled support, and any one wanting to support a new mother with breastfeeding. They can be any value you choose so just send me a message to get yours now.

A hard topic to cover in my role really as I often empathise with the emotions the mother is feeling. But this is a true reality for a large percentage on women in the UK. I feel I must write about it because I want you to understand when you possibly think I must be all about breastfeeding, I’m not. It’s got to work for the both of you and it will never be my decision as an IBCLC to say you should or shouldn’t breasteed (unless medically indicated which is rare) it is yours as a care giver to decide because it’s your life of which you have charge of.

As an IBCLC I will support you through trying everything to keep a feeding relationship going and I will support you through the reduction of a milk supply if you request me to. That’s my job, to help you reach YOUR feeding goals and decisions.
Breastfeeding is hard work and sometimes there’s been so many hurdles put in your way before you find me or other reliable support that you might just want it to all stop. Be reassured you most certainly are not alone in this emotion. Thousands of women sadly get tripped up time and time again from bad advice, difficult delivery, pressure that was meant with love about things like sleep or weight gains or losses from family and friends.
If you choose to stop breastfeeding this is where you can find information on that:
https://kellymom.com/ages/weaning/wean-how/lactation-suppression
https://www.laleche.org.uk/thinking-of-weaning/
Rest assured if you find skilled support for breastfeeding such as me as an IBCLC or trusted breastfeeding supporters who are trained (like breastfeeding councillors) and you want to try and save your feeding relationship we will do our utmost to help you achieve that, it might not always work, and you might decide it’s not right for you and your family but the reassurance when you’ve got some trusted support and information will hopefully help you to be at peace with your decision .
Human milk is a wonderful thing and if breastfeeing itself just isn’t working you might want to consider exclusive pumping or using safe human donor milk as an option.
Becoming a parent and in particular a mother or primary care giver is a really steep learning curve. One that is hard to describe to any one who hasnt been through that process yet (often because they wont believe you!) For some the starting point can be really full on and really rather treturous, add in breastfeeding with complications to that and its a recipe for a really hard time for mum and feeling alone while often experiencing pain can just be all too much.
If you can find skilled support before that from somebody trained in the true mechanics of breastfeeding then the future might seem a little bit more manageable.
Have you been at tipping point with breastfeeding and found some one who really helped you? Sing their praises in the comments.



