As we commemorate World Breastfeeding Week on 1 August 2025, it’s an ideal moment to revisit the importance of breastfeeding and the support mothers need to make informed decisions. In South Africa, breastfeeding trends are improving, but there’s still a long way to go.
The South African Demographic and Health Survey (SADHS) and subsequent research indicate that approximately 38% of infants under six months are exclusively breastfed. This is an improvement from previous years, but still below the World Health Organization’s (WHO) global target of 70% by 2030.
Breastfeeding is more than just a feeding choice – it’s a vital foundation for lifelong health. According to WHO and UNICEF, breastfeeding should begin within the first hour after birth and continue exclusively for the first six months. After that, solid foods can be introduced while breastfeeding continues for up to two years or longer.
Health Benefits of Breastfeeding
Breast milk contains the perfect balance of nutrients, antibodies, and enzymes essential for a baby’s growth and immune development. It reduces the risk of illnesses such as diarrhoea, pneumonia, ear infections, and even obesity later in life. Breastfed children also show improved cognitive development and emotional bonding.
Mothers also benefit significantly. Breastfeeding helps the uterus contract after childbirth, reduces postpartum bleeding, and lowers the risk of breast and ovarian cancers, as well as type 2 diabetes and postpartum depression.
Support and Preparation Make a Difference
While breastfeeding is natural, it often comes with challenges that require support. Sister Nomsa Mhlongo, a certified lactation consultant based in Durban, highlights the importance of preparation.
“Breastfeeding is a learned skill,” she says. “Support before and after birth is essential. Attending breastfeeding classes during pregnancy and having a clear feeding plan can help mothers feel confident and capable.”
Common challenges include difficulties with latching, sore nipples, low milk supply, and physical issues like tongue-tie in babies. These are often manageable with early intervention from trained professionals such as lactation consultants or nurses with breastfeeding experience.
Creating a Supportive Environment
Many mothers stop breastfeeding early due to a lack of support. This is where partners, family members, employers, and healthcare providers play a crucial role.
Fathers and partners can support mothers by being present during feeding times, assisting with burping, changing nappies, and helping with household tasks. Emotional encouragement goes a long way in helping mothers stick with their breastfeeding goals.
Employers can also help. South African law provides for two 30-minute breastfeeding breaks per day for the first six months after a mother returns to work. Creating private, clean spaces for expressing milk can encourage continued breastfeeding.
It’s Okay to Choose What Works Best
While exclusive breastfeeding is ideal, it’s important to recognise that not every mother is able or chooses to breastfeed. Some may face medical complications, mental health challenges, or personal circumstances that make breastfeeding difficult or impossible.
“There is no shame in choosing a feeding method that works best for your situation,” says Sister Mhlongo. “A well-fed, loved, and nurtured baby is what matters most – regardless of whether they are breastfed or formula-fed.”
Tips for Returning to Work While Breastfeeding
Returning to work is one of the most common reasons for early weaning. However, with planning and support, it is possible to continue breastfeeding after maternity leave.
- Wait four to six weeks before starting to pump, allowing your body time to establish a stable milk supply.
- Start building a small freezer stash by expressing milk once a day, preferably in the morning when supply tends to be higher.
- Introduce a bottle one to two weeks before your return to work, if needed.
- Speak to your employer about your needs and schedule breaks to pump milk during the workday.
- Store breast milk safely. Freshly expressed milk can be kept at room temperature (below 25°C) for up to 6 hours, in the refrigerator for up to 4 days, and in the freezer for up to 6 months.
- Continue direct breastfeeding when at home – mornings, evenings, and weekends – to maintain supply and nurture connection.
In Closing
Breastfeeding is a personal journey that looks different for every mother and child. For some, it’s a smooth process. For others, it comes with difficulties and decisions that require compassion, patience, and understanding. Whether breastfeeding, pumping, or formula feeding, every mother deserves support and encouragement in giving her baby the best possible start in life.
Reference:
- The South African Demographic and Health Survey (SADHS) 2022 Update