Wellness Café

When breastfeeding does not work for you

Aug 1, 2026

Breastfeeding is often portrayed as one of the most natural parts of motherhood – an instinctive, nurturing interaction between mother and child. But what if that image of effortless nursing doesn’t reflect your reality?

You’re not alone. In fact, 60-80% of new moms say they have difficulty breastfeeding. What’s more, in South Africa, the tally for infants under six months that are exclusively breastfed is less than one in three.

Why breastfeeding might not be an option

Low milk supply (personal impression or medically diagnosed)
Latching problems, pain or infant tongue-tie
Baby born prematurely or with special needs
Practical challenges, such as returning to work
Certain medications, health conditions or prior breast surgery
Emotional or psychological challenges
Adoption, fostering or other caregiving situations
Personal choice

Time to reframe feeding

Many mothers feel guilt, grief, anxiety or frustration when breastfeeding isn’t possible. And within the community, there can be social pressure and judgement, especially in spaces where ‘breast is best’ is emphasised.

But fed is best. While breastfeeding does offer specific benefits, what matters most is ensuring your baby is nourished, loved and thriving while your wellbeing is maintained.

Formula know-how

As the alternative to breastfeeding, doctors recommend commercial infant formula.

These formulas contain a blend of nutrients specifically designed to meet a growing baby’s needs.
Options range from standard cow’s milk-based formulas to preparations for babies with specialised feeding or medical needs.
Before choosing formula, talk to your healthcare provider, especially if your baby has reflux, allergies (or family history thereof) or digestive issues.
Choose products approved for sale in South Africa, where strict regulations ensure quality. Packaging should clearly state ‘infant formula’, provide nutritional information and instructions, and indicate the intended age range.

Safety matters

Formula is manufactured to stringent safety guidelines, but correct preparation is crucial.

Sterilise bottles and teats with clean boiling water after every use.
Wash your hands thoroughly before preparing bottles.
Follow the instructions and measurements.
Prepare powdered formula with freshly boiled water cooled to 70°C, then cool to lukewarm for feeding.
Never leave babies unattended while feeding or prop bottles up.
Throw out unfinished mixed formula, along with damaged teats or bottles.

Building bonds

You may worry about missing out on the chance to bond if not breastfeeding. But bonding is about far more than what your baby is fed. Responsive caregiving is what brings you closer:

Recognise your baby’s signs of being hungry and full and react accordingly.
Hold baby close and make eye contact during feeds.
Build the emotional bond through talking, singing, cuddling and skin-to-skin contact.

Reference

Tommy’s Pregnancy and Baby Charity

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