World Breastfeeding Week, observed from 1 to 7 August, has opened against a backdrop of declining exclusive breastfeeding rates in India. Data from the National Family Health Survey (NFHS) shows the proportion of infants exclusively breastfed for the first six months fell from 63.7% in the previous survey to 55.8% in NFHS-6, The Hindu reports. Researchers attribute the drop in part to a rise in caesarean-section deliveries, which are linked to delayed initiation of breastfeeding, and call for better support services from hospital to home and workplace.

For new mothers, lactation consultants stress that patience and correct technique often matter more than supplements. Dr. Revina Tranggana, a paediatrician and lactation consultant in Jakarta, advises that breast milk supply typically begins around three days after birth; she recommends waiting until then before considering a milk booster, except for premature or small babies who may need supplementation from day one. She warns that taking boosters without regularly emptying the breasts every two to three hours can lead to blocked ducts and mastitis. In São Paulo, obstetrician Wagner Hernandez emphasises that breastfeeding should not be a painful process. While mild discomfort is common in the first days, persistent or worsening pain usually signals an incorrect latch, which can cause fissures. Mastologist Alexandre Pupo Nogueira notes that most injuries occur when the baby sucks only the nipple instead of taking in much of the areola.

Returning to work presents another barrier. An Australian mother writing to a workplace advice column described losing her private office—previously agreed upon as a space to express milk—while on maternity leave, and being offered impractical alternatives such as a distant boardroom. Dr. Kirstin Ferguson, the columnist, points out that breastfeeding is a protected ground of discrimination and that failure to provide adequate facilities may breach work health and safety laws. She advises requesting a private room with a comfortable chair, a fridge, and storage for a pump, and keeping discussions focused on practical outcomes.

In Iran, Dr. Khalil Farivar, a paediatrician and member of the Iranian Breastfeeding Promotion Society, says the health system bears responsibility when a newborn is given formula without medical necessity. He highlights the shortage of trained lactation consultants and points to Saudi Arabia, where he says breastfeeding mothers receive two to two and a half years of leave. He also warns that misinformation on social media—including formula advertising and unfounded fears about breastmilk insufficiency—undermines breastfeeding, and that a knowledgeable consultant can often reassure mothers that a crying baby does not necessarily indicate low milk supply.

The week’s observances underscore a global consensus that breastfeeding support must extend beyond hospital discharge, encompassing workplace policy, accurate information, and accessible specialist care.