Last update on March 28, 2019

When deciding whether to breastfeed, each new mother is influenced not only by her physical ability and personal beliefs, but also by social and cultural customs. But how much do attitudes to breastfeeding differ around the world?

Breastfeeding is an accepted part of everyday life for millions of women worldwide, and the practice is strongly endorsed by health bodies such as the World Health Organisation (WHO). However, many cultures differ in their attitudes to breastfeeding, how it should be done, and for how long, so it’s useful to understand how breastfeeding is viewed around the world. Here international health insurer Bupa Global shares some facts for expat families.

Bupa Global

Bupa Global is one of the world’s largest international health insurers. They offer direct access to over 1.3m medical providers worldwide, and provide direct settlements, so no up-front healthcare payment for the client is required. They provide access to leading specialists without the need to see a family doctor first, and ensure the same level of cover, whether at home or away.

Breastfeeding is important, wherever you are

First, it’s worth noting that breastfeeding is almost universally recognised as the best way to nourish a baby. A recent worldwide survey of pregnant women and new mums found that a majority felt breastfeeding is better than using infant formula, and would feel guilty if they did not breastfeed their babies.

When it comes to the ideal length of time to breastfeed a baby, however, there was more variation between both individual respondents and countries. In Brazil, China, Germany, Hungary, Mexico, the UK and the USA, most mothers felt six to 12 months is ideal, whereas French mothers favoured a shorter period of three to six months, and Turkish mothers felt it better to carry on for 12 to 24 months.

In every country surveyed, a sizeable percentage (between 26 and 58 percent) of respondents felt that a two-year-old is too old to be breastfed — although the WHO recommends that breastfeeding should continue throughout the first two years of a baby’s life.

Attitudes to breastfeeding in public

breastfeeding around the world

The survey also revealed varying attitudes on how breastfeeding in public is viewed around the world, with 41 percent of mums in France and 47 percent in China the most likely to find it an awkward experience. On the opposite end of the spectrum, only 7 percent of the Hungarian mothers and 13 percent of the Mexican mothers who responded found it uncomfortable to breastfeed in public. A large number of respondents in all the countries (between 19 and 63 percent) believed it was perfectly natural to breastfeed in public.

Breastfeeding practices in individual cultures

Many cultures have their own individual beliefs and customs when it comes to breastfeeding. Some of these are helpful to mothers and babies; others are fairly harmless; while others could potentially have a negative impact on a baby’s health.

Here are a few examples of how breastfeeding is viewed around the world by various cultures:

  • In many countries, including India, there is a widespread belief that colostrum (the nutritionally-dense liquid produced by a mother immediately after her baby’s birth) is impure or ‘dirty’. Hence, it is often expressed and then thrown away. The baby is then fed formula for the first few days of its life.
  • In Lebanon, it is commonly believed that a mother’s stomachache can be passed to her baby through her breastmilk. Similarly, many believe that eating foods such as cauliflower and cabbage can cause the nursing baby to develop gas and bloating.
  • In predominantly Muslim countries, breastfeeding is often seen as a religious duty, as the Qu’ran specifies that babies should be breastfed by their mothers or a wet nurse for approximately two years. In the past, shared breastfeeding was not uncommon, with relatives or neighbours with babies of a similar age sharing the nursing amongst themselves.
  • In some areas of Kenya, women are advised not to breastfeed after a quarrel until they have undergone a ritual cleansing, whereas in other regions it is believed that breastfeeding in public makes the mother and child vulnerable to the evil eye.
  • In Mongolia, breastmilk is considered so healthy and appetising that even adults will occasionally indulge. It is not uncommon for a nursing mother to offer excess milk to her husband or another family member, and it is often given to the elderly for medicinal purposes.

As this list shows, a woman’s approach to breastfeeding could depend on what country or culture she’s born into and the prevalent messages and customs she encounters there — although her personal taste, physical ability to breastfeed, increasing scientific awareness and global education also play a role.