"I have often wondered if mixed feeding was more tolerated and advice was available (not people advised to mix feed) if more mum's would feel confident in breast feeding"
First off - the best person to get advice on mixed feeding from would be a breastfeeding counsellor. As long as they know you are making an informed choice they would be happy to help you find a way of mixed feeding that did the least damage to your chances of long term breastfeeding.
Mixed feeding IS more than 'tolerated' I'd say, most bf mums in the UK mixed feed from week 2 onwards.
But then the majority of mixed feeding mums have given up bf altogether by 16 weeks, most claiming that the reason why they gave up was 'insufficient milk'.
I think all a good hv or midwife would want is for a mum to be able to make an informed choice: to understand that while every day of partial or full breastfeeding benefits a baby, by mixed feeding she is losing many of the health benefits of exclusive breastfeeding, and that mixed feeding before milk supply is well established is likely to shorten the overall duration of breastfeeding. As long as mums are given this information and they understand the research behind it then it's fair play to them - they can do what they want.
Re: Tracy Hogg on breastfeeding - you might be interested in this review from Kellymom
"On the issue of breastfeeding, Hogg again plants herself on self-proclaimed middle ground. She laments the "controversy" over feeding choices and sympathizes with new moms who must wade through "huge propaganda campaigns." (I would think her attempt to equate the efforts of volunteer organizations such as La Leche League with the money-driven marketing of formula companies must be insulting to many readers, regardless of their feeding choices.)
Even as Hogg congratulates herself on her "even-handedness," she manages to vastly understate the benefits of breastfeeding while giving considerable ink to the merits of formula, which, she informs us, "is more refined and chock-full of nutrients than ever."
The section of her book titled "Making the Choice" reads more like a defense of formula than an objective overview of feeding choices. Among other things, she poo-poos bonding as a reason to breastfeed, complains that the health benefits of breast milk have been overblown, warns that nursing mothers must carry an extra five to 10 pounds to ensure proper nutrition for their babies, makes a point of emphasizing that studies merely suggest - not prove - that breastfeeding might offer women protection from a variety of health problems, and maintains that women concerned about body image might be better off using formula since breastfeeding can leave them "flat as pancakes" or "sagging."
Hogg seems so eager to make up for the breastfeeding advocates who are, she implies, out to make mothers who choose formula feel guilty, that she can't seem to discuss breast milk without plugging formula in the same breath:
"The proverbial bottom line is that while it is good for a baby to have some breast milk, especially during the first month, if that's not the mother's choice or if for some reason the mother can't breastfeed, formula-feeding is a perfectly acceptable alternative - for some, the preferable alternative."
When it comes to the practical how-to's of breastfeeding, Hogg provides nuggets of accurate information, but she offers up numerous duds as well, including such incorrect or incomplete information as:
"After breastfeeding, always wipe off your nipples with a clean washcloth. The residue of milk can be a breeding ground for bacteria ." (Just not true; there is no need to wipe your nipples after every feeding.)
". always wait one hour (after exercising) before breastfeeding." (The lactic acid buildup she's warning about has not been shown to cause harm, and though some babies seem to dislike the taste of mother's milk after heavy exercise, many babies show no aversion whatsoever.)
And for a mother worried she isn't producing enough milk: "Once a day, fifteen minutes before a feed, pump your breasts and measure what you are yielding. Taking into account that a baby can extract at least one ounce more by physically sucking at your breast, you have a good idea of what you're producing." (While this test might work well for some mothers, it can be misleading for others. Many mothers find that, though they get very little milk when they pump, their babies are getting plenty at the breast. Weight gain and the number of wet diapers a baby produces are better measures of milk production.)"
My comments:
But then as the writer of popular parenting manuals, Tracy Hogg has to make sure that she didn't alienate the ff and mixed feeding mums who make up the bulk of her readership. Interestingly she described herself as a 'lactation consultant', among other things, but her biography gives no details of her training. I suspect she's like Claire Byam Cook (writes a lot on mixed feeding) - an ex-midwife who doesn't actually have any proper qualifications in lactation and gives non-evidence based advice. She wouldn't be alone there - most of the writers of baby manuals do this - Gina Ford also. She's constantly giving out advice and information and making proclamations about breastfeeding although she is unqualified to do so.