BF is apsolutely the best way to feed a baby, however, there is no acknowledgement that it isn't always possible - even for full term perfectly healthy babies.
I am not talking about the 'difficult' stage of learning how, or waiting for your milk to come in etc. It is literally impossible.
When I had my ds1 I really wanted to bf. There were pictures all over the doctors, health centre and hospital showing how bf is best for baby. There was no way I wasn't going to give my ds the best I could.
When I had my ds1 I tried and tried and tried to bf. I stayed in hospital 5 days to try to get him to latch on with all the 24 hour on hand support I could need. I could still not get him to latch on. We ended up feeding him by cup rather than try a bottle.
After 5 days I had to go home as there was no need for me to be in hospital other than the bf issue. The morning I went home, the midwife sat me down in a small room and said that they had to encourage bf but in my case it was unlikely to happen. She said that in the developing countries if the mum was unable to bf the baby would be wet nursed, but if the baby was unable to bf it would just die. She said that is a major reason for such high infant mortality.
I still ignored her advice and instead hired a professional breast pump to get my own milk for him to feed by cup. I used this for a further 2 weeks - even then this was barely more than a teaspoon full after over an hour of pumping.
In the end my health visitor told me that unless I went on to a bottle my ds1 would need to be readmitted back to hospital. It seemed both he and I were unable to bf.
I was so upset and my health visitor said that my life as a mum I would feel guilty over so many things, bf was only the start. Bf is important but there are many more important things such as giving your dc time and patience etc throughout their life.
I truely believe that this terrible start was a major factor in my PND.
My advice now (3 children on) to other mums, is if you can bf great, try and try but if it doesn't happen and you are struggling so much that it is making you miserable, don't worry about going on a bottle. It isn't the end of the world and isn't what counts in terms of being a good mum.