That poster is extremely patronising. But it's not just breastfeeding, postnatal care in the NHS is shit. And I'm allowed to say that because I'm a midwife. 
Our breastfeeding training emphasises the importance of the first "golden" hour for uninterrupted skin to skin to establish breastfeeding, and if you interrupt this process it messes up the baby's natural instincts. Oh how I laughed. This was clearly written by a person who doesn't work on a high risk, busy London delivery suite. It just happens so rarely. It's wrong that we're essentially fucking it up from the start because we now have to do suturing (and I was appalled when I heard a midwife tell someone she couldn't feed the baby and be sutured at the same time. Yes, it's more difficult but you definitely can), baby needs to be weighed, notes need to be done, the woman has to get in the shower so we can shove her off to the ward as quickly as possible so we can use the bed for someone else coming in. I've been shouted at before for not getting a woman off within 3 hours or told to hurry up because the bed was needed. It's acceptable now to send the woman to the postnatal ward without the baby being fed properly, thinking the staff there will sort it. We're also shown lovely videos about the instinctive crawl to the breast babies will do and it is amazing. Very rarely do we see that in reality because of the practices above. They're teaching us breastfeeding support for the ideal birth, not for the reality of a hospital nhs birth where you might have had a c-section or 3rd degree tear so need to go to theatre.
As for the breastfeeding support midwife, she's great when she's actually there. But she seems to just flit in at random times for an hour or 2 then disappears again. She's not a big presence on the ward, which I think she should be. Most of the time when I've called her to ask for help she's busy.
I work on postnatal ward, can sometimes look after up to 10 people. We're often short staffed. Good breastfeeding support takes a long time and I can try my best and there's only so much I can do before needing to go to help someone else. Again, there's pressure to get people out, as beds are needed. I know midwives who hate working there and I'm sure that attitude doesn't help. I enjoy it but I find breastfeeding support hard work sometimes.
I think another factor is how we live now. In the old days, you'd have your mum just up the road for help and if from a large family you'd grow up seeing breastfeeding. So many women now are brilliantly educated but actually have very little knowledge of their own bodies, in terms of breastfeeding, how labour works etc. in my breastfeeding training I was asked to draw the inside anatomy of a breast, and I'll be honest, I was pretty stumped. If I don't know, then most women won't either. That coupled with growing up without seeing breastfeeding, no experience with babies and very little support and an emphasis on routines for babies even at a young age, sleep deprivation then it's no wonder so many give up. What I find sad is how many women will tell you they don't have enough milk. Now, I know that is the case for a lot of women but the majority of cases are because their breasts haven't been stimulated enough in the early stages. Your body can stop producing as much milk surprisingly quickly. But women are saying this to me when they've barely even fed the baby for the first time and it's their first. I don't know if it's because they know others who had bad experiences, or they had a traumatic labour so they feel this won't work either. Just seems like so many women don't trust their body's ability to feed their baby at all. I'm not saying all you have to do is chant, say some affirmations and baby will latch but I just wonder if going into it straight away thinking you don't have enough milk then it's not going to help.
Also, drugs in labour have an effect. Pethidine, epidurals are debateable. And babies have to learn to. Even I find it very frustrating when a baby will lick a nipple a few times then fall asleep or root around for ages thn get so frustrated they start screaming and then won't feed consequently. And I think JUST SUCK for god's sake. But it's a learning process for both of you.
I hate this mummy war. Why is it that women get chastised for choosing how to feed their child yet dads are treated like heros if they manage to bung some chips in the oven. I'm exaggerating but I do think we have a culture where women chastise themselves.
Also, I wonder if we intellectualise it too much. Having all these classes for everything. Don't get me wrong, some of the info is useful and I actually enjoy doing classes but a baby doesn't follow what the classes say. I do roll my eyes a bit at the practising with dolls. Ha, if only it was that simple! But I've known a few African women who find the idea of going to a breastfeeding class very odd. Like going to a class to learn how to have sex (although I guess sex education is going that way as well what with practising putting condoms on cucumbers).
Anyway, this is a very long winded way of saying that if you can, pay a lactation consultant. My sister's midwives spent ages faffing about using nipple shields for her to sort out her cracked nipples when in one afternoon they sorted the latch out, problem solved. And midwives aren't always great at spotting tongue ties. I haven't had any formal teaching about what a tongue tie looks like. Lactation consultants on the wards would be so useful but it would cost too much money. Or to have midwives with lactation consultant training. Is too much money again.