It seems that attitudes/knowledge/support are no better now than they were some 40 years ago when I had my children.
It’s no good pushing women to breastfeed if the support and information isn’t there. Too often there are posts here that suggest there are HCPs who don’t understand the mechanism of breastfeeding, so aren’t much use to a woman who is struggling.
There also seems to have been fads about tongue-ties – routinely checked for and snipped, then no baby ever had a tongue-tie, now it’s all a bit hit-and-miss depending on where you live.
It’s as though it’s all about the agenda; not looking at an individual mother and an individual baby and figuring out what’s best for both.
DD had a traumatic EMCS birth with DGC. She did well to get breastfeeding established, but that wasn’t without some issues. On one occasion, when DGC was just a couple of weeks old, he wasn’t particularly responsive and the paramedic diagnosed low blood sugar, so off they went to hospital. Several days later, DD phoned me late one night because DGC was very fretful and wasn’t feeding well, so would it be OK to give him some formula? I said that a baby needs energy in order to feed, so one small bottle wouldn’t disrupt her supply but could perk him up enough to get breastfeeding back on track.
It’s not about what’s right and what’s wrong, it’s about what works.
Having said that, there’s an Aptimil advert that always irritates me. It shows a breastfeeding mother, but her denim shirt is pulled down from her shoulder as far as it will go, and she’s clearly not wearing a bra. That sends out the message that in order to breastfeed you have to get semi-naked. That’s an insidious message that could well play into anxieties of new mothers.
I really don’t know what the answer is, except that neither health agendas nor advertising tactics are serving the needs of new mothers and their babies.