My eldest is 27. I tried very hard to breastfeed. I had 4 community midwives who all gave different advice. The worst being camillosan is totally natural, nothing in it can cause harm. My only allergy in my notes is lanolin! Guess what.
I had mastitis day 10 - hopeless advice from the emergency number. "Oh don't worry if you have flu, your baby will have antibodies." Because of course I had fever, shivers, aches and pains and felt generally very unwell. The big red patch on my breast was underneath only until 6pm as the GP was closing and refused to help. Emergency Dr arrived at 9pm and told me to feed 10 minutes each side every 4 hours.
Midwives were nonchalant, hv was hopeless and knew nothing about bf. Funnily midwives and hv had a very hard mantra that bf was best and the only option.
My breasts were so painful after feeding I could barely move for an hour afterwards. NCT told me to take paracetamol to take the edge off before a feed and recommended a mechanical/industrial breast pump to give the nipples a rest.
At 5 weeks I had mastitis again, at 8 weeks a breast abscess. Nobody would give me permission to bottle feed and I couldn't bring myself to due to the mantra. The 9nly oerson who told me I was nuts and not to listen to the midwives/hv was the breast consultant who drained the abscess.
It didn't help that I had oodles of milk. Years later the dentist commented that DS had a very flat palate and a little more research indicated that may have been the cause.
In the end an NCT volunteer who was oreviously a nurse visited and went out and bought me a set of bottles and a tin of formula and showed me what to do. That should have been done at about 10 days. It gave me permission to stop.
However, yes I do think there are costs attached to bf. For me:
Camillosan
Breast pads
Feeding bras
Hire of mechanical pump
Return cab ride to emergency pharmacist (they were not open 24/7 like now)
Private breast consultant
Books about it
Counselling months later to help with the PND that set in months later.
Lactation consultants were like hens teeth 27 years ago and other hcps were nazi like in their insistence that one had to breast feed.
DD was very little problem 3.5 years later but I had learnt a lot by then and I was very assertive about no more than 2 midwives visiting and I refused the hv. Generally 23 year old who think they know it all aren't helpful. The biggest cost 2nd time round was the au pair to help out with the three year old.
Let's not forget very poor women get milk tokens.