"But the information is already out there, isn't it"
Sort of. Almost all bf promotion materials are angled in such a way that formula feeding is presented as the acceptable 'norm', with bf presented as something 'extra' healthy - ie 'breastfeeding reduces the likelihood that your baby will get an ear infection'. I believe that the majority of people who use formula are not aware that there are any risks associated with its use for, them or their baby. I find this a bit jarring and odd, as the concept that there are additional risks attached to bottle feeding is common currency among health professionals working in maternity services.
"The question remains, what is the most effective way of increasing the number of women who not only bf initially but then continue to bf beyond 6 weeks?
What do you reckon? Should we be standing in the aisles in Tesco haranguing women buying formula? Shoving statistics in their faces telling them that they'll die of cancer if they buy that tin of SMA? Calling out "Are you thick, you low life, don't you know you're baby is going to suffer because you're such a selfish cow?"
Is anyone on this thread arguing that women should be 'harangued' or abused for not breastfeeding? No? What's the point you're trying to make then?
The OP was (clumsily) trying to make the point that bf promotion might be more effective if it used the same sort of tactics as many other health promotion campaigns - ie warning people of the risks of certain behaviours, rather than emphasising the benefits of the behaviours we want to encourage. She put it very badly, but it's actually an issue which has been very widely discussed by health professionals engaged in health promotion work.
Nobody is arguing that women should be personally abused for not breastfeeding or made to feel like failures. It's about what approach will get the best results - 'carrot' or 'stick'. I'm sure you can see how both these approaches are used in relation to other health issues - smoking, healthy eating etc. Why shouldn't they be used in relation to infant feeding as well?
Actually I can see far more justification in using these sort of health promotion tactics in relation to baby feeding than I can for other health issues. One of the biggest problems women experience in establishing breastfeeding in the UK is linked to heavy use of formula by bf mums in the first few weeks after birth. At a national and at a individual level, formula use damages breastfeeding (ok, ok, I know many people successfully mixed feed, but it doesn't change the fact that many, many others have their bf curtailed because of supply problems caused by formula use). It's not enough to just encourage bf by emphasising the positives of bf if this is the case. Women have got to be discouraged from using formula too readily if the overall aim is to stop women from failing with breastfeeding in such large numbers.
"If you want to do something, do something positive."
Yes - some of us are doing this anyway! It al needs doing!
"Why not stop all this anti top up stuff"
What - stop telling women that using formula while they're trying to establish breastfeeding has strong chance of curtailing their breastfeeding in the medium and long term? And not making available to them information about the disadvantages to them and their baby of mixed feeding as well as the advantages? Why? How can women possibly make an informed choice if they're being given half truths, and misled in this way? I think it's an absolute betrayal of mothers not to give them the fullest picture possible, so they can make a properly informed choice as to whether they want and need to supplement, or not.