When I was pregnant with DS, I went to NHS antenatal classes (this was Feb 2004). They covered breast and bottlefeeding in a very non-threatening, impartial way. The midwife taking the class was excellent, really friendly, approachable, etc. She said it was silly to deny people information about bottlefeeding, even though "the NHS" recognised that breastfeeding was best.
When I had DS, not one of the hospital's "supporting breastfeeding practices" was followed. I know this because six months after I had him, I went back to the hospital to talk to the head of midwifery and the midwives manager about their lamentable lack of support. I had my own experience, that of a close relative and numerous people I'd met since I'd had DS to draw from. My relative's little boy was bottlefed after being given bottles on the postnatal ward, totally unnecessarily, since he was a very good weight, totally healthy and just a bit sleepy post-delivery.
With DS, I was left to get on with it. After he was born and I was still on the labour ward, I was not helped to position him (as the hospital states I should have been). In fact, I was not told anything about breastfeeding him (as the hospital stated I should have been). It was all over my notes that I wanted to breastfeed, but nobody mentioned it to me.
In fact, the day I spent on the postnatal ward was totally vile. I was shouted at by one midwife who had left her keys on my table (I'd not noticed them, she thought I should have done as she'd been looking for them...!), and everyone else but one midwives assistant ignored my requests for help with feeding DS. And that assistant simply shoved my boob in DS's mouth and told me that was how you did it (it wasn't!).
The head of midwifery looked down the list of staff who had attended me (in the hope that some were agency staff) - but they weren't. They decided to have a reflective session where they talked about proper breastfeeding support for women. And they acknowledged that women post-delivery wouldn't be happy to stand in a corridor and read posters about breastfeeding (which they had been very proud of having, until I asked how they were really any use...! I asked politely, of course!).
Since DS was born, I have had a number of health professionals express surprise, disdain and concern that I am breastfeeding. Now, I don't want to be patted on the back for it, but when presented with a smiley, thriving, healthy baby, who happens to be a little on the light side (even though chubby and bonny - not quite sure how DS manages that!), why do HVs frown and fret so much?
I have had top-ups and mixed feeding suggested to me on various occasions and one GP was horrified I was still breastfeeding a one-year-old (when I told him the WHO recommended at least two, he was incredulous and said, "But...they bite, you know!").
I never spoke to a breastfeeding counsellor while I was struggling in the first couple of months. This was not because I was unaware of their presence, it was because I am bloody stubborn and wanted to learn how to do it myself. For stubborn, read stupid, I suppose...!
As far as being reminded constantly that breast is best, if you are in the thick of baby things, this will be the case. Should it not be?