ks, thanks for this.
You said: " Similarly breastfeeding. Yes, difficulties were touched on, but there was never any doubt that we were all going to try, because that was best, and if you couldn't... well... not your fault... said with a small sigh, grin, and downward glance, then a small silence as we all considered how we would cope if we didn't breastfeed."
And what would have been a better way to deal with it, given it was the breastfeeding class, and you all went to it, knowing it would do what it said on the tin? The small sigh scenario....that is maybe how it felt, but I have observed as well as carried out scores and scores of bf classes and I don't recognise it as a literal depiction of what goes on.
The vast majority of women going to an NCT class say they want to breastfeed. They may be lying, I don't know! Maybe they are just saying that. But if we take what they say at face value, they want to try it....and they need to know there are problems, that many women do try it and find it isn't plain sailing, and that it isn't their fault. For some women, not being able to breastfeed is a big deal, and they need to know that.
"One of our group didn't, I remember, and she was really upset about it. Partly because it had been focused on to death in our NCT group." I think when women really want to breastfeed and then don't because it all goes wrong, they may well feel upset because of all they have learnt about breastfeeding - and NCT classes may have a role in that.
I don't know what the perfect answer is. Not talk much about breastfeeding, and leave the people who need/want to know about it as under-informed as the world around them? In order to prevent exacerbating the distress of those who wanted to and didn't manage it? Or is informing and discussing the way forward, to help more people become able to fill in that information/support gap themselves?
I think on the whole, NCT get it right - obviously, not every moment of every day, and not with every single one of the many thousands of encounters with women it has every year.....but we don't bang on about breast is best, and we certainly do take women's pain seriously.
I can't comment about the antenatal teaching and epidurals and so on, sorry.