Mandy - it's terrible that people think you should be able to do everything just because you are an HV ! Every mother needs support, especially with their first child.
Yes, the NCT people were excellent and they spent a whole 2-hour session in their antenatal classes showing us how to put a baby doll to the breast, but nothing beats the real thing, eh ? So I was lucky I knew all about "latching" baby on, but that was it.
I ended up taking my beautiful boy home just a few hours after birth and neither he or I could get him to actually drink any colostrum or milk for 4 awful, depressing, screaming from hunger days. He could latch on ok and I didn't get bloody, torn nipples (see below re. Lansinoh ointment), but he didn't actually suck and so couldn't drink properly.
No one tells you this in BF classes: "baby may latch on, but he may not know HOW to suck". That was our problem. By day 4, poor, hungry DS, finally got enough of a latch and suck method sorted out to drink. Luckily, we also got help from a friend who had BF both her sons and was an expert breast-feeder. Nothing beats having someone sit next to you and show you with a REAL boob and a REAL baby how to BF !!
I love the NCT, they do great work. But they didn't put enough emphasis on "contingency" matters when things go wrong, i.e. expressing and cup feeding which with hindsight makes me quite angry. Despite the fact that my milk didn't actually "come in" properly til day 4, I am still upset that a BF counsellor didn't tell me over the phone that I could express and cup feed. I only found out this method (from the internet - long live the internet !!) months after DS was born. This is exactly what I did when he had a sort throat and mouth aged 3 months and he found it too painful to suck. I expressed and cup fed him for a whole week. This is so important and women who don't have enough info. about expressing only end up giving up BF altogether. This can be avoided.
I have something to say about Lansinoh ointment. It is the most amasing product (available at Boots and Mothercare) and all BF mothers should be told to go and get a tube of it when pregnant and start putting it on their nipples in the last weeks of pregnancy to keep their nipples soft and continue to use it as long as they need to while BF. Even with a fantastic latch metod, you can feel very sore in the first few weeks simply because baby wants to feed ALL day and ALL night as my DS did. Once he knew what to do, he wouldn't let go of my nipples ! Lansinoh helped me with sore nipples and I still use it every now and then (8 months on) just to keep my nipples supple.
HunkerMunker - you are spot on. I think I will be joining LLL or another BF organisation soon, instead of just preaching on this website ! Good for you for writing to your MP ! I have decided not to join the NCT because I have found out that they accept financial support from formula companies. I have also started to boycott products made by companies (such as Nestle) that try to force poor, often illitrate mothers in Developing Countries to give their babies formula milk. I fell very strongly about this one.