I missed your post earlier gillymac - sorry but I don't understand - you appear to contradict yourself. You say "I'm well aware that for mother and baby 'breast is best'" but then go onto say "I also think it's unhelpful to imply that bottlefeed = poorer health and that if a bottlefed baby is healthy then it's a matter of luck." But you just said yourself that you thought breastfeeding was best for baby!? Also I am not implying anything about bottle-feeding, it is a documented fact that bottle-feeding babies are sicker ? why do you think there is so much promotion about breastfeeding, why bother if there isn?t any difference? Sorry to be harsh but your comments don?t make sense. I totally agree with you about the environmental effects in general of our lives ? I suppose that is why manufacturing bottles is just one more (possibly unnecessarily) thing to deal with.
As for your failure ? I said earlier that women shouldn?t feel inadequate particularly if they have tried, I had a very difficult baby first time round but the next was very easy (same mother, different babies) breastfeeding failure/success is often down to the baby.... sorry repeating myself again.
Some of the health of a baby is luck, some is due to housing conditions, cleanliness, genetics, exposure to illness etc. In the Western world f/f babies will thrive because they have less problesm to deal with but even in the best of worlds they will not fare quite as well as a b/f baby under the same conditions. Don't forget that fmilk doesn't contain any antibodies.
Regarding the whole scenario which is often mentioned of guilt and breastfeeding - I kept on being told I shouldn?t feel guilty when I was having breastfeeding problems with ds and quite frankly I found it patronising. Sometimes you have to feel guilt in order to learn anything. If one is ignorant then one shouldn?t feel guilty because one has to know if one has done something wrong, or could have done otherwise.
As you said gillymac there is so much ?breast is best? campaigning about and it seems that women know only too well about breastfeeding being good for your baby. All very well to know this fact but it has to be put into practice (I mean learning to read is good for you but no-one would expect you to do it alone!)
And so to allay feelings of guilt, HVs and likewise fudge the issue a bit and say ?there there it doesn?t really matter?. However a vast majority of women who didn?t want to breastfeed have wanted to do it. Perhaps women are too harsh on themselves but to me this means asking (and getting) more support. Rather than struggling alone with breastfeeding, and consequently feeling bad if you?ve failed it would be better to have had the correct support and possibly avoided the failure (sounds bleeding obvious but policymakers don?t seem to have cottoned onto this).
This means recognising that breastfeeding is a good thing and not saying ?oh well it doesn?t really matter? because if people think it doesn?t really matter then women are never going to get that support. Sympathy is never going to solve anything and merely masks what went wrong, and the woman goes away thinking it is her fault and the true problem is never addressed. Hence a mystery surrounds the breastfeeding failure, which means the next mum comes along with very little knowledge and she too fails, someone says ?it doesn?t matter? and so on, and on....
Anyway, I?m off for a lie-down ... feeling a bit overposted!!!