Having read about and even seen first hand the dreadful outcomes of aggressive formula marketing in the developing country where I grew up, I wanted nothing to do with the stuff - why should I line the pockets of these evil companies who cared more about money than tiny little babies?
So I did my best to prepare. Signed up for antenatal classes at my local hospital and with the NCT (as recommended by my GP - I had never heard of them; wish I hadn't) and thought that would be fine.
DC1 arrived a week or so early, after a 7-hr labour he was born in a birthing pool at the hospital, and latched on enthusiastically. Within a day, my nipples were cracked and painful but the midwives said the latch was good and not to worry. I was euphoric and didn't mind the pain and it didn't occur to me (or the next two midwives) that he might not be getting any milk/colostrum even though he had only done one poo the day after the birth.
By day 4 he had lost 10% of birth weight, my nipples were bleeding and instead of help and support I was simply given advice to "top up" with formula after every feed.
I was incredulous (even more so now - I mean, everyone tells you when you're pregnant that there's so much pressure on mums to breastfeed. Ha. Where I was it was all about pushing the formula) and asked if I could try expressing milk, to top up with that. How did I plan to express? I told the midwife I had heard one could do it by hand. Great, she said, take a look at page 15 of your yellow leaflet. It must be really easy, I remember thinking, if I can learn it from a leaflet.
She also sent me back to the hospital. A paediatrician examined my baby, ran some tests, said everything was normal - had there perhaps been a weighing error? She then advised me to top up with formula, proving that she did not have a clue as to whether there was a milk transfer problem or not. I decided to try expressing to top up.
Not a drop would come out. I followed the instructions carefully. And my breasts were huge and hard - there had to be milk in there! I tried breastfeeding again but the next day came down with mastitis.
I was delirious and not particularly rational. My husband had gone out with the MIL and bought a whole bunch of formula - including the "extra hungry" variety. I felt betrayed. Why would no one help me breastfeed? I had chosen to breastfeed after all.
I saw my GP who prescribed antibiotics but couldn't help with breastfeeding. There were leaflets from formula companies in the waiting room. I tried phoning, in order, the NCT bf teacher, the hospital birth centre, the NCT antenatal teacher, the postnatal ward, and the national bf helpline. There was no answer at all at any of these. The phones either kept ringing or went to voicemail and I was too emotional to leave a message.
When DC1 was 10 days old, he had lost 18% of birth weight and the midwives sent me to the hospital "for support with feeding". I was so relieved - at last, someone was going to help me! Turns out, support with feeding was a euphemism for bullying me into formula feeding. I asked to cup feed but that wasn't allowed - not precise enough, because of spillage. But then after bottle feeding my baby would spit up, and where were these 'men of science' with their measuring cups then? And the latch got worse than ever.
Eventually I found a private LC who helped me through 3 more bouts of mastitis and eventually 50% breastfeeding alongside the formula.
This is much too long already so all I will say is, DC2 was easier. Same at the start but at least I knew there were issues and could deal with them immediately.