There are two big breast fights going on at the moment and I’m nestled snugly between them. In the cleavage. Yes, even as you read this, people are waging war over boobs.The most public battlefront is over at Facebook where discreet images of breastfeeding have been deemed too offensive to remain on the world’s biggest social networking site. Wait, let me check the calendar because nobody told me a leap year means we leaped back to 1953.
Facebook, your ban is bollocks. Look, I know Mark Zuckerberg is really young and everything but it seems he doesn’t yet know the difference between “breastfeeding” and ”topless”.
Because unlike, say, flashing your boobs on a hens night, the only bit of breast visible during feeding is a modest glimpse of skin. It’s barely even breast. More like chest. And it’s far less than you’d see on display in the average food court. Unless your norks are enormous or your baby teeny tiny, their head obscures most of the action. So come on, Facebook. Pull yourself together and lift your ban. Honestly.
When it comes to bosoms, you couldn’t get two organisations more philosophically opposed than Facebook and the Australian Breast Feeding Association. They don’t like each other one bit. Do you know what else the Australian Breast Feeding Association doesn’t like? Formula.
I remembered this last week during a visit with a friend’s new baby when I was drafted into another breast battle, this one far stealthier. Before I explain, you should know this: I’ve breastfed three babies. Two successfully and one disastrously. I say this to establish my credentials as someone who has both loved and hated breastfeeding, who has felt like a legend and a failure, who has used formula at times and who is well versed in the complex politics of The Boob As Food Source.
My friend’s baby was four weeks premature, had lost some weight and was a little jaundice. Nothing serious but still anxiety-making for a vulnerable new mother mainlining hormones and sleep deprivation. Before I’d arrived, the paediatrician had instructed my friend to give her son a top-up with formula “even if it’s just for 24 hours until your milk comes in”. She cried. Tears are a typical new-mother response to most things (“Tea? Coffee? Why are you crying?”) but especially to the idea of formula. We feel like we’ve failed. Guilty. We fear our child will end up living in a cardboard box with no shoes and torn pants and it will be OUR FAULT BECAUSE WE FED HIM SOME FORMULA.
Groups like The Australian Breast Feeding Association have done a bang-up job at publicising the benefits of breastfeeding and I’m not being sarcastic. Is there a woman in the western world who doesn’t know breast is best? Message received and clearly understood.
But in some cases, the pendulum has swung too far, from positive encouragement to negative pressure and borderline bullying.
It happens. It happened to my friend. When I arrived she was quietly seething, having requested formula from a midwife. The woman’s expression suggested my friend had in fact asked for a gram of coke and a naked male Twilight star off which to snort it. Ah, a Lactivist. These are the lactation ‘activists’ who believe so fervently in breastfeeding that formula is their f-word.
Incensed that my friend had been made to feel so bad about following her doctor’s advice, I went to the nurses’ station to ask myself. “Hey! Um, would it be possible to have some formula for my friend in room 48? She has to top up her baby after his BREASTfeed.” They blinked. ‘Doctor’s orders” I added sweetly. Finally, a kindly midwife nodded and quickly ushered me into a locked room where she checked my friend’s chart and frowned. “Can she wait a few minutes because I need to get two midwives to sign out any formula and the shift is just changing.”
Two midwives? Signatures? When I collect my son from pre-school, only one signature is required. No medical qualifications. And he’s an actual person, not a small jar of liquid.
When the midwife finally brought the formula – maybe 100ml – to my friend’s room, I probed her a bit further about the signing out. Were we feeding a baby or negotiating a hostage situation? She winced sheepishly and explained that the hospital was in the process of applying for accreditation as Breastfeeding Friendly Workplace from the Breast Feeding Association. a Baby Friendly Health Initiative (accredited by the Australian College of Midwives)
And what did this mean, I asked. Well, formula was never displayed anywhere – it was hidden – and neither were bottles of ANY KIND EVER. She stumbled over the word ‘bottles’ and looked fearful that it had slipped from her mouth. Were the lactation SAS going to bust in and haul her away for re-education?
To be fair, this midwife wasn’t a hardcore Lactivist (thankfully, most aren’t). While she was at pains to point out that breastfeeding should be promoted as the first and best choice, she also acknowledged that sometimes it just wasn’t possible for mothers to breastfeed or do it exclusively.
True, that.
So the moral of the story this week is simple: let’s chill out about breasts. They’re not dangerous weapons that must be hidden from vulnerable onlookers, half of whom have a pair of their own. And they’re not always a fountain of nutritious love for a baby because sometimes the breasts – or the baby – have other ideas. And Facebook? Stop being a boob.
NOTE: Tara Moss, patron of the Baby Friendly Health Initiative contacted me yesterday after reading this column and we have published her response below in comments. Scroll to read it.
I was also contacted by Nicole Bridges from the Australian Breastfeeding Association who asked me to publish the following to clarify my referring to them incorrectly as the Breastfeeding Association (since corrected) and to also clarify what exactly they do, their official position on formula and how they are involved in the BFHI program I referred to above. Nicole is the Assistant Branch President of the NSW ABA and she writes:
1) We are not the Breast Feeding Association – we are the Australian Breastfeeding Association (ABA)
2) The ABA does not dislike Facebook, and the Faceboob protest you are referring to was organised by an individual, not by the ABA
3) The ABA does not dislike infant formula, and acknowledge that it is an important and often life saving product for many babies
4) The BFHI program that you refer to, while supported by the ABA, is actually an initiative of UNICEF and the World Health Organization which in Australia is managed by the Australian College of MidwivesAs Australia’s leading authority on breastfeeding, we:
- educate society and support mothers, using up-to-date research findings and the practical experiences of many women
- influence society to acknowledge breastfeeding as normal and important to parenting and the physical and mental health of babies, children and mothers.After reading your article there may be mothers who do not feel comfortable to contact us for support feeling like they will be forced to breastfeed. Nothing could be further from the truth. The ABA currently has more than 1,400 trained volunteers and 250 Australian Breastfeeding Association groups, 14,500 members and our trained volunteers counsellors took approximately 80,000 calls to be Breastfeeding Helpline in past 12 months.
Mia, I have organised a comprehensive package of information to be posted to you in hard copy. I hope that you have the time to read through this information and learn a little more about the ABA and what we do, and why breastfeeding is important (contrary to popular opinion, there are in fact NO benefits of breastfeeding as it is the biological norm). Our Association endeavours to support women and their partners to breastfeed, and acknowledge that breastfeeding is only one aspect of skilled and loving mothering and we frequently and happily discuss weaning with mothers. We operate on a policy of unconditional positive regard which means we support all parents and their choices in regards to parenting and feeding.
Breastfeeding? Any thoughts?






Comments
712 Comments so far
After reading some of these comments I just had to say something myself. A lot of women here are claiming they feel judged by giving their babies formula, or that they are somehow a “failure”. Well guess what, I get judged all the time because I’m a breastfeeding mother!!
My son was only 7 weeks old when my mother-in-law asked me how long I was planning on breastfeeding him. Confused, I answered with a mumbled “I don’t know” so she informed me that she thought it was a bit gross when women were still feeding their babies at 18 months!! Apparently, there “isn’t really any need for that”!!
I’ve had a tradie at my house who, after having the “no, he doesn’t sleep much” chit chat, told me to give him a bottle of formula at night to knock him out. (this also happened at my mums when she had an electrician fixing something at her house)
When I had my wisdom teeth out a few months ago, the anaesthetist very casually told me it might be easier to just wean my 10 month old so I wouldn’t have to “bother” about expressing in preparation for any painkillers I may need to take.
I can’t even tell you how many times people have said “are you STILL breastfeeding him? God, you’ll still be going when the poor kid goes to school”. What the hell is that? I have not once said one thing to a mother who was bottle feeding her child. Not even the really dim-witted ones you see that prop the bottle up in their babies mouths while out shopping (it really must be hard to actually hold your child and the bottle for them)! But apparently everyone can have an opinion on my choices. I have to cover up and feed “discreetly” lest I offend someone. I can’t be happy and proud of myself that I got through the tricky start we had trying to breastfeed (and the thrush and the blocked ducts and the mastitis) because I might make another woman feel bad for her choices!
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Well said! Couldn’t agree more.
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I’ve had similar experiences. I fed my daughter until she was 3 without any problems but I can’t say so because that would be showing off or inconsiderate to other mothers. I also had my baby vaginally without any drugs but heaven forbid I talk about that experience. I think many women are really weird that way, after 7 years of parenthood I still don’t get it. I think we should all be free to talk about our experiences without everyone being so bloody defensive or critical of others.
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Pain is not a contest. NO parent should be judged/ridiculed/have snarky comments or looks thrown at them for feeding their baby the way that is best for them and their family. Instead of fighting one another in a breast vs bottle war and comparing scars we should be uniting together to say enough is enough – the bulling towards feeding mothers needs to stop!
http://www.facebook.com/bottlebabies
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See, that’s exactly the problem: ‘pain is not a contest’. Lisa G and I have both said we are proud of ourselves for overcoming pain and other difficulties and going on to successfully breastfeed and someone comes along and says ‘pain is not a contest’. Who mentioned a contest? Why Lisa do you immediately assume that if a woman is proud of herself she must be looking down on other women?
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Yes, I never expected some of the comments like “Have you sorted out when you are going to wean her?” from my mum, when my baby was 6 months old. She, and many others have made comments along the lines of “well as long as you are not going to be one of THOSE mothers where the toddler runs up for a drink”.
Probably not, but so what if I am?!
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Ha! They wouldn’t like me then. My son often runs up to me, pulls my top up and has a quick snack!!! And quite frankly I don’t care what anyone thinks about it
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Yes! It happened to me too.
I lived near my workplace (over 100 ladies in the office) and some would drop by on their way home while I was on maternity leave. All except one told me I should be putting her onto formula. It was very disheartening when I was working so hard to feed her myself. Their reasons for why I should switch varied from breastfeeding being a waste of time because “formula does exactly the same thing” (she also implied breastfeeding was gross), to another saying I’d get more sleep if I “gave it up” and my husband/mother/other person could get up in the night, to I’d ruin my body and about 6 who said they didn’t have enough milk and expected that I too would have this issue (I know it happens but it is rare).
There has to be a good reason that only 14% of Australian women make it to 6 months. I don’t think we’re physically much different to other nations, it has to be cultural and a lack of support. My experience was the lack of support comes from other mothers.
I met a mother from Sweden who asked me if it was tabu to breastfeed in Australia because she hadn’t seen anyone feeding in public except in parents rooms. She said in Sweden in every cafe or foodcourt you’d see one or more mothers breastfeeding their babies. Why are we so different?
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https://www.breastfeeding.asn.au/bf-info/general-breastfeeding-information/breastfeeding-rates-australia
I have posted on this before, but it is not 14% that ‘make it’ to 6 months, it is over 50% of Australian babies that are being feed breast milk at 6 months, it’s just that most of them have had something else at some point too, be it formula or solids.
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Mia, is there any chance of an article giving advice and various options to breastfeeding mothers returning to work? I’d like to know options from expressing so my son remains exclusively breastmilk-fed, to formula supplements, to weaning completely.
I’m returning to work 4 days a week shortly and just don’t think I’ll be able to handle a toddler, baby, expressing, working and an hour and a half each way commute! I’d love to know how other mums have coped
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Bec you can call the ABA helpline and they will help you to do this.
They will not hang up on you or even berate you in any way because you have used the word FORMULA.
There are also lots of excellent information on their website on these topics.
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Hey Bec, we’re not planning an article about expressing in the near future but mamamia’s Nicky is in the exact situation you describe – we are a very breast feeding friendly workplace.
So i’m sure there are MM readers who can help out with some advice.
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Hi Bec,
Its sort of funny, but the ABA is actually a really good source of info on the whole breastfeeding / expressing/ going back to work thing.
https://www.breastfeeding.asn.au/bf-info/breastfeeding-and-work
AND the discussion meetings/ coffee mornings aren’t all about breastfeeding either. Lots of socialising and sharing tips. Best wishes.
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Hi Bec. I agree with some of the other repliers that the Mum to Mum ABA helpline maybe a great source of information and support for you to achieve your feeding goals. I would also invite you to have a look at our community – Bottle Babies, a support group for bottle feeding parents. We have a large amount of exclusively pumping mamas and combination feeding mamas as well as breastfeeding mums, formula feeding mums and everything inbetween and we try to keep the page respectful of all those feeding methods. All questions about any form of baby feeding is welcome on our facebook page: http://www.facebook.com/bottlebabies – so if you would like, please drop by and say hi
Good Luck
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The ABA Booklet Breastfeeding Women and Work will answer all your questions – and yes, weaning to formula either fully or partly is one of the options suggested. It is written by mothers, with lots of women’s experiences included as well as information for caregivers about looking after your breastfed baby. if you choose to express, the booklet expressing and Storing Breastmilk is a good companion to the work booklet. Check out https://www.breastfeeding.asn.au/breastfeeding-friendly-workplaces for information about how your employer can support your return to work.
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Hi Bec
I’m not sure how old your baby is and if this will help at all, but here’s what I did when I returned to full-time work when my baby was 11 months. She was allergic to a protein in cows milk and had allergies so formula wasn’t an option for us. Expressing and I were not friends either.
A few weeks before returning to work I started dropping the middle of the day feeds (10am, after lunch, mid afternoon), instead I gave her two feeds very early (one at 5.15am, one at 6.30) and 2 evening ones. (health nurse’s suggestion!)
The first 6 weeks were awful when I first returned because my breasts used to engorge during the day, but it did settle down and I fed her until she was 18 months. The routine became : up at 5.15am for BF #1. Give solid breakfast and top up with BF#2 by 6.30. Out the door by 6.45.
At the end of the day (the minute we walked in the door!), BF#3 and then the last one before she went to sleep.
Having said all that, I don’t know how old your baby is, and my situation sounds less complex than yours because I didn’t have a toddler to care for and my commute was short.
Best of luck, and whatever you do, treat yourself gently and if one thing doesn’t work, try another. Eat well, sleep as well as you can and try to spread the workload around. Yes, Mum!
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some of the best advise i got prior to having a child is from a retired midwife… she said to me after the third time i had mastis and cracked bleeeding nipples and in tears everytime i had to feed my baby, …”when your child finishes school, no one is going to know which child was breast fed and which one had formula, so don’t get hung up on it now”….. here’s a question i have always pondered since having kids is …’why does having children force women into micro managing the environment their kids grow up in? i understand YCH have to be so radical in educating mothers to get through to some people but the pressure to comply…..when you feel everyone around you is judging…..
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Okay I have thought about this article all day, I have angsted and been very sad and angry about how this article and your opinon post in the paper has affected the families that have posted and the discussions that I have had today with friends. I volunteer with the ABA and I have done for nearly six years, I have been breastfeeding for six years through three children, sometimes it has been hard, sometimes it has been easy and sometimes it has been awesome. Your post in the paper could have been about how our culture views breasts and the over sexualisation; or about how we no longer have a universal breastfeeding culture; or the difficulty of having a sexy maternity bra; or the lack of funding for lactation research; or any other facet of human lactation. But no you went for the attention grabbing breastmilk and formula grab. Why?? you appear to be an intelligent and informed woman yet you fail to inform yourself before having an opinon. If this opinon was just on your blog then I would not be nearly as cranky but you have access to an Australian paper with a large circulation.
The Australian Breastfeeding Association is run by volunteers who are dedicated to supporting woman and families to be informed on human lactation, when they are contacted to support and provide information about possible dramas then this is provided gladly and willingly. I object to words like Nazis, Lactavists or any other name that refers to bullying behaviour or anything that is not about support and encouragement. If you have a interaction with someone from the ABA that is not appropriate then follow a complaints procedure and follow it up, if you have a problem with the midwives, doctors etc put in a complaint and follow it up. Dont jump on a blog list and complain to the webverse as it just upsets people, if you have had poor communication or service then complain through the proper channels.
The term breast is best has been used through the article and through these comments. Breast is not best it is normal, the normal way to feed a baby. We are just scratching the surface of human lactation our knowledge has been lost due to changes in infant feeding practices. The more we learn, the more it is part of our culture, the more we will know about supporting woman and infants when issues come up such as the examples given here. In order for our breastfeeding rates to improve and for us to really ‘chill out’ about breasts more funding is needed to better support families, education in schools, more education for medical practioners and a greater focus from the government.
I am an advocate for breastfeeding infants, babies and children. By saying this I am not ‘making’ woman feel guilty for alternative feeding practices, I am not pressuring woman nor am I acting as a lactavist. I am advocating for positive breastfeeding experiences for infants, children and women.
This article has distressed me greatly, all you have done is create drama and anger. There is no debate or healthy discussion at all, it is just awful
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Hi kstock, I’m sorry for whatever distress this column may have caused you. My experience was a genuine one and has been echoed by many other commenters. In no way did I intend to imply everyone at the ABA were extreme – of course they do great work and I acknowledged this.
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Mia, the interaction that you and your friend had was in relation to a single midwife in a hospital, in relation to the use of formula. There was no ABA involvement at all in this interaction however you then leapt off this experience and commented on ‘breastfeeding group ‘ both incorrectly and very offensively. It would have been a great balance to your newspaper peice if you could have included this comment regarding the great work that the organisation does . This is a peak body in Australia focusing on promoting breastfeeding as normal in our society, not a group of crazies throwing breastmilk in peoples faces, and more importantly it is run by women (and some men) who are committed to providing well researched information on human lactation.
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Mia, nowhere in your article is there any indication of contact between your friend and ABA, yet you continue to imply – even in this comment – that ABA have somehow been involved. What you haven’t considered here are the feelings of the individuals, the mothers who have undertaken training as breastfeeding counsellors – across the country, there are women truly distressed by this article. I invite you to visit my Facebook wall, where I posted the orignal article and also Tara’s response – people are feeling hurt. They have had sleepless nights and some are questioning if it is all worth it. I would challenge you to spend some time with ABA volunteers and members – at a group meeting, at a volunteer’s home while she does a four-hour helpline shift or at our Breastfeeding Centre in Melbourne on drop-in day. Visit the website, find out about how the volunteers are trained, learn about the code of ethics every volunteer is bound by. Attend a branch conference, where hundreds of volunteers, along with babies and toddlers, give up their weekend to continue their learning about breastfeeding. Go along to one of our seminars for health professionals and hear the latest research and clincal practices from experts from around the world – there is one in Melbourne on Monday and others around the country this month. Look into the ABA complaints process. And then write another blog post, sharing what you learn – from research, not heresay.
http://yvettesramblings.blogspot.com.au/
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I can understand why you’d be so defensive of the ABA, afterall, you devote your own time and passion to this organisation. But don’t you think that it’s time the ABA (and its staff of volunteers) take on board some of this feedback?
My good friend was diagnosed with stage 4 cancer six months after giving month, and she was a dedicated and conscientious about breast-feeding her son. However, she needed to have half of her bowel removed in a serious operation, and so she called the ABA for advice on how to properly wean her son, so that she didn’t get mastitis or any other problems associated with weaning.
I was utterly dismayed and disgusted to hear that the volunteer from the ABA gave her a hard time about choosing to wean, and tried to convince her that she could still breastfeed while “unconscious in bed”. Um…. ?
My friend was already in shock about her cancer diagnosis, and was just trying to find the right advice about weaning, but instead she got a diatribe about how she should continue to breastfeed after major surgery. She even tried to explain that she would be fitted with a colostomy bag and she would have to adjust to that and the pain and trauma of the surgery but the ABA volunteer would not back down until my friend was reduced to tears… and only then did she concede that my friend might be a “special case”.
This episode not only distressed my friend, but her entire mothers’ group – a whole group of women who have been dedicated to breastfeeding. We now have a very dim view of the ABA… so I have to ask you: when will the ABA stop bullying mothers?
And why does it continue to have such a bad reputation?
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The bad reputation is derived from the bullying.
Thank you Mia for voicing the words of THOUSANDS of women. You have articulated the problem we face with poise and grace
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I hope that your friend with the cancer diagnosis has recovered, this is a very difficult situation to be a part of and when friends of mine have been in trauma, I have been very defensive of ensuring that they receive support and encouragement. When people are having difficulties it is not helpful when more drama comes there way.
In answer to your question as to why the ABA continues to have a ‘bad reputation’ I was not aware that it did. I am aware that we live in a society where breastfeeding is not universal, and in order to change this view the peak body for human lactation the ABA needs to continue to promote and provide information to the community at large. Unfortunately individual experiences while traumatic and difficult at the time should not deter more education of health professionals and the community at large, in fact it should encourage more. The more that we know and the more that we as a whole community are educated the greater understanding we will have.
In regards to ringing the ABA helpline I have also had some experiences that did not work for me or I spoke to breastfeeding counsellors who for whatever reason I found to be difficult. Instead of throwing the whole organisation away because of one experience I called back and spoke to someone else. While for your friend this may not have been possible due to the trauma she was already undergoing, we as mothers are always able to ring back and get some more advice or sometimes the same advice given in a different way. And of course if there are major concerns there is a complaint service in place as well. I guess until there is a formal complaint made then it is difficult to follow it up. Once again I hope that your friend has recovered well and many thanks for the reply, it has allowed me to further process this discussion. I hope you have a great afternoon
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I have a daughter with severe special needs who has been in and out of hospital her whole life. In order to get her expressed breast milk (she is tube fed and can’t drink direct from the breast) I have to have it signed out – by two nurses. Same if I was getting formula out. Same with anything else that they put in my baby’s body. It’s called HOSPITAL PROCEDURE. And it is not a value judgement on what I feed my baby.
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I have no idea which hospital your daughter is admitted to, but my daughter has also been in and out of hospital since birth and we have never had to ‘sign out’ breast milk (or formula). Seems like a terrific waste of time.
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Launceston General Hospital – Neonatal ICU and paediatric ward
Royal Hobart Hospital – Neonatal ICU
Royal Children’s Hospital – ICU and Cardiac ward
In hospitals they have babies with allergies etc and in some cases giving them the wrong formula can be life threatening. Accidentally giving the wrong breast milk is a legal nightmare.
Should healthy mothers and babies be treated with the same policies as those with life threatening medical issues? Is it, at best, a colossal waste of time and resources and undermining for the mother when she is at her most vulnerable? That’s a WHOLE other debate about hospital policy and maternal rights and the societal image of childbirth….
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My daughter is a frequent visitor to one of the High Dependency Units at Sydney Childrens Hospital. As parents we are encouraged to assist in caring for our child. That includes being known to all staff and, essentially, having the run of the ward – Being able to gather supplies like nappies, wipes etc, from the storeroom, dressing wounds, resetting monitors etc. My partner would expressing and we would label jars before placing them in the fridge. When needed, we would simply walk into the kitchen area and prepare the bottle of EBM ourselves. there was no signing out of anything. I was simply speaking from my own experience as the parent of a child being cared for in a hospital environment.
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Funnily, on some wards I can grab my own milk without it being checked – but if a nurse grabs it, it always needs two signatures. It makes sense to me with the amount the average nurse is juggling in a shift. In some I need to “sign it out” and have it checked by someone else every time. Most of the time in the wards that I know the second signature can be mine or the nurse signs that it was “checked by parent” as well as checked by nurse. There are two wards that I have been on (two ICU wards) where I am not permitted in the “milk room”. I think most of us with medically delicate kids get in the groove of whichever hospital we are in and are pros at working monitors, taping tubes, changing dressings, helping ourselves to linen, nappies (re-stocking our personal supplies of syringes and adhesives and dressings *ahem*)
Hospitals and wards all have their quirks. Some are more empowering and inclusive of parents than others. Some are more laid back about securing food etc. than others too. Most are a funny mix of amazing staff wanting to heal, inform and empower and enough red tape to circle the globe twice. I have a feeling that the experience in the article is due more to an encounter with red tape side of things than any true judgement on maternal choices, or even the staff on the ward.
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Very informative reply
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Well, as I always say…Facebook is the devil. Strike a provocative pose in a bikini, happy days – but post a pic of you breastfeeding and you’re a pariah. Reminds me of my 14 year old who at first had to leave the room when his sister needed a feed.
I felt ok with the midwives in hospital after the birth of said bub. I would have like a dollar though for every time they asked me if I was aware of the benefits of breastfeeding. I used to cut them short by saying right off the bat that I fed the other two and would do this one as wel.
Give breastfeeding a shot, a really good one, but remember that a happy mum and bub is more important. It doesn’t always work out happily for lots of reasons and mum’s shouldn’t beat themselves up.
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Mia, I’m very disappointed that you would write this. Usually I love your stuff, but you’re way out of line on this. Tara has it right and has said it better than I can. And let’s not forget that the baby-food industry has huge invested interests in artificial baby milk (formula) and would be laughing all the way to the bank if it was more freely available in maternity wards. Given the right support the vast majority of women (about 97%) are able to breastfeed, but breastfeeding is very easily undermined along with women’s confidence by the promotion of formula or mixed feeding as ‘normal’. Formula is life-saving for the 3% who need it, and has very serious health consequences that need to be carefully considered, not glossed over by media grabbing rants about lactativists. Formula is not normal – human milk is normal for human babies.
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Please don’t assume you know the circumstances of every woman who has had to formula feed or comp feed. Tara does not have it right, Mia does not have it right.
What’s right is assessing your personal situation and making the best decision for yourself, your family and your child. People need to get off their lofty equines on this topic.
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Mia, I am really concerned about this article because you carry much influence, and disappointingly, “what you have done here seems to be nothing but a ploy to reignite the breast vs bottle battle and drum up media attention for” – Mamamia. (I’m quoting because I was taught in high school to reference my sources. Hang in there, I’ll explain).
Mia, the latter breast battle you talk about being drafted into has to do with your beef against the way your friend was treated in a hospital undergoing BFHI accreditation. It has NOTHING to do with the ABA. (Thanks for correcting that at the end, but you really haven’t corrected it, and I would like to think a high school English student could point out why).
WHY, then, do you still reference the “Breastfeeding Association” when referring to this battle? Why on earth are you taking a cheap shot of an organisation of mothers, who volunteer their time to HELP and SUPPORT mothers to breastfeed?
There are several misdemeanours in your article.
1. “Do you know what else the Breast Feeding Association doesn’t like? Formula.” -> This article does not even mention the ABA. It mentions a clinic sister. NOT THE ABA.
2. “who is well versed in the complex politics of The Boob As Food Source.” – > This article does not mention the ABA either. It talks about a mother feeding another mother’s baby from her own breast. An interesting debate to be sure, but it’s not a breastfeeding vs formula debate as you make it out to be. And if you really want to claim to be well versed in the complex politics of The Boob As Food Source, I highly suggest you read Gabrielle Palmer’s “The Politics of Breastfeeding”. (Assuming you haven’t already done so).
3. “But in some cases, the pendulum has swung too far, from positive encouragement to negative pressure and borderline bullying.”
And this is where it gets REALLY nasty. You do realise that the logical implication you are making here is that the Breast Feeding Association (who everyone thinks is the ABA, presumably you do too) has swung towards negative pressure and borderline bullying.
HOWEVER.
On reading those 2 articles you very kindly referenced here.
The “negative pressure” is referring to that women receive who dare expose their boobs in public to feed their babies. NOT NEGATIVE PRESSURE FROM THE ABA FOR MOTHERS WHO DARE TO GIVE THEIR BABY FORMULA, as you insinuate.
The “borderline bullying” is talking about choosing to breastfeed, and why some women choose not to. You said in this borderline bullying article, and I quote “Or do you think her article is just a ploy to reignite the breast vs. bottle battle and drum up media attention for Mother & Baby?”
Sadly, “what you have done here seems to be nothing but a ploy to reignite the breast vs bottle battle and drum up media attention for “Mamamia.
I could easily go on to defend the ABA against all those claims, but you know what? I would like to think that YOU would have the courage to make a public apology to the Australian Breastfeeding Association for your horrible accusations in this post, none of which have been based in any resemblance of fact. We’ll see.
Maybe then you can actually use your position of influence to clarify the role the ABA plays in the community and actually make a difference to helping women that want to breastfeed, instead of just getting hung up at the thought of people being horrified that breasts aren’t just used for sex.
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Hi Jacqui,
Thanks for your very detailed comment! Scroll down and early in the comments you will find the apology you’re looking for.
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I think the apology should appear in the newspaper, perhaps with Tara Moss’s eloquent letter to summarise where it went wrong?
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Thanks for replying Mia, I can’t however find the comment you are referring to? And searching for “Mia” to try and find it clearly is no help haha. Can you please tell me what time it was posted?
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As soon as I got to my computer this morning and was made aware of my mistake. Maybe around 9?
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Thanks Mia, you mean this one? “My sincere apologies for the incorrect reference to the Breastfeeding Friendly Workplace initiative. My fault. I have now ammended the post to feature the correct information and link as MM readers have pointed out.
It is in fact the Breastfeeding Friendly Health Initiative (BFHI) that is accredited by the Australian College of Midwives.
The Australian Breastfeeding Association is not directly involved in this.
Thanks to everyone who pointed this out and apologies for the error.”
Thank you – however even though you say here, buried deep down in the comments that the ABA is not directly involved in this – there are several other references to the ABA still remaining in your post. You have used the statements about them not liking formula, negative pressure and borderline bullying, with not one example of the ABA doing any of these things.
Frankly, these remaining statements are defamatory, and the honest decent thing to do would be to apologise for all of them.
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Interestingly, when you click on the breastfeeding tab in the parenting menu, you get three positive-ish stories about breastfeeding.. out of ten.
It would be so nice to see a ÿou know what, I had a few dramas with breastfeeding and we made it or breastfeeding myths busted type stories, but they don’t seem to rate as well…
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Take it easy Jacqui.
Mothers have responsibilities and they need to be able to properly inform themselves. Clearly some people on both sides of this issue are exerting pressure unfairly.
You seem to be proposing that a women’s blog writer shouldn’t be airing (or reopening) issues about women that are controversial or, in other words, unresolved. That doesn’t make sense. Clearly this is an important matter that resonates with many women.
I also think you are also accusing Mia of making statements that were actually made by other comment writers.
Frankly, the most dangerous formulas are the ones people have in their heads, that prevent them from judging situations on their merits.
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I’m not proposing that at all.
I’m just asking Mia to be truthful in her writing. Every statement in my post above was from Mia’s article – the misdemeanours I mentioned were from where she insinuated the ABA didn’t like formula, exert negative pressure, engage in borderline bullying – referencing supposed examples of such behaviour which have nothing to do with the ABA.
It’s poor writing, and it does absolutely NOTHING to properly inform mothers. Imagine how many mothers will now be too scared to call the ABA helpline, for fear of being bullied? All because Mia implied they engage in such behaviour.
I really have no problem with controversial issues being aired. But really, do it sensitively, do it compassionately, do it with the aim of actually wanting to HELP those women with whom these issues resonate so strongly.
To not do so is reprehensible.
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Breastfeeding is the best option for your baby. However at times babies are struggling to thrive, yes they are putting on a little weight but not thriving. There is a big difference! Mothers certainly need the support when they have to decide to top up with formula or use formula. They already feel inadequate, guilty and as if they have failed – therefore midwives, Advocates of breast feeding and other mothers really need to support mothers not judge them. They really do not know what a mother is struggling with. I have certainly heard of mums being bullied online and in person by other women.
I am a psychologist and work with expectant parents , new mums and parents on a daily basis.
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My baby had low weight gains and I struggled with supply issues. I decided to supplement with formula and rang the ABA help line a few times for advice. The counselors I spoke to were extremely helpful and supported my decision. I was never made to feel guilty. In fact they all pointed out that I was making the right decision for my baby. Turns out he wouldn’t drink the formula!
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For the most part, I agree with you Mia – after correcting who is responcible for the BFHI! To me what it gets down to has next to nothing about what we choose to feed our kids. There is more “in fighting” between parents than there is in the current Labour party, and it inflitrates every parentling issue. Instead we should recognise that 99% parents do the best they can with the resources they have and the information available to them. For me the ABA was a resource made available when the information I was being given from helath professionals removed breastfeeding as an option altogether, for no other reason than they didn’t know why I was experiencing the problem. It was heartbreaking, and from what I’ve read here its obvious their is a real sence of grieving associated with not being able to do what most (like me) assumed would come naturally because its natural. The ABA gave me options, things to try that I actively sought. Ultimately though, I made the choices that worked or didn’t work for my kids, my body, my mental health and our circumstances. I have no-one else to blame for my successes and false starts but myself. My sons and I would have been robbed of the benifits of breastfeeding without the ABA, BUT I am the mother to my babies. While I can seek information or be given opinions and advice I choose what to listen to and what to ignore. So long as I’m doing the best I can for my kids and they are happy and healthy, why should I care what anyone else thinks about my parentling choices? I have know idea when it comes to other women’s babies, bodies and circumstances, so unless I witness them harming their child or impacts on me and mine, why would I be bothered with thier choices? We all need to bow out of other people’s business and make sure we are being the best parents we can be.
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I am very thankful for the women who worked passionately to change public views about breast feeding. It allowed me to get the support I needed and I benefit from the hard work those women did every time I breast feed in public or go to a feeding room at a shopping centre. My mum was one of those women and she is no ‘nazi’ but a supportive mother who wanted women to have accurate information, support, to not be burdened by the costs of formula purely because they weren’t given a chance to breast feed, for breast feeding women to be able to have some freedom and not be forced to stay at home or breast feed in public toilets. I think it’s easy to complain because many of us these days don’t understand how difficult it was and we take it for granted. Also, why should a hospital have ads for formula? What a ridiculous statement! Hospitals are not for advertising products. I didn’t see any ads for nappies but that doesn’t mean that the hospital was anti-nappy. And which formula should they advertise?
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Breastfeeding was the most soul-destroying thing I have ever had to do. We breastfed longer than what we should have, due to pressure from society and my fear of what the nurses might think.
Attachment issues, too much foremilk causing my baby to be in agonising pain, my baby reacting to things I was eating, supply issues and the list goes on. In the end we stopped breastfeeding at 8 weeks, as I only had enough milk for every second feed.
In hindsight, my PND scores were very high because of breastfeeding and all the difficulties that came with it. I looked at my son in fear each time he was due for a feed. I looked at my partner with resentment because he got to walk out that door and go to work, while I had to sit there battling with breastfeeding for over 8 hours each day, day after day, week after week. He would feed for over an hour and still not be full. He would take 45 minutes to settle to sleep, because he was still hungry. He wasn’t putting on weight.
I barely recall those early days and look back with regret of having pursued breastfeeding because society wanted me to. Finn is 6 months old tomorrow and is a healthy, happy, content boy, who is a self settling champion. We had worked on self settling whilst breastfeeding, but it never worked because, again in hindsight, he was still hungry. The day we started bottle feeding, the sun started to shine, Finn stopped crying, I stopped crying and I started to enjoy my precious little boy. Formula saved us in so many ways.
Thank you Mia for your article. We were discussing this exact topic at lunch today without knowing you had written this. If we are blessed with another child, I do want to breastfeed, but I will definitely not pursue it if our family’s mental health is at risk.
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Breastfeeding THE most soul destroying thing? Really? Happy days to you then.
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Wow, I’ve never been bullied in my whole 33 years of life and here it is in the form of cyber bullying. You obviously don’t understand mental health.
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Wow. You totally missed the point of chilli’s post, didn’t you?
And the breastfeeding fans are claiming to be misunderstood and painted in a bad light. Well here it is, plain and clear. A non-breastfeeding mother being belittled and bullied.
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Your story is one that is often echoed within our community – Bottle Babies – http://www.facebook.com/bottlebabies
In order for a mother to properly take care of her baby she must take care of herself. There is a reason they tell you in an emergency on an air craft to put your oxygen mask on before helping to put anyone elses on. If you can’t ‘breath’ you can’t help anyone else. I am so happy you were able to find your oxygen mask and that now, because you did what was best for you and your family, you have a beautiful, happy, healthy little boy! Good on you Mama. You should be so proud!
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Chillicoopers, it’s disappointing that you struggled with breastfeeding, and the difficulty contributed to your PND. I hope that if you have another child you’ll get better support with breastfeeding, which usually helps reduce the incidence of PND. Good luck in the future.
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Great post, thank you for sharing. I’m so glad you and your bub got through it. I was warned that breastfeeding is hard in the early months but boy oh boy is it ever!!
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This is a fabulous read, keep going to the end. Much more eloquent than me!
http://mythnomore.blogspot.com.au/2012/02/hidden-reason-why-breastfeeding-doesnt.html?showComment=1330195271018
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Honestly, truly, I don’t care how anyone chooses to feed their child, none of my business. But…
it does bother me that parents are denied accurate information on the risks of formula because it might make some women feel guilty. I’m sorry if breastfeeding didn’t work out for you and you have regrets (if you don’t, why do you feel guilty or angry or upset?). If you do have regrets please support proper breastfeeding information and support. I know that most women who have problems, its because we have lost breastfeeding knowledge from our society and levels of support and advice are still highly variable and often poor, especially in the ante-natal and newborn period when it is needed the most. I support BFHI for trying to address this.
I passionately believe mothers and father’s should have access to current accurate information on the risks of formula, and make no mistake, formula carries risks. For some mother baby pairs, those risks are less than the alternative and formula is the right choice (for many different reasons). But to make that decision, parents need to be able to weigh up the risks and benefits of each option and its almost impossible to get good information on the risks of formula; especially when anyone trying to provide information is blasted and called names. For most mother’s the use of formula is avoidable – with good information, advice and support from the earliest days.
Breastfeeding knowledge has been lost thanks to the advertising of formula over previous decades. I’ve heard so many stories of women who couldn’t bf and knew from what they told me that with better advice, reassurance about their supply or support they would have been fine. I’m glad Mia is supporting normalising pictures but we have a lot further to go.
To Mia and all those who criticise breastfeeding promotion and support I ask the following:
Why would you deny a mother accurate information on which to make a choice?
Why would you do away with a support agency that does much good work on the basis that occasionally they don’t get it right? That occasionally a stressed woman misinterprets their support as pressure. They work hard and do their best. They believe in what they are doing. Is that really a bad thing. I want someone to help me who believes in what they are doing. And what alternative are you proposing to support those mother’s whose choice is to breastfeed?
Do you seriously think the formula companies have any motivation apart from their profits?
Would you be happy if a doctor said to you “your baby needs this medicine, it has some side effects but I’m not going to tell you what they are in case it makes you feel bad” or even “in case it makes the last women whose baby had this medicine feel bad”?
Please:
Support accurate information for all parents-to-be so they can make truly informed choices on infant nutrition.
Support BFHI and other initiatives that will mean that many more women who want to breastfeed will be successful in doing so.
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Will you be elaborating on these risks for us?
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Do you want to know or do you just want to cause trouble?
This is just information, from research studies, that continue to reproduce the same findings. Manmade synthetic formula is no where near as sophisticated as breast milk which has evolved over 1000s of years to maximise chances of human infant reaching his/her potential. This is just information, how it makes you feel is your responsibility. If its going to upset you – don’t read it. But don’t deny it to parents who trying to make a choice on how to feed their child.
Women who do not breastfeed are at increased risk of premenopausal breast and endometrial cancers, ovarian cancers, osteoporosis, type II Diabetes and (believe it or not) worse sleep,
Infants who are fed formula are at increased risk of diabetes (types I and II), necrotising enterocolitis, otitis media, gastro-enteritis, hospitalisation for respiratory infections, eczema, SIDS, asthma, childhood leukaemia, obesity, up to 6 point lower IQ …
An American study looked at all the evidence and conservatively estimated that USA would save $13billion in health costs and prevent over 900 deaths (mostly of infants) each year, if 90% infants were breastfed for the first 6 months of life.
Remember: These are risks, not absolutes, breastfed babies aren’t immune and formula fed babies don’t get them all! Its a case of weighing up the risks and benefits in each situation.
I am ‘sun-safe’ with the kids because of public health messages that inform me of the risk of skin cancer if I don’t. But many people go out in the sun and don’t get skin cancer. I weigh up the information given and I’ve decided I can reduce the risk by being sun-safe so I do. I weighed up the risks of formula and was happy it wasn’t a risk I had any need to take. I’m fortunate in that I actually have information about the risks, most people don’t! And its the lack of access to information that frustrates me not the choices that people make.
Besides as my mother said: why would I pay for an inferior product?
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I am wary of using American stats because their breastfeeding/formula situation is very different to here – they are way behind on supporting mothers in breastfeeding, hence the rise of so-called lactivists.
I also think we can place too much emphasis on the risks, EVERYTHING has risks. Taking your baby out in the sun is risky, but using sunscreen is risky and also keeping your baby indoors is risky. Driving with your baby is probably a lot more risky than formula but most of us do it.
Women need more support in breastfeeding. For a start being pressured to leave the hospital before your milk comes in needs to be stopped. The hospital where I gave birth apparently is accredited but I was pressured to leave early. Thankfully I knew how important it was to get a handle on breastfeeding and I wasn’t going to leave until I could get my baby to latch on my own. I feel bad for the women who didn’t do that and had to struggle through at home and hire private lactation consultants.
I also attended the hospital’s breastfeeding classes and in hindsight it would be more helpful if it was just a feeding class where they discussed all the options. They were too afraid to even talk about breast pumps because they didn’t want a bottle going near our babies lips. Bloody hell!
So I am all for encouragement and support but Mia has a point in saying that in some ways the pendulum has swung the other way.
If a woman chooses not to breastfeed for whatever reason (maybe she just doesn’t want to!) then she shouldn’t be made to feel guilty. Perhaps we have reached a stage where we can focus on being pro-breastfeeding and leave the anti-formula propaganda behind.
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I would love to see an unbiased risk/benefit analysis for the breastfeeding option and an unbiased risk/benefit analysis for the formula feeding option done for each individual patient. Because just like with any medical decision, the gold standard of treatment is individual based risk/benefit analysis of all viable options available according to THAT individual patients medical history, circumstances and situation.
You say: “But to make that decision, parents need to be able to weigh up the risks and benefits of each option and its almost impossible to get good information on the risks of formula” Google search “risks of formula” – you will be inundated. I think it is actually hard to find risks of breastfeeding (which there are many – again depending on individual medical history and circumstance) and if we as “parents need to be able to weigh up the risks and benefits of each option” then both options need risks and benefits to be easily accessed.
I think it is also important for parents to understand that these breast vs bottle studies are often rife with inconsistencies and faults. Correlation is not causation. The studies themselves (when you actually read the study, not just what the media or bloggers say the study says) most of them even admit that other factors (such as maternal IQ, genetics, social economic situations, mothers providing social acceptable answers when questions are asked about their feeding situation and that breastfeeding mothers are usual self selecting etc) influence those studies. Often when those factors are accounted for – the results show little to no difference. This is true of both studies which results show favour to either breast or bottle feeding (there are studies which also show that bottle feeding can have benefits over breastfeeding)
If our health system really cared about individual health they wouldn’t be pushing only one way as best but instead taking the time to give individual assessments and work with parents to deiced what THEIR best truly is with unbiased and accurate information and support.
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Nice that you agree that parents should have access to accurate information.
Shame that your analysis of the literature is so biased.
Yes cause and effect can be difficult to establish but breast feeding is the norm, the gold standard, and risks are often overstated eg medication and breast feeding is rarely higher risk than formula but most doctors don’t have access to info on formula risks either so go with the prevailing social myth that formula is ‘fine’.
Studies consistently find risks with formula (sadly usually reported as benefits of breawstfeeding because the researchers are too scared of teh social backlash to report the truth) despite the fact that, especially in western populations, it’s hard to get a control group that hasn’t been exposed to formula. You’re right, risks are found even when mostly formula fed babies are compared to babies that have received some breast milk. I wonder what the effect sizes would be with a.true control!
Your obvious bias just reinforces the difficulty parents have getting access to accurate information.
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Why is it bias? Breastfeeding mothers have plenty of support… Including a whole association dedicated to supporting breastfeeding mothers. Why is it so wrong for bottle feeding mothers to be supported? Or is this just another example of breastfeeding mothers being ‘right’ and bottlefeeding mothers being ‘wrong’?
People keep talking about these ‘risks’ but I have yet to read what these actual risks are? Please, enlighten me.
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My turn.
Reasons the ABA and the work they do is important.
My child was taken and given formula as a newborn. Without my permission. With no medical reason. Against my wishes.
Let me say that again. My child was fed formula against my wishes for no medical reason.
Why did the midwife do this? Three years on I still don’t have an answer. Because she didn’t want to wake me? Because he was a big baby? Short answer is I don’t know why she chose not to wake me to feed my baby.. she had taken him after his last feed to get his hearing checked. Then I awoke to find him being wheeled into my room and that he had been given formula.
She had no right or reason to do so.
That was the start of my breastfeeding problems. I was extremely engorged when I woke for his next feed. My poor baby could not attach. A second midwife gave him formula – using the excuse that he had already been given it.
I got my lactation consultant in on her lunch break. I expressed prior to each feed for the first few weeks of my baby’s life. We made it thanks to the support and the confidence I had in my ability to breastfeed and the ABA.
Then the “just give him a bottles” started. He’s a big boy, he’s still not sleeping through, he is six weeks old, he is six months old, you are feeding in public, just about any reason and the first suggestion is to give the baby a bottle.
We have since gone on to breastfeed for nearly 3 years. Yes, I’m still breastfeeding a 3 year old, despite the insults, the calls of pervert, that it’s not natural, not needed, just plain weird. And they call anything that promotes breastfeeding bullying? When was the last time a bottle feeding mamma was called a pervert or told what she is doing is sexual assault?
I don’t care. I worked bloody hard to get this far and I’m not giving up because some people don’t like it.
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Yay for you and big hugs. x
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Will you give up because your son’s too big though?
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I will give up when he self weans, so define too big?? Not before unless dramatic circumstances happen.
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Natalie R, I breastfed my daughter till she was 5 years old, I did not feed her publicly from about the age of 2 due to the attention it attracted. Of course, the more it is seen in society the more it is accepted as normal. But then I also considered our choice to continue as private and did not feel I had to justify it to anyone. As a lot of mums I also had problems in the first 6 weeks, due to low supply as a result of illness and the use of a nipple shield, but made it through with the weaning of the nipple shield and the use of motillium and lots of expressing. You keep going for as long as you both want to and enjoy all those lovely cuddles as a result.
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When he’s doing it to please you and not to please himself?
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What a horrible thing to say Kris 2040
Did you know that the World Health Organisation recommends breastfeeding to 2 years and BEYOND? Children DO wean when THEY have had enough. Mothers can’t force children to breastfeed if they want to. You clearly have little experience or knowledge or commen sense in extended breastfeeding
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Kris, I’m not sure that’s possible.. Just how would I do it? Grab him and hold him still to force him to attach? But how would I stop him from biting me? Perhaps I should run around topless and stop all other food and drink? Cause yeah, it’s totally all about me.
Thanks so much for your concern, but considering he asks for “special mummy milk” I am pretty sure it’s still his choice.
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Mia, I loved this column. Thank you for writing it! Have you read ‘The Case Against Breastfeeding’ in The Atlantic? Highly recommend it. You can find with a google search. I am breastfeeding and it is going great, but I’d never judge anyone for formula feeding. I don’t like some of the formula companies though…dodgy practices in developing countries. Maybe some are more ethical than others? I bet your readers would love to know if so, but would that constitute promoting formula and be against WHO guidelines?! Its a minefield! Anyway thanks for the column. Women should support each other more, like you do.
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I had a baby six months ago at a private hospital in Melbourne and chose NOT to breastfeed from the outset. I was given access to as much formula as I wanted and nursing support to show me how to feed my baby. I had one nurse ask me why I wasn’t breastfeeding, but she was polite and respected my answer. All other nursing staff were professional and polite.
There was one aspect where I think the nurses were a bit cheeky though – the night before we checked out, they took my blue book (child health book). A standard practice apparently. When it was returned the next morning it was with a Breastfeeding Association sticker attached!.
I’ve never encountered any opposition to my decision from anyone in the health system, although some women in my mothers group have had some bites from a local maternal child and health nurse.
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I wouldn’t take the sticker personally, they are sometimes added to all of the blue books to ensure the patient has support for breastfeeding when they go home as a matter of course, depending on the hopital etc. At the end of a night shift it was probably done on autopilot. Besides, the decision to feed using one method or another doesn’t necessarily mean its perminant, so if done on purpose it was probably more for “just in case’.
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Like those nice, comfy baby care rooms in your shopping centre? Yeah, they were a nifty idea put into place by ABA (then NMAA) back in the 80s. Appreciate having your baby room in with you in hospital? Thanks – we fought hard so you could have that. That great breastfeeding helpline – that was started back in the 60s and those volunteers would take calls all day, every day – there wasn’t a roster back then. All those great booklets you read when you have problems? Guess who. Support for women’s rights to breastfeed in public? Support for facilities and support for breastfeeding women in the workforce? All those iniaitives, programs and resources were organised by mothers for mothers – go ask your mum or your grandmother what support was there when they had their babies.Ask what they felt when their babies were given formula in hospital without their knowledge or consent. Find out what is was like sitting in a public toilet to breast OR bottle feed your baby. And then complain about all the things put in place to help you.
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This just made me a bit teary. Thankyou for pointing out all the marvellous and tireless work, both paid and voluntary, that the ABA have done all in the name of fostering better conditions for breastfeeding mamas. In all my dealings with the ABA…mainly teary phone calls at some ungodly hour, I have never come across a “nazi” (p.s how effing derogatory to use a term linked with such atrocities. Everytime I hear it I am offended)but only caring and giving women with real advice with no judgement whatsoever. Mia, I think this article has ended my relationship with you. I did wonder about your move to the Herald Sun (sorry not related but felt I had to put it in) but this has put the nail in the coffin. This is not chilling out about breasts…this is publicly shaming those who want to help mothers give their babies the best start in life. This is absolute bosh
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Agree. The J Rudd thing and now this. Throwing the baby out with the bathwater and being provocative for the sake of hits. It’s tosh.
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Thank you. A lovely comment on the tireless work of the many ABA volunteers who have helped to normalise the most normal of acts, and to support so many women and families who have struggled in one way or another with breastfeeding. I am one of those women, and I am forever grateful. My daughter will always know that it took an ABA village to raise her.
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Well said!!
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I have seen quite a few comments from people who gave up at day 3 or 4 because their baby was screaming and they thought they were starving.
If you are in hospital with the constant reassurance that your baby is not going to starve (because midwives are constantly checking that they have had enough wet and dirty nappies), you are so much more likely to make it through the awfulness of night(s) 2, 3 or 4 just before your milk comes in.
I know hospital people will laugh hysterically (because things are moving in the opposite direction) but it would be so great if staying 4 nights was the standard, not 2.
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I am really disappointed in this article Mia. It has done the complete opposite of “chilling out about breastfeeding”. Rather it has inflamed and upset people. Yes your friend needed her experience validated – I am not questioning her distressing experience. But the addition issues you have presented are poorly researched and emotive, rather than informed and well researched. Reading “The Politics of Breastfeeding” by Gabrielle Palmer and checking out what ABA and the BFHI actually does might be a good place to start.
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Feed your baby however you like – but STOP with the “nazi” reference, the “breastapo” and everyother horrible name people who support mother’s breastfeeding. It is so sad to hear that the 1000+ women who donate their time to help mums with breastfeeding are likened to mass murderers and some of the most horrendous crimes ever committed.
Notice no one here who has written about their breastfeeding experience is name calling? It’s in your minds! I have never once come across any friend or family member who has been abused by a stranger for bottle feeding. I know of at least 20 women who have been asked to move, cover up, go to the parents room or glared at while breastfeeding in public though.
Breastfeeding is hard work – it’s not something that comes naturally to all of us, but once established it isn’t all that bad!
And please don’t try and tell me that my husband can’t bond with our babies because he doesn’t feed them – he baths them, plays with them, takes them on walks, to the park, gets up in the morning with them so I can sleep in. There are 100 ways a father can bond with his child and none involve feeding. My babies weren’t on my breast 24/7 (well, ok, somedays it felt like it!) so there was plenty of time for Daddy cuddles too!
If a friend or a family member had a bad experience with the ABA or a midwife tell them they aren’t all bad – I have met dozens of both and sure, some were overbearing, but they all had good intentions. There are lots of positive stories out there, it’s just a shame the media only likes reporting on the negatives so that the mummy wars (like we’ve seen today) continue.
If you are pregnant educate yourself, not only about prams, cots, nappies, clothes, and car seats but about breastfeeding and/or formula feeding – don’t read stories like this and make up your mind, read every comment, every link, every brochure and then make the decision – there is no need for guilt, if you make an informed decision.
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Waves arm over here. I’ve been spoken to about bottle feeding in public. Especially as my three month old looked like a premmie because she hadn’t been eating enough. Ironically both times a snotty nosed woman told me I shouldn’t be ‘giving that tiny baby something like formula’, I was actually topping her up after a feed with EBM.
How about another idea…educate yourself less! Trust yourself to make the right choices and enjoy them because god knows, no matter what you feed them they grow too damned fast!!!
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Mia,
As a breastfeeding counsellor (in Hong Kong) it is clear that you are merely sharing your own opinion, some of which is quite inaccurate.
There is no such thing as “making someone feel guilty” or “making someone feel like a failure”, we are all responsible for our own choices and actions. I can no sooner “make” you feel anything than “make” you do anything else.
The key is providing the correct and accurate information so mothers can make their own INFORMED choices.
Mothers deserve to have all of the information, including information of a sensitive or emotional nature. It is unethical to withhold information on the resulting health implications of formula, much like it is unethical to withhold information on the health implications of some diets, medication etc.
Of course each mother has the right to be supported in her decisions, however she also has the right to be informed on those decisions.
There need not be judgement or meanness, simply “here are the facts, weight it up in your own mind with regard to your circumstances, and make your own choice”.
Trouble is, society doesn’t want to hear this information (be it published by reputable sources such as the World Health Organisation, pediatric societies, scientists, researchers etc) let alone pass it on, for fear of “making” mothers feel guilty.
The sad reality is there are significant life-long health implications on missing out on the factors contained in breastmilk. I wish it weren’t true, but it is. Formula manufacturers are unfortunately unable to replicate these intricate factors, and in fact many wouldn’t survive the canning process.
If breastfeeding doesn’t work out, should the mother feel guilty? No! She should be congratulated for giving it a try, and supported in the process of working through some complicated feelings, and possible disappointment.
Elena
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I’ve just read through the comments and wanted to comment under them all but thought I’d just post again instead.
Newbornhood can be hard. Mainly because the markers of success, the ‘performance indicators’ are so few. There are two. Feeding/growing/breast/bottle/weight gain and sleeping/controlled crying/cosleeping etc. These things become so controversial and because they are 50% of what you are trying to achieve.
Fast forward to later years and your performance indicators are so many. Are they learning to read/can they make friends/do they eat their vegetables/will they ever take that bucket off their head/how can you get them to stop being so rude to nanna/are they having sex?/are they being safe?…all of a sudden no one or two things drown you in controversy and worry because there are so many!!
But sitting in a dark room trying to achieve only two things (in whatever way you are trying) and failing at them is debilitating. You are usually not working, so you aren’t doing well there. You have no other things they are good at/happy with to comfort you (You know the ones when they are older “She is five and can’t use cutlery but boy can she add up!).
Parenthood is a marathon, not a sprint. Don’t expend all your energy on the very first bit tearing yourself to pieces about feeding and sleeping in the first six months, do whatever works for you…you have plenty of time and opportunities to bugger ‘em up later
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Thankyou thankyou thankyou thankyou Dee of Adelaide….THIS is the balanced discussion and yes for the first time in 4 years, I think I might be chilling out about breasts (mine, anyway)
As an epileptic I was told that I wouldn’t be able to breastfeed because of my medication…so I stopped taking the medication before we fell pregnant…fast forward 12 months with a three week old in my arms that NOONE could help to latch on…I’m making strawberry milk because he was tearing me to shreds and he is feeding for 90 minutes/sleeping for 90 minutes around the clock
Well I guess that the stress/pain/guilt/emotional toll and lastly lack of sleep finally kicked in and I fitted…while I was holding my baby…whom I dropped on the floor.
After 6 hours in hospital (partly for my sake I suspect…he was/is fine) I came home, began my medication and gave him his first bottle…we never slept so well after that.
The thing is that yes I felt ALL the pressure from all the people with the KNOWLEDGE that I would be doing irreparable damage to him if he was fed formula…I’m still recovering from the sorry saga, but at least he is safe…and happy…and healthy…and eats ALL his veggies!
Again…thankyou.
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Wow Meg, what an amazing (though scary) journey you have been on. I think your experience really highlights why one persons ‘best’ isn’t everyone’s ‘best’.
I would love to hear more of your story if you would care to share it with our Bottle Babies community as part of our fortnightly parents feeding story features. – http://www.facebook.com/bottlebabies
Either way thanks for sharing your experience here and I am glad to hear that your little man is safe, healthy, happy and eats all his vegies – what more could you ask for
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I am not sure exactly what people expect from the ABA – after all, if you choose to call a breastfeeding helpline, the presumption is you want help to continue breastfeeding. As a volunteer breastfeeding counsellor, my suggestions to you are going to be things that you can do to work through the problems you are having – it is not my role to tell you to give up, switch to formula … in fact, i am trained NOT to tell you to do anything, rather my job is to listen to you, offer suggestions and support your choice to implement any or none of those options. You also have the right not to like any of those suggestions or find them not right in your circumstances, but that doesn’t take away from them being the ways I believe will help you do what you have told me you want to do. So, if you want to increase your milk supply and then you tell me you are rigidly feeding your newborn every four hours, you probably won’t be happy when I suggest you increase feeds to 8-12 times a day! That’s fine, your choice – but you also then need to own your decision to top up with formula instead and not blame your milk supply or the information you have been given.This whole situation would be a lot less stressful if women would admit to not liking breastfeeding or find it more demanding than they expected/can manage, rather than blaming everyone who tried to help them or declaring they physically couldn’t breastfeed.
Not every person you come across in your breastfeeding journey is an ABA person – the clue is ABA only offers support to women who seek it from us – so no, we aren’t the midwife in hospital, no we aren’t the midwife who visits you at home, or the lactation consultant you paid to see or accessed through your community and we aren’t your child health nurse either. We ARE the women you freely contact in the middle of the night, on the weekend, on Christmas Day – in fact, we are the women who “man” that 24 helpline that gets so many thousands of calls every year. We are mothers. We are unpaid volunteers and we are in our family home when you call. We were the women who sought help ourselves and with that help, went on to overcome those same problems you have and breastfeed our own babies. We are not Nazis, police, fanatics or any of the other insulting terms so freely thrown around without thought to the distress caused to us on a personal level. You asked us for help, we didn’t seek you out nor chase you down and make you do anything. We just cared for you and made ourselves available to help you when you needed it.
And I have been doing so for twenty years, so thanks for all the thanks.
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My suggestion for both the ABA and midwives/LC’s is that they come to a bit more acceptance of comp feeding. I might still need help with my attachment or increasing my supply even if Little Lad is getting a top up of formula. I’m less likely to seek that help out if I’m going to be treated like a monster for that choice.
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Dee, have you read any ABA publications? As a counsellor, I do support women comping their babies but want them to do so as an informed decision – so I will make sure they are aware of nipple confusion, and give alternatives to using a bottle if they wish; I will suggest ways to comp with the least impact on their milk production, such as offering both breasts twice before offering the or alternatively, to give the comp first and allow the baby to finish on the breast with comfort sucking adding to the supply stimulation. I can’t speak for midwives or even other breastfeeding counsellors but i know they are also wishing the best for mother and baby – and for some, that might be avoiding comping unless unavoidable.
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Yvette, I want to thank you and other volunteers like from the bottom of my heart. I called the ABA helpline numerous times when my babies were small and received such amazing support every time. It was actually an ABA counsellor who told me to trust myself and my instincts when it came to my baby, and that was the best advice I was ever given as a new mother.
You were right Yvette, I chose to turn to the ABA for advice, with the full understanding that the Australian Breastfeeding Association was going to be offering me advice about breastfeeding. I feel very fortunate that this service was available and am grateful for the support I received.
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And therein lies the problem. It’s not helpful to a woman striggling to feed when the first piece of information she is offered is about nipple confusion.
GAH ABA why can’t you just support women not frustrate them
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From the midwife/child health perspective, we are obliged to discuss these things. I and my colleagues will support you in whatever decision you make, but you need to make an informed one. Sometimes that information isn’t well received, but the manner in which you deliver it can make a difference.
By the same token, we will also discuss aspects of formula feeding, but aren’t allowed to reccomendations one over the other.
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Why would an ABA counsellor not tell you about something that may potentially stop BF altogether? If the ‘help’ and ‘support’ you want is to be told “No worries, comp feeding is completely okay” then talk to a friend.
If you want to comp feed and still BF then the ABA can help with advice re nipple confusion etc. If you want to comp feed and don’t care about its potential impact on BF then don’t complain that the ABA gives advice on… *shock horror* breastfeeding!
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Exactly Junebug.
Thank you so much Yvette :’)
Please don’t feel under appreciated xo
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Well said Yvette!! I struggled to get consistent BF advice in the very expensive, private hospital I birthed in and was only breastfeeding pain free after calling the ABA helpline and speaking to one of your amazing volunteers. Every ABA volunteer deserves a medal for the wonderful work they do in supporting mothers around Australia. Whilst I didn’t always agree with every bit of advice I received, that is typical of anything in life- each baby is individual and not everything works for every baby. The main thing was that I always felt a million times better after speaking to an ABA counsellor!
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As one of those mums who called the ABA helpline so many times, a huge thank you, Yvette. It might not have been you who I talked to, but all the ABA women I spoke with were amazingly supportive.
I needed someone telling me I could breastfeed and how to go about overcoming the myriad obstacles I encountered. I didn’t want another person to say “there’s no shame in going to formula”. I knew there was no shame, but I bloody well wanted to breastfeed and I needed a cheer squad to keep me going! So thank you for being one of the cheer squad. I hope you and the other volunteers who might feel disheartened by the tone of this article and the comments are able to ignore the negativity and remember that there are real mums and babies out there who you have touched in such a positive way.
Thank you.
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Now can we please have an article on the MASSIVE pressure placed on breastfeeding mums to use formula? Mums that have babies that wake to be fed at night, babies that don’t weigh 10kg at 6 months, babies that cry sometimes? Because if I could have a dollar for everytime formula has been forced down my throat as some “magical elixir” I would be very rich!
I’m sick of articles like this, Mia, with predictable responses from mums who tried to breastfeed and couldn’t and all the evil do gooders that were so cruel to them. Believe me, there is far more support available in the media and IRL to use formula. Funnily enough, when I struggled with feeding I was happy to receive help. What really made me feel bad was all in sundry pressuring me to use formula.
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I’m sorry you had that experience as I’m one who wants whatever a woman’s choice is to be supported (natural or section, breast or bottle, cot or cosleep). In all the time I’ve had underweight babies not one professional has suggested I formula feed them (except for the one in my story who told me I had to do ‘something’ or I’d get reported for neglect.
I’ve never had any issues breast feeding in public but plenty bottle feeding in public.
All our experiences are different and Mia is just going off of hers.
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Sadly, every single time I had a normal baby issue, I was asked “Why don’t you just use some formula?”. Or “I would have given him/her formula by now if I were you”. It came to a point where I was treated like a loony for not switching to formula or “topping up to get some sleep”. The pressure NOT to breastfeed is enormous and soul destroying – all we want is support but SOCIETY attacks the only people that do support us. Thankyou, ABA, for not telling me what to do but helping me feed how I choose to. I don’t understand why people are so bitter about mums helping people feed their babies. Goodness knows formula has enough supporters.
Will be waiting for a real article aimed at getting society to stop attacking anything to do with breastfeeding.
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Yep, and explaining why you can’t go out for hours at night (hello cluster feeding and unable to express!) or why you’re feeding a newborn at a party for 40 minutes (what? still going). I think breastfeeding is damn hard and I think its right to celebrate those who have been lucky enough to do it, because its a freaking achievement. It requires lots of commitment, patience, hard slog and at times lots of discomfort!. I had tonnes of trouble first time and a free ride second time. Both required a couple weeks of forumla top up which hospital/midwives supported me using. I never had negative experiences about using it from hospital or my excellent local midwives.
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I’m back in the thick of all this crud after a three year lapse. Similar story to some low-suppliers who have posted, lactation consultants, lactation cookies, motilium, setting alarms overnight ot pump, water, days in bed feeding, blah blah. With Red Rocket I was sooo determined. It never occurred to me (or any health professional) that your hormones make milk and basically I don’t have many, which is the same reason it took 5 years to get Red Rocket in the first place.
At the six week mark she was still under her 6lb 2oz birth weight. I look back and I’m horrified. Ironically it was one of the nazi’s who finally came to her senses and told me that she had spoken to her boss and that if the child didn’t put on weight they’d have to report me to child services! Here i was killing myself to do the ‘right’ thing and they were going to report me for neglect.
Started topping her up after a breast feed with 30ml of formula and she started growing. I was told by the ABA and the LC’s that this would spell the end of my breastfeeding journey.
I breast fed Red Rocket for 13 months, topping her up the whole time. THe prophecies of doom that she couldn’t possibly do both were codswallop. I stopped when I wanted to.
When the same thing started happening from the beginning with Little Lad I topped up without tears. Like his sister, at 8 weeks he is perfectly happy with mummy followed by some extra calories.
I’m still having to do the motilium/fenugreek/pumping/blah blah and its much harder to keep up with a four year old underfoot. I don’t think I’ll be able to keep up the pace until 13 months this time but we’ll see.
For all those with low supply issues, I say to you that you don’t ahve to stop breastfeeding if you don’t want to. There are some tricks to comp feeding (always boob first, stick with the newborn teats the whole time etc) but its not that hard. I enjoy breastfeeding (but don’t think I’m being smug, freaking loathe being pregnant) and so I wanted to continue, mainly cos I liked it as an activity for us both. But if they dont eat, they don’t either sleep or grow/develop.
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This is us, to a tee. The Pumpkin has always been small-ish (thanks to surgery at nine days old and six GA’s before five months) but when she actively starting *losing* weight, we knew we had to do something. So we did. We’ve been comp feeding (boob first, newborn teats etc) for three weeks now and she’s been a completely different munchkin. Sleeping, playing, interacting. The whole nine. It works for us, and more importantly, it works for the munchkin. She’s growing and developing and smashing every milestone she was reaching for previously. She just needed a little more energy to get there. Now she’s got it. My partner was desperately upset, thinking she’d somehow failed our baby. She now knows (after me saying it what seems like a million times) that she has done, and continues to do, an incredible job.
The thing that angers me, is anyone else thinking they know what’s best for our daughter. Or judging us for doing what we have to do to ensure her health and development. It’s never black and white, there needs to be more respect on both sides of the argument.
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i loved breastfeeding. LOVED IT. i got an incredible swell of happy hormones with every single let-down, for two years with each of two children. it was like a drug for me. i will look back on those as some of the happiest years of my life.
sometimes people disapproved of me getting the girls out in public. one time somebody had a go at me about feeding my baby by bottle (it was expressed milk). some people couldn’t believe i went past six months, past a year. my mother stopped asking me at 15 months because she was so embarrassed about it.
you know what? i just ignored them all. feeding is a relationship between parents and child. each relationship will be different, just as all other relationships differ. decide what you want–breast, formula, bit of both–and tell everybody else to bug off. the way the whole world continues to try to control women’s bodies drives me mental. have “mind your own freaking business” ready on the tip of your tongue at all times.
and to the people here who’ve said breastfeeding is private and likened it to going to the toilet or having sex: no, it’s like eating. sorry. i mean it IS eating.
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Love love love this response, Jane. Couldn’t agree more!
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Breastfeeding Bogans unite!! I’m with you Jane
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I’m with you Mia.
My baby was born prematurely and very tiny, and had no sucking reflex for about three weeks.
I was very ill with pre-eclampsia and on medication, and my milk never really came in. While I struggled with breast pumps etc, baby was in the Special Care Nursery in an isolette, being fed formula through a nasal tube. He was putting on weight rapidly.
The upshot of all this? No breast feeding for us.
Hey, I’m sorry. I did the best I could.
But the looks I got when I mentioned to people that I wasn’t breastfeeding – well, I might as well have told them I had left him out in the rain, or locked him in a cupboard.
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As a midwife, I agree with lots of you that conflicting advice is given…remembering, midwives have been trained in different places/era/ways etc. However ( and I can only speak for the hospital I work in) we have regular professional development days designed to help staff communicate breastfeeding principles with consistency, because we don’t want to hinder women we want to help them!
With respect to the Baby Friendly Health Initiative (being implemented by the Health Department) as a directive from WHO consider STEP 6 ‘Give newborn infants no food or drink unless medically indicated’.
Please understand that in many places this is hospital policy and that the midwives caring for you are likely not the person responsible for writing or implementing this policy. Breastfeeding is being rammed down midwives throats as much as it is mothers!
I would also like to add that yes I am pro- breastfeeding, no I don’t mind giving you formula for your baby – that is entirely your choice. However, I am obligated to ensure that you make an informed choice. Yes most people know ‘breast is best’ but theres a lot more too it than that! Each mum has to do what is best for them and their bub!
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I’m normally a big fan of you Mia, but I was really disappointed to read this article. To say that …. “Is there a woman in the western world who doesn’t know breast is best? Message received and clearly understood” is so far from the facts that it’s laughable. With less than 20% of babies still being breastfed in Australia by 6months of age, we obviously don’t get it. Even though I chose to breastfeed my daughter, I don’t have a problem with people choosing to formula feed. It’s just that i’m not convinced that people make informed decisions. Like, what does ‘breast is best’ even mean? It’s almost a throwaway line that doesn’t tell us WHY it’s the best. But when breastfeeding advocates like Tara tell us the facts and tell us exactly why breast is best, people don’t want to know about it because it’s too much pressure, ‘those breastfeeding people’ are bullies, we feel guilty etc etc etc. Well, time to man up. If you’re going to make on decision on the health and well being of your child, you’d probably want to know the pros AND cons!!
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You are misquoting data. Recently there was a lot of publicity on “only 15% of Australian babies are EXCLUSIVELY breastfed at 6 months” meaning if they have had ANY formula or solids they don’t count. The proportion of Australian babies receiving breast milk at 6 months is closer to 50%.
References are not hard to google, sorry to hard to link from phone.
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Yes, but the recommendation is to be exclusively breastfeeding at 6 months. SO, these results are exactly as they say – at this age, most parents have not followed recommended guidelines. For whatever reason, but I do not see that this means the data is skewed?
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Not skewed, misrepresented.
I personally introduced solids earlier than 6 months for my daughter, based on more recent studies suggesting a lower risk of allergy from this.
Paediatricians and allergy specialists have also begun changing their advice. The concept of an immunological window is biologically plausible.
It takes a long while for new evidence to filter through into guidelines, and they will only ever be useful at a population level.
I chose to make a fully informed choice about what was best for my daughter.
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I get fed up with people saying breast is best all the time. Yes I accept the scientific research suggests this, but my own empirical evidence is that it is often to the contrary. All five of my babies were bottle fed (and I don’t feel I have to explain why) and thrived from the word go and in fact two of my children have never needed to see a doctor for anything other than a vaccination. They were happy contented babies and I was a happy contented mother.
On the other hand I have many friends who were militant about the whole breastfeeding thing and almost offered themselves up as a sacrifice to the breastfeeding process and really struggled to enjoy their babies; they seemed to find the whole experience very stressful and negative and whose children seemed to be sick ALL the time.
I’m not saying don’t breastfeed of course, I fully believe for some women it is a wonderful experience, but it irks me that even those arguing on the pro-bottle feeding side feel they have to preface everything they say with ‘and I accept that breast is best’. What is best for a baby is what is best for mum, a happy mother equates with a happy baby. Simple as that.
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Best comment on this post.
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Huh? That doesn’t make a lot of sense to me. How can you possibly know what your children’s potential was? I don’t think anyone has ever said formula makes babies miserable, just that breastmilk has a lot of benefits and without these benefits, babies are at risk.
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Great article. sure u may av got some facts wrong, but the message of the article was clear. chill out people
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One thing I don’t understand is all the talk of nipple confusion and don’t use EBM? My personal experience of breast feeding my daughter for 6 months was great but I bet it would not be “approved” by the Lactivists…
After draining all my colostrum in hospital my little girl was hungry waiting for my milk to come in so on the second night I just asked what should I do and the lovely midwife said to give a little sugar water, she lapped up 20mls straight from a little medicine cup and slept for 4 hours!! By the time she woke up my milk was in as she had a big feed. As soon as we got home I got stuck in to the breast pump so my mum could do an overnight feed (she was staying with us for a week) Was so great to have that little bit of extra sleep.
Pumping was great and we never had any trouble with taking the bottle/nipple/dummy whatever. I am sure it helped with my milk supply also.
I told so many friends in my mums group that most of them also did this from early on and all our babies had the boob and bottle’s of EBM and happy mum’s who got a little break now and then. Oh and everyone stuck with breastfeeding even through the tough times.
I guess I’m just trying to say to trust yourself as a mum and if your baby is hungry feed them, whichever way you can
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I am a bit sick of this debate..yes we get it. But can I tell you that as someone who didn’t breastfeeding their children it was probably the best thing I ever did. And did not feel one ounce of guilt.
I tried to breastfeed my first born for three days. At each feed he would latch on and I would positively hate it. It hurt, my nipples bled and he just cried. I would break out into a sweat and get so anxious leading up to feeding time. So after three days in hospital we come home which was actually Xmas night. And after trying to feed him he cried and cried and cried all night. He was hungry, I hated feeding him and I would end up in tears. So my first night at home with a new baby was a nightmare of a night with a constantly screaming hungry baby.
Next morning husband went and bought formula and I never looked back.
Second baby I had made the decision to bottle feed before she was even born. And seeing her daddy give her her very first bottle with her in his arms is a beautiful image I will never forget.
Now I have a happy, strong, intelligent and healthy 10 and 13 year old.
Do I have regret? Guilt? Sadness over nor having bonding time? Absolutely not!!!! I feel as if I gave them opportunity to bond with other family members who would take turns in feeding them.
I gave them the best start in life I could. That doesn’t have to come from my boobs.
I hated breastfeeding, it wasn’t for me at all and I have no guilt whatsoever in saying my children were bottle fed.
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“Why should formula be displayed in maternity wards? We see aisles of it in supermarkets.”
You said “we see aisles of it in the supermarkets” as if that’s a bad thing, Tara. God forbid there is an aisle dedicated to children’s food and nutrition, wouldn’t it be better if it were dedicated to frozen pizza’s! I am a 20 year old mother of an 8 month old girl. During my stay at hospital I tried my very hardest to breastfeed. I got a severe case of mastitis after day 3 and every single hour on the dot I had lactation consultants come at me with buckets of ice, ice towels, ice cubes and they completely covered me. I had bled 2 litres of blood and torn completely during my horrible birth and although they were trying to help, they were horrible to me. They said “formula is not a choice, you don’t want her to get very ill, do you?” as if changing to formula was going to kill her. After I had gotten home I was still completely ill from mastitis to the point I could not get out of bed, I was vomitting, I had a chill, my daughter couldn’t latch properly and I wasn’t even producing enough milk. After she had cried for 3 hours straight because I had run out of breastmilk and it wasn’t coming through quickly enough, I asked my partner to make a run to the servo to pick up formula. I decided it was only for a top up. After I told my breastfeeding nurse from the ABA, she frowned at me and told me I’d ruined all chances of breastfeeding my daughter. I gave up completely after being ill for so long and not producing enough milk and I was a much happier woman for it and so was my baby. I still get other women attacking me though and frowning at me. Why is it not ok for people to judge women who breastfeed in public but it’s ok for breastfeeding mothers to judge women who bottlefeed in public? Bit hypocritical, don’t you think? I tried and I tried and I tried until I had post natal depression, and then I stopped. My child has never, ever been sick, not in her whole 8 months. I might not have won at the breastfeeding, but I’m a wonderful mother is every other way and as long as my kid is happy and fed, why is that anyone else’s business?
Breastfeeding nazi’s are the cause of much post natal depression. What happened to sisterhood and supporting one another? You should be ashamed.
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Rose, you had a shocking time and I really hope with better support and less complications, breastfeeding will be easier for you if there is a next time. Just to let you know, the nurse you saw would not have been from ABA . ABA has trained volunteer peer counsellors. That is mothers like you who have trained to voluntarily help other mothers.
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I am a new mum to a now 5 week old. We had a rocky start with heart surgery at day 3, so I was in hospital with him for the first 2 weeks. I can’t tell you how many times a doctor or nurse tried to encourage me to use formula because they were worried about him gaining weight. That is, I felt the opposite pressure to what you described – I was in tears a few times insisting on 100% breastfeeding. I managed to tough it out, and he is now thriving. Of course I wouldn’t have let it get dangerous, but I really had the sense we could make it together, which we did. I find it interesting that it seems there is a thought that there is pressure on the opposite side. I was at one of the major children’s hospitals in Sydney.
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Amazing work tasha! You should be so proud of your efforts! Whilst there would have been nothing wrong with giving your baby formula, with all that was going on in his first few days and weeks, I am sure your breast milk gave him exactly what he needed to get through those challenges! Here’s to a long and successful breast feeding relationship for you both!
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We were also at one of the two major children’s hospitals in Sydney. Our daughter was hospitalised at birth for three weeks and ended up having surgery at nine days old. Not once were we pushed, or even encouraged, to formula feed her. The wonderful nurse unit manager of our beloved ward, who is a lactation consultant, helped my partner with attachment and positioning. We stuck it out and our daughter was thriving. We made it through two surgeries and six general anaesthetics, then Christmas hit and we were travelling with a 3 month old. Once the holidays had passed and we’d settled into 2012, we discovered that our beautiful five month old was losing weight. Rapidly. Even with all the feeding, the lactation cookies, the expressing in the middle of the night (our daughter has been sleeping through since about 3 months old), my partners supply was dipping. Our daughter cannot lose weight. Losing weight puts her final surgery in doubt and she she needs this surgery to finally be a regular little girl. Under the advice of our wonderful team of doctors and nurses (including that wonderful nurse unit manager and lactation consultant), we’ve been topping her breastfeeds up with formula. The only reason I tell this story is to illustrate that sometimes it’s not as simple as you think. My partner would give anything in the world to have the milk supply to satisfy our daughter. She has cried and agonised, she has felt guilty and bereft, that she’s somehow failed our daughter. We are doing the best we can.
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I formula fed both of my bubs, by choice, and experienced zero negativity or questioning from anyone – not my friends or family or the trillions of midwives who I came across during my 5-day hospital stay. The formula, cleaning solutions etc were all delivered about 30 seconds after I asked for them and that was that. No drama! No theatrics!
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My (now-ex) wife has had cancer and was unable to breast feed, so our son was bottle-fed throughout his first year. Even midwives and nurses who know her situation made us jump through hoops to receive formula in hospital during her post-caesar recovery. Once home, even pharmacists would notice our baby and ask questions about why we weren’t breast-feeding.
The anti-formula fanatics are causing emotional damage.
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That would have been awful for your wife.
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I had breast reduction surgery for medical reasons when I was much younger and they explained to me at the time that due to the amount of gland tissue that was taken I may not be able to breastfeed.
From day one my daughter clearly wasn’t getting enough breast milk but I perservered and also visited an ABA counsellor. I explained my situation but she maintained that I should be able to BF. So I pushed on for 6 months with a baby who never slept and was losing weight until I was suicidal and needed to be admitted to Tweddle as an emergency patient. Even there the continued to push the controlled crying/BF line. Eventually I came to my senses, listened to my mother and gave my daughter a bottle of formula. Her little fingers gripped that bottle so hard they turned white and she sucked it back in a matter of a couple of minutes. From that day on I had a baby who slept like a dream and put on weight like normal babies. Looking back at photos of her at her skinniest I just cry because I can’t believe it came to that, and I have such a feeling of anger towards the ABA and Tweddle for not putting me on the right track. Even when presented with a sucidal mother, gaunt sleepless baby and a marriage on the rocks they still pushed BF knowing of my surgery.
Why do they have to make it so hard for people? CJ, I can’t believe that they put your ex wife through such hell, what is wrong with them?
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I have to wonder Mia why you had to include the strike-out sentence “Breastfeeding Friendly Workplace from the Breast Feeding Association”. when it is a Baby Friendly Health Initiative (accredited by the Australian College of Midwives). Was this a deliberate attack on the ACM and their attempts to increase breastfeeding rates? As Tara discusses in her post (which you could have tagged along to your article as you do with updates) the BFHI is a WHO initiative, not part of the ABA. The ACM have worked very hard to implement the BFHI throughout Australian hospitals with limited funding assistance. Would you prefer sponsorship from formula companies instead? I am not attacking a woman’s choice to formula-feed her baby if she has good reasons to do so, but in the same vein as the Anti-vaccine argument, if the evidence is there to do one over the other then you should be consistent in your argument Mia.
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Hi TashD – I am pretty sure the strike-through is because this was a correction. Mia admitted waaaay below in the comments that she made an error on who was running the BF’ing programme in hospitals and corrected it.
Regarding your last sentence, I was having a similar feeling but was having trouble thinking how to express it: being so firmly pro-vaccination (almost anti-choice on vaccination) seems at odds with being so pro-choice when it comes to breastfeeding, because breastfeeding is the best way to ‘immunise’ a baby who is too young to be immunised.
If your bottle-fed baby catches whooping cough and passes it on to other babies and children, well, that’s endangering the public too.
I don’t say this because I am anti-vaccination, nor am I a breastfeeding ‘nazi’. I have fully immunised both of my children (even opting in for the newborn Hep B vacc) and I have used formula to complement breastfeeding at times. So I have no hidden agenda here.
I think I just wanted to point out that we show a lot of compassion for Mums who try to breastfeed but can’t for whatever reason. There are Mums/Dads who want to vaccinate but CAN’T for whatever reason – they should receive the same compassion and deserve to benefit from herd immunity.
So it goes though, that people who opt not to even try to breastfeed (not talking about people who try but suffer and can’t continue) for no reason other than they don’t want to (not talking about people who can’t even try on medical advice e.g. they are on prescription meds) should be given the full information – just as people who choose not to vaccinate for no other reason than they ‘don’t believe in it’ should be given the full information.
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Wow. Maybe the best way to chill out about boobs is to not write articles about them and just let them be boobs. Can’t believe how fired up people get about this.
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I know what you are saying about the ABA, but, there is still a big attitude problem to counteract. I breastfed my girl for 16 months and it was hard. It was hard and painful at the start, I fed her constantly. It was hard when she wasn’t sleeping and my mum kept telling me it was because she was hungry. It was hard when my sister told me to was disgusting when people BF after 6 months and it was hard when girlfriends pressured me to give her formula so we could have a glass of wine. I called the ABA a few times for advice and support and while they can be tunnel visioned, the support was so timely and appreciated.
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I recently had my baby at Frances Perry House in Melbourne which is a BFHI accredited hospital and I am positive it was the reason why I have had no problems getting my three-week old baby to properly attach and feed. I was able to visit their breastfeeding room staffed by a lactation consultant for the first four feeds that I gave my baby boy. I escaped the dreaded sore and cracked nipples because i was shown and helped with correct attachment and feeding tips from the very beginning. Also, being from a lactation consultant meant that I wasn’t given conflicting advice and felt confident in what I was doing. I also had the privilege of staying 4 nights in the private system which meant that I still had the on-hand support of the lactation consultant when my milk came in and feeding became difficult again due to engorgement etc. Like Tara, I would definitely recommend that you seek out a BFHI hospital to give birth in if you contemplating giving birth in the hospital system
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I had that as a public patient too. I actually found the lactation consultant the least hepful, and the variety of midwives that I could buzz through the day and night was very helpful as everyone had different suggestions as to what might work or be more comfortable!
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I had both my babies at that hospital and was unsuccessful in breastfeeding. I was bullied by the midwives though. They made me feel rotten.
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Isn’t the reason formula isn’t displayed in hospitals because they aren’t allowed to endorse one brand over another?
I don’t give a damn how anyone feeds their kid, as long as you do actually feed them. After all, if you aren’t getting put through the wringer for formula, it’ll be for disposable nappies or co-sleeping or controlled crying or toilet training age or when you go to work or how far apart you space sibling or if you don’t have siblings or whether you’ll be privately educating them….
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I’m a new Mum with a 3 month old baby. She has been exclusively breastfed for the last 8 or 9 weeks. The only reason I’m still going strong now is because I gave my baby a bottle of formula the first day we were home from the hospital.
That first day home was the absolute worst. I was so engorged that my baby could not latch on and I was totally overwhelmed with the baby blues hormones that come with that first engorgement. Even after hand expressing to try and soften up the nipple she just couldn’t latch on coz they were so rock hard. After spending 5 hours of both us in tears and her having not had anything to eat, my husband went and bought some formula, got my breast pump off layby, came home and fed her a formula bottle. He told me to relax, have a shower and a nap, and then try again without the fear and worry that my daughter was starving to death. She was calm and happy after that. Knowing that she was fed and wasn’t going to starve to death gave me the piece of mind to be able to calm down and figure out how to use the breast pump and express what seemed like bottles and bottles worth of milk. My husband fed her this expressed milk through the night and the next morning we started again. This time I expressed off milk first, so my nipples were at a point so as to make it easier for my little girl to attach. It worked wonders and I was so much more relaxed. Knowing that I a) had some expressed milk in the fridge if things weren’t going well, and b) had that tin of formula sitting there in case things really weren’t going well helped me to relax and keep persevering with learning to breastfeed.
My best advice for all new mums to be after my own experience is to have a breast pump at home and ready to go. Read the instructions before you have the baby, so that if you have the same problem with engorged breasts and bubs really struggles to latch on, you can express off a decent amount of milk before trying to latch and hopefully that will help. It might not help everyone but it’s definitely worth a try. I wish somebody had told me that before I’d had my daughter. Would have saved both her and I a LOT of tears that first day home.
The thing I found most hard, was that in hospital, every midwife has a different idea and technique for latching a baby on, and most of them, rather than helping you to learn what works best for you and your baby just come in and shove the kids mouth on your nipple. So that first day home, with no midwife there to get bubs attached for me, was horrible and we were unsuccessful. I think if there was a more co-ordinated way of midwives showing new mothers how to attach and feed their babies, rather than just shoving them on, breastfeeding rates might be higher and there wouldn’t be so many stressed out new mum’s.
I understand that midwives are very busy and helping new mum’s and bubs learn to breastfeed is not their only job, so perhaps organisations like BFHI should start training and providing a new mum lactation consultant in all of their accredited hospitals and actually provide some real, tangible support, tips and tricks for new mum’s to breastfeed rather than just getting those hospitals to hide away formula and bottles.
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Your husband sounds like a prince! Well done with getting it all working out.
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I honestly don’t think I would have made it through the first 2 weeks if it wasn’t for his love, support and encouragement, especially with breastfeeding. He saw me struggling and did everything he could think of to help me out, including looking up lactation consultants and asking his Mum and mine for advice. He was (and still is) so hands on and helpful, I am so lucky and thankful to have him.
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I totally know what you mean. My husband was super supportive too. Lots of other people questioned us (She’s not sleeping cos she’s hungry etc etc) but he was right there getting my back the whole way. I think supportive partners must be one of the best ways of people establishing feeding, because it is hard!
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Just a quick comment about ‘making’ others feel guilty- other people’s successes are always going to hurt those who haven’t shared the same success. Should such people, therefore, not share their success? I don’t think so. As someone who didn’t have the support of her partner. At all. Ever. It hurts me to read this. But I’m not going to tell you not to say it. Lucky you! And it’s reassurance to me that next time I have a baby, I can make a better choice of who I have it with
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I feel as though women who can’t breast feed and use formula get more support than women like me who breast feed.
It is bloody hard work – after a traumatic birth and no family support I persevered through my recovery and sleep deprivation to breast feed, even among all the cries of “give him formula to make him sleep longer or to give you a break”.
I avoided it thinking I am doing what’s best for my baby and am proud for doing so, however I wonder why I bother anyway as everyone always bangs on about how formula is a-ok.
I’ve persevered through sleepless nights, cluster feeding, and breast refusal among other challenges and feel proud of myself but I feel like I can’t talk about my breast feeding achievements in my mothers group in case I upset the formula feeding mums.
I have to hide away at my dads to feed so I don’t offend him, my mum got uncomfortable when I bf him in a food court at westfield and then there’s the facebook thing.
Breast feeding mums need more support and kudos and encouragement! There’s seems to be heaps of support if you formula feed… Just sayin….
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“There’s seems to be heaps of support if you formula feed… Just sayin….”
I actually found the opposite of this to be true….just sayin….
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Every article I read on boob v bottle seems to mention breast is best, then spends the remainder of the article making mums who don’t succeed to feel okay for using formula. (and they should feel ok it is bloody hard work and doesn’t always work out).
I am starting to wonder why I bother bf when bubs still doesn’t sttn, still gets sick and formula is touted as being great for babies too.
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Clairek, I agree with you. I don’t know if it’s more support for formula feeding, or just more acceptance.
My friend was bottle feeding her 13 month old and asked me how long I planned on breasfeeding for ‘as long as she wants to’ I replied.
‘oh. You know that by one she’ll be walking and stuff’
‘err, yes… You know you’re giving your child breastmilk substitute in a bottle, right? What’s different about that to BFing her?’ *awkward silence*
“just put her on formula” has been spouted by nearly everyone I know to EVERY complication/issue.
I make milk, why would I put her on formula which is a) expensive and b) unnecessary in my situation?
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Yes I agree, and the time factor too. People just can’t be bothered waiting for you to feed or understand that a bfed baby doesn’t work to a 4 hour schedule! (neither do many bottle fed babies:)
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I have to agree that, in my experience, both the task and politics of feeding are overwhelming for a new mother. I breastfed both of my children for 12 months, but it was not an enjoyable experience, particularly for the first couple of months, on either occasion.
It was very, very painful and very, very difficult, despite seeking help from midwives (“if it is hurting you’re not doing it right”, “no, no, no you must not use a nipple shield for your nipples that are chapped and bleeding so much your milk looks bright pink”, “you’ll ruin your supply”, “you’ll confuse your baby”, “a bit of lansinoh and you’ll be fine”, “try walking around with your top off and frozen cabbage leaves on your boobs, that’ll fix it”), the breastfeeding helpline (same comments as from midwives) and lactation consultants (one of whom came ready with her *husband’s* prescription pad (*he* was a pediatrician, *she* was entirely untrained as a medical professional) and proceeded to prescribe me an antibiotic for my cracked and bleeding nipples, and then merrily went on her way).
The only person who supported *me* as a person rather than breastfeeding as an outcome was my husband. Everyone else who purported to provide support did nothing more than make me feel alone and helpless because it was clear that breastfeeding was really what they supported, not mothers.
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Well said, support the mum rather then breastfeeding and I bet more mum’s would be able to stick with it…
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The ABA has a saying (along the lines of): The baby is not for breastfeeding, breastfeeding is for the baby.
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I think half the problem with this debate is the raging hormones of the mother. I seemed to inherit triple-mother guilt and I still can’t shake it. It took years for us to conceive our daughter. I had a great labour, but then a very serious pph meant that I nearly died. The midwives and doctors told me I may not be able to breastfeed, due to my pituitary gland having been starved for a while due to the blood loss.
My milk came in, but I never had a lot. However, I was bound and determined to breastfeed. It was the ONE thing that was most important to me. Pumped after every feed, fed round the clock, took motillium, baked the special oat cookies, drank guiness – the works. It worked for me – fed until fifteen months! But it was a struggle. My baby was often hungry although health professionals were satisfied with her gain. She was so happy the few times I guiltily gave her a bottle of formula to top her up. I felt wretchedly guilty I was stripping her stomach and drying up my own supply. I’m pretty sure the guilt is biological. We know in our heads we are feeding our children if we bottle feed, but our bodies don’t know that.
I am pleased -for me – that we perservered. It was such a big deal to me. I don’t know, however, if I had had other children at the time if I could have done the same. Hours of pumping, hours of feeding – someone would be suffering.
Breastfeeding can be hard, very hard. I do believe a lot of women do give up too easily. I think with a LOT more support more women would be able to feed for longer, successfully. The ones who truly can’t should not be made to feel at all guilty. I wish someone had said to me, do give her a bottle once a day for both your sakes. In retrospect, it would have been better, I think.
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True about hormones! Such a vulnerable time for women…
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Justvisting you deserve a medal for what you did, your story broke my heart.
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This brought back some very bad memories for me. I had a horrible time with my first child with breastfeeding and was made to feel awful.
I did all the courses to get prepared for having a baby but not once was it mentioned that you might have trouble feeding. I was told it was easy and everyone could do it. So when it all went wrong I was totally unprepared. This and a few others reasons lead to pnd.
I had some lovely and helpful midwives but the ones that treat you like garbage stick with you. I cried for a week after a visit from a representative of the aba. She made me feel like a terrible mother due to having to top up my bub with formula. These people just don’t realise the damage they do with their hurtful comments.
I desperately wanted to breastfeed and I am still sad that I couldn’t but luckily I meet a wonderful friend who helped me through this time.
I am glad my hospital didn’t have the policy Mia talks about as I really don’t know how I would have coped if I had to get midwives to sign out formula when I needed to top him up.
I have since had a 2nd child and had the same problems but I was now more prepared to deal with it. With number 2 it took me seeing 5 different lactation consultants before someone was honest with me and I will be forever grateful to her. The only one who didn’t make me feel like there was something wrong with me
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I think that anything that keeps the baby alive is fine.
A few years back, a friend of mine took custody of her baby niece when her brother and his wife died in a car accident. Shortly afterwards, in a cafe, a midwife/lactivist/cow started criticising her for giving the baby a bottle. My friend (grief-stricken, exhausted, overwhelmed) just sat there numbly. I followed the bitch back to her table and gave her a piece of mind – I suspect she now looks around for me before lecturing people in public!
Still amazed that anyone thinks its acceptable to tell a complete stranger how to feed their child …
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I’m glad you were there for your friend. That woman sounds like a complete bitch.
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