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
Thanks for this article Mia, as I’m currently having a terrible time breastfeeding my 10 week old bub after successfully feeding my 1st for 14 months. I’ve enlisted help from midwives, ABA, breastfeeding clinics, pediatricians and even an osteopath! Although bub’s putting on weight it’s a very distressing process for both of us and I feel that it is detrimental to our mental health and relationships with both my children. However, I’m feeling so guilty just thinking about bottle feeding! This article has made me feel a little better about switching to formula if necessary.
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My mum could not produce milk when I was born. Apparently I was starving but the nurses kept telling mum to wait. Eventually mum demanded formula but the nurses refused to even give her a bottle to feed me with- they told her to use a spoon. She was devastated enough about not being able to breastfeed without their bullying. And I’m 21 now and my immune system has been fine without breast milk, thanks very much!
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Could not have said it better Mia!! Xx
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Thank you for inviting me to comment Mia.
There are several inaccuracies in this piece. I assume by “Breast Feeding Association” you are refering to the Australian Breastfeeding Association. If this is the case, then it is important that you know that the hospital was more likely to be in the process of becoming a Baby Friendly Hospital which is not an ABA initiative (though it is supported by ABA). https://www.breastfeeding.asn.au/bf-info/your-baby-arrives/your-hospital-baby-friendly
The Breastfeeding Friendly Workplace program you refer to (corrected from your original telegraph piece) would not be relevant to the mother, but only to the staff. http://www.breastfeedingfriendly.com.au/
ABA is not against formula, but rather for breastfeeding. The ABA operates under a code of ethics, all counsellors and educators go through intensive training and would never force a mother to breastfeed. ABA is an evidenced based association. All the information and support ABA provides is based on current research, not opinion. https://www.breastfeeding.asn.au/aboutaba/coe
https://www.breastfeeding.asn.au/aboutaba/counsellors
https://www.breastfeeding.asn.au/aboutaba/communityeducators
The ABA provides essential information to support mothers. The Breastfeeding Helpline (1800 MUM 2 MUM or 1800 686 268) is a service that provides accurate and consistant support. Mothers are given options, and empowered to make the decision best for them.
In regards to premmie babies: you might find this information interesting (it is based on current peer reviewed research) https://www.breastfeeding.asn.au/bf-info/premature
If you would like to find the orginal sources, you can contact the Lactating Resource Centre: http://www.lrc.asn.au/
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thank you Catherine. very informative and helpful.
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Hello Catherine, I understand your position of standing. I also highly respect the ABA and am very well informed as to why breast milk is best.
Having said that, I experienced a situation practically word for word as Mia’s friend that she wrote of. My daughter had lost a dramatic amount of weight and as a first time mother in hospital, this stress was compounded when I was made to incompetent and refused formula by the lactation specialist. The moral of my point is, there was no support.
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I understand that Mamamia is a vehicle for freedom of opinion but I strongly agree with the replies that point out the incorrect reference and misinformation about the Australian Breastfeeding Association (ABA) within the post. The ‘breastfeeding nazi’ public image is something that the ABA works very strongly to re-educate people about – put simply – the ABA is an organisation that supports mothers. Fullstop. As a Breastfeeding Counsellor with the organisation I have undertaken rigorous training in counselling practices and I don’t recall ‘bullying’ being part of the assessment criteria. I do recall learning about ‘empathy’ and ‘Unconditional Positive Regard” – did you get that word in there – Unconditional. It is our goal as representatives of the Australian Breastfeeding Association to promote, protect and advocate for an inclusive Breastfeeding society – as well as to empower mothers to Breastfeed through support and mother to mother caring advice.
As a previous commenter mentioned – your reference to Breastfeeding Friendly Workplaces accreditation confuses me and I am positive has nothing to do with that midwives response – she was most likely referring to the Baby Friendly Hospital Initiative, in which case I can understand the nurses hesitation – as they do require a medical prescription for formula if the hospital has BFH accreditation (which I might add – has NOTHING to do with the Australian Breastfeeding Association).
I could go on and on about the misdemeanors in this article – however the bottom line is that Breastfeeding should be normalised in society – regardless of whether you have had a difficult time with it or not. Photographs of children being breastfed help with the process of normalising Breastfeeding in society – what this has to do with formula – I’m not really sure.
If anybody wants to educate themselves about the work that the Australian Breastfeeding Assocaition does them please go and have a look at the website – the ABA code of Ethics and Position Statement on Breastfeeding are clearly available for the public to view on the website in the About Us section.
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Are you going to address the fact that it is NOT the ABA who runs the baby friendly hospital project? This is such a disappointing article which does nothing but misinform mothers… once again. Poor effort Mia.
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Hi Renee,
Have done so above. You’re right, it was an error on my part and I have corrected it as soon as I could this morning.
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We are human mammals. Our babies are designed to drink the milk our bodies produce out of our breasts. A small percentage of women (less than five percent) are physiologically unable to breastfeed their baby.
Historically, for millions of years, those babies would receive breastmilk from another mother. Now we have artificial formula, which is a nice and handy alternative, most useful for the small percentage of women who cannot feed.
For everyone else, as human mammals with human babies, let’s increase support. Don’t feel guilty, feel angry at a lack of support. Almost all women CAN breastfeed. If you wanted to, and could not, get angry, because odds are, you lacked appropriate support.
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I don’t believe women are given enough support. Years ago women stayed in hospital until their milk came in & breast feeding was established. Now you’re pushed out the door within days. When I left hospital the thing I was not confident at all about was breast feeding, luckily it all went smoothly, but for many mothers I know it was awful. Having said that, if for whatever reason you don’t want to breast feed think thats fine too.
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I am a midwife and am currently developing a study to look at the relationship between hospital stay, outpatient support and breastfeeding success. I am hoping to identify some trends that will assist in providing more face to face professional support for breastfeeding especially in the early weeks as the hardest part is getting breastfeeding properly edtablished. Mastitis is one of those horrendously unfortunate occurances and I would be very interested to see if more support establishing good breastfeeding will in any way influence rates of mastitis. In very early stages of planning but hoping to get study published when completed!
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Hey Pseudo,
I had all the support in the world. I had lactation consultants, a supportive partner, I spoke to the ABA many times, I had ultrasounds….and yet still I got mastitis 7 times in 8 months.
Breastfeeding my second child was a nightmare and it just didn’t work.
I had so many courses of antibiotics during that time I fear I did damage to my baby’s digestive system because I was encouraged explicitly and implicitly to keep going, keep going.
Sometimes, it’s just not possible.
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A question for the (chronic) mastitis sufferers – were you taught to drain one boob per feed and only move on to the other boob for the next feed?
Also, was your baby a quick or slow breast feeder?
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Hi Mia, I am so sorry to hear your story. I can only imagine how frustrating and also painful that must have been. It clearly demonstrates why we need more breastfeeding research. Wonderfully, midwives like Pseudo, LC’s and MCHN’s have started that work, and ABA dose a great job of encouraging and supporting research. However the medical profession needs to come on board. The Academy of Breastfeeding Medicine is a start but as pointed out by Prof Peter Hartman at the latest ABA International Breastfeeding Conference in Canberra, it is curious that there isn’t even a medical speciality in human lactation. The lack of human lactation courses in medical schools and indeed all allied health curriculims is unfathomable. Women go to GP’s expecting help, not realising that they lack training in breastfeeding management..Also there is a lack of funding for independent research. A lot of research into human milk is by the cashed up formula companies.
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Sorry, but your last statement is very incorrect.
Read my comment above, I got lots of professional help but it still didn’t work. It just doesn’t work ALL the time.
And comments like yours are the ones that make mothers who cannot breastfeed feel even worse about the fact that they failed at something we were born to do.
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I remember being in hospital with my second and the nurses fretting over his dry nappy (exactly as had happened with my first). I wasn’t in the slightest worried as I never had BF issues and plenty of milk. But after about 24 hours they decided I had to give him a bottle of formula so they could be satisfied his kidneys did work…. I kept refusing, not because of formula, but because I KNEW he’d be fine and would eventually wee. But they went on and on and on…..
Then I refused to give him cows milk formula as my first was allergic and would vomit and vomit (and if my 2nd did that, well, he’d be even less likely to wee, right?) So husb had to go on a walk round the suburb looking for soya formula. We gave him a bottle (low and behold he wee-d) and I thought all was done…..
THEN the midwives brought in the form. The one for me to sign which stated that whilst I understood breastmilk was best *I* had requested him to be fed formula…
Luckily it was baby 2 so I wasn’t a total bag of emotions and confusion. But really, here they were nearly bullying me into giving him a bottle. Then getting me to sign a form saying *I* had asked for him to be bottle fed…. Thankfully I could just roll my eyes at them.
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I wonder why they just didn’t give him some boiled water if they had to check his kidneys were working. Good for you for sticking up for yourself.
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So, what exactly IS the big deal about formula? I remember reading somewhere, some statistics suggest formula fed children don’t develop as well or something?
Because, I was bottle fed, Mum had ross river fever when I was born. My brother too. I’m a lawyer, so clearly, I turned out ok in life, it didn’t affect my brain development or anything!
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I was bottle fed too and I’m in my last year of law school. Maybe that’s the ABA’s agenda – they want less lawyers in the world
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Love it.
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My three siblings and I were bottle fed 1970′s formula, which probably isn’t a scrap on today’s formula. We are all intelligent, educated, sucessful people and my sister is an Olympic athlete!
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Unfortunately whippersnapper, formula fed babies are at greater risk of some acute and chronic diseases including gastrointestinal illness, respiratory illness, otitis media, urinary tract infection, SIDS, Type I diabetes mellitis, obesity, asthma, multiple scleroris and childhood cancers. Mothers who do not breastfeed increase their risk of anaemia, Type1 and Type2 diabetes, breast cancer, ovarian and endometrial cancer and rheumatoid arthritis. This is why there is such a push world wide to increase breastfeeding rates. Unfortunately support for mothers and babies who struggle is not as good as it should be. ABA and some health professionals do a wonderful job but there is a long way to go. You may be interested in reading the INFACT Canada “Risks of Formula Feeding” fact sheet. You can google it.
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Kay unfortunately there is NO conclusive way of proving that any of the illnesses you list are linked in ANY way to breastfeeding or formula feeding. To suggest you would be able to get a cross cultural generic un-effected study group to do this research is totally impossible. And the statisitical size of the group to get results that would be even close to normalised is obscene. So quote any journal artical you like I can tell you now that you could poke holes in the research with a bulldozer with no problem.
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Start doing some research Ali, You might be surprised.
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Your post Kay further adds to the guilt women feel when THEY as the mother decide what’s best for the mother and child.
This research you speak of please link to here. In sure there’s endless data but I’m yet to see the research that shows the huge amount of children that are infected with these illnesses and therefore NOT breastfeeding is conclusively seen as the reason why….
I also regularly read any SIDS information that is on their site and I have not seen breast feeding added as a reason to minimize SIDS. Any advice I have been given about SIDS was very heavily based on smoking as sleeping conditions….
In my circle of child bearing aged friends (nowhere near thorough research) every single child regardless of how they were fed had had the same illnesses….
Let’s all just stop te guilt trip on women regardless of how they feed their children and STOP the GUILT!!
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Hi Erin, the causes of SIDS are multifactorial. Also a problem has been the lack of a precise definition of breastfeeding. The research I am referring to is a meta analysis of 23 SIDS studies.The combined analysis indicated that artifically fed infants were twice as likely to die of SIDs. McVea KL et al (2000) “The role of breastfeeding in sudden infant death syndrome”. There is also Vennerman MM et al (2009) “Does breastfeeding reduce the risk of sudden infant death syndrome”. A very good synopsis of the research is available in the International Lactation Consultant Association’s “Risks of Not Breastfeeding”. It is right that there is vigorous examination of this research. That is what peer review is all about but surely we shoudn’t be censoring this information to prevent feelings of guilt. I feel that is patronising to mothers.
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Kay,
You have been commenting all day about this article and clearly none of it is having any impact on your views.
23 studies? Seems fairly inconclusive to me…. As I said and I’ll repeat it – if SIDS and kids honestly stood by this research it would be listed in their recommendations.
I could paraphrase and quote studies all day too from the internet. They do help your cause but my point to ALL of your “peer reviews” is that they are very judgemental just hidden under the guise of intelligence….
What’s patronising to mothers are comments that are not multi facted and therefore not helpful at all
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Erin says, “As I said and I’ll repeat it – if SIDS and kids honestly stood by this research it would be listed in their recommendations.”
How interesting… because they now do!
SIDS and Kids Australia will be adding a sixth message to the safe sleeping campaign to be launched in 2012: Breastfeed baby if you can.
Six ways to reduce the risk of sudden unexpected death in infancy and sleep baby safely
1. Sleep baby on the back from birth, not on the tummy or side
2. Sleep baby with head and face uncovered
3. Keep baby smoke free before birth and after
4. Provide a safe sleeping environment night and day
5. Sleep baby in their own safe sleeping place in the same room as an adult care-giver for the first six to twelve months
6. Breastfeed baby if you can
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The problem is Kay, that its impossible to say whether a child would still suffer any of the conditions you say, if they were breastfed. You can only do one thing, can’t you? You can’t breastfeed a child, see how they turn out, then wind back the clock, bottle feed the same child and see if there are differences.
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Oh Erin, We will just have to agree to disagree. All the very best.
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With my first it didn’t work and every time someone asked me about it I had to hold back from breaking down while smacking them in the face. My second, with a bit of pain and persistance is a dedicated breastfeeder still at 7 months. Both normal situations if you ask me. All this stuff about us being mammals and someone else in the pack feeding your child is just ridiculous. Women work these days and face a million more obstacles along with breastfeeding. Why oh why we just can’t support each other with whatever choices we make to raise a happy and healthy baby is beyond my.
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I could google it, but I think I’ll get a much better response from comments on here to be honest! Is formula cow’s milk then?
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Yes whippersnipper, it is based on cow’s milk. Just out of interest, what did you think was in it?
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Not sure. I’m pretty clueless on kids to be honest. I learn most stuff about giving birth and babies on mamamia! I’m now pretty much terrified of giving birth and pooing while in labour!
I mostly know that formula has heaps of vitamins and all essential baby nutrients powdered down, I wasn’t sure whether it actually had cows milk added or whether it was a powdered combination of all nutritious things babies need, based on what is in breast milk? I thought scientists were pretty smart so they made a close enough replica of breast milk, but powdered.
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wow! you might like to try bellybelly.com.au for better info. it is a pregnanct, birth and parenting site (with forum) that is very balanced.
Also, check out the ABA site https://www.breastfeeding.asn.au/ for info about why breastfeeding matters. (for mum and bub). Formula has it’s place, but with good info (from ABA) and support, breastfeeding at the very least saves you money! breastfeeding might be natural and normal, but it is learned skill. Modern life means we need help to learn,our ancestors would have learn from observing the women around them.
All the best in your jouney whippersnapper, it is wonderful you seek to find out.
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No, don’t rely on one site or forum to give you a balanced view of feeding. The forum Catherine mentioned is very pro breast feeding and very anti bottle feeding despite what the owner of that forum says. Do your own research, join a few forums and pages, and most of all, do what feels right for you.
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You used to get a soap and water enema in early labour to get you to poo before 2nd stage (the pushing stage). I hd one with my oldest in the late 80s. Didn’t have one after that and to be quite honest you don’t care by 2nd stage if you poo and the midwives clean you up pretty quick anyway. Also some women have a big bowel movement before they get to that, so no problems.
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Kay, not all formula is based on cowsmilk. Neocate, which is the formula prescribed for my daughter due to allergy to soy and milk, is not based on milk at all.
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“Artificially fed” – that’s a pretty awful and judgement-loaded term. We are all fed artificially after weaning anyway and for the rest of our lives and we all do okay. There’s no one-size-fits-all when it comes to feeding a newborn. My milk takes a few weeks to establish and it took three babies for me to realise and stop worrying, plus a brilliant and pragmatic health nurse who said there’s too much focus on weight (of course all babies follow different growth patterns) and she had seen genuine infant malnutrition. Anyway, now I know we can’t all expect or try to measure up to a text-book experience. Just wish someone had given me that advice first time around
Also, of course formula is better than a starving baby. And you can continue to establish feeding with a bit of formula along the way – they don’t have to be mutually exclusive. As my mum said when I was completely stressing about giving one of my babies a dummy because her sucking reflex was insatiable and I was feeding her all the time (fun with two others on the go!), ‘It’s not about you, it’s about what the baby needs’.
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Its more a medical term. I use it when writing patient notes, but I don’t ask people if they’re artificially feeding their baby. It does sound pretty bad.
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Kay you are very misguided in your comments and offensive! Let me tell you after having a son die of SIDS and then working for the SIDS foundation for many years you have no Idea what you are talking about! Just to shatter your statistics my son that died was purely breastfed! I have also have a daughter who I have had to formula feed but not by choice. Be very careful you are treading a very fine line!
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Hi Lee, The last thing I would want to do is cause you more pain than you have already experienced. I am a health professional and volunteer breastfeeding counsellor. As part of our continual learning we have to read this research. Do you really want us to suppress it ? You may be very informed, but many women are not. They have a right to this information so that they can make an informed decision. You did everything in your power to reduce risk with your son. Just as you are doing with your formula fed daughter by following the other SIDS guidelines. I wish you all the very best.
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Hi Lee, The last thing I would want to do is cause you more pain than you have already experienced. I am a health professional and volunteer breastfeeding counsellor. As part of our continual learning we have to read this research. Do you really want us to suppress it ? You may be very informed, but many women are not. They have a right to this information so that they can make an informed decision. You did everything in your power to reduce risk with your son. Just as you are doing with your formula fed daughter by following the other SIDS guidelines. I wish you all the very best.
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My advice it’s don’t read any forums! Take the advice of your health professional and take the rest as it comes. Half the stuff women bang on about won’t even happen to you. If I listened to all the rubbish that I heard when I was pregnant about child birth and raising a baby I would’ve signed myself into a nut farm. Mothers generally need to chill out and stop trying to control everything. For the record I’m in Mia’s camp- I tried EVERYTHING and couldn’t breast feed. I took those hideous bring-on-the-milk drugs (I’m sorry but that is just SO wrong!!) they were over-prescribed, I got shocking Mastitis within hours, I lived at the lactation clinic, I battled for months expressing every 3hrs and finger feeding my baby through a feeding tube. No one tried harder than I did- I couldn’t possibly have done one single thing more. Whoever said earlier that “everyone can breast feed” is an idiot. In the end the lactation nurse smiled condescendingly at me and said “well we can’t do any more for you, so have a lovely Christmas, but come back next year”. Yeah ok sure, pretty sure my baby could be getting pretty peckish after 2 weeks but good advice sunshine! Any way, sorry to add my bit of vitriol, I hadnt intended to get as riled as I did in this comment but hey, add me to the list. A very passionate issue….
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Um, 32 years after being formula fed, i have had none I those health issues except for mild rheumatoid arthritis, which is inherited from my Nanna and nothing to do with how I was fed as a baby.
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Yes Kay, and the list of side effects of a baby who isn’t getting any milk as their mothers supply is low and they are starving would be just as long. It is people like you who spout off responses like this that cause the guilt for new mothers who can’t breastfeed. Ironic that this is exactly the type of guilt Mia is talking about in her article and you still write a response like that.
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Kimberley I find your response truly baffling. I am not sprouting information to make people feel bad. I try as empathetically as I can to support women to breastfeed or if necessary, compliment or supplement with donor milk or formula. But women need to be informed of risk. It is both irresponsilble and patronising to not do so.
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I am yet to find one comment of yours that is sympathetic
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Kay, I have read through all your many responses to the comments to this article. You may think you are coming across as empathetic but unfortunately you aren’t. Please understand the majority of women who are using formula have consulted with a medical professional and do understand that breast is best and would prefer to exclusively breastfeed. Yes, there are other people that have chosen not to breastfeed for other reasons but you will not change their minds. The only people you are reaching with your comments are the people who have wanted to breastfeed and can’t. Enough, please.
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I am really sorry you feel that way. You any many others are informed and that’s great, but surely I am allowed to post to those who are not?
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Kay your comments are not helpful, empathetic or enlightening. It is comments like yours that cause such guilt in new mums who are simply trying to feed a desperately hungry baby. I ask you to take a step back, and re-read your comments and see them through the eyes of a new mum who hasn’t been able to breastfeed.
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And for those of us who categorically had no breast milk???
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I understand the fact that most people turn out just fine on formula, but regardless I wish all women would promote breastfeeding for babies, even if it didn’t work for them.
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For the most part they do!!!
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Actually they don’t. Their usual comments are “I couldn’t breastfeed, so don’t worry if you can’t either”. I would love to hear a more positive response. I am not saying this is everyone either, but in my experience the majority I have known have said this.
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Ummmm….. Being a mother who had no milk ( yes, I am in that 5% minority ). I have always upheld that breast is best. It does not mean that women who formula feed do not have a voice. The anguish of not being able to breast feed your baby is often unimaginable. Laying guilt on women and not giving them a voice is just not right. Good on Mia for her article.
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Whippersnapper, do you think you can mention any more times that you are a lawyer?!?! I swear it comes up in 90% of your posts
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You know, I was thinking that this morning, when I posted that! Somehow, it always seems relevant to what I have to say, haha!
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Dont worry, you’re not the only one. I feel like I constantly mention my occupation. So I won’t here….
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Whippersnapper, take a look at “Just One Bottle Won’t Hurt”—or Will It?” by
Marsha Walker, RN, IBCLC and then decide for yourself.
This article comprehensively lists the risks that babies exposed to formula face. It’s quite laden in medical jargon so not easily accessible to lay people, but it is these facts that mothers have a right to be informed about before they make a decision about whether to use formula. Unfortunately, most mothers are not given the facts to inform their decision.
“Just one bottle” is available from: http://www.naba-breastfeeding.org/resources.htm (or use this direct link to the PDF document: http://www.naba-breastfeeding.org/images/Just%20One%20Bottle.pdf )
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Thanks Jane that’s awesome. And thanks Kay for all your comments and info too. You seem to have upset a few people, but I think the facts are upsetting: the stats and evidence about breastfeeding are very powerful, and as a Mum it makes you v emotional to contemplate doing something you KNOW is not in their best interests nutritionally. My poor little #1 such a reluctant feeder, and finally just fed expressed milk (SO much easier for me) for the last few months until we got to 12month mark. Breastfeedings the hardest thing I’ve ever done but the hard evidence for its good, such as the stuff you present, gave me purpose and resilience and kept me going. I’m really glad we got there, and I feel desperately for my mates who tried and couldn’t – I know you’re not trying to make those who couldn’t feel guilty, and I think the evidence is a great motivator when you’re struggling.
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Thanks Seahorse, I needed to read that. My detractors and I are all really on the same page, trying to achieve the best outcomes for mothers and babies. We just have different opinions about how we achieve that goal! Unfortunately what is motivating to one mother, another sees as criticism of her choices. I just don’t get how suppressing information helps anyone.
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You know Mia that a large part of what these articles do is compel readers to post comments justifying their inability to breastfeeding and need to use formula. It’s sad to read.
Ironically though, if breastfeeding was more commonplace in the US where these Facebook people are, it’s unlikely that they would still see breasts are purely sexual objects and thus refuse to allow people to post breastfeeding pictures.
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Are you saying the women who were unable to breastfeed and used formula shouldn’t have a voice? It sounds very much like you think they should be silenced about their experience.
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It sure does sound like we should be silenced about our experience yet it’s one I feel so strongly about and get so upset about as there is such a strong divide. No where else have I found a place where I can talk about my horrible experience…
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Erin, you would be able to talk about your experience on the Helpline or at an ABA meeting. Our group have had a meeting for mothers for who breastfeeding didn’t work out. We found that those mothers felt that their struggles were validated and acknowledged by other mothers who did not have such overwhelming issues. It was an enlightening and healing experience for all. If you wouldn’t feel comfortable at ABA perhaps the Bottle Feeding Support group would be a good place to talk through your experience. All the best.
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No, not at all. And I happen to be someone who struggled with breastfeeding and used formula with one of my children.
What I meant was that no one should feel that they have to justify their decision to use formula. As long as a baby gets fed and is healthy, that is all anyone can ask.
The fact that mothers who use formula continue to feel guilty and ashamed and all that other stuff makes me feel sad. Articles like this tend to bring that response out in people. I want to see this issue raised in a different way, one that associates positive feelings with feeding and caring for babies no matter whether you use formula or breastfeed.
From my perspective, I don’t think that we have a society that is open enough about breastfeeding to enable women who haven’t yet had children observe it, talk about it and get an idea how to do BEFORE they are landed in a hospital with a tiny, hungry baby and a body full of ‘just given birth’ hormones.
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The Facebook ban does seem a bit over the top but at the end of the day it’s his platform and he has every right to allow or not put whatever he wants on it. Worth bearing in mind from a commerical perspective that Facebook needs to be allowed in as many countries as possible, many of which are far more conservative than ours.
What I’m slightly gobsmacked by and wondering whether I’ve strayed into a parallel universe is Mamamia complaining about web censorship. This place is a bit like North Korea if any criticism of the proprieter or her friends or commercial endorsements is made. Again, fair enough, it’s her site but can’t see why she won’t respect other people’s decisions along the same lines.
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Agreed. I’m always mildly surprised when I realise people are still playing on Facebook, anyway. Hasn’t the culture moved on?Why hasn’t the culture moved on? Also, on breastfeeding: Women with confidence and common sense are usually clear on discerning the messages put forward by interest groups, and then deciding what is best for them and their families.
Hard sometimes to be those things with a newborn, though.
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I think was a great, much needed, balanced article on breastfeeding. I persevered with my first child, who screamed day and night, and who we later found out was starving, for 6 months. I listened to the breastfeeding experts advice and kept breastfeeding and she kept screaming and losing weight. I finally conceded deafeat, weaned her and she became a happy baby.
It wasnt until my next babies came along who all had jaundice that required re-admission to hospital that their paediatrician and special care nurses insisted I stopped because they were dehydrated, their jaundice wouldnt go away, risking liver damage, until they were adequately hydrated and that was only going to happen with formula, that I realised how hungry my poor first child must have been. A representative from the breastfeeding association popped her head into my hospital room on her usual visits while I was bottle feeding one of my poor sleepy, yellow babies. She suggested I should consider breastfeeding again. When I told her I was bottle feeding on Doctors orders, she seemed disappointed and continued to push her stance. When I asked her qualifications, she had no medical qualifications, she was just a mum who had the good fortune to have been able to feed her babies successfully. I told her I was only going to listen to my paediatrician and she should go and visit someone else.
So yes, while breastfeeding is the best way to feed a healthy baby when there is a healthy supply of milk, the best advice to take regarding what is best for your child is a paediatricians. And if they say its time to stop, they are thinking of your childs health first and foremost. Not about pushing their own agenda.
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I am so so sick of this ‘debate’ over breastfeeding or formula. WE GET IT! Breast is best. I chose to bottle feed my twins, after ‘succesfully’ brestfeeding my 2.5 year old. When I say it was a success, I mean that my son was nourished and I had no issues with milk etc. But the truth is I just didnt like it. I felt like I needed to leave the room every time I got my boob out. Because Im just a self concious person.
I felt that it was actually best for my twins AND my 2.5 year old that I bottle feed. Both because of this reason, and because in our house my husband and I share all responsibilities. And it turned out the best decision for US. So instead of me struggling through endless nights up feeding tow babies, my husband aqnd I got up to all the feeds together at the start, and fed a baby each. And we both got to bond with our babies. Because thats just it. We are made to feel if we bottle feed our babies they will be malnourished and we will not bond with them.
My point is simple. Give us the facts. Then leave us to make our own decisions without judgement. Because that is what this is about.
Im sick of being judged by strangers in the shopping centre. They start off “oooh you’ve got your hands full” (I now have a nearly 5 year old and 2.5 yr old twins), behaving as though i am supermum for just getting on with it. which is kind and lovely, then they invariably end up asking about how we coped etc, then if im really lucky they ask “And did you feed them?” I FEEL like saying ‘No they starved cant you tell’ but instead I now just say “Yes with formula” then they usually cringe and openly judge, even when they pretend not to, with things like “oh you poor thing, you wouldnt have had time anyway”. Last time I checked it takes far longer to Sterilise 18 bottles a day and make up the formula etc, than to pull out a boob!
How about a ‘no mummy judgement association?
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Love your comments……….couldn’t agree more! Breast feeding is NOT the most important thing you’ll ever do for your child so let’s stop judging other mothers. You can be damn certain the dads arent out there judging other dads on their choices like we women do. We’re all just trying to do our best in this mothering caper aren’t we??
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Awesome comment! I too had twin girls 13 months ago and after making the decision to breastfeed them while in hospital, my milk didn’t actually come in. I refused to take drugs to ‘bring my milk on’ so therefore started bottle feeding. I knew exactly how much my girls were drinking at each feed and they seemed content and full. My husband helped me to feed the girls, as did members of my family-much to their enjoyment. In the grand scheme of things-raising our children to be decent, well functioning members of society -does it really matter if he/she was breast-fed or bottle-fed?
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Love your comments and the first time on here I’ve read yet about fathers/partners. In the long length of parenting this is such a small part… How many parents say at their child’s 21st breast feeding really made a difference?!
I love that you mention bonding and feeding with your twins and your husband getting up too. We share everything in our house too and night feeds and very shared! My husband loves feeding our son as it certainly helps me in being able to be human for our five year.
Great post
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Erin, well said. Finally we’re getting to the pro’s of bottle feeding. My husband did the 11 pm feed for me routinely. It was perhaps the best help I could have received at times and I was ever grateful. The best response was the bonding between my husband and our daughter. It essentially united the 3 of us as a team.
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Very disappointing article. Started out well but deteriorated as you seem to have failed to do any basic research on the accreditation of maternity wards which is an international scheme known as the Baby Friendly Health Initiative (BFHI). Although I am no longer a member of ABA, I doubt that ABA would have an additional level of accreditation for hospitals. Perhaps the midwife you spoke to was ill informed or you misheard her and assumed it was an ABA initiative? Either way, if you are going to put info out in high circulation media you have a responsibility to at least be accurate. In general I agree with some of your opinion, and certainly mothers should in no way be made to feel guilty, however perhaps the Dr in this instance needed to take more responsibility, perhaps write in the patients file notes and make a point of informing midwives of the directive to top up after breast feeds (bf)? If the hospital is seeking BFHI accreditation, then it is a strenuous and highly prescriptive process and all health practitioners on the ward need to understand that and be committed if it is to work to the advantage of mums in helping them to bf, not to their disadvantage by adding to any emotional distress. Please check out your facts and if necessary post a correction.
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What is it about child rearing that turns normally intelligent women into f***ing psychopaths?! It’s frankly an embarrassment to the rest of us. Do whatever is best for you, in your situation & don’t judge others on their choices.
I’m 23 and often articles on this website (and the comments from psycho mums) regarding kids & babies are the biggest deterrent from having kids.
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Embarassed, that is such a good point. I think ultimately, we’re all secretly terrified that we’re doing this ‘mothering’ thing wrong.
And to drown out those niggling feelings of insecurity, we have to fervently believe that the choices we make are the RIGHT ones which, by definition mean that any other choices are WRONG.
Of course, it’s rarely black and white.
Don’t be put off having kids. It’s really great.
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We do sound like crazy psychos I agree!!
Nothing makes me angrier then this debate. I think Mia has a point, I tried and ‘failed’ twice at breast feeding and I guess it’s one of the ‘issues’ of parenting where people lose their tact and diplomacy as therefore we get defensive?
Being a parent is honestly the best thing I have ever done. I have never known love as I know now. You just realize to surround yourself with positive people, take everyone’s advice, read the facts, then decide what you’re going to do.
Te fact you are even on here reading about these topics means you will be a fantastic parent.
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I understand that Mamamia is a vehicle for freedom of opinion but I strongly agree with the replies that point out the incorrect reference and misinformation about the Australian Breastfeeding Association (ABA) within the post. The ‘breastfeeding nazi’ public image is something that the ABA works very strongly to re-educate people about – put simply – the ABA is an organisation that supports mothers. Fullstop. As a Breastfeeding Counsellor with the organisation I have undertaken rigorous training in counselling practices and I don’t recall ‘bullying’ being part of the assessment criteria. I do recall learning about ‘empathy’ and ‘Unconditional Positive Regard” – did you get that word in there – Unconditional. It is our goal as representatives of the Australian Breastfeeding Association to promote, protect and advocate for an inclusive Breastfeeding society – as well as to empower mothers to Breastfeed through support and mother to mother caring advice.
As a previous commenter mentioned – your reference to Breastfeeding Friendly Workplaces accreditation (More information for anyone who is interested https://www.breastfeeding.asn.au/breastfeeding-friendly-workplaces-program) confuses me and I am positive has nothing to do with that midwives response – she was most likely referring to the Baby Friendly Hospital Initiative (which you can read up about here http://www.who.int/nutrition/topics/bfhi/en/ – should you be interested), in which case I can understand the nurses’ hesitation – as they do require a medical prescription for formula if the hospital has BFHI accreditation (which I might add – has NOTHING to do with the Australian Breastfeeding Association).
I could go on and on about the misdemeanors in this article – however the bottom line is that Breastfeeding should be normalised in society – regardless of whether you have had a difficult time with it or not. Photographs of children being breastfed help with the process of normalising Breastfeeding in society – what this has to do with formula – I’m not really sure.
If anybody wants to educate themselves about the work that the Australian Breastfeeding Assocaition does them please go and have a look at the website https://www.breastfeeding.asn.au/ – the ABA code of Ethics and Position Statement on Breastfeeding are clearly available for the public to view on the website in the About Us section.
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The ABA helped me to get breastfeeding right when 2 doctors and numerous midwives misdiagnosis a very painful condition I had. I ended up needing to take a perception so I could breastfeed but I also topped my baby up. It is interesting to note some country’s encourage complimentary feeding so the baby gets the vitimans and minerals the mother’s milk might be lacking.
cracked nipples best friend.
One of the most frustrating things about breastfeeding is society’s hypocrisy breast is best but only if you do it in some back room where no one can see.
Breastfeeding is the hardest thing I’ve ever done, but in the cold light of day when no hormones are raging, you can’t tell the difference between my son and his little friend who’s mother tourtured herself before finally giving him some formula.
Ps if you are going to breastfeed rite aid hydrogel discs are a Godsend
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Mia, hospitals are accredited by the Baby Friendly Health Initiative (BFHI) which is governed by the Australian College of Midwives, not Australian Breastfeeding Association (ABA). Formula is signed out by 2 midwives because it has potential risks including sensitising the newborn to cow’s milk protein and also may have a detrimental effect on the mothers milk supply at a critical time. Your friend’s doctor should have explained the risks to your friend. The Academy of Breastfeeding Medicine Protocols on “Supplementation” and “Breastfeeding Late Preterm Babies” will give you background information. Before posting this column, perhaps a call to ABA might have helped you obtain more factual information. We badly need a more nuanced and factual conversation on infant feeding in the media.
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Well said!
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Why is it that without any knowledge of the issue it is assumed that the doctor who prescribed the formula is an anti-breastfeeding moron. That he has not read & considered the literature on the impacts of formula?
Or that he could have read it and considered that given the situation he still, as a medical professional with years of education & experience still felt that a bottle of formula after a breastfeed was the best medical decision???
Ridiculous.
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Probably because doctors are taught incredibly little about lactation. I know, I am one. Pediatricians probably do know more due to the nature of their work but please remember that doctors are pathology focussed, not necessarily focussed on normal process.
I work in an area that deals with perinatal women and I am astounded at the misinformation out there, sometimes from people who are consultants in the wider field.
Doctors are busy people, have enough fun trying to stay up to date with the bread and butter stuff of their individual fields, and lactation tends not to be a high priority unless you have an interest in the field.
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You have really just confirmed my point again. You don’t know. You cannot assume. I have met doctors who both know a lot and very little. Your broad assumption is as bad as what you consider the inaccurate nature of this article.
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I’m not commenting on the article or the individual doctor. I don’t have patient or casenotes in front of me.You asked why the assumption may be made and I gave you a reason.
I’m just acknowledging that the medical profession doesn’t always get it right. Historically breastfeeding has been the territory of midwives because it is a natural process. However the two professions don’t have equal standing so this may have contributed to lactation being devalued as a topic in the medical curriculum. It also doesn’t help that lactation pharmacology is a difficult area to research. It’s very difficult to get the numbers needed to get good research for a multitude of reasons.
I also wonder if the demographics of medical students has made a difference.Many medical students are not yet at that stage of life where they are having children so they may not have enough life experience to appreciate the finer clinical points of lactation. That is changing as more graduate students and more women are in medical classes and are now at the stage of their careers where they are becoming consultants. There is a lot more research out there now. For anyone dealing with mental illness and the decision to medicate as a treatment option I recommend http://www.ppmis.org.au . It gives a good run down of where the research literature is at. Worth discussing with your doctor.
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Oh dear, you had me until “the two professions don’t have equal standing”.
Yes midwives and nurses are painfully aware that we are lower on “the food chain” in the health care system and that our undergraduate training (and post grad for that matter) is a lot shorter and a lot less intricate. Id like to feel that we are a valued part of health care though, so these sort of comments aren’t helpful.
I may be a bit sensitive, but having been talked to like an idiot (or colleagues have) by doctors does tend to get a bit wearing.
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Well said indeed!
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Just a positive story about the ABA and Formula – my 6 week prem baby was jaundiced, losing weight and not breast feeding well at all. We tried everything – shields, expressing, line feeding, everything (with minimal assistance from the ABA – I just hired the pump from them). After seeing me exhausted around 8 weeks, both of us losing weight and my son not thriving at all, it was in fact my ABA counsellor who recommended we switch to formula. I nearly fell off my chair (which would have been a feat since I was fused to it from all the breastfeeding/expressing attempts!).
Cue mixed feeding for a few weeks and then fully formula feeding and we suddenly had a healthy happy baby and mum. And my counsellor supported us 100%. They are not ALL hardcore lactivists. Many of the ABA counsellors are just trying to support your journey, whichever path it may eventually take.
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O.k so perhaps formula should more easily accessible (and even brands of formula promoted) for women to grab when their baby is crying and breastfeeding is seeming too hard? Hmmm don’t think anyone would end up breastfeeding if that was the case. I doubt very much you could find a midwife who doesn’t agree that occasionally babies need formula. But breastfeeding is complex and sometimes a long and difficult journey in the beginning…one that is definitely worth giving a best shot. And as far as ‘everyone in the western world’ knowing that breast is best? That is a very closed minded opinion. Think of the many women that are birthing their babies in this country that do not come from a western world surrounded by the promotion of breastfeeding. Women should not be made to feel like failures, you are right. Was it really the midwife making the woman feel like a failure? Was she really being a bully? Did she refuse the bottle of formula? You said yourself she wasn’t a “hardcore Lactavist”. Perhaps we shouldn’t be bullying these midwives. They are after all there to support women and trying to do what is best for mother and baby. Perhaps this midwife wasn’t smiling when you asked for a bottle? She was probably just thinking “o.k how am I going to track down another midwife to check off this formula while I’ve got 6 bells ringing”. Women shouldn’t be bullied about their choice of feeding…but midwives shouldn’t either. This article is so misinformed, I could continue on and on.
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Breast isn’t best its NORMAL!! Articles & comments like these ” I didn’t have enough milk” or “my baby is formula fed & is fine” well that’s great, however the normal, biological way of feeding a baby is via the breast.
I don’t live ( or want to!) survive on non sterile, artificial processed crap so WHY would anyone choose that to be their beloved child’s only food source? I can understand mix feeding due to supply/work or some supplementing in early days, but I can’t fathom making the choice to feed my child anything other than best possible food source. Still breastfeeding @ 16 months. Was extremely hard initially but I stuck with it, with help from the Australian breastfeeding association. (fact checking would have been beneficial )
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Yep, completely normal & natural but sometimes BLOODY HARD! I breastfed my daughter for 4 painstaking months because of the guilt I felt about putting her on “non sterile, artificial processed crap”. Turns out my daughter had gotten thrush, then proceeded to give it to me through feeding. My nipples were cracked, she was drinking blood..you get the picture. But still I persevered because calls to the ABA concluded that it would go away by itself (it didn’t) & that I should try & relax with deep breathing through feeds so as not to make the pain worse. One ABA counsellor even suggested I try & think of something erotic while feeding to try and trigger those senses and take my mind off the pain. Are you f***ing kidding me?! IT is people like you (and you’re not alone – there are many) that make parenting so much harder than it needs to be with your judgemental BS. Yes breastfeeding is more nutritious than formula. But it’s not always best for mother and baby.
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i had nipple and ductal thrush also mate. That’s why I said it was hard work. But for me, i got through it. I understand it’s hard work however if you read up on thrush it’s caused by ( amongst other things) an imbalance in the gut. So breast feeding is the best thing. I fed though it, although was tempted to wean during each and every feed for the 6 wks we were infected. To me failing at breast feeding wasn’t an option. I’ve since found out my child has a severe cows milk protein intolerance.
You sucessfully fed for 4 months. An awesome start for your baby, and you made the best choice for you. However I disagree that thrush is a reason to quit.
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Forgive me if i’m wrong but you are coming across as though you feel you are superior to me as a mother for getting through feeding with thrush. And that I’ve failed in an area of parenting for not feeding my daughter with bleeding nipples and breasts that burned through entire feeds. And when I was so tense through every feed from the pain that my daughter was struggling to feed properly. And as much as I know your opinions are so absurd & biased & out of touch with reality – I still feel the need to explain myself further incase there are other mothers reading that are struggling. I believe I could have gotten through the thrush had I been given the correct information in the early stages. But after several visits with my GP, several phone calls to the ABA & extensive research online I was unable to resolve the issue early. I was on 4 doses of medication, none of which did anything to resolve the thrush.
I do believe breast is best, absolutely. And as hard as it can be, I think issues can be resolved and worked through WITH THE RIGHT ADVICE AND SUPPORT. In my experience with the ABA & ‘lactivists’, this was not the case.
And for whatever reason mothers choose not to breastfeed, it is completely their choice and should not be up for judgement and debate by ANYONE else.
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Hard with written words. I don’t think you made the wrong choice, I’m just extremely proud of myself for feeding through such a hard time as now I’m on the other side I can relax & say over all I rock & did my best. If I had stopped then as I was sorely tempted to then my experience on breastfeeding would have been a lot different. Not judging but proud of myself. Should I not feel pride that I have managed to one of the seemingly few who do successfully breastfeed?? It isn’t easy, it is a skill & there’s need be more support. I had to really struggle & see countless health professionals to get help & a diagnosis. I didn’t get it in early stages unfortunately as I had no idea you could get thrush in nipples & then milk ducts. More education for women and drs is needed. Feel angry at the lack of informed support, not another mum trying to do her best.
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Wow A, you sure have it all figured out. I persevered through and ‘successfully’ breastfed my first child for 16 weeks: through her dramatic weight loss in her first 4 days, lack of weight gain (the most she ever gained in one week was 45 grams), cracked nipples, expressing between *every* feed (making me a virtual prisoner in my home for 16 weeks), mastitis, lactation consultants etc. At 10 weeks my daughter was hospitalised for 5 days with colitis (bleeding from the bowel) and diagnosed with severe cows milk protein and soy protein intolerances. By 16 weeks she was failure to thrive; even though I cut ALL dairy and soy from my diet (did you know there is soy flour in almost all breads? I didn’t until then). Finally my daughter was put on a *highly* processed prescription formula. It saved her life.
I thought I was prepared for how hard breastfeeding is. I had watched my sister struggle with no supply (she is one of those 5% who cannot produce anywhere near enough milk to sustain a child – believe me, she tried! Twice!!) and so joined the ABA while pregnant and attended their breastfeeding preparation class. There I lost most of my respect for the ABA as they spouted for the entire class how supply and demand is the *only* thing that effects supply. I questioned this and was shot down, only to have one of the consultants admit in the final 30 seconds of the class – while most women were packing up and no longer paying attention – that there are women who simply cannot breastfeed. The rest of my respect was lost during my daughter’s first months; when every ABA consultant I spoke to implied that my daughter’s failure to thrive was my fault. Wrong. My daughter became horrifically ill, partly due to their advice.
I am very happy to say that I have been breastfeeding my son now for 8.5 months. He was ‘topped up’ with formula during his first 4 days (in a breastfeeding friendly hospital) as he could not regulate his blood sugar levels. At one point his blood sugar dropped to 0.5: it should be over 3. He is not intolerant to cows milk – or any other food product we have given him- despite being ‘exposed’ to “highly processed, non-sterile crap” from 10 hours old. This time I stayed well away from the ABA and credit 4 incredible midwives for helping me to establish my supply and ensure my son is healthy.
I am *incredibly* grateful that I have been lucky enough to be able to breastfeed. I have been far too close to women who can’t and have witnessed their devastation, guilt and even self-loathing; not to mention incredibly rude and judgemental treatment they have received from ABA representatives and even other parents in parents rooms at shopping centres. Parenting is hard enough without a new mum being given hell for bottle feeding.
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Wow, my jaw just dropped to the floor when i read what the ABA told you to do! So many people suggest the AbA and don’t get me wrong, they are a good service but we forget they are not medically trained, simply volunteers who have breastfed.
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For future reference, try an anti fungal. You can get cream for you and drops for baby. There is an anti fungal gel that you can use for both of you whose name I can’t remember off the top of my head. It doesn’t tend to go away because the mouth and lactating breast are both warm, moist environments, which are perfect for thrush to grow in.
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Ductal thrush is KILLER. I had it for 9wks after taking antibiotics for mastitis. I tried all the antifungal drops creams and gels. Even took oral diflucan for 30days straight ($1000!!!) on drs orders and it barely took the edge off. My babies blessed paed finally got me onto GRAPEFRUIT SEED EXTRACT I want to shout it from the rooftops this stuff is the bomb. That and a combined antifungal-antibacterial-cortisone cream finally kicked that thrush’ ass. Bubs paed was really concerned that the pain was effecting my let down and the length of bubs feed and therefore her weight. Formula was her next recommendation – thankfully we pulled through with the GSE.
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You poor thing.it can be frighteningly persistent. I’ll have to look up that grapefruit seed extract. I did know about the combined anti fungal/cortisone cream, but not that.
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What a delightful comment for mothers who couldn’t breastfeed to read. Yours is the type of comment that made a first-time mother like myself, 5 years ago, to feel so depressed and judged by other women.
Nice work.
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Totally agree and to say that thrush isn’t a GOOD enough reason to quit – ‘a’ that’s not actually your statement to make. I STOPPED feeding my two children when I chose what does that make me…. This whole feed is so disheartening as there areal many judgmental comments on here….
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Honestly, reading comments like this makes me want to cry. People like you are the reason I felt completely depressed and racked with guilt after my daughter was born. I’m not even going to go into why I gave up breast feeding because I’m sure you’ll have a counter argument, but I don’t think you’re a very empathetic or understanding person, and I really think you should watch what you write if you don’t want to send already struggling mums further down.
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The Facebook ban on breast feeding pics drives me batty! It is totally illogical!
Oh, I feel for any woman who just wants to do the best for her baby and is given a hard time about it. I’m a huge breast feeding advocate, for myself! If friends want support with breast feeding, I will gladly assist but that’s where it stops. Two out of my three boys had formula in the hospital and thankfully getting the formula was not a big deal, actually both times it was the midwives idea. With baby number one I was in tears at the the thought,in the end he only ever had 20mls in total of formula and the guilt I felt was incredible. Crazy, have you seen how much 20ml of liquid is? When baby number two needed formula it was almost a relief to know that I was treating the boys equally, how crazy is that! It was a good thing baby number three never needed it because it turns out he has a dairy allergy so it actually would have been a bad thing for him but aside from that I would have been fine if he’d needed supplementation.
I just wish women would support each other as mothers, especially new mothers who are making their way through the newborn haze. As I said, I am all for breast feeding, there is no denying it is best option in the right circumstances and I am thrilled that it worked for me, but as a fully formula fed baby who is now a very healthy and dare I say intelligent adult, formula does the trick too and my mum doesn’t feel one ounce of guilt for her choice and nor she should!
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As the parent of a child who had severe silent reflux and breast refusal I tired everything for seven long months. To the point of expressing every couple of hours which meant I was a virtual prisoner in my home for months. The odd times I did head out, it meant I would have using mother/parents rooms. Where after trying to breast feed, be refused and then pull out a bottle i would be tutted at, dirty looks, told I shouldn’t bother being in there and I am not the only person who this has happened to.
Breast is best, but sometimes it just doesn’t work and in my case pushed my towards depression at this feeling of failing my child. It was only once I gave my breast feeding and accepted the bottle was part of our life that I could relax.
I admire the ABA and the work they do but please can they help ALL mothers learn not to judge, by explaining its not always possible and that doesn’t make us bad mothers it just makes us human.
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Gosh I agree with you about the judgment factor!!! I was lucky and my bubba took to the breast with minimum fuss, but there have been times when I had to go out and couldn’t express enough for her to only have breastmilk, so she’s been given a sneaky bottle of formula or two – and this chewed me up with guilt so much that I couldn’t bring myself to tell my midwife about it! It’s formula, not crack! What the ABA does is important because it normalizes breastfeeding, and now it’s okay to do it out in public rather than being confined to one of those little cubicles in a parents room (or worse, a toilet), but yes, the pressure can all be a bit much. I think it’s just the bane of being a mother, nothing you ever do will be good enough!
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I’ve seen the picture that started all of this and in it the woman had her top off, was breastfeeding from one side and expressing the other. Given that I can kind of see why they got hot under the collar. Breastfeeding women don’t ordinarily sit around with no top on, a baby one side and a pump on the other in public do they?
Most women discreetly pop baby on one breast and that’s it. I’ve done that in public with no one blinking an eye. I know that some women face some archaic ideas, but this picutre didn’t particularly help thhe cause.
Before I get flamed for this, I’m a midwife and child health nurse so I’ve seen more boobs and babies than you can poke a stick at.
BTW, I think some of us can be nazis about breastfeeding and that also doesn’t help.
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I’ve expressed while feeding before because I had trouble with let-down when I was only using the pump. Don’t think I’d want a picture of me up on facebook doing it though!
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Amen to this comment, I too have seen the picture and as a breastfeeding mother have done exactly what she was doing. But NEVER in my wildest dreams would put a picture of it on facebook!! You wouldn’t do it in public, no freaking way. I would happily discretely breastfeed in public but wouldn’t do that, so I can see why people objected.
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Wonderfully written and couldn’t agree more! I have shared your column with our community Bottle Babies, a non for profit organization which provides practical and emotional advice and support for parents who bottle feed their babies. If anyone is looking for support or would like to show their support, please drop by and say hi
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https://www.facebook.com/bottlebabies
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Ummm this is amazing!!!!
I wish I’d known about this! So amazing and it would be great to know about this as another form of information giving when in hospital rather then the Breast is best mantra
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Wait… If your friend had asked for a gram of coke and a naked male Twilight star off which to snort it, would the midwife had brought it?
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HOORAY!!! This is seriously (and wittily) the BEST article you have written this year, Mia. Maybe the best EVER. *mwah* and Amen.
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I couldn’t breastfeed and put baby number one on formula after two days. It wasn’t a difficult decision and I didn’t feel any guilt and I wasn’t made to feel guilty, but that was 16 years ago. Four years later with number two I didn’t even try to breastfeed. But this time round there was a lactivist (love that term) nurse putting the pressure on each mum in my ward. When she came to me I said, ‘This is my second child and I’m bottle feeding and you need to walk away now or this will get ugly’. She walked away. My boys are fit and healthy with no allergies and are rarely ill.
I really wish people would stop trying to make mothers feel bad about everything. They have the most important job in the world. Just let them do it.
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HOORAY!! I bottlefed all 4 of mine and started in hospital, with baby no 2 we also had a lactivist (lactation consultant) who pushed & pushed for me to attach a screaming baby who wasn’t interested (after a caeserean)!I I said get him a bottle & she STORMED out of the room never to be seen again!! (THANK GOD!!) but not before she rudely said “just give him a bottle!”
It’s women like her that put people off!! When I had baby no 4 at the largest maternity hospital in the state we were simply told if we wanted to bottlefeed to bring a tin of formula & bottles. They provided the sterilisers. Easy. Our babies & bodies our choice!!
Stop trying to shove your opinion down our throats!!
Incidently my friends fully breastfed babies had so many ear infections they needed grommets & were always catching colds etc while my bottlefed babies had no ear infections & were barely sick!! It depends on the child & in 5 years time who’s going to know how you fed them!! Formula is easily bought at any supermarket or chemist if you want or need it, do what you need to get you through!
Why can’t we all support each other?
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ah the old breastfeeding chestnut. Bound to get the comments streaming in. No need to be accurate because it’s an opinion piece, right?
Mamamia, pleeeeeaaaaaase find a new topic of conversation.
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My sister has had a breast reduction. And two babies. And breast fed them both.
Baby number one, terrible!
He just wasn’t a good baby, reflux, not sleeping, not feeding, not gaining weight, etc and so on.
We soon realised that she didn’t have the milk, her only option was to bottle feed. Things instantly started to improve, but she felt like the worst mother for having made the choice to remove kilos of excess weight from her breasts so she could live in comfort.
Baby number two
Not only was he the most different baby, she had sort advice from the ABA. They suggested that she ‘put a line in’ as we jokingly refer to it.
Baby 2 was consistently breast fed from day one, just not only on breast milk. Her ‘line’ was a bottle of formula that sat on her shoulder and a tube down to her nipple helped ‘top up’ the milk that was needed for the hungriest baby ever!
I know that when my time comes, after also having had a breast reduction, I too will seek advice from the ABA about my options to breast feed my babies with all the support I can get!
ABA are just trying to do something great. Yeh, some people can get a little severe about the way they approach the topic, but if you had had to deal with people who said things like, ‘oh I’m not breast feeding because I don’t want my boobs to go saggy’ I’m sure you’d be feirce to people about formula too!
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There is a very simple and factual response to those who say they won’t breastfeed as they don’t want their boobs to get saggy:
It’s not breastfeeding that makes your boobs saggy: it is pregnancy and genetics! Breastfeeding won’t effect the perkiness of your breasts.
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I had such a tough time BF after struggling for 3 months with an underweight, constantly feeding, undernourished baby, I finally bit the bullet and supplemented with formula. The guilt I felt following it was short lived, but still there. I now have a very healthy and strong little boy. Of course I would have preferred to exclusive bf however this was not possible. Thank goodness we live in a time where I had alternative options. I wrote more about my struggles here if anyone is interested http://girlonraw.com/2011/11/body-image-post-baby/
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Hilarious article Mia! In hospital my boob was plied like a ball of dough as a mIdwife try to literally shove it in my daughter’s mouth. This is the point of Mia’s article. It appears MANY of us have been made to feel bad at a very vulnerable time. This is Australia where I believe formula is still legal and does not require a script! We have a choice – let us make it. We just want to feed our young!
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Mia, I dont mean to be disrespectful but I’m a little uncomfortable with your patronising tone towards Mark Zuckerburg. “Discrete pictures of breastfeeding?” I’ve seen quite a few examples of the images that were deemed too offensive and some are quite graphic! Some of these women are far from discrete. It’s his site. I’m sure you have the right to have your way when it comes to what you post on your site and what you choose not to. He has the same right.
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Just a girl, your post is hilarious! You must be scarred for life by those indiscreet mothers and their graphic images. In the words of Mia, stop being a boob!
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If its his site then he needs to be consistent and take off all the other nude and not appropriate images that are on there
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Ha ha ha you’ve just made me choke on my morning coffee with that comment! What so graphic about breastfeeding? Did you see some skin or maybe a bit of nipple? Oh no! It’s a hungry baby latched on Mum’s boob! Shocking!
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You guys are being a bit rude to ‘Just a girl’, don’t you think? For someone who hasn’t been around/experienced breastfeeding, it can be a little confronting the first time or so. No need to be so patronising!
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I do agree with you Nico. I think the word Just a Girl was looking for was indeed confronting. Having not had much baby/BF experience its certainly how I felt when I saw some of the pictures also! No need to be nasty to someone else for their opinion.
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Yep. I’m not squeamish about nudity or whatever, and my mother is a midwife who loves telling me all the graphic gory stories she has, but the first time I saw someone breastfeeding in public I was still a bit ‘Oh…well, there’s that!’ If you don’t have kids/you’re not around babies at all it can come completely out of left field. Doesn’t mean that they’re anti breastfeeding or anything!
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You have every right to select the “hide story option” on your Facebook feed if you see anything not to your taste, I would hope though, that you would speak to the person putting up the photos before reporting it as offensive. Thats what I don’t get. If Facebook’s claims are that most of the pics only get their attention becasue friends have reported it as offensive, why not just discuss it, between friends? Then block, delete, hide what you don’t like?
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As Mia said, we need to chill and gee, how about walking a mile in someone else’s shoes? Both my children were bottle fed for medical reasons +and no, am not going into them here as they ate no ones business), yet the ABA rep totally dismissed me, walked into my room, huffed and puffed and left again. Then a midwife informed me “are you OK with robbing your child if its life antibiotics?”. Gee thanks. That’s the bullying Mia was referring to. And people wonder why we have such high levels if PND. Live and let live people.
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I had a horrible time breastfeeding my first. I was one of the mothers who had to supplement feeding with formula in the early days. I had nothing but support to do this from the paeds, midwifes etc at hospital. It was the pressure I put on myself to continue breastfeeding which was to my detriment. I eventually ended up on Motilium at 8 weeks as a last resort and went on to breastfed for 12 months – but spent most of that time also with PND caused by the ongoing stress of the whole situation. I couldn’t wean when I wanted to, multiple cases of mastitis, you name it, it went wrong. I wish in hindsight I’d given up at 6 weeks when everyone around me was hinting I should.
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Meerkath – It sounds like you have things a bit confused. ABA reps do not make uninvited visits to the hospital rooms. They rarely even make invited visits. Most of them are too busy raising their own families inbetween FREELY giving their time volunteering as breastfeeding counsellors. They might occasionally be a guest speaker at a hospital antenatal class, but that’s about it. So I doubt it was an ABA representative that ‘dismissed’ you.
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As a current member of the ABA I think they do fantastic work. However I have for a long time felt that they undermine their own good work by being too hard line. Thanks Mia for articulating this so well. If we could find a middle ground babies and mums would both be better off
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I agree. I called a few weeks ago to get help and suggestions with what I should do with KDot starting daycare – she’ll be in care of one sort or another every day, and I don’t have it in me (or the inclination, to be honest) to express for every day. So I figured formula or even cows’ milk (she’s 10 1/2 months now). She’s had bottles of expressed milk infrequently, and formula even less. So I called and asked them, and they had NO INFO for me, even when I explained she’s still breastfeeding when I’m around, it’s just for the feeds during the day. Couldn’t even tell me which type of formula (I wasn’t sure because she’s breastfed whether she could have the 6 month plus formula or had to have the newborn one to start off with, or if she could go to watered down cow’s milk, or what bottle teat, etc). Obviously I’m down with breastfeeding, but they shoot themselves in the foot by not having ANY info like I needed. I ended up calling Tresillian, and she was much more helpful and informative.
Take note, ABA!
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ABA have no info about formula, just breastfeeding. They wouldn’t be able to advise because they’re run by non qualified people on a voluntary capacity, with the only qualification needed being that you’ve breastfed a baby for 9 months or more. While they state they welcome mums of bottle fed babies, they would be of no practical help. You did the right thing by called tresilian. Any other child health service would be able to offer suitable advice too.
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I half expected it, but then I figured that because they’re listed on the blue book, they’d be able to help as my enquiry WAS about breastfeeding, and I thought they’d know about complementing/supplementing it.
FYI, Tresillian have a cool call back thing, where you can leave a message and an nurse calls you back, rather than waiting on hold. They were great!
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Kris – unfortunately you had a bad experience. Another counsellor may well have helped you differently. The ABA does provide information on returning to work and continuing to breastfeed which includes an option of supplementation with Artificial Baby Milk.
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This is incorrect Faybian. Australian Breastfeeding Association counselors undertake a Nationally Accredited Certificate 4 in Breastfeeding Education – Breastfeeding Counselling/Community Education
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Im aware that there is a counsellors course for those that work at ABA. I guess it’s a bit of unintentional snobbery from me as I’m comparing it to our post grad qualifications and national registration. I didn’t mean to cause offense
I’ve seen all of the pamphlets produced by the ABA too and the advice is breastfeeding centred, even for those returning to work.
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FYI – ABA counsellors have to undertake a very involved, approx 2 year training course with many assessments, role plays, essay pieces etc in order to qualify for the title – not just breastfed their own baby. Considering they pay for their course out of their own pocket, in their own time, they then work *shock* for free on a voluntary basis!!! Without these selfless women, our BF rates would be even more appalling. PLEASE do your research before sprouting your opinion….
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Yes, I’m happy to admit my error was talking about just the members requirements, not the counsellors. I’ve even known of some that are certified lactation consultants. Child health does give out the contact details for the ABA quite regularly.
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Sorry Fabian, that is not a member requirement. Anyone can be a member or supporter, including pregnant women, grandparents, medical practitioners etc…. and comparing post grad qualifications and registration? I went to my GP about a breastfeeding problem who GOOGLED it and cited treatment methods from WIKIPEDIA. WTF??? The ABA was much more helpful, free and had very up to date advice and information which WORKED.
PS – there is a whole section on the ABA website about when BF does not work out and a link to a guide of feeding babies artificial milk. Again, a bit of research before sprooking would be nice.
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Can I say anything right anonymous? Clearly not. I admit I’ve never belonged to the aba, but that was the requirement when I last looked. I would consider the IBCLC course arduous as well and it’s not a 2 year one. I don’t know of any certificate 4 courses that go for 2 years, but when I go back to work and have all the information at hand I’ll be happy to check.
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Hey Kris, I switched my daughter from breast feeding to cows milk at about 11 months. She had a good diet otherwise so I was happy she was getting good nutrition elsewhere. It worked well & is cheaper than formula!
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I tried giving her watered down cow’s milk in her sippy cup a couple of weeks ago and she threw it at me! She’ll have formula from a bottle if I’m not around though. Bit harder if it’s me giving it. I’ll give it a go again when we’re over the diarrhoea that we’ve both got at the mo. Good times.
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Kris, breastfeeding counsellors discuss this situation with mothers all the time, but they refer mothers to maternal and child health nurses for information regarding formula as this is not their area of knowledge. I am glad Tresillian were able to help.
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So hang on, they are fully trained but the girl I spoke to had nothing for me?? Which is it, guys??
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kris, there is information on the website about how to make up a bottle of formula safely. I am sorry this wasn’t offered to you. However ABA does not have information about which formula to use. This Is where a MCHN can help you.
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There’s info on a formula sachet or tin about how to make formula up properly too. It’s very strictly set out. That wasn’t my question – I wasn’t asking for brand recommendations.
Why doesn’t the ABA have that info? They’re obviously not going to talk you out of breastfeeding, but for a situation like mine, I really don’t think a visit to the Baby health centre was warranted either.
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ABA don’t give information about formula because it’s a Breastfeeding Association, not a formula feeding association. They will always tell you to consult your health professional if asking questions about formula – it’s not their job to discuss brands and types of formula, or stages, etc. If you’d asked how many feeds your child might need to work around being in care, they’d tell you. And really, a breastfeeding 11 month old whose mother is returning to work probably doesn’t need formula during the day and would manage quite well on solids inc yoghurt etc and water while at care, and extra feeds when she returns home and overnight – society only thinks formula might be necessary then because we’ve been suckered in by formula compaines marketing their product of follow on formula….
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For the third time. I wasn’t asking for brand advice. If you guys are representative of the ABA counsellors, this is why I was frustrated!
The one I spoke to didn’t say anything about not needing formula at all. She only knew about breastfeeding. While I am obviously keen on breastfeeding, surely you guys can see my and others’ frustration at trying to get support from the ABA counsellors?
And “If you’d asked how many feeds…” – um, why is it my job to make the questions fit what the counsellors are trained to tell me?? Broaden your horizons a bit, ABA. Again, the inclusion on the Blue Book suggests more comprehensive and better help than “Ask the right question and they’ll give you an answer”!
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I agree. Stuff on the website like no dummies, no nipple creams/treatments, no expressing/bottles in case of nipple confusion…
I can understand why it is there, but Lanisoh was a savior for me, as well as expressing so I could occasionally go out to dinner for 2 hours with my husband and have a glass of wine.
If you were trying to follow all of their rules, you might find it too hard and just give up on BF all together.
My husband got sick of me saying “but the ABA says” and would reply ” they are the BREASTfeeding association, not the do-what-works-for you or the realistic mothers association”
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Also, just waiting for some of the ‘formula is poison’ comments to come out.
Cause hypoglycemia or dehydration is clearly better (sarcasm font)
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Eternally, no hypogylcemia and dehydration is not good. However, good breastfeeding or expressing management and perhaps use of donor milk would reduce the risks associated with artifically feeding.
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Kay, while donor milk would be the ideal replacement for a mothers milk, how many hospitals in Australia have donor milk banks? What about those mums whose supply falters at 3-4 months,which is not uncommon? Where do you supposed they’d get donor milk from?
You comment is very much an ideal world one.
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We need to have something to aim for and mothers in the community are already sourcing donor milk. I predict more and more consumer demand.
Also if there is a 3 to 4 month faltering of supply there is usually a reason. Schedule feeding is often the culprit.
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Really? I was under the (obviously mistaken) impression that the hormones that support breastfeeding, prolactin and oxytocin drop at about that age, meaning that breastfeeding becomes more dependant on supply and demandthan in the early days.
Further more, anyone that’s breastfeed for that length of time would be aware of the fact that the supply of breastmilk is greatest at night and that babies may sleep for long periods and cluster feed before or after those feeds.
Also those women who did not have significant breast changes during pregnancy are more likely to have this problem.
Yes, scheduling can be part of the problem, but not always. I would prefer to trust the LCs I know and the research they can show me than someone on the Internet.
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Thank you Mia for highlighting the bullying that occurs from midwives in our hospitals. I had my children 4.5 years apart and absolutely nothing had changed…
With my daughter I persevered through a fractured coccyx and haemorraging. I’ll never forget being in the emergency department surrounded by doctors and there was this midwife attempting to tell me regardless of the drugs I was on to keep breast feeding. I stopped after four weeks – my choice. My daughters fine.
My son born four months ago- same deal fractured coccyx can only feed lying down. It came though to him not waking sufficiently and a low blood sugar level. A wonderful midwife actually deigned to utter the word formula and his blood sugar levels instantly improved. I waited to tell the midwives that I was going to formula feed as I felt it was akin to something horrendous in their eyes. I waited until I had the support of my mother and husband and the midwife actually had the audacity to imply that my husband had bullied me into the decision?!?! WTF!!!!
Anywho I didn’t realize at the time that the midwife we had told was a lactation consultant. She proceeded to tell me that formula would ‘strip my babies insides’…. A quick call to a nurse consultant friend in intensive care confirmed this was total fiction. Anyway my mum intervened and ordered her to leave my room. It was a horrible experience and like Mia’s friend I had to sign away mine and my babies life for 40 mls of formula….
I just honestly wish that midwives were trained in what is best for MUM and BUB and stop their bullying tactics.
I discussed my issues with my wonderfully supportive GP and aw agreed it really should be about what’s BESt for the situation not just a blind mantra of breast at all costs
Mia I am so grateful for this article as I’m sick of celebrities saying how easy breast feeding was and I don’t think enough people with a platform discuss how hard it can be an to say hey it’s ok if you have or want to formula feed. So once again thank you!! Xx
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As a midwife I almost feel compelled to apologise for these sort of things. I’m not going to however, because i didn’t do them and I’m sure I’ve offended people over the years. I’ve found over the years you say (and mean one thing) and it is heard in a totally different context.
That’s not to say that some nurses/midwives/doctors don’t say weird or inappropriate things. They do. I advise people to get a second opinion if you’re not happy. Ask around and find out what service is most well received. Listen to everything that’s said and use what works for you. Lastly, in general, GPs aren’t the people to see for breastfeeding advice. They hve a lot of expertise in primary and secondary health, but tend to advise mums to formula feed without trying anything else.
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Thank you for your reply.
I just wanted to clarify that when I was in hospital having the breast v bottle discussion with a lactation consultant there was no way whilst bed bound to get a second opinion.
I did not see my GP for breast feeding advice. My son was diagnosed with silent reflux and I just happened to mention that when I requested formula in hospital it was akin to asking to feed my baby dog poo. That’s when she stated that what’s actually best for mother and baby is what’s best for them as individuals. Not once has she EVER given me advice on feeding and I have been going to her for over twenty years and she is VERY accredited in pregnancy care and baby care….
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Hi Faybian, I just wouldn’t call the normal change in lactation at 3 to 4 months a failure of supply. Another normal thing that happens at this time is that many babies’ weight start to slow down. ( WHO Growth Standards). Many health professionals are unaware of this and using the CDC percentile charts, incorrectly believe the baby is not gaining enough weight.
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Youre a persistent one Kay, I’ve gotta give you that. I’m quite aware of a slow down in weight in older babies, usually about 4-5 months, before they commence solids. Then there’s another slowdown in weight about 8-9 months, usually when they’re active. I’ve used enough percentile growth charts to know that babies weights tend to go up and down a bit in the first year anyway. The charts that are currently in the baby books are much better than the previous ones and even they’re not specialized like the others available from the CDC and these include ones for breastfed babies etc. these are coincidentally used by paediatricans etc, but that’s fine if you’d care to let everyone know. When it comes to it anyway, the growth charts are a tool only and a single poor measurement shouldn’t be taken in isolation, nor be seen as the only indicator of health.
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Hi Mia, there seem to be some factual errors in your article – the Australian Breastfeeding Association does not have anything to do with accrediting hospitals. As someone earlier pointed out, that is the international Baby Friendly Health Initiative – you can read about the Australian arm here: http://www.babyfriendly.org.au/
The Breastfeeding Friendly Workplace program is different and has nothing to do with hospitals (unless they are the workplace, in which case it is aimed at staff not patients). It is a program to try to make employers breastfeeding friendly for their employees returning to work who may still be breastfeeding their babies. You can read about that here: http://www.breastfeedingfriendly.com.au/ .
The ABA code of ethics specifically says that they support ALL mothers, regardless of how they feed their babies. Frankly, I think their volunteers are flat out supporting the 24/7 helpline and other initiatives without worrying about hating formula or making mothers feel guilty.
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Oh God! My kids were both formula fed AND they go to day care! Lucky for me we don’t have the death penalty in Australia.
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That’s gold Trace. Thanks for the laugh!
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Oh that is gold.
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Thanks for this article Mia.
You’re completely right – the Breast Feeding Lobby – oops, I mean, Association – has done their job. We all know that breastfeeding is ideal.
However, it’s not for everybody and no mother should feel guilty for not partaking, whether by choice or by necessity. Especially not in hospital, under doctors orders!
A woman I know chose not to breastfeed after months of trying because, for her, it was a horrible experience and brought on PND. I don’t know the details – I didn’t ask – but I do know that she is a wonderful mother and she would do everything in her power to give her children the best of everything, including herself. She chose a stable mental condition over breast milk and I respect her decision, as should everybody else in her life (and out of it).
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Mia, this is the post I’ve been wanting to read for a long time. I successfully starved all three of my children by breastfeeding. I had the best (breast!) of intentions and access to the best counsellors and midwife support but like many women, I simply did not produce enough milk to sustain my babies. I felt like crap each time – that my body didn’t do what I was told was natural – and that my babies lost weight because of it.
I hope this post helps make new mums aware that they’re not alone if breastfeeding doesn’t work for them and their baby.
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Sorry to hear this Nikki, I too had a similar experience with my little boy.
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Me too Nikki! I just literally had no milk. Lots of tears and guilt later we switched to formula and I have a big happy healthy little girl.
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When I had my 2 kids everyone & I mean everyone was an expert. Breast is best, is the baby getting enough, there’s no shame if you can’t do it, are you eating properly blah blah. I’m surprised I survived. I found the whole thing so confusing & stressful which is just great for keeping up your milk. I support all women to make their own decision & let everyone respect their choice please. After all we have gained so much with liberation then give it away? Respect each others choices & be ok if we don’t agree. Otherwise we are no better than chauvinists!
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Hello I’m the baby that is in the middle of this whole debate and I’m hungry! I have just had a stressful arrival into this noisy, cold, bright world and my food supply has been cut off. Not much happening at the breast yet. Mum’s upset and different nurses keep putting me back on this reddened empty nipple. God a bit of formula would go down well now- I’m starving, Thank God I’m yellow and can just sleep it off, but the doctor says I have to eat to get rid of this yellow tinge, so I need some formula. Mum’s crying again and the nurse looks a bit pissed off pointing to the ‘Baby Friendly’ hospital sign…….can a baby get some food around here! WWWWWAAAAAHHHH
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Um… ok? That was weird…
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Confession about my mum… She has had 4 kids and not one has been breast fed! We all had formula mixed with “rice glue” which is the only way to explain that mixture. Although I didnt know this was a big topic can we get onto kids and junk food? I have stories I want to tell!
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Hey Mia not sure if you have heard the story about the NZ All Black who had a shot of him bottle feeding his baby pulled from an anti-smoking advertisement he featured in? Just another example of the breast feeding parade going too far. http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10783518
I feel so sorry for mums feeling like a failure for everything from not birthing drug free like miss perfect Miranda Kerr or not being able to breast feed. I’m no where near the point of having children yet but these expectations (which a lot of women put on each other I feel) drive me bonkers mad! God forbid someone from the association personally struggled to breastfeed their own child and had to face the ‘evil’ formula, do they then get kicked out of the club? But in all seriousness, why do we women put such high expectations on ourselves to be perfect? If a mother can’t breast feed for one reason or another and this leads her to feel like a failure it just makes me feel so so sad. I am dreading what I see to be a competition about who has the perfect birthing plan, drug free birth, who loses the most weight the quickest after birth etc when it comes my time, and the hero perfect breast feeding mum is all part of that too…
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Great article Mia! After struggling and failing to breastfeed my first two children my husband and I decided we would skip breast feeding altogether and go straight to formula for our third. The delivery midwife was horrified by this and tried repeatedly to bully me into “just giving it a go.” I held firm and went ahead with the formula. As with my previous two children my milk never came in. Unlike his brothers baby #3 never starved, didn’t lose 1/3 of his birthweight and slept soundly from day 1. I was very happy with my choice and most of the midwives I encountered were very supportive. One even asked if she could give him a bottle as it wasn’t something she ever got to do. She did a great job too! I am all for women having being supported in their choices it is a shame that some only receive support if they make the choice the ABA wants
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I enjoyed this article. I think “lactivist” is a much better term than “breastfeeding nazi”!!
I empathise with the new mother. Both my babies needed a bit of formula when first born, one due to jaundice (baby) and bleeding nipples (me), and the other to low blood sugar (baby). Both times I felt terrible. I really didn’t want them to have formula. The midwife who helped me during the first birth said to me, after I was finished being stitched up and on my way to the ward: “whatever you do don’t let anyone give her formula”. I still don’t understand why she said this, and I can only assume it was because some of the midwives seemed to be offering formula as a way to help the babies sleep, and giving formula in such a situation could possibly result in breastfeeding not taking off the way it should… either way, I felt terribly guilty, and completely out-of-my depth about making those decisions.
Also got to say, I think the ABA is a pretty fantastic service. I’ve called them on a few occaisions, and consider myself very lucky that I have access to this service. I didn’t always follow their advice, but it was great that I could get it, to make informed choices.
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Meh, seems the point of the article has been missed.
Chill.
Cause to me, all of the respondents so far are coming across all capital L lactivists.
Love, 8 months pregnant with my second and if breast feeding works for us, great. If it doesn’t, it doesn’t.
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instead of banging on the midwives, why not target the pediatrician? Who could have easily given a better explanation and more options (if just to combat jaundice, she could have expressed and topped up with that, there are ways of topping up that don’t compromise breastfeeding if there were other reasons).
I think your friends case is yet another sign that we do not support new mums enough in their (often difficult) breastfeeding journey. The doctors also need to be reeducated when it comes to breastfeeding. You can do more than just formula.
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i totally agree. so many doc’s are not supportive of breastfeeding. a bottle of formula is not going to help someone for whom breastfeeding is really important
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I agree. The doctors goal is to get the outcome, however possible. My baby had low blood sugar and they were worried it would get too low and become jaundiced. He was in the room with me an the midwifes (who strongly encourage breastfeedding) told me to wake him to feed to ensure he was getting enough milk to maintain his blood sugar. I did this and he frequently had his blood sugar checked and was fine. When he saw the paediatriciton, they wanted to put him onto a small amount of formala straight away. I think by them using formula, they can measure exactly what the baby is getting and know it will be guaranteed to get the result they wanted. The midwife listened to paed advice, but when he had left, said to me that we wont worry about formula just continue waking him for extra feeds. I honeslty believe that midwifes and paeds have different beliefs. Midwifes agree with breastfeeding and will give the support to enalbe this to happen, whereas the paeds want the outcome in the quickest way.
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The doctor’s ‘goal’ is healthy mum & healthy baby!! I think that is the best and most important goal! I almost got PND after the birth of my bub because I refused formula and it took months of a hungry baby before things got good (he then wouldn’t take a bottle of anything – water included!) until 15 months and I nearly went insane as I was working too. My next baby will have a bottle introduced much earlier – although there is still an element of guilt and I hate that, because there shouldn’t be. If I was giving advice to a friend I would be telling them it doesn’t matter…just like that doc…best for mum is best for baby!
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Anonymous: my second child had low blood sugar levels too. We tried waking him for extra feeds; however his blood sugar dropped to just 0.5, despite feeding him every 75 minutes. One bottle and his sugar level was 2.5. After two bottles: 3.2. We went back to extra feeds on day 2, only to see his blood sugar drop to 0.8. We immediately returned to the formula top-up option. After 4 days he was able to regulate his blood sugar himself and has been fully breastfed ever since. Sometimes formula is *required* to get those blood sugar level up and stable.
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Mia you don’t have your facts straight. First of all the “Breast Feeding assocation” is actually called the Australian Breastfeeding Association (ABA), and they are an organisation that provided me with the support I needed to be able to breastfeed. Without the ABA, I would have been just another statistic in Australia’s declining breastfeeding rates.
ABA’s aim is to support mothers who wish to breastfeed their babies, not to chasten or judge mothers who do not breastfeed.
To say that the ABA does not like formula is overly simplistic and ignores the bigger picture… Women who wish to breastfeed face many barriers (including the marketing of formula as an easy-fix option with no risks). The ABA does important advocacy work with the aim of reducing these barriers. So it is entirely appropriate that the ABA criticises organisations that create breastfeeding barriers. If hospital staff behave irresponsibly, by failing to support mothers when they are trying to establish breastfeeding, then they certainly should be held to account. It sounds like your friend’s hospital was behaving very responsibly by ensuring that a prem baby wasn’t given formula without ensuring that they had the mother’s consent. I would rather your friend had a bit of a hard time getting hold of some ‘top-up’ formula, than another mum in the next room having formula routinely handed out to her when she hasn’t even asked for it.
How about criticising the organisations that try to disempower breastfeeding mothers, instead of the ABA that is trying to empower them?
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What organizations disempower breast feeding mothers?
What advertisements show formula feeding as risk free? I’ve only seen ads with the voice over saying the mantra “breast is best…”.
Of course the ABA is great if YOU are contacting them for support but in terms of their support of formula feeding you are made to feel like you’re feeding your child an illicit drug.
In hospitals there is NO mention of formula feeding, the room to prepare it in is barren, in signposted and dirty…. I’m also confused as to your mention of bottles bring given to the “wrong ” baby – I doubt it. I too had to sign a waiver that I was no longer breastfeeding, that the hospital does not supply bottles and that we don’t give out a tablet if your milk has come in – suffer…..
Mia has written a fantastic article about the horrendous time women receive at such a vulnerable time and I wish more women with a social media platform would write of these difficulties!
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Wish I could like this response a thousand times. Thank you.
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…even the tins of formula carry a large warning about how breastfeeding is best and not to give formula without first seeking medical advice.
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Well said Jane. I am also a member of the ABA. I joined after I had terrible experiences breastfeeding my first. I am now proud to say that because of the support I got from the ABA I am still feeding my 3 year old son and also breastfeeding my 11 month old daughter.
Most women go into parenthood wanting to breastfeed. Some don’t want to and that’s fine but a huge precent do want to. Organisations such as the ABA provide those mothers who do struggle, and many of us do struggle with issues along the way, with the support, information and just a listening ear. The person you speak to when you call the helpline is just another mum who has done training to volunteer her time to help you out.
Ive been there, a formula feeding mum and a breastfeeding mum.
Mia, all these articles do is continue to spark debate and makes the Us V’s Them gap wider.
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I think that this article is misleading. Firstly the Australian Breastfeeding Association has a very strict code of ethics which it and all of its representatives must follow. Counsellors are trained and only offer advice to those who seek it, via meetups, phone and email counselling. They do not bully those who use formula or mixed feed.
The baby friendly hospital initiative (BFHI) is a program used in many countries. Google it. The breastfeeding friendly workplaces thing is something else, for employees of any workplace, not just hospitals. It allows mothers to both return to the workplace and continue to breastfeed. You’ve got your wires crossed.
I’m sorry that the lady felt bullied. That is no good. But by bagging out the ABA which is a supportive organisation it just amplifies the us vs them mentality which shouldn’t exist. Sometimes I think this stuff is written to stir the pot for more hits etc. but as this is a widely read source of ‘info’ maybe check your facts first.
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No, the reason this article was written, is because bullying new mothers to breastfeed at all costs, is commonplace.
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My experience has been completely different. In fact with my first child, when I was suffering from breast refusal due to reflux (at the time it hadn’t been diagnosed) I went to my MCHN for assistance and was given a bottle of formula. That sadly was the end of our breastfeeding relationship.
Second time around I found the ABA and now over 3 years later I am still breastfeeding my son.
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Pam, Adele Tara or indeed anonymous
Please stick to one name per thread. We really welcome your opinion but giving it as 4 different people is just misleading
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Agreed Pippa, and others who were disappointed with the article. Mia, you had the opportunity to write something meaningful and helpful. Instead you chose to further polarise mothers and bag an organisation that you clearly know nothing about, as evidenced by the mentions of the disused “Breast is best” message, mixing up the Breastfeeding Friendly Health Initiative with Breastfeeding Friendly Workplaces and not knowing that the BFHI is not an ABA or an Australian initiative but a WHO initiative.
This subject is low hanging fruit for unethical journalism.
I also found the article a bit all over the place. You didn’t stick to the topic in your opening statement. You went off on a tangent and I found that annoying – like listening to speaker that flits from one topic to the other without properly finishing a train of thought.
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I posted this on Facebook, but wanted to repeat here.
I am very disappointed by the misinformation in this article. You mentioned the “breast feeding association” more than once in the article, which I take to mean the ABA (Australian Breastfeeding Association).
Firstly the ABA does not actually use the phrase “breast is best”. It does, however, provide assistance and information for women who seek it – including a helpline staffed by volunteers.
Had you researched your article you would have learnt that they are not behind the accreditation for hospitals. This is actually done through the Baby Friendly Health Initiative by Unicef and the World Health Organisation. It is an initiative that ensures babies get the best start in life – and that does include education about the many benefits of breastfeeding.
I understand your sentiment and love that you provided the support for your friend who required formula for her baby, but providing this misinformation does tarnish the good work of the ABA and BFHI.
I am not a representative of any of these organisations, but am very appreciative of the help they have provided me as a breastfeeding mother.
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Very well said Alison! I too am not associated with the running of ABA, but this post makes me very sad to see their name being disgraced so publicly
I formula fed my daughter from birth in hospital and decided later to try to establish breastfeeding. If it weren’t for the support I received from the ABA, my daughter and I would never ever have had the opportunity to go on an feed a combination of breast milk and formula. The ABA actively encouraged and supported me to feed in the best way for me and my family, which included the use of formula. I have never once felt judged or less of a mother for needing to use an artificial baby milk, nor should any mother who has made that decision with the right education and support.
Mia, If your friend would like to learn more about mixing formula feeding with breastfeeding, or tips on how to help feed her premature breastfed baby, or tips on how to wean from the breast to formula or cows milk when that time comes, then can I suggest she call the ABA helpline 1800 mum 2 mum? Or follow the links on the ABA website to their forum? Those resources were a lifesaver for me in the early days and I am sure they would be helpful for her too
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I rang the aba when my firstborn completely refused the breast at 10 weeks old and cried for hours straight. He was hungry but refused to eat due to silent reflux. Once medication improved the reflux, my supply had dramatically dropped, again frustrating bub. The aba had no suggestions re breast refusal, dealing with immediate effects of low supply or increasing low supply. Issues which I am sure many women face. I will never bother to phone them again.
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I had the same experience, when my son was about a week old. Every feed consisted of trying to attach for a while, son crying from hunger, me crying from frustration and getting out the pump, and finally feeding him the expressed milk.
The ABA had no suggestions on how to address the issue of breast refusal except ‘keep trying’. It did eventually work and I went on to BF until he was 1, but I’m still not sure if the toll on my Son’s and my mental state in those early weeks was worth it. I didn’t have PND but tears were certainly a feature of most feed times.
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Hi Jenni,
Are you sure it was Helpline you rang? These issues are very commonly dealt with. I wonder if perhaps the suggestions offered weren’t working for you. Another call may have been useful. Probably then the counsellor would have referred you to an LC.
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I’m glad you have had such a positive experience with the ABA, but the reason we are even having this conversation, is because there are many women out there who haven’t.
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