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Sarah Cawood

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What if Breast Isn't Best?

Posted: 13/07/2012 00:00

This blogpost will probably be very contentious, not least because the subject matter divides women (and men and experts from varying fields) and inspires extreme emotion but I'm going to go ahead and say what I came to say, and I'm going to capitalise it, just to make my point crystal clear.

So, despite what the "experts" say and despite what you might read both online and in print, NOT ALL WOMEN CAN BREASTFEED. it's not always a case of SUPPLY AND DEMAND and sometimes, in fact, more often than we ladies are led to believe, WE SIMPLY DON'T HAVE ENOUGH MILK TO FEED OUR BABIES DESPITE OUR BEST EFFORTS.

There, that's my frustrations dealt with, now I can tell you why I feel this way....

My son was born by elective caesarean section on 27 March this year because he was breech. The first night he spent outside the womb, he screamed and screamed and screamed as I desperately tried to satisfy him with the teeny tiny droplets of colostrum that I was producing but to no avail; in the end, in the wee small hours, he was taken away from me and given a bottle of formula by one of the midwives on duty.

Before he was born I had read all the books about breastfeeding and I knew it might be challenging, but at no point did I consider the fact that I simply might have no food to offer him. So, anxious in the extreme, I spoke to the lactation consultant at the hospital the next day.

I have to admit, warning bells did go off when she arrived wearing sandals that belonged back in 1974 and a "knit your own yoghurt" attitude to match. I told her that I had no colostrum, that Hunter was starving and that my milk might be days coming in due to having no triggers provided by going into labour naturally. I also told her the midwives had persuaded me to give Hunter a bottle of formula to settle him.

She pursed her lips at the last snippet of info and I knew what was coming...She told me that "if baby is hungry enough, baby will work for that colostrum" and that I risked "nipple/teat confusion" by continuing to allow him formula in bottles. In essence she implied that the harder he sucked on my dry breast, the greater the chance that my body would start making an abundance of what he needed and he would eventually be satisfied. I was crestfallen and thoroughly frustrated. Hunter continued to scream for food and for a second night, I was persuaded by the midwives to give him a bottle of formula.

In the meantime, after consulting the Google Gods, I decided (with my partner's blessing and support) to feed Hunter his formula in a "sippy" cup so he wouldn't get used to the ease of a bottle and reject my breast when my milk finally made an appearance. The next seven (yes, seven) days were the longest, most frustrating days of my life as I fed my newborn son with a ridiculous little cup that poured most of his food down his chin. And then when my milk finally arrived, I was mortified to discover that I felt no 'let down', that it didn't pour forth easily to my son and that he still seemed very hungry after feeding on both boobs and I still had to top him up with formula.

So I went on a one woman mission to Make It Work. I consulted local breastfeeding drop-in centres, books, friends, the internet and any other resource I could lay my hands on in a bid to discover how I could maximise my milk-making. For the next few weeks, I variously tried lots of skin to skin with my baby, relaxing as much as possible, taking fenugreek supplements, pumping morning, noon and night, starting with a hand pump and graduating to a hospital grade Medela electric pump (which was absolutely fantastic and did manage to extract every last bit of milk I had to give) however, at the end of a pumping session, I was always a little disappointed to only be able to fill a bottle half way. From both boobs.

And I was never able to express a feed for Hunter outside of what I was giving him myself since there just didn't seem to be enough there. Anyone who ever said that breastfeeding was easy and convenient clearly never had a supply issue, or any other of the myriad issues that can occur for that matter...

I tried, I really, really tried. Feeding time was a total mission. I was exhausted, depressed, utterly obsessed with making it work and insanely jealous of the women who made it look easy. I asked every woman I knew who had children about her breastfeeding experience and was surprised but also heartened to discover that I wasn't alone. In fact, I'd say about half of the women I spoke to had had trouble in some way, shape or form with breastfeeding.

From not enough milk, to too much (and a nasty case of mastitis that needed hospital treatment), from sore, cracked nipples infected with thrush, to tongue tied infants who couldn't get the latch right no matter how hard their mothers tried. My new world of parenting was littered with devastated women who eventually, with heavy hearts, had to throw in the towel...

I lasted 12 weeks before one of my best friends told me that I had given it my best shot but I was getting the worst of all worlds, feeding Hunter myself, unable to hand him over for supplemental feeds lest my meagre supply should dry up completely and yet still having to sterilise bottles and make sure we had formula wherever we went for his "top ups".

I cried when I eventually decided that she was right and it was time to let go. I really felt like I had failed. Failed to get my supply up to meet Hunter's demands, failed as a new mum and failed yet again at something I really thought I would be good at, since I had worked so hard at being prepared to do it. It was just one huge #fail.

The breastfeeding zealots would have us believe that giving our children formula is tantamount to child abuse and that the companies that make that formula are money grabbing businessmen, intent on exploiting women like myself, when the simple truth is, formula is really fantastic these days.

God only knows where we would be without it: right back at wet nursing, which of course, is simply and with no fuss or guilt, what you would do centuries ago if you couldn't or wouldn't breastfeed your children. There were no breastfeeding "associations" back then implying that you "didn't try hard enough" to make it work; just other women, with more than enough breast milk to go around. (until the beginning of the 20th century, the aristocracy always used wet nurses to feed their babies, and Anne Boleyn was the subject of much court gossip for allegedly wanting to feed the future Queen Elizabeth herself).

Anyway, I digress. The point I am trying to make is that the most important thing is that our babies are fed. How they are fed is secondary. There is no disputing that breast milk is best for your child in the early weeks after delivery but if you find that you cannot breastfeed for one reason or another, then give yourself a break. Ignore the zealots and concentrate on enjoying those precious first few weeks with your new baby, goodness knows it passes so quickly.

One day, I hope to have a brother or sister for Hunter and next time I will not make the same mistakes again. Of course, I will try and give any subsequent children the very best start in life but to me, that means a happy, relaxed mum, and a happy, relaxed and satiated baby and if my boobs work next time, fantastic, but if they don't, I will mourn it and move on. I will not feel guilty and I will not feel any pressure to Make It Work. Ladies, I suggest we all do the same. It's time to say that sometimes, Breast isn't necessarily what is Best....

 

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This blogpost will probably be very contentious, not least because the subject matter divides women (and men and experts from varying fields) and inspires extreme emotion but I'm going to go ahead an...
This blogpost will probably be very contentious, not least because the subject matter divides women (and men and experts from varying fields) and inspires extreme emotion but I'm going to go ahead an...
 
 
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21:16 on 24/07/2012
Breast isn't "best", it's normal! It's just the food that babies are meant to eat, to help them develop normally, with the immune system that nature intended. Formula fed babies are TWICE as likely to die in the first 6 weeks of life (in Western countries, in Third World countries the rate is between 5 and 10 times). The WHO put formula feeding as the 4th best option for your baby (below breast feeding, expressing breast milk, feeding another woman's milk). To present a choice between breast feeding and formula feeding as a choice between equal alternatives is ridiculous. If you ignore the facts about formula feeding you are denying yourself the chance to make an informed decision. Happy Mum doesn't always = Happy Baby.
14:39 on 21/07/2012
Sympathies. Was there too, in 2008 after the birth of my first, I just wasn't producing at all no matter how hard Kid worked for it. Cue an angry midwife- seriously; angry that I couldn't do something so basic- and a recourse to Cow and Gate and 3 years of surging, Godawful PND. Same with second kid. Pas de lait. Kid 1 and Kid 2 are healthy as heck, thriving to beat the band and I am over the PND, if a little prone to melancholy but due to give birth in 9 weeks time. I am taking dates, milk thistle, hoping to attend a La Leche League meeting soon and am investing in a pump and lots of protein and Vtamin D rich foods in prep for.
Some women just can't. End of. It shouldn't be treated like it's the end of the world. Well done you for making the baby in the first place.
Breast IF POSSIBLE is best, but Cow and Gate is great if not!
(I'm a cow and gate advocate as the others didn't work for us)
21:21 on 24/07/2012
Pretending formula is equivalent to breast milk doesn't do anyone any favours. 98% of women CAN breastfeed, if you are one of the unlucky ones who just CAN'T then why would you feel guilty? If you choose to give your child 4th best (according to the WHO) then don't pretend you are doing it for any other reason than you have chosen not to priotise your child's health as you feel something else is more important.
01:41 on 16/07/2012
If you can nurse your child, it's ideal imho. If it's not working either physically or emotionally you should certainly move past it and try formula. It's ridiculous to attach so much strain and frustration to something as lovely as bonding with your child.

I think it's FAR more damaging to your child to push through painful and unproductive breast feeding than it is to snuggle up with your infant to bottle feed. Imagine the agony and mixed messages for baby on forcing the issue.

I had no issues and nursed twice for 22 mo. each straight to glass cup. I never owned a bottle nor mixed a formula. I coslept and night nursed without incident and had zero stress in a family bed which transitioned beautifully to independent sleepers at 3.

But I still hold, though Breast is Better, Happy is Best.
21:22 on 24/07/2012
Happy is better than healthy? That's ridiculous, my 20 month old would be "happier" if he lived on cake and biscuits, is that what I feed him? No, because I know that short term "happiness" shouldn't be a priority over his health.
17:49 on 25/07/2012
Formula is hardly "cake and biscuits".

Some mothers have a very hard time nursing. The physical and emotional pain is FAR more damaging than feeding a child formula. Many of these mothers see themselves as failing their children when they simply can't produce enough breast milk. It's simply not true and it's not fair for mothers to go around judging other good and decent mothers who are doing their very best by their children but making different choices.

Save all of your self-righteous convictions and judgement for the real crimes out there. Put your time and your venom on the people out there who are truly hurting children. Give the bottle feeders a break.
13:30 on 15/07/2012
Are any other species of mammal exhibiting an inability to feed their young? No, because they wouldn't survive, so the gene line would disappear very quickly. Many humans are now non viable without modern, medical and industrial intervention. But the largest influence is women choosing not to breastfeed because of imagined effects on their 'figure' or because they are too busy/working or a plethora of other excuses to not do what is the most natural thing; nurturing your infant. The worst effect of this is women in poor countries thinking it is 'modern' and 'progressive' to feed their babies from a bottle; aided and abeted by the big capitalist formula makers like Nestle, who has been severely criticised for decades by Development NGOs for supplying 'free' formula and bottles in poor African countries. Then when the women are on their own and can't afford formula, but their milk has dried up, the babies starve. It's one thing for affluent western women to choose not to do the natural thing, but the effects on poor women are never considered.
16:40 on 15/07/2012
You are wrong, even amongst other species there could be an inability to feed their young. In those circumstances the young die. Thank God for formula eh? The trouble with some condescending bigots is that they want everyone else to commit self-flagellation and take on the sins of the world. Bog off. I tried, I failed, I fed my baby formula. I suppose you or your family dont make use of any of nasty capitalisms by-products do you? From what you eat, to where you shop, to your medical aid and your heating and lighting? Yeah - thought so..........
22:02 on 15/07/2012
Why are you bring so defensive ie " l suppose ---- yeah- thought so, bog offf , some bigots" obviously meaning him for heavens sake he is only expressing his opinion, as he has a perfect right to do, it is not a personal attack on you.
l get fed up with some of the unpleasant and defensive people on here, so much so that l don`t want to comment on here because of this nasty attitude.
And, l have to say l don`t think there are many cases of other species being unable to feed their young, apart from rejection by the mother of her young or death of the mother, and l have to agree with pirtpassword that many of the reasons he gives for women not wanting to breastfeed do in reality apply to some women, notice l said some! as the uk has become a very self obsessed, looks obsessed, and materialist, and in many ways unpleasant and aggressive society.
22:06 on 15/07/2012
typo " being".!
01:43 on 16/07/2012
Ah, I've personally seen some unproductive breasts. It's no one's fault. Don't make it a bigger issue than need be. Happy children that bond well with their parents, without stress of eating issues, is far more important than your booby soapbox. There, I said it.
21:22 on 14/07/2012
Breast is always best, there is no question about it! Hormone levels in the body days after giving birth. Colostrum gradually changes into mature milk - the very stuff babies have been thriving on for thousands of years! Milk is basically fat, proteins, lactose, vitamins, minerals and water. the proportions vary for each species and that makes it uniquely suited to its young! Human milk for instance is low in protein, compared to cows milk, that is because human infants are designed to grow slowly.

Vitamins and the three important minerals, calcium, phosphorus and iron are present in breast milk at lower levels than in formula, but in breast milk they are in forms that have high bio-availability.

There are many more ingredients in human breast milk that means its best for babies. Every year more and more are discovered! The reality is that you should persevere, if you don't make enough then supplement with formula, but make sure your baby gets as much of the natural stuff as it can!

There should not be any guilt involved, its just common sense!
13:36 on 21/07/2012
Vitamins are only present in breast milk if the mother has them in her diet. Humans cannot create vitamin B12 for example, and if the mother is short of it, so will her breast milk be.
21:17 on 24/07/2012
This isn't true - if Mum eats McDonalds all the time then her breast milk will STILL be miles ahead of formula as an option.
08:43 on 14/07/2012
i attempted to breast feed my son, but he wasnt having any of it. i got to the point where i would try and force his mouth towards me when he was hungry but he would get more frustrated. i tried expressing but could only fill half a bottle a day :/ so i gave up and started giving him formula, he loved it!! when my daughter was born, i didnt bother thinking about breast feeding. i wasnt going to put my self in a situation again where i felt like i failed. my son is now almost 3years and my daughter is 21weeks and both are very happy, healthy and well developed children... my son is very advanced and my daughter has achieved her goals on time. i dont beleive formula is as bad as people make out. at the end of the day they wouldnt make something for a baby if it wasnt safe! x
04:22 on 14/07/2012
Thank you! I tried to breastfeed my daughter for a month. I used supplemental feeding system and never ever had let down. My milk never started looking right. She would latch but never seemed fed. I would pump and would get 2 oz. from BOTH breast. It was horrible! I felt like a complete failure. Failure as mother for not being able to feed my mother and failure as a wife/partner because we didn't have the money for formula at the time. I finally had my blood tested and I made almost no prolactin. I had a bad head injury as a child and knew I didn't make growth hormone already. It didn't matter how dry I was pumped by anything my supply was never going to come in because I don't make enough of the hormones for milk. We gave up. I was crushed. Afterwards I not only had to watch other mother breastfeed with ease (I was thrilled for them but reminded of my failure); but then I got glared giving my daughter a bottle. More people need to know that sometimes it just doesn't work.
photo
MamaJoe
Age is a high price to pay for maturity.
23:21 on 13/07/2012
Oh gracious me yes, contentious indeed. We are supposed to be the very epitome of motherhood
if we breastfeed and the devil if we can't or won't.
As an old lady who had a rather unfortunate time of it the first time I can sympathise completely, I had
too much milk. I felt like a cow, I secreted everywhere, finally able to sleep on my stomach after the
birth I got glued to the bed and had to be washed off. I couldn't go out because within five minutes my clothes were soaked even with shields. I then got mastitis and in those days one of the treatments was having a foot wide bandage strapped as tightly as possible around you to flatten your
teats and the pain was intense from both the mastitis and the wrapping.
So congratulations to you for trying and also for being strong enough to say "that's it I'm done"
22:04 on 13/07/2012
Ms Cawood - well done.

Well done for trying, and well done for knowing when to give up when it was obviously not working.
20:46 on 13/07/2012
What is this Mumsnet drivel?
22:01 on 13/07/2012
It's not drivel, it's bloody right.
19:41 on 13/07/2012
What a load of words to say something that is very simple despite what " experts" say.
Mother Nature knows best, and of course breast milk is the best for babies, as it contains vitamins and minerals in their natural form, and also offers protection from various illnesses later in life.
And of course if a mother can`t for some reason produce enough milk or has other problems with breast feeding then she will be forced to go with formula.
This comment is nothing to do with mothers who choose to go with formula, that is another subject entirely and l will not be drawn into any arguments about that.
15:49 on 13/07/2012
I did around three months, produced a lot of milk, but it wasn't satisfying him, so on an evening I would give him a bottle, that started at 5 weeks and thereon in he slept right through. I'm the only woman in my family to last that long and in all honestly I disliked it intensely, I didn't like anything about it and when I gave up I didn't feel guilt, just a huge sense of relief, release and joy. I felt I could relax and not stress about the next feed. Years ago lots of babies used to die simply because there mothers couldn't produce milk, we seem to live in an age where we are harking back to values, which whilst embraceable are not a one size fits all and the sooner we get back to recognizing individuality and individual needs the easier it will all be for everyone.
10:20 on 13/07/2012
I agree with this. I have found breastfeeding easy, but it is just luck. There is no special trick, no nothing, you are just lucky or not. I was the only women on my ward who could breast feed despite the fact that we all had the same advice and breastfeeding supporters.

Being a new Mum is hard enough without people being horrible to you about formula. It is so sad to see women getting upset over this issue. Being a good Mum is about love not what you put in a babies mouth.
01:49 on 16/07/2012
I agree with you entirely! I found it easy also. I just don't see the point of making other moms feel inadequate over it. It's like cloth diapering, then family bed.. We shouldn't judge if a child is loved and cared for well.
21:25 on 24/07/2012
We shouldn't judge or make people feel guilty, but the choice between cloth / disposable's doesn't have health implications does it?
00:15 on 13/07/2012
I breast fed both my boys and they have turned out to be very healthy people, but whether that was because of being breast fed I have no idea. Its true they get the anti-bodies from mum and the experience is a lovely bonding one, but there is contention, many people don't like you breast feeding in their presence, which can cause a lot of anxiety for mum. I found feeding to be quite easy and I had more than enough milk. My boys were very content and slept fhrought the night from the first night and 6th night respectively, but they were also large babies, I think if feeding is easy and mum wants to do it, then its best, if however there is not enough milk or mum just does not want to go there, then formula seems like a better idea.
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23:01 on 12/07/2012
My motto: do what's best for you, your baby and your family. There is no one right way or answer.
21:26 on 24/07/2012
True - do what you like, but when one way has huge health implications for your child, wouldn't you want to know that before making a choice to do it?