Tuesday

choosing not to breastfeed

Sometimes breastfeeding just doesn't work out. I understand this. With my first baby, I planned to breastfeed, but didn't know what I was doing and got really bad medical advice. I started giving him supplementary bottles and soon I had a nipple-confused baby and a raging case of mastitis. He was fully on the bottle by three weeks of age.

This story will be familiar to many women. It happens. And sometimes breastfeeding doesn't work out for other, even more legitimate reasons (more legitimate meaning as opposed to my own situation where I certainly was physically capable of nursing my baby had I gotten the right info and support).

After I found myself the mother of a bottle-feeding baby, I began reading more about breastfeeding, the politics of breastfeeding, etc and realized that I had been given TERRIBLE medical advice. Example: Henry-an otherwise perfectly healthy baby - lost 7 ozs in the first few days after birth. The doctor told me this was because I wasn't making enough milk and told me to start supplementing with forumula. Of course, this si ridiculous. The correct advice would be to tell me to relax, this is a normal weight loss for a newborn, and get him to nurse even more often and as long as he wanted.

The information that doctors routinely give women this stupid advice was radicalizing to me. And here I am, 14 years later, a breastfeeding activist. I successfully nursed my next two babies for several years each and I've written one book and many articles about breastfeeding.


My response - to become an activist - was somewhat unusual. My anecdotal impression is that most women who stop breastfeeding early for whatever reason become apologists for the medical profession and defensive about their choice to bottle-feed. They begin to imagine some huge breastfeeding conspiracy out to shame and belittle them for their decision not to nurse. And periodically, a woman in this position writes another ARTICLE LIKE THIS ONE in which she rails against the "militant breastfeeders."

Sigh.

I believe these articles are written from a deeply painful place. I know first hand how disappointing it is to want to nurse a baby and not have it work out. I know it's an uncomfortable feeling to be the only woman feeding her baby a bottle in a park playground full of other women nursing their own babies. It's hard. But to extrapolate from that that all the breastfeeding moms are being nasty to you or that the medical profession is "bullying" women into nursing is absurd.

If the meds are so good at "bullying" women into nursing, why are breastfeeding rates so pitifully low in this country and countries like England? Despite what you may have heard or may THINK you observe when you look around and see the (white, college educated) woman of your acquaintance nursing their kids, the fact is that fewer than 25% of all American babies receive any breastmilk at all past the first few months. In some areas of the country, like mine (I live in East Tennessee), some populations of women - low income, minority -- have breastfeeding rates so low they barely register.

The worst thing at all about these anti-breastfeeding rants by women for whom nursing didn't work out is that they often take it a step further, as this writer did, and try to make the case that the health-promoting aspect of breastfeeding is overblown or negligible. In fact, a growing body of peer reviewed medical research reveals that breastfeeding is one of the most crucial aspects of infant-maternal wellbeing.

28 comments:

Anonymous said...

you know what..you just completely dismissed what this woman had to say, her feelings about her experience etc. her experience was NOT your experience. you wanted to do something and bad advice prevented you from doing it. she was not so sure and was, yes, manipulated into something she wasnt all that sure she wanted to do to begin with. whatever is going on with poor folks it is a fact that if you are reasonably educated and able to plug into the health care system as opposed to whatever you can eke out on medicaid..that you WILL be manipulated into breastfeeding regardless of your feelings about it. perhaps it is the way it is framed. I totally agree with this woman who said that the down side is minimized. I had my daughter years ago and there was NO mention that a baby could starve if you didnt stay on top of things (right after this was when a wave of these very cases hit the media) there was a lot of unpleasant facts that were not mentioned, so afraid were they that if it wasnt made out to be totally easy then everyone would run for the formula (perhaps some would but some more would also succeed because they would be prepared and wouldnt wig out when stuff they were not warned about happened). as far as the allergies, there was in fact a study a few years ago that breastfed babies were MORE likely, not less likely to have allergies. I will be fair here and say that maybe this is because folks with severe allergies are more likely to breastfeed in the first place but I suspect its one of those six of one half dozen of another type situations. for every kid that winds up allergic to formula theres also one who gets sensitized to something their mother eats while nursing and so develops an allergy to that. my daughter has severe hay fever and I have to say I thought oh no its because I didnt breastfeed until I pondered the fact that I, my husband and most of our families were bottlefed and no one appeared to get the hay fever but her. my breastfed son and breastfed niece (and I might add my best friends little daughter who is breastfed) had or have such severe ear infections that they needed or almost (in the case of my son) needed surgery.
I think the previous post about the alcoholism was an excellent example of what I suspect is going on with a lot o these links is cofactors far more meaningful that breast or bottle.

Julie said...

Your own anecdotal experience (personally knowing some bottlefed babies who are healthier than some breastfed babies) has absolutely zero to do with medical research, which is epidemiological in nature and based on populations. We all know someone who smoked and never got cancer. My parents drove me around in a car seat and I lived through an accident. This doesn't mean that the research indicating that smoking is bad for you or that carseats are a good idea is flawed or meaningless.

As for being "manipulated" into breastfeeding, it's the job of healthcare providers to try to convince people - as persuasively as possible - to do what is most health-promoting. Breastfeeding is FAR better for babies (and women) than bottlefeeding. Is it manipultaive for pediatricians to push strongly for immunizations? Carseats? Proper baby sleep position?

I am not dismissing this woman's point. I am saying I hear it all the time and I think it comes from a painful place that I've been through. I **am** dismissive of her ridiculous assertion that the mountain of peer reviewed medical research supporting breastfeeding over bottle-feeding is overblown in some way.

If you don't want to breastfeed, fine, but don't rationalise your choice by making these silly statements about how teh research is weak.

Anonymous said...

As far as research goes... whatever. For me and my babies I made the educated decision NOT to breastfeed. I am a Childcare and Guidance Specialist (yes I have a degree that says so), love children, would have had more if I could have, etc. However, I know me better than anyone. I knew I would not feel comfortable nursing. I knew that I would have been hiding in a corner or behind closed doors to nurse my baby. Bad. Therefore I studied formulas and decided with my Pediatrician which one would be best for my babies. But I feel this writer's pain also. Many times a breastfeeding advocate tried to convince me that I could not bond with my baby if I didn't breastfeed. Even in the hospital the "lactation expert" came in and DEMANDED, yes, demanded that I expose my nipples so that she could see why I didn't want to breastfeed. It had nothing at all to do with my nipples and I told her so. I have many friends who chose to nurse and I supported them held their hand when the baby decided to wean themselves. As I look at our growing children now I can see no difference...all are healthy and happy. My children never had an ear infectin, do not have allergies, and if we had bonded any more it would be un-healthy. Although I think most doctors would recommend nursing if possible, it is not always the best choice for mother and child. I think this is a decision much like the where and how to give birth.I don't feel like I have deprived my children anything by not nursing them. I did get very tired of a few "breastfeeding-ninja mothers" imposing their beliefs on me.So I learned to ignore them. Not everyone who breastfeeds is this ninja. I just can't for the life of me figure out why we women BEAT EACH OTHER UP about this issue.Can we not recognize that although it might be the ideal, it is not required for a healthy and happy child.

Anonymous said...

It's not just women vs women, though, is it? Not to be the liberal big business basher, but isn't there a lot more money to be made if you don't breastfeed?

And because it's practically impossible to go back to breastfeeding after introducing the bottle, it's not as if you can try both and see for yourself, is it?

SO, since studies have repeatedly shown that breastfeeding is better for both child and parent (physically in addition to psychologically, although not necessarily discernible on a child by child basis), shouldn't people try to encourage you to do what's best for both of you when possible?

Anonymous said...

I agree with the last anonomous that it is best to "encourage", however sometimes it is not encouragement that a women recieves. My gyno and ped drs did encourage me, however they respected my decision and they also knew that I did not take that decision lightly.I think babies are big business in general.There is alot of money to be made from all products and services revolving around babies.When it comes right down to it all the product babies need is love, food, shelter, and of course diapers! On a more materialistic note, I wish some of those products were around 14-15 years ago when I had my babies.Which brings me back to my original question:Why do we women bash each other so much on this issue? There are equally important questions/issues about parenting, why is this issue so HOT? Why can't we respect each other's choices?Why do some women think thier way is the only way?As for the formula companies sending home samples,that was not the brand of formula I chose to use.It had no influence on my choice:I think we as women are smarter than some folks think!

Anonymous said...

Chalk me up as a defensive apologist who imagines a huge conspiracy to belittle bottle feeders.

Well, I guess I wouldn't claim it is a conspiracy, but I would say that some folks (like you Katie when you claim that most women who decide to breast feed become apologists imagining conspiracies) are pretty damn rude about a couple's decision on how to raise their own child.

While I don't claim "all breastfeeding moms are nasty," I will say that in my experience the rude people do tend to be college educated white women. They tend to be way too comfortable asking personal questions to complete strangers. They are judgmental while knowing nothing of the particular circumstances guiding the decision. And yes, there are a lot of nasty, judgmental looks.

Before you dismiss my comments as simply another example of a paranoid and guilt ridden mother, you should consider the possibility that there might actually be judgmental people in the world. After all, it is just as common a human trait for people to butress their own feeling of self worth by belittling others, as it is for humans to try to rationalize a hard decision.

The indignation heaped on bottlefeeding mothers is not dissimilar to the indignation heaped on sinners by religious zealots. Both feel privy to the absolute truth. Both know what is best for you and are looking out for your best interest. Both are being "supportive." Both feel justified sticking their nose in your personal business because their superior knowledge will make your life better once they share it with you.

No, not all breastfeeding mothers are nasty and judgmental. Not even most. But there are more than a few women who need to learn to mind their own business.

And for those of you who fall in this category I have no hesitation railing against you.

You have no business calling a complete stranger three days after she has left the hospital to check on how the nursing is going and ask if you need assistance/ instruction. You have no business asking why a stranger has decided against breastfeeding. You don't even have any business volunteering the health benefits of breastfeeding to a new mother who hasn't asked you for the information. If she wants your opinion, she'll ask.

If you're the judgmental type and you have the urge to look down at a bottlefeeder, you might consider the possibility that you have no fucking idea what led to the decision. You can assume it is ignorance. You can assume that it selfishness. You can assume that its the result of immoral advertising by formula manufacturers. But you have no idea. Even if you think you know the person well, you should consider the possibility that she is on medication that prevents her from breastfeeding and she just doesn't feel the need to tell you about it.

If we, as parents, could refrain from judging people's decisions about childraising (breastfeeding, church attending, childcare, education choice, etc.)and assume that people are doing the best they can, the world would be a better place.

And you Katie, ought to be more sensitive, rather than dismissive, of the experience shared by numerous women. For many who make the decision to bottlefeed it is a difficult decision because it is one that they feel is the "most correct" of imperfect choices. Because mothers want perfection for their children, it is hard to make any compromise even if it is the best choice at hand.

Because I know you and count you as one of my friends, I guess I have contributed to your anectdotal experience. So I am probably one of those you believe is a defensive apalogist who imagines conspiracies. I don't think there is a conspiracy of breast feeders out to belittle my decision. However, more than a few self-rightious strangers belittled my decision as did a few of my friends. You can count yourself among them.

Julie said...

Anon-

I literally have no idea who you are. I'm wracking (sp) my brain. But if I was EVER rude or nasty to you, I deeply apologize. Was I? Is that what youare saying? Because if so, it was completely out of character for me. That's not who I am or how I operate and I'd like to be called on it. I think it's a bit unfair for you to anonymously accuse me of behaving in a rude way to someone, because I can't speak for myself.

Whomever you are, you sure can write. This is beautifully written. But have YOU ever stopped to consider the shit breastfeeding mothers take from the huge majaority of Americans who find feeding a baby at the breast gross, sexual or worse? Bottle feeding mothers are not thrown out of stores, fired from their jobs or heckled by family members. YOu never have to feed your baby in a bathroom or under a blanket.

But this isn't an either/or question anyway.

NO ONE should be rude or unpleasant to anyone personally about how they are feeding their baby. But this woman, who wrote this essay, took that argument several steps further by saying that breastfeeding advocacy by medical professionals is "bullying" and that the medical research indicating how impt this issue is is overblown in some way.

Anonymous said...

As a long time breastfeeding mother, Katie, I have to say, I agree with and support you. My oldest was severely jaundiced and needed to be hospitalized at 5 days old for three days. We continued to breasfeed. I thought I'd wean around 6 months, because, after all, that's when you wean babies from the breast. (rolleyes) At his 12 month checkup, he was still exclusively bfing and was diagnosed with severe food allergies. He continued to nurse until he was almost 2.5 yrs. I learned a lot during those first years with him, and now I am following Child-Led Weaning with my two daughers, now almost 4 and almost 3 yrs old.

I have been harrassed, argued with, and given nasty looks for nursing, especially after the child turns two yrs old. My own sister asked me to leave the room to nurse my then 13 month old, because it was "offensive". People want to think that I am weird, gross, or offensive for continuing to give my babies something they obviously need. I do not try to educate mothers who have no desire to hear about the benefits of breastmilk, but recently, a neighbor of mine was being pressured to wean her almost 2 yr old and I did encourage her to continue. When she weaned him and got engorged and developed mastitis, I did not reproach her, I gave her some ideas for helping; one of those ideas being Nursing Her Baby! I have formula-feeding friends and breastfeeding friends; I have a friend who is also tandem nursing, which is a blessing as we understand the unique challenges tandem nursing presents. I do not judge. I am not condescending. I know that I have made the best choice for MY family. And I pray that they are comfortable with their choice.

Anonymous said...

Many thanks for posting about this in your blog and opening it up for discussion.

As a mother to a 3 year old son, I fully appreciate how difficult the first weeks and months post-partum can be. I experienced many breastfeeding difficulties for the first 8 weeks, including severe mastitis which necessitated hospitalisation. With encouragement and support from health professionals and family, I persevered.

Although I live in England, I gave birth in a different European country, where the health professionals (doctors, nurses, midwives) are very knowledgeable and supportive of breastfeeding. They knew that it was advisable to not give bottles in the first days in order to avoid nipple confusion, that breastfeeding on demand ensures adequate supply, and that breastfeeding babies have naturally different growth charts (it is not unusual for breastfed babies to lose some weight for the first 2 weeks after the birth, or to put on weight more slowly when compared to formula fed babies, for example).

The UK has the dubious distinction of having the lowest breastfeeding rate in Europe. Medical evidence available on the benefits of breastfeeding (cognitive, immunological, and developmental) is very clear. Breast milk is the perfect food for babies. If breastfeeding does not seem like the right choice for mothers, it is not because, as you assert, “breast is not best” but because of social and emotional factors, which should be addressed as separate issues.

Encouraging breastfeeding is a public health issue. Scare tactics and biased reporting under the guise of feminism only serve to disempower mothers further.

For an in-depth insight into the environmental, economic and (global) political implications of breastfeeding I highly recommend the book "The Politics of Breastfeeding" by Gabrielle Palmer. It is a riveting, eye-opening read that gives a different perspective on the "breastfeeding debate".

In Britain, only 63% of new mothers currently attempt to breastfeed at all, and out of those, only 21% continue to nurse for more than 6 months. The numbers for the United States are marginally less: 57% and 20% respectively.

Compare this with other European countries such as Sweden, where the rate is 98% at birth, and 53% at 6 months.

(Source: Baby Milk Action, Cambridge, England; Center for Breastfeeding Information, Schaumburg, IL)

Contemplating these numbers, it’s easy to see that breastfeeding is still not viewed as the norm in Britain and the United States despite the fact that the World Health Organization (WHO) and UNICEF have recommended that mothers breastfeed for at least two years for over a decade now.

It is interesting to note that in Norway, promotion of artificial infant feeding does not occur and 98% of mothers leave the hospital breastfeeding. After 3 months 90% are still doing so.

There are many other ways in which breastfeeding is undermined in our society [financial gain is usually the driving force]; some subtle, some less so. See the following site for more detailed information:

http://www.ibfan.org/english/issue/bfundermined01.html

Anonymous said...

Great article! I am so tired of being called a breast nazi just because I believe every mother should give nursing an honest try. I have never EVER railed at a mother for not breastfeeding. I will, however, encourage an undecided mom to at least give it a shot. And more importantly, I will help dispel any misconceptions a mom has about breastfeeding. Whether it worked for her or not is moot. I have heard way too many moms saying things like "Nipple confusion is a myth," "These days, formula is just as good," and "The benefits end after X number of months anyway." If I hear something like that, especially if it's spoken to or by someone who is considering breastfeeding, I can't keep silent. I politely correct them and refer them to some good sources of information like LLL.

People feel guilt because they know they did something wrong. If a woman knows that the decision she made is right for her family, she will not feel guilty. On the other hand, just because breastfeeding didn't work for you doesn't make it less important or less beneficial. There is no reason for medical facts and studies to be "overblown" by medical organizations and practitioners, especially when they're receiving free samples and gifts from formula companies.

Anonymous said...

"You have no business calling a complete stranger three days after she has left the hospital to check on how the nursing is going and ask if you need assistance/ instruction. "

I think it's so interesting that the anonymous poster put this in as an example of a rude invasion of privacy. I think it shows how far we have to go to truly establish a breastfeeding culture in this country, where breastfeeding is seen as the norm.

I'm trying to imagine someone indignantly complaining about getting a call three days after getting home from giving birth from someone saying "I'm a volunteer with the Safe Driving organization. How is it going with using your carseat? Do you need any help in installing it? Would you like to know times and places for installation checks in your neighborhood?" I can't imagine it.

DR

Anonymous said...

suzette...wow. I don't even have words for how selfish you are. Why do you have so much shame regarding your breasts? They were made to nurse babies. But I guess you didn't care about your baby enough to give him the best.

There are many women who truly CAN'T nurse. You can and you chose not to for whatever stupid reason. I'm disgusted.

Anonymous said...

Suzette, I'm so glad people DID call in and check on me three days after I left the hospital with my first child. The breastfeeding experience, which I thought would come so naturally, had me in tears.

Because that wonderful lactation consultant from the hospital called me (and then had a local friend come over to help me on her lunch hour, no less), everything turned around and I nursed that child until she was 3.

Thank goodness there are women out there who support other women. I, for one, am grateful to them.

Julie said...

Let me just say that I disagree STRONGLY with bashing individual women on their choices in this matter.

Suzette - I am sure you are a terrific mama doing a great job with your children. I do think it's sad that we live in a culture where you would feel uncomfortable feeding your baby imn public, but that's a societal issue, not one you are required to solve by how you choose to feed your babies. I really appreciate your participation in this discussion and on my blog :-)

Warmly,

Katie

Anonymous said...

I'm still trying to figure out why so many people feel that breastfeeding/not breastfeeding is a zero sum game. Hopefully it is because we've eliminted so many other clearly damaging situation (e.g. lead paint, no car seats, etc.) that we are left with those where so many different behaviors can qualify as good enough to get the job done (e.g., playing Mozart, etc). Just because you choose to breastfeed or not breastfeed based on the circumstances at the time does not automatically gain you access into the good mother's club. I'd rather someone be relatively sane and engaged with their baby than forced to do something they despise.

And, FWIW, anymore there is more than enough info about breast being best getting out there. Now I think we need to focus on mom not being completely crazy. (But I am biased.)

Julie said...

Adrienne-

I'm all for making sure mom is not completely crazy (or living in poverty or having kids she didn't want or any number of other unpleasant risk factors for bad parenting).

But this isn't an either/or thing. I can be in favor of great care widely available for PPD and still be in favor of public policy that promotes and encourages breastfeeding.

I respectfully disagree that the pro-breastfeeding message is as widely disseminated and accepted as you suggest. In our demographic (I know yours and you know mine. We're probably as statistically similar as two mamas can be ;-), that may be the case, but again, I have to point out that breastfeeding rates in this country are REALLY low.

Anonymous said...

I can't help but think that a lot of the angst felt on either side of the issue is "I didn't miss a thing" vs. "No one understands how wonderful this is". Let me clarify:

I've breastfed three children now, and I have to say it's been one of the most wonderful experiences of my life. Nothing compares. I went through a phase where I pumped EBM for my third, just to give him occasional bottles, and I have to say that bottlefeeding and breastfeeding are two completely different things. Bottlefeeding was very artificial to me compared to the warmth of holding my baby in my arms, feeling my milk let-down, and watching his eyes close as he drank my milk in. Then, after months of feeding him my milk, it was wonderful to watch him continue to grow into a happy, healthy little boy. It's amazing what a woman's body can do.

One day I was telling my sister how sad I was that my son had weaned. She, who formula fed hers ("breastfeeding is gross"), simply rolled her eyes and walked away. Why did she do this? I think for the same reasons you mention in your post. Guilt, and perhaps some bitterness.

It is politically incorrect to say that the difference between breast and bottle is anything other than the quality (or taste and smell) of the milk provided. Most people who don't want to cause controversy simply say that mom's who bottle feed don't miss anything if they choose not to breastfeed, and that their baby will grow just fine on the commercially available substance provided. While I don't argue with whether or not their child will grow, it's disingenuious to say that there's no difference. There is, and that's precisely what most bottlefeeding mom's don't want to hear. They did miss something.

Conversely, it's this "something" that many breastfeeding mom's would like to be acknowledged. Because to acknowledge it is to validate their breastfeeding experience as valuable and worthwhile. Something that should not have to be hidden. Instead, because we live in a bottlefeeding culture, many women who breastfeed are maginalized and harassed for continuing to nurse past early infancy - or at all. It's even worse if they espouse enjoyment of it, with many people lumping them in with child molesters and perverts. It's this degrading treatment by society for something many nursing mother's feel is a very wonderful, worthwhile, and empowering experience that turns many normal and rational mothers into militants. They can hardly be blamed.

Anonymous said...

Breastfeeding is a nutrition and public health issue.

There is too much research for women to pretend it is a debatable personal choice.

Breastmilk is the optimal food for children under six months old. Everything else is second best.

Like all other nutrition and health issues, education is key.

It is the nurses, doctors and other allied health professionals responsibly and duty to educate the public about the public health guidelines, and inform and suppor them to meet the of the American Academy of Pediatrics guidelines for optimal newborn nutrition.

Follow up phone calls is part of public education to find out if they need assistance in getting support in following these guidelines.

When you are discharged from a hospital, follow-up phone calls are routinely made in other departments when nutrition or exercise has been proven to prevent disease and will provide optimal health benefits to the person. Breastfeeding falls into that category. It is proven to have life long lasting health benefits to both the baby and Mother.

Americas are obese and unhealthy (most people know exactly what is a healthy diet but choose not to eat healthy), for many reasons they refuse to make appropriate nutrition choices for themselves or their children. Therefore, it has led to our current epidemic of obesity related health problems in both children and adults.

We have public assistance (WIC, foods stamps) so all age Americas have access to nutritious food and education, this includes babies.

Anonymous said...

I definitely feel you on this. I only nursed my first briefly (pretty similar scenario to yours, actually). Now that I'm educated, it's painful to realize how easy it would've been to have a successful nursing relationship. I'm currently nursing my 9.5 month old with no plans to stop.

I find it unbelievably sad that women have such a twisted view on breastfeeding that they find a check up call from the hospital to be a "rude invasion of privacy." Or try to claim that hospitals that don't give out *free* formula samples are trying to "force" women into breastfeeding. It's utterly ridiculous that we live in a society that has brainwashed women to the point that they say they can't breastfeed because they're too ASHAMED. I have no judgment for that anonymous commenter, I'm sure she loves her children as much as I love mine, but that just makes me so sad and sick that that I don't even know what to say.

Women falsely believe they have a "choice." Their "choice" is based on a lifetime of being told that their bodies are not good enough. It's based on a society that teaches mothers that they are NOT enough for their baby; they need to make up for their inadequacy with expensive "stuff." From the moment they find out they're pregnant they're told their milk "probably" won't be good enough and encouraged to stock up on formula "just in case." Western society decided some time ago that breasts should be for men's pleasure and nothing else, and too many women still feel the weight of that. So how, exactly, can any woman make an honest choice? When you choose to formula feed (for non-medical reasons), what you are saying is "I am not enough for my child. My breasts were not meant for him, they were meant for my husband/men. My body exists to please men, and nursing babies does not please them. Therefore I must turn to an artificial replacement in order to be validated as a mother and acceptable as a woman." Whether or not women realize that's what they're saying, it is.

Women can cry out about "boob nazis" all they want, but the fact is the majority of women in this country DON'T breastfeed for more than a few weeks or months, and an inordinate amount of time and effort is put not only into assuaging any guilt they might have by throwing around the word "choice" and downplaying the risks of formula, but also into vilifying women who do successfully breastfeed for longer periods of time.

Anonymous said...

To the anonomous who slammed me for saying "someone called three days later"...read again. That wasn't me. I was the one to whom the lactation expert came into my room immediately after birth and demanded to see my nipples.And I feel no shame about my breasts?I just know me and I would not be comfortable nursing.As for being selfish?That is exactly what I am saying...why must you bash me because I don't agree with your decisions? I am not a selfish mother.I am a wonderful mother who chose not to breast feed,period.I also do not harbor any ill-will toward all of my friends who did.I supported them.And no,it did not disgust me to watch them in that tender moment.I have never felt embarrassed,disgusted or whatever by a mother nursing her child anywhere.I have a very good friend who is on an Executive Board with me and brought her 18-month old to many meetings with her because he was still nursing.I encouraged her to do what she felt was best for her baby. As for my children?They are as perfect as perfect can be.Bottle-feeding worked well for my family.I do not advocate my decision for others...I do not advocate any parenting decisions for others. I only tell what works for me, if people ask.Katie,I appreciate your words of encouragement on sharing my opinion.I repeat my original question:Why do women feel the need to bash each other's decisions?

Anonymous said...

Katie, thanks for typing this up and posting it. I loved hearing your own take on this as someone who has both bottle- and breastfed her children.

Before I even get into my own opinion I just want to toss this out there- I think hospitals (at least here in NC) are actually required, now, to call and "ask perfect strangers how the breastfeeding is going". They are receiving funding as part of an initiative to try and increase rates of breastfeeding at least through the first six months of a baby's life- and many, many women go home, their milk comes in, and suddenly nursing is not as easy as they thought. How many women feel like getting dressed, bundling up a hungry, squalling newborn, and showing up back at the hospital to admit (and obviously feel like a failure) that breastfeeding is not working for them? The telephone is a lifesaver for these women. It honestly boggles my mind that anyone took offense to that. Wow.


Moving on.. yes, I am a "boob nazi". I didn't plan on it; I always sort of assumed I would nurse my children, but I didn't even do the research into why it was "better" than using formula until after my child was born. Like "Stella", what ended up pushing me over to the deep end of "lactivism" was very simple- I was DAMN TIRED of getting flak on a day to day basis, simply for choosing the option that my body was naturally designed to do.

I was tired of people staring at me when I fed my child in public (and no, I didn't "flop my titty out all over for everyone to see"- even at 5lbs10z, my youngest's head completely covered my A-cup breasts, and the nipple was definitely not an issue!). I was tired of my own mother, who breastfed me herself, asking if I wanted to go to the bathroom or sit in the car to nurse. I was tired of people rolling their eyes, sending me disgusted looks, or saying right to my face that I must "get off" from the nipple stimulation. Stupidity that stems from a sheer, pigheaded refusal to educate oneself is probably my biggest pet peeve, and boy, the people I ran into in the first 3 months of being a mother had that stupidity in SPADES.

I didn't become a lactivist because I wanted to make people who choose to use bottles feel bad. I became a lactivist because I wanted to help people learn so they are not crippled by their own ignorance into thinking that there is no scientific benefit to nursing, or that there is some sexual element to it, or that it is somehow a shameful and dirty thing that should only occur behind closed doors. I am a scientist by nature and the very idea that we have shunned something our bodies have perfected over the course of thousands of years is tragic to me. Breastfeeding is not only the best thing you can do for your child and yourself, it is the most natural thing in the world, and if I have one more person send me a dirty look and make a negative comment about it, I think I might scream!

Anonymous said...

Articles like that don't make me angry at the mom, they make me sad that in our society, moms have such limited support for breastfeeding. I feel sad that when moms seek info, the information is so woefully inaccurate that they can be left with the confident impression that formula is basically as good and that it is a lifestyle choice.

I think our culture's strange love/hate relationship with breasts does women a disservice at both extremes. When you live in a world where it's ok to show 80% of your breast just wearing a tank top but unacceptable to nurse a baby, it's no wonder that women not only are led to choose the less healthy option for their baby, but also for themselves.

It's also easy to see how a woman who has been raised in a culture that values breasts as sexual and abhors them as biological would get upset when there is a sudden turnaround of behavior expected of her. All your pre-child life, breasts are sexy, private, embarrassing, men's playthings. Then all of a sudden you are expected to put all that aside and see it completely differently. Some women can't buck the conditioning, and of course they are ticked off. It's almost like a bait and switch trick, and a woman who has been conditioned to see the breasts biological function as shameful, icky or not worthwhile is going to experience encouragement to breastfeed as "pressure".

Of course we'd all like to believe we make informed choices, but when a mom claims to have made an informed choice in favor of formula, there has been a disconnect somewhere. Common areas of disconnect that I see in the mentioned article are lack of support, lack of accurate information; and last but not least lack of willingness to take responsibility for the choice made, and once the guilt and anger boils over, denial and dismissal of thirty years worth of research.

Anger often travels hand in hand with guilt. It helps push the painful truth away, so that we can continue to believe we were right in spite of evidence to the contrary. It frustrates me that women end up unleashing their anger on other women in order to hold on to the indefensible stance they have taken, because in large part that stance has been encouraged by an entire society.

I wish women would stop directing their anger laterally at one another and start getting ticked off at the source of the problem: a society that devalues breasts unless they are portrayed as sexy, a society that devalues the role of mother and is willing to sacrifice normal healthy life experiences like breastfeeding in order to keep their illogical point of veiw intact.


Of course women are angry, it is a strange and illogical societal expectation we have to deal with. So why not get ticked off that the doctor told you to limit feedings to a schedule, get ticked off that the nurse told you your milk wasn't coming in fast enough, get ticked off that no one in your world had the slightest clue how to truly help because the chain of knowledge has been broken. Get ticked off that formula marketing has taught generations of women to think that their bodies are inadequate to feed their own children, get angry that this fundamental process has become bizarrely taboo, get mad that women are shamed for nursing in public and choose a food substitute rather than be seen doing what amounts to normal everyday parenting.

Turning that anger back around at breastfeeding is only perpetuating the myths and taboos that helped crush the possibility of breastfeeding success in the first place. It is painful to realize you never had a chance at something you were led to believe was a given. It feels as if you were sold a Mercedes and drove off in a Yugo. Of course we get mad, it's only natural that we feel that way. Let's direct the anger where it truly belongs - not at breastfeeding and those who advocate it - but at the obstacles that we face and the people and institutions who uphold those obstacles.

Anonymous said...

Reading the article and the comments, I find it extremely saddening that women feel ashamed to breastfeed (one would think they'd got over body-shame after giving birth and all that that entails and you can breastfeed privately if you want to) and that a woman felt relief at being liberated from her newborn baby.

Anonymous said...

Katie:

I am the anon who posted earlier and would like to better explain my post.

You have never been rude to me. In fact, I would go so far as to say that in your personal interactions with me you have always been very sensitive to the issue. I also agree that it would be out of character for you to be otherwise. You are a sensitive and respectful person.

I do find your posts regarding bottlefeeders to be a little harsh. But then again, your writing style is what brings me to your blog.

I was put off by your post because it was dismissive of people who, like me, believe that people could treat women who bottlefeed with a little more kindness and respect than is often the case. Imagine if I claimed that women who nursed were imagining a conspiracy of people out to make them uncomfortable. Unfortunately, women are often made to feel uncomfortable about nursing. Unfortunately, women are also made to feel uncomfortable about bottlefeeding.

I will admit that the parental decision to stop nursing was difficult for me. I was, and remain, sorry that nursing was not "in the cards" for my children. That does not mean that I am imagining my experiences because I am guilt ridden.

You won't find me arguing with your points that: (1) medical studies have proven breastfeeding is in most cases the best option for mother and child; (2) mothers who choose to nurse ought to be able to do it wherever they feel comfortable, and people should do everything possible to make nursing mothers comfortable; and (3) hospitals ought not to give out patient information to formula companies.

After considering the options, I made the best decision I could. I was surprised that I found myself having to explain the decision over and over again to friends and aquaintences. Admittedly, part of this was certainly my own desire to get the facts out in anticipation that I would be judged. But not all. I quickly grew tired of telling my medical history and grew increasingly tired of needling questions. [Again, I don't have any complaints about my interaction with you.]

Thankfully, things have turned out great. My kids aren't obese. They didn't have ear infections. They aren't crippled by allergies (the child that had the benefit of nursing for a few weeks has allergies while the other doesn't). If their IQs are lower than if they had the benefit of nursing, I'm comfortable they'll overcome it.

I'm not ignorant. I know that statistically speaking breastfeeding is superior to bottlefeeding. I don't mean to diminish that fact. Anecdotal evidence doesn't refute medical studies. On the other hand, broad medical evidence that breastfeeding is generally healthier than bottlefeeding doesn't mean that it is best in EVERY case. There are many circumstances where bottlefeeding is the best alternative.

I encourage everyone out there to feel perfectly fine interupting the explaination of a friend who you are surprised to see with a bottle. Just say, "you don't have to explain it to me... I know you well enough to know that your doing what's best for your family."

P.S. I would rather remain anon, but I hope you find some comfort in my explaination. We disagree on a number of things, but I will vouch that you are a terrific person with terrific kids. I didn't mean to trouble you. I assumed that because of your profession you'd shrugged off thousands of more critical responses.

Anonymous said...

One day I was telling my sister how sad I was that my son had weaned. She, who formula fed hers ("breastfeeding is gross"), simply rolled her eyes and walked away. Why did she do this? I think for the same reasons you mention in your post. Guilt, and perhaps some bitterness

I am more interested in why you had to tell your sister, a known bottle feeder, about your special breastfeeding expenerience. Why did you do this?

Anonymous said...

Why wouldn't she tell her sister about her life? For many women weaning is a very big deal. Why should the subject of breastfeeding become taboo just because her sister didn't breastfeed?

Anonymous said...

I wanted to tell my sister because I love talking to her. I love sharing my experiences with her, and she feels the same way. What's so wrong with that? My first child weaning from the breast was a big deal to me. Sure, she didn't understand why I was so upset. I guess when a child weans from the bottle it doesn't have the same emotional impact. That pretty much helps to prove my point, that feeding a child from the breast, and feeding a child from the bottle are not the same thing. The difference between breastfeeding and bottlefeeding is beyond the quality fo the substance provided.

karrie said...

I was unable to breastfeed my son. I myself was breastfed and it simply never ocurred to me that I would experience the difficulties that I did. One place I personally feel that many breastfeeding advocates fail is in being uprfont and honest about how painful and difficult breastfeeding can be for some women.

However, I'm absolutely dumbfounded at how a phone call from a nurse or LC to check-in could be construed as rude, pushy behavior ? If they continued to call, or berated a mother for formula feeding that would be one thing, but simply providing accurate medical information is a service.

I hated breastfeeding. Perhaps because my body did not cooperate, but the reasons why do not really matter. I made a choice to stop when I felt I simply could not continue the pump 12x a day, try and latch screaming baby to bleeding nipples while drinking vats of Mothers Milk tea routine. But, I did so knowing I was choosing a nutritionally inferior food for my baby, even if it was the only choice at that point that allowed my son to have a reasonably sane mother.

Breastmilk is the ideal food for babies. Period.

Those of us who were unable to breastfeed or simply not interested in doing so, should be able to share our own side of things without resorting to false claims.