"Human milk for human babies"
Most Women Stop Breastfeeding by Six Months. Whose Fault Is That?

Oh bouncing baby boy, here comes the next round in the never-ending slugfest over the health benefits of breastfeeding:

The lives of nearly 900 babies would be saved each year, along with billions of dollars, if 90 percent of U.S. women breast-fed their babies for the first six months of life, a cost analysis says. ….The findings suggest that there are hundreds of deaths and many more costly illnesses each year from health problems that breast-feeding may help prevent. These include stomach viruses, ear infections, asthma, juvenile diabetes, Sudden Infant Death Syndrome and even childhood leukemia.

That's according to an AP article, covering a new study just released by the journal Pediatrics.

I bet a lot of bottle-feeding mothers are going to read that paragraph, sigh, and think: “Great. Now I’m being blamed for billions of dollars in health care costs and 900 dead babies.”

The AP writer must have anticipated such a reaction, because she goes on to quote not one but two doctors saying we “shouldn’t be blaming mothers for this.” Then she puts the blame elsewhere: “jobs and other demands” that prevent women from breastfeeding, and “many hospitals [where] newborns are offered formula even when their mothers intend to breast-feed.” CNN’s take on the study is even more explicit in pointing its finger at an apparently unsupportive medical-industrial complex:

Bartick says moms shouldn’t be blamed, because they receive mixed messages and often lack support from the moment their babies are born. Bartick says many hospitals delay immediate urgent skin-to-skin contact between mom and baby, which can make things harder for the newborn to act on its natural instincts to suckle. Moms also need to be better educated about the importance of breastfeeding and they need adequate support after they leave the hospital in case they run into problems because the newborn isn’t properly latching on and therefore not getting enough food.

This may sound progressive, but it’s not new. It’s the standard line from breastfeeding advocates, lactation consultants, et al: Breastfeeding is a medical miracle, but we shouldn’t blame mothers who don’t manage to do it long-term, because they surely would if the corporate patriarchy weren’t preventing them from doing so.

There’s some truth in this argument. Yes, breastfeeding does have health benefits (although we could argue all day about the magnitude of those benefits, especially given how complex and multifactorial the diseases listed in this article are – breastfeeding prevents leukemia?). Yes, many hospitals do send new mothers home with formula samples, and many workplaces make it difficult or impossible to pump breast milk during the day. Yes, mothers need “adequate support” (and that doesn’t just mean a visit from the local La Leche League rep) immediately after bringing a newborn home.

But it is simply silly to argue that all women would breastfeed for six months (or a year, or even two years, as the World Health Organization recommends) if only The Man weren’t keeping them down. Some women find breastfeeding immensely painful – they get infections; they get bitten; they wind up with babies who just can’t latch properly even after multiple consults with a lactation expert. Other women want desperately to breastfeed and have all the “support” in the world that should enable them to do so, but their breasts just won’t cooperate.

I was one of these. My hospital nurses knew all about “skin-to-skin.” My baby latched perfectly. My family and friends made sure I had all the support I needed throughout my luxuriously long maternity leave. My “supply,” to use the preferred euphemism, was at first so bountiful that my hospital’s maternity support group recruited me to demonstrate breastfeeding for other new moms. I threw out the doctor-provided formula samples like so many soiled diapers.

And then, at four months, the milk dried up. My daughter’s weight fell from the 25th percentile to the seventh. She was so hungry she couldn’t sleep at night. Still, I fought putting her on formula. I spent whole days in bed, futilely trying to nurse, until our pediatrician gently told me that this wasn’t my fault, and I should stop crying, because what my baby really needed wasn’t my milk: it was me.

We gave my daughter a bottle of formula that evening – I made my husband do it, because I couldn’t – and for the first time in weeks, she slept through the night. She is 13 months old now. She has never had a stomach virus or an ear infection. If someday she develops asthma or diabetes or, God forbid, leukemia, I will of course be sad. But I won’t feel guilty, and neither should anyone else in the same situation.

I know there’s no way to convey the emotional complexity of breastfeeding in an AP article. But it would be a good start if, when writing about why some women don’t breastfeed, the standard line went something like this: Breastfeeding has some health benefits, but we shouldn’t blame mothers who don’t manage to do it long-term, because not everyone can. Sometimes that is the fault of hospitals and corporate workplaces and formula makers. And sometimes -- it may be unsatisfying to say it, but it's true -- there really is no one to blame.

Comments
1.
Judith Gutowski BA IBCLC RLC (8/7/2010)
It sounds like weaning at four months was emotionally painful for this mother. Physiologically, it would be unusual for a breastfeeding mother's milk to dry up at this point in lactation. There must have been some underlying issue. If this mother had appropriate access to a lactation support professional the weaning may have been preventable. Perhaps she developed a health condition that affected her endocrine system, or began to use hormonal birth control or a medication that caused a decrease in milk production. Perhaps there was mismanagement of breastfeeding due to life stressors or work and pumping which led to reduction in adequate breast stimulation needed to make milk. Perhaps she became pregnant. All mothers should have access to timely, skilled, knowledgeable breastfeeding support within to address the breastfeeding difficulties that occur at every stage in lactation, not just for the 2-5 days she is in the hospital after delivery. International Board Certified Lactation Consultants (IBCLCs) are qualified and trained to assist mothers when they encounter these types of problems. At the very least, if weaning was inevitable, they could help a mother understand the underlying problem and give her counsel as she grieves the loss of the breastfeeding relationship. This would end the perpetuation of myths surrounding untimely weaning stories as well.

2.
Diana Mitchell IBCLC (9/13/2010)
Comment one is well said. There shouldn't be blame on mothers,just problem solving. I agree that sometimes it just doesn't work out, but the body is designed for lactation and there is a reason why it doesn't happen or continue and moms are entittled to know exactly why. In this case milk doesn't just dry up at 4 months without a reason and again inadequate information or support and a mom left to think her body was incapable. She's not even aware, believing it's common and writing it up for other moms to read and worse health care to read and say "see it happens and moms get over it and accept it," which validates they're stance to not getting informed and realize someone should have been delving deeper into her issues and providing support while figuring it out. A mom left crying and frustrated and a baby hungry is unacceptable. What choice did she really have?

3.
Lyza (11/4/2011)
Boy that raelly helps me the heck out.
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