By Amy Brown, Swansea University
Given the breadth and depth of medical knowledge, why do women still not have answers if they can’t breastfeed? Why do GPs have such little training on the breast, breastfeeding and human milk? Why are women who are struggling left to hunt down their own support, due to cuts in breastfeeding support services?
Why? Because for some reason breastfeeding is still seen as a lifestyle choice that women can give or take, rather than it being a primary physiological function of a bodily organ, which helps to protect maternal physical and mental health. If you ask a mother why she wanted to breastfeed, she will say how it helped her baby’s health. True, but there is another primary reason why breastfeeding is important – a woman’s right to have her body function as she expects.
Breastfeeding is a biologically normal function for women’s breasts. This is not to be confused with a biological or social imperative (something someone feels like they should do). It is not the breasts’ only function – far from it – but we are mammals, with mammary glands to feed babies. “Biologically normal” doesn’t necessarily mean easy, or that it will always work, however. But plenty of normal physiological functions – including walking and talking – are aided in their development by guidance and support, just like breastfeeding should be.
But plenty of normal physiological functions – including walking and talking – are aided in their development by guidance and support, just like breastfeeding should be.
So as with any other bodily function, the breast deserves a bank of research and knowledge to enable it to function well, and answers and treatment options if it does not. If you can’t smell anything you can usually visit a doctor who will perform tests on your nose, rather than telling you that your sense of smell doesn’t matter and that someone else can just smell your dinner for you. But many women experiencing breastfeeding difficulties are simply told there are no tests, to stop persevering, and to give their baby a bottle of formula. They should remember that the main thing is that their baby is fed.
Breastfeeding is not simply a logical choice based on some health benefit, but an urge, an instinct. And breastfeeding is useful to women, not just as a milk delivery system but as a convenience and means of mothering. Just as we quite enjoy having a sense of smell, women can enjoy breastfeeding. They can feel empowered, healed and calmed by it. And wanting that – expecting that – is fine.
Formula milk can be life saving and some women may feel it works best for their family, but for others it can never replace the experience they hoped to have as a mother. They don’t want to simply give a bottle instead. Complications and stopping breastfeeding before a woman is ready can be a huge strain on maternal mental health. Women will grieve their loss – and should be allowed to.