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The language of breastfeeding

post #1 of 18
Thread Starter 
I'd like to get some input on this great article I just read... has anyone seen it?

http://www.bobrow.net/kimberly/birth/BFLanguage.html

I think the part that stands out most to me is this:
Quote:
Because breastfeeding is the biological norm, breastfed babies are not "healthier;" artificially-fed babies are ill more often and more seriously. Breastfed babies do not "smell better;" artificial feeding results in an abnormal and unpleasant odor that reflects problems in an infant's gut. We cannot expect to create a breastfeeding culture if we do not insist on a breastfeeding model of health in both our language and our literature.
This is eye-opening to me. As much as I consider myself pro-BF, I have never second-guessed using FF babies as the "norm" for comparison. However, I feel like I'd get punched in the face if I told anyone that artificial feeding leads to increased illness etc.! I think changing our language would go a long way in promoting BF'ing as normal... but I wonder how we can do this without making others feel angry or guilty.

Thoughts?
post #2 of 18
I love Diane Wiessinger's article (above)! It really opened my eyes to the power of language.

I also really like Miriam Labbok's article on guilt and breastfeeding. You can see the abstract here: http://jhl.sagepub.com/cgi/content/abstract/24/1/80 It is aimed at physicians, but does address the fear of 'causing guilt'

Quote:
Physicians commonly state the concern that, if they promote breastfeeding, they may "impose guilt upon those who do not breastfeed."
I think docs need to step up and be the leaders with information regarding health. Just like they tell mothers the increased risks to baby's health from not using a car seat, or being exposed to tobacco smoke, or eating honey before 1 year of age, they need to tell women the (evidence based) increased risks to baby's and mother's health from not breastfeeding. Mothers need to know this before they give birth! Mothers who use formula deserve to have had the opportunity to make an informed decision.
post #3 of 18
I'm working in a Women's Wellness clinic right now and when I discuss the choice to bf or not with patients I actually do phrase it in terms of the risks of formula feeding. As in, "The risks of breastfeeding on this medication are only partially known, it passes to the baby at [x] rate, etc... On the other side, the risks of formula feeding are relatively well established and include [increased rates of ear and GI infections, increased SIDS risk, etc.]"

Sometimes I feel that certain patients are taken aback to hear me talk about the "risks of formula feeding" instead of the benefits of breastfeeding but nobody has ever specifically taken issue with it.
post #4 of 18
I've been thinking about this for a bit, and one thing that stands out to me is this: there just quite simply aren't any mothers who need to expose their baby to cigarette smoke so that their baby is able to thrive. Whereas I know many (perhaps even the majority?) of mothers in my area end up having to supplement with formula even if they are committed to breastfeeding, in great part because there isn't enough support for breastfeeding mothers. So while I think there might be some mileage in this approach for physicians and other caregivers of moms and babies, I don't love the mother-blaming that's inherent in this. But I don't know anyone who ffs because they don't want to bf.
post #5 of 18
Quote:
Originally Posted by Anna Phor View Post
Whereas I know many (perhaps even the majority?) of mothers in my area end up having to supplement with formula even if they are committed to breastfeeding, in great part because there isn't enough support for breastfeeding mothers. So while I think there might be some mileage in this approach for physicians and other caregivers of moms and babies, I don't love the mother-blaming that's inherent in this. But I don't know anyone who ffs because they don't want to bf.
I do. Lot's of them.
post #6 of 18
Thread Starter 
Quote:
Originally Posted by Anna Phor View Post
I've been thinking about this for a bit, and one thing that stands out to me is this: there just quite simply aren't any mothers who need to expose their baby to cigarette smoke so that their baby is able to thrive. Whereas I know many (perhaps even the majority?) of mothers in my area end up having to supplement with formula even if they are committed to breastfeeding, in great part because there isn't enough support for breastfeeding mothers. So while I think there might be some mileage in this approach for physicians and other caregivers of moms and babies, I don't love the mother-blaming that's inherent in this. But I don't know anyone who ffs because they don't want to bf.
This is exactly why I'm reluctant... I do know lots of people who simply chose not to bf & for them I think this approach is great, but I would worry about the guilt factor for moms who HAD to ff (or felt like they had to due to lack of support)
post #7 of 18
I think that moms who sincerely tried their best to BF, but were unable to, have probably already thought in terms of formula risk as opposed to breastfeeding benefit. I see a lot of moms "try" to BF for about a week before they switch to formula, and I don't see a problem with this approach if it prevents that from happening. Moms who have really given it their best shot and still had to supplement or switch have likely agonized over it, and they know that they made the best choice they could. The points in the article apply more to people who chose not to BF at all or chose not to work past a couple of minor bumps in the road. I take a medication while I BF my son, and no one has ever spoken in terms of the "benefit of not taking" the medication in order to spare my feelings. Any medical pro I've spoken to about it has gone over the possible risks of taking it. Not taking the medication would eliminate any possible risk for my son, but since it would have a devastating effect on my quality of life I've chosen to continue taking it, so I'm comfortable with my decision and their language. It's not a perfect comparison, I know, but I'm just trying to say I don't think people who are sure they made the best choice will be that disturbed by the language.

I shared this article on facebook last year, and a couple of people said they thought it went a little too far. I disagree. I think most people don't understand just HOW superior BF is to FF and that changing our language will help.
post #8 of 18
I'd put forward that there is no blaming the mother attached to this at all.

Breastfeeding is the biological norm, or baseline. Not breastfeeding increases the risk of certain illnesses. That doesn't change if you formula feed by choice or necessity - the increased risk is still the same.

The weight of that risk depends on the situation. For example, I'd totally take on the increased risk of illness from formula feeding when weighing it against the increased risk of starving my baby. No hesitation. No guilt.

Of course how this risk is communicated and when and to whom is all dependent on the situation and must be taken into account. I don't think anyone who advocates for the use of this language wants to make anyone feel bad! (This is the same Diane Wiessinger who says she would rather feed formula from her breasts than breastmilk from a bottle.)

By avoiding this language we are doing a disservice to all the pregnant women, and women who will at some point get pregnant and their babies, by not being honest about risk. We need to work at separating risk, blame, guilt (and I would add anger at the health care system/society that puts up so many barriers to breastfeeding.)
post #9 of 18
Quote:
Originally Posted by PatioGardener View Post
I'd put forward that there is no blaming the mother attached to this at all.
Breastfeeding is the biological norm, or baseline. Not breastfeeding increases the risk of certain illnesses. That doesn't change if you formula feed by choice or necessity - the increased risk is still the same.
The weight of that risk depends on the situation. For example, I'd totally take on the increased risk of illness from formula feeding when weighing it against the increased risk of starving my baby. No hesitation. No guilt.
ITA - and I'm someone who was forced to supplement with formula. I'm annoyed at the suggestion that evidence-based information about the risks of FF shouldn't be shared with mothers because it would make people like me feel guilty.
post #10 of 18
Quote:
Originally Posted by Anna Phor View Post
But I don't know anyone who ffs because they don't want to bf.
Everyone has different circumstances, but where I live LOTS and LOTS (50%) of women choose ff simply out of convenience. Many are returning to work after 8 weeks and don't see the point of it and don't want to pump after returning to work. I doubt if they get much encouragement or straight talk from doctors. Using different language may help them more fully understand why bf is needed by their infant.
post #11 of 18
I've found that it is dangerous to worry about causing guilt in formula-feeding mothers.

I currently live in a country where breatfeeding (after having a dip in the early seventies, when very few breastfed), increased in the eighties and was the norm in the nineties. In the last 10 years breast-feeding bashing has become the norm in media, anyone promoting breastfeeding, or plain is breastfeeding or just not formula-feeding is accused of being a breastfeeding fanatic, and causing guilt in the formula-feeding mums.

The result is, breastfeeding rates are on the decrease, sharply. BUT, mums-to-be still want to breastfeed! When question, almost all pregnant women indicate they would very much LIKE to breastfeed. Most of them will fail. The reason? They feel there is a lot of pressure to breastfeed, but get no assistance whatsoever. Lactation consultants are almost unheard of, the medical establishment assumes it comes by itself. And mothers fail, and give up. The anger they should be directing at the lack of assistance is the directed at anyone suggesting breast-feeding is good thing., and media loves the angry, disappointed parents, who scream: "I failed because you told me to breastfeed! My baby's fine on formula, look, formula must be better!".

And in the very act of breastfeeding my daughter, I risk guilt-tripping a formula-feeding mother. As a result, breastfeeding mothers feel guilty, stay at home more, start using formula when out...

And breastfeeding advocates are publicly accused of being fanatics, it is not ever ok to say that there is anything better about breastmilk than formula (although a major newspaper recently had an article titled "Bottle just as good as breast"). The new idea here is that "Breastfeeding fanatics are telling us that breastfeeding prevents allergies, and this is proven wrong, that means all breastfeeding advocates are lying, and formula actually prevents allergies, so formula-feeding is better". (While the breastfeeding advocates are shaking there heads in amazement, as they are more aware than anyone, and have been for a while, that the allergy-argument, well it is too complicated to use as argument for either side).

I get so frustrated. The biggest problem isn't the plummeting breast-feeding rates, it is the growing number of women who feel like failures because their breast-feeding experience didn't work out. But when breastfeeding rates decrease, there are fewer women to look to for help, there are fewer women breastfeeding in public (for example at play group, story time, mum's groups), so mums lack role models. Swedish women hate doing something different, they want to do what everyone else is doing. More women will fail, and more women will decide to formula-feed when out.

CIO has had a rennaisance here, unfortunately, which doesn't help either. In Scandinavia co-sleeping is very common, and most health professionals promote it (because research proves it is very safe). Sleep-training is a bit of a "new", cool thing, the whole idea making babies sleep 12 hours at a stretch in their own room. Nope, that doesn't promote breast-feeding, or attatchment at all.

I fear, if nothing radically happens to change the course, that in another 10 years time, breastfeeding will be a really weird thing here, like not vaccinating (practically unheard of, and considered abusive by even the most openminded baby-wearers, organic everything, cloth-diapers etc). I find it sad, and frustrating. But a climate were it is almost impossible to do anything to change it.
post #12 of 18
"One disadvantage of not smoking is that you are more likely to find secondhand smoke annoying. One advantage of smoking is that it can contribute to weight loss."


This is a great statement.

I still find it amazing that in our society of obesity and serious illness that breastfeeding isn't pushed by HCP and the like. I do put it up there with car seat safety. How many of us have had a baby who "didn't like the car seat" and screamed all the way in the car? Would the police or Dr. say it was okay to take them out?

I guess I really think the majoirty falls on media and HCPs to change their language. I think they have a huge impact on what we hear.
post #13 of 18
I've come across that article a couple of times already - and it pretty much says what I'm still struggling with.

During my "active BF time" (my youngest child is now 6 1/2y, weaned at almost 4y), I went through the usual learning curve without a lot of "real trouble" (no bigger issues like mastitis and the likes) but I had the sort of MIL who was always scared that the baby in question was just short of starving. She was obviously working on her own issues - by BF my children, I was questioning her.
Interesting enough, she once said "BF might be especially valuable and healthy but I wouldn't have had time for it anyway - and my children turned out just fine without it." (Never mind that my husband had his first tonsilitis at age 6 or 7 days and his younger sister had other health issues.) All that "breast is best" talk seems to lead to the assumption that BF is a nice extra boost (for your child's health, intelligence and so on) - but not a basic need. It's something so "luxurious" that only a few lucky mothers will be able to "afford" to do so (read: mothers who have "nothing better to do").

So why do we still talk about "the advantages of breastfeeding" e. g. at LLL meetings?

AislinCarys, are you talking about Sweden or NZ? Your description is very interesting - I've found that the "guilt trip argument" was / is also used in Germany, and there also was one article on "breastfeeding fanatics" last summer which got a lot of attention because it was published in one of the "serious" newspapers in Germany.
post #14 of 18
Sweden. New Zealanders in general are a lot less worried about what others do - or about what others might think about what they do!
post #15 of 18
I think there is a big difference to talking about BF to a specific mother, in which case I use common language and the colloquial "formula" and talking about BF in general - like on a blog or for a media audience, in which I would be excruciatingly correct and drive home a point with "artificial baby milk."

In the first case, I'm usually trying to develop a rapport with the mother, so I want to bond, not put her off and not make her uncomfortable. In the second case, I would speaking to a wider audience, some of whom might be too young to have ever thought about it one way or the other. THOSE are the people for whom you want to normalize BF. In that context I think it's imperative that we use the appropriate language which includes the fact that ABM increases risk.

But I don't think there's any point in driving home this point to a specific mother, who may have already made a different choice - either in the recent or distant past. I would also never pass judgement on anyone woman's choice for forumula feeding. It's not for me to decide what is "legitimate" or who "tried hard enough." I don't know which children were adopted, who had breast surgery, who's been sexually abused, what anyone's work situation is like, what they grew up with or what kind of support they have in place.
post #16 of 18
When I talk to people about it - I tell them - wouldn't you rather have ALL the facts to make your decision?
Also - I talk about how - many of us during pregnancy do or avoid certain things for the health of our baby. (ie - diet; stop smoking; limit foods or drinks; etc) Why do we become selfish once our child is born? It may not be your first choice (for whatever reason) - but we all make sacrifices for our children. What is another 6, 12, 18 + months??? Isn't your child's life worth it?
post #17 of 18
YES I would have loved to have had all the facts. I am not (I like to think!) stupid. I can deal with the information. Had I known then what I know now, I wouldn't have weaned my daughter when I did. I actually feel cheated by those who knew better but never told me.

What about the other medical interventions, many of which are necessary or beneficial? Should we not be told about the risks of those for fear that some patients might feel guilty about taking the drugs, or giving them to their children?

Breastfeeding IS the biological norm. Full stop. By promoting the "breast is best" message we relegate it to other things which are good, but not really normal. Breast isn't best, it's normal.
post #18 of 18
Quote:
Originally Posted by Anna Phor View Post
there just quite simply aren't any mothers who need to expose their baby to cigarette smoke
I have met a couple moms who say they smoked while pregnant because the risks of quitting on them were too great. They felt if they quit they would be too stressed and that would harm their baby.

I have met many moms who quit bfing because it was stressing them out and 'a calm mom and ff baby is better than a stressed mom and bfed baby'.

nak
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