The conference I attended yesterday was really inspiring, I learned new things, I got to meet up with people, and it helped bolster my enthusiasm for what I do! I've long felt that whilst every mum makes her own decisions that are right for her, such decisions are always made within a wider context. This is true for us all at anytime, so for example my decision to eat or not a big slice of cake, whilst my own decision, is influenced by lots of factors. It was there, readily available and cut in a big wedge, others around me were eating them, I live in a society where cake is seen as lovely, it was labelled as salted caramel so that felt a bit new and trendy and encouraged me to try it for the novelty. There are health messages out there so I have to set aside concerns that come up... All this happens at a subconscious level as I reached automatically for my dessert yesterday.
I don't want to say that our choices around starting or continuing to breastfeed
are like eating cake, but I am aware that every one of us make decisions all the time and don't usually stop to reflect on how many things impinge on those decisions, the adverts, peer pressure etc. We know that what our families and friends do or have done has a huge influence on our decisions and this includes feeding. We also know that mums who don't breastfeed, or stop before they want to, are more likely to experience post natal depression, and their babies will not have such good physical, emotional and mental health. The UK has the worst breastfeeding rates in the world, and most mums here will stop before they wanted, and a few don't start at all, and it is not fair or right if the mum takes on herself feelings of blame for this. I like this quote from Dr
Nigel Rollins of the World Health Organisation (WHO), who said:
“The success or failure of breastfeeding should not be seen solely as the responsibility of the woman. Her ability to breastfeed is very much shaped by the support and the environment in which she lives. There is a broader responsibility of governments and society to support women through policies and programmes in the community."
So if it's not down to the mum, we all have our part to play, what can we do?
First up, let me acknowledge just how tricky I know it can be. Feeding is such an emotive issue, as most of us have our own unheard stories. Given the low rates in this country, chances are most of us will have not fed for the 2 years and beyond that the world health organization recommend, lots of us will have either struggled and not received the practical support and encouragement we needed, or perhaps not started because of the society we live in. Ghana, where breastfeeding rates stay around 98% across the baby's first year, it's a very different experience. This means we all have our own feelings to contend with, we might want to defend the decisions we ourselves or our partners made. It's harder to get alongside when we feel defensive, so can be useful to remember that whatever we did in every aspect of our parenting, it's always been the best possible in that moment, and not in line for criticism. We also live in a society where breasts are seen sexually rather than for feeding and comforting our babies, so I appreciate that can make conversations feel awkward. I guess any of us could challenge that perception, or acknowledge that this might be why we feel uncomfortable in encouraging a mum to breastfeed.
Having reflected on our own experiences and feelings, what can we do then?
Listening to and supporting the mum is key. As with all life, ask what help is wanted rather than assume. Surveyed mums have said that well meaning help such as taking baby away so mum can rest has actually undermined the mum who then can feel she's not doing a good job. They would have preferred their family and friends to have taken the weight off some of the ridiculous expectations placed on her, such as that she will have the time to clean or cook.
Again culturally we don't have the knowledge and experience that other cultures have where feeding abounds. New mums might not be familiar with breastfeeding. Despite recent funding cuts there is still support available, mums can be encouraged to phone the national helpline, access their local services, and get the practical information they need both before baby arrives and in those wild early days when there's so much to contend with.
And every single one of us who encounters a new parent can rethink our questions. Each time a stranger asks "are they good?" what are they asking? The implication is that the baby isn't impinging on the parents' lives. New babies are supposed to be reliant on their mum all the time, are supposed to wake and feed at least every couple of hours. Asking if the baby is good can have those parents doubt if they are doing something wrong, when they are of course doing great. So here's a big "yay" to every new parent and all the brilliant people surrounding them who are cheering them on :-)