Our regressive, insensitive and cultish attitude to breastfeeding

Blind adherence to the principle of “breast is best” seems to have become more important than treating babies, toddlers and parents as whole human beings.

Both of my children were breastfed, the first one, miserably, hidden away in public toilets or upstairs rooms ( “we set this one aside for you”), or on the sofa at home, following a long trudge back from town (“no, I can’t feed you now, I know you’re hungry, I hear your cries, but someone might see”). With the second it was different. With two children under two, I stopped caring. I ignored all the “this town welcomes breastfeeding” stickers placed only in the loneliest, most isolated places. Took no notice of the “discreet” breastfeeding aprons now marketed at mothers lest some innocent passer-by is corrupted by the sight of babe on tit. I whacked my breasts out anywhere and everywhere. My baby needed feeding. I fed him. I didn’t care what people thought. I might have had twice as many little ones to care for, but life was a whole lot easier.

It’s a couple of years since I breastfed and in some ways I miss it. I liked the bonding and I’ll be honest, by the end of it, I liked the “fuck you” it gave to anyone with the sheer nerve to be offended by it. And many people still are offended by it – really offended. Many of the worst offenders (or offendees?) lurk on Twitter (a surprising number of people feel inclined to tweet their disgust at nursing in public, frequently comparing it to defecation). I’ve never had such comparisons made to my face, but have had the odd “bitty” comment. This form of public disapproval is bad for mothers, bad for babies and terrible for the relationship they’re trying to forge. I still feel shame at not having given my firstborn sustenance freely, whenever and wherever he needed it.

Breastfeeding needs to be made easier, much easier. The trouble is, we’ve set our sights on the wrong people, something which became increasingly clear to me when I trained as a breastfeeding peer supporter. There the whole focus is not on prejudice but on ignorance – to be specific, the presumed ignorance of new mothers. The idea seems to be that society doesn’t need to change, new mothers do. When they don’t breastfeed it’s always because they “don’t know the facts”, or “haven’t persevered”, or have physical and/or psychological challenges that can be “easily overcome”. The idea that perhaps a woman just doesn’t want to – and that that is fine – is something no one in the pro-breastfeeding camp dares to mention. As time goes on, I become increasingly convinced that a great deal of breastfeeding propaganda isn’t to do with supporting women, regardless of how they choose to feed. It’s about pushing a broader philosophical position on how mothers should be, and it’s one I find regressive, insensitive and more than a little bit cultish.

This week American academic Joan B Wolf will give a lecture at the University of Kent in which she will argue the health benefits of breastfeeding are over-rated. This is to tie in with her book Is Breast Best? Taking on the Breastfeeding Experts and the New High Stakes of Motherhood.  I have not read the work and am prepared to believe that it is not without its own biases (Wolf is a professor of gender studies, not a clinician). Even so, I am relieved that the perception of breastfeeding as the default “right thing” for any mother to do is being challenged. I don’t think you need to talk to scientists (as Wolf has done) to know that it’s not so clear-cut. Any mother who hasn’t been bullied into losing the ability to think critically should be able to recognise this.  

Here, for instance, are just some of the drawbacks of breastfeeding (not including those based on external prejudice):

  • You’re on call to feed the baby 24/7 (convenient, my arse)
     
  • Other parents can’t take part in feeding unless you express, which is so time-consuming you end up thinking “sod it, shall we just agreed that I feed him/her?”
     
  • Other children lose out on one-on-one time with Mummy
     
  • It makes returning to work more difficult
     
  • It causes mothers physical pain (“not if you’re doing it properly”, they say. Of course, they’re not around in the morning when you wake up with tits like rock-hard boulders)
     
  • It can give mothers mastitis (“not if you -” oh, just give it up, you fibbers)
     
  • It can make mothers lose too much weight (“Too much? Is there such a thing as too much?” you might ask. Well, yes. I lost so much it triggered an eating disorder relapse. On balance, this was not a plus)
     
  • Variations in milk supply and ability to achieve let-down cause distress and frustration to both mother and baby (one of the reasons I think my youngest self-weaned. By the time he reached nine months, he wanted some consistency, dammit, and who can blame him?)

These, by the way, are all the complaints of someone who found breastfeeding “easy” i.e. me. What’s it like for someone who finds it hard? Why are we so convinced that the benefits outweigh the risks? What about the fact, pure and simple, that this is another person’s body we’re talking about? What about her right to bodily integrity? What about her feelings? (Contrary to popular belief, mummies still have those.) I’ve never seen satisfactory responses to these questions. Women who’ve just given birth are ordered not to be so “selfish”, yet isn’t selfish to base serious parenting decisions on something other than the antibodies found in a particular liquid, a liquid for which there is another, perfectly acceptable if not-so-antibody-tastic substitute.

Four years ago I attended a seminar run by my local breastfeeding support network. It was led by breastfeeding guru and author of The Politics of Breastfeeding, Gabrielle Palmer. Palmer was a good, convincing speaker. It was some of the other breastfeeding supporters I had issues with. They scared me. A lot of them seemed furious – really bloody furious – about the very existence of formula milk. They were outraged at the way formula manufacturers piggy-back on the benefits of breastfeeding in order to promote the alternative, outraged at the way “follow-on” milk has been used to get around bans on advertising formula for newborns. I just can’t get that cross. They’re just adverts. All adverts are sneaky. I’ve used follow-on milk. It is not the sperm of the devil. It feeds babies. It might not be breast milk, but that doesn’t make it a bad thing in and of itself. It seems to me that the whole Nestlé scandal, while indefensible, has been exploited by certain breastfeeding supporters to make the use of formula itself appear morally wrong. This isn’t logical and it isn’t fair.

Yesterday morning I saw this issue discussed on Twitter and it struck me that many mothers – regardless of how they feed their babies – do not hold the extreme views commonly ascribed to them. We do not fall neatly into two camps, those of defensive bottle-feeder and smug, self-righteous breast-feeder. We are able to see nuance and make the compromises we need to as parents. By contrast compromise wasn’t something I encountered in the breastfeeding counsellor who trained our group. She objected even to the use of breast pumps because “feeding a baby from a bottle will cause nipple confusion, even if the milk is expressed”. I did once mention to her that I’d depended on my breast pump after my second child was sent to hospital in a different town. Without expressing, I wouldn’t have been able to spend half my nights at home with my other child while my partner stayed in the hospital. The counsellor’s view was that my elder son – not yet two – should just have settled for not having Mummy at home for a while. I found it hard to believe that the avoidance of baby bottles, regardless of what they contained, should have been more important than reassuring my son at such a difficult time. It felt as though blind adherence to the principle of “breast is best” had become more important than treating babies, toddlers and parents as whole human beings, with a broad range of physical, emotional and practical needs. Is such an attitude really likely to make more women think breastfeeding is worthwhile?

We should of course be frustrated at the fact that those mothers who wish to breastfeed don’t always get the support and information they require. More than that, however, we should be outraged that all mothers, regardless of their choices, will be made to feel bad about how they care for their babies. Breastfeed and you’ll feel the pressure to hide from public view. Bottle-feed and it will be suggested that you have “failed”. And yet however you do it, feeding is caring and nurturing. How can we have let it become a source of shame?

A woman breastfeeds her newborn baby. Photograph: Getty Images

Glosswitch is a feminist mother of three who works in publishing.

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Air pollution: 5 steps to vanquishing an invisible killer

A new report looks at the economics of air pollution. 

110, 150, 520... These chilling statistics are the number of deaths attributable to particulate air pollution for the cities of Southampton, Nottingham and Birmingham in 2010 respectively. Or how about 40,000 - that is the total number of UK deaths per year that are attributable the combined effects of particulate matter (PM2.5) and Nitrogen Oxides (NOx).

This situation sucks, to say the very least. But while there are no dramatic images to stir up action, these deaths are preventable and we know their cause. Road traffic is the worst culprit. Traffic is responsible for 80 per cent of NOx on high pollution roads, with diesel engines contributing the bulk of the problem.

Now a new report by ResPublica has compiled a list of ways that city councils around the UK can help. The report argues that: “The onus is on cities to create plans that can meet the health and economic challenge within a short time-frame, and identify what they need from national government to do so.”

This is a diplomatic way of saying that current government action on the subject does not go far enough – and that cities must help prod them into gear. That includes poking holes in the government’s proposed plans for new “Clean Air Zones”.

Here are just five of the ways the report suggests letting the light in and the pollution out:

1. Clean up the draft Clean Air Zones framework

Last October, the government set out its draft plans for new Clean Air Zones in the UK’s five most polluted cities, Birmingham, Derby, Leeds, Nottingham and Southampton (excluding London - where other plans are afoot). These zones will charge “polluting” vehicles to enter and can be implemented with varying levels of intensity, with three options that include cars and one that does not.

But the report argues that there is still too much potential for polluters to play dirty with the rules. Car-charging zones must be mandatory for all cities that breach the current EU standards, the report argues (not just the suggested five). Otherwise national operators who own fleets of vehicles could simply relocate outdated buses or taxis to places where they don’t have to pay.  

Different vehicles should fall under the same rules, the report added. Otherwise, taking your car rather than the bus could suddenly seem like the cost-saving option.

2. Vouchers to vouch-safe the project’s success

The government is exploring a scrappage scheme for diesel cars, to help get the worst and oldest polluting vehicles off the road. But as the report points out, blanket scrappage could simply put a whole load of new fossil-fuel cars on the road.

Instead, ResPublica suggests using the revenue from the Clean Air Zone charges, plus hiked vehicle registration fees, to create “Pollution Reduction Vouchers”.

Low-income households with older cars, that would be liable to charging, could then use the vouchers to help secure alternative transport, buy a new and compliant car, or retrofit their existing vehicle with new technology.

3. Extend Vehicle Excise Duty

Vehicle Excise Duty is currently only tiered by how much CO2 pollution a car creates for the first year. After that it becomes a flat rate for all cars under £40,000. The report suggests changing this so that the most polluting vehicles for CO2, NOx and PM2.5 continue to pay higher rates throughout their life span.

For ClientEarth CEO James Thornton, changes to vehicle excise duty are key to moving people onto cleaner modes of transport: “We need a network of clean air zones to keep the most polluting diesel vehicles from the most polluted parts of our towns and cities and incentives such as a targeted scrappage scheme and changes to vehicle excise duty to move people onto cleaner modes of transport.”

4. Repurposed car parks

You would think city bosses would want less cars in the centre of town. But while less cars is good news for oxygen-breathers, it is bad news for city budgets reliant on parking charges. But using car parks to tap into new revenue from property development and joint ventures could help cities reverse this thinking.

5. Prioritise public awareness

Charge zones can be understandably unpopular. In 2008, a referendum in Manchester defeated the idea of congestion charging. So a big effort is needed to raise public awareness of the health crisis our roads have caused. Metro mayors should outline pollution plans in their manifestos, the report suggests. And cities can take advantage of their existing assets. For example in London there are plans to use electronics in the Underground to update travellers on the air pollution levels.

***

Change is already in the air. Southampton has used money from the Local Sustainable Travel Fund to run a successful messaging campaign. And in 2011 Nottingham City Council became the first city to implement a Workplace Parking levy – a scheme which has raised £35.3m to help extend its tram system, upgrade the station and purchase electric buses.

But many more “air necessities” are needed before we can forget about pollution’s worry and its strife.  

 

India Bourke is an environment writer and editorial assistant at the New Statesman.