Breast intentions

Part of the problem is that motherhood is accused of becoming a patriarchy with male values overlaid upon it. For example the reverence of science over instinct, of experts over the mother's voice, and of consumer products over the mother's body. This is particularly relevant with the medicalisation of birth, with the rising number of caesarean sections impacting negatively on the establishment of breastfeeding.

Dr Truby King is a controversial example of the mothers' expert, having founded New Zealand's Plunket Society in 1907 and the Karitane Product Society (KPS) in 1927, which consolidated King's production of infant formula.

Linda Bryder says of King in A Voice for Mothers (2003) “The diagnosis of the problem and the solutions put forward were the same everywhere: mothers were ignorant of the correct methods of child-rearing and needed to be educated”. Meanwhile Sheila Kitzinger claims that King “Destroyed women's confidence in breastfeeding and made loving mothers feel inadequate and guilty”.

One hundred years later, that charge was still being leveled at Plunket for the promotion of scheduled feeding, based on the digestion time required for formula, rather than for quickly digested breastmilk. The emphasis has shifted recently with Plunket advising that “your baby may wake wanting frequent feeds. For breastfed babies these feeds are important to help establish and maintain breastfeeding.” However the organisation remains out of step with international WHO guidelines by recommending breastfeeding only “until they are at least 1 year or older”.

Plunket's controversial partnering of breastfeeding promotion with corporate interest through King's formula production, continues today with Wattie's sponsorship of Plunket. Wattie's promotes Nurturebaby formula and markets “Stage 1” baby foods for “4-6 months onwards”, in conflict with WHO's recommendation of “exclusive breastfeeding for 6 months” and Plunket's recommendation of “breastfeeding exclusively until around 6 months”. The Plunket logo appears on the packaging of Wattie's Stage 1 foods, giving the perception that Plunket endorses feeding solids at four months, despite the clear conflict with Plunket's own policy. The presence of the Plunket logo also gives the impression that Plunket is endorsing that particular brand of baby food above both competitive brands and baby food prepared at home.

The patriarchal legacy remains a tangible presence for women, their partners and families today. Holmes comments: “Progressively, women were told that their instincts, their feelings and everything else they may have previously believed were wrong and they needed to listen only to the experts if they wanted their babies to live. This creates internal conflicts which may become problematic, especially the thought that something must be wrong with a woman as mother.”

Holmes stresses that the understanding and support of fathers is a crucial part of this process. Holmes comments: “Breastfeeding is a human issue, not a women's issue. Men have a valuable and active role in supporting women to breastfeed and in protecting it.” This is reinforced by Sturmfels who says “Informed and skilful mother-to-mother support can really make a difference. A new mum needs the love and support of her partner and family.”

Holmes concludes: “What is most important is that all mothers are honoured in their experiences around infant feeding. That mothers feel supported, valued and confident in their own ability as a mother.”