How Do Misogyny and Feminism Impact the Breast is Best Narrative?

Is Modern Day Breastfeeding Advocacy really feminist?

Breastfeeding advocacy is often characterized as feminist, and many people in the current breastfeeding advocacy community would describe themselves as feminists. Feminism, after all, is not just about demanding equality to men; it is about valuing women—our brains, bodies, and work—as much as we do men’s.[1] Breastfeeding and the provision of human milk is work, and many feminists—rightfully—expect that work to be valued.[2]

Modern breastfeeding advocacy started in the 1950s; La Leche League International (LLLI) began as a grassroots organization of women who wanted to breastfeed their babies and assist other interested mothers in doing so. Founders Marian Tompson and Mary White had experienced breastfeeding problems with their first children, leading to unwanted weaning; after successfully breastfeeding subsequent children and learning that many other mothers had been in the same position (bottle-feeding formula out of necessity rather than choice), they organized a group dedicated to helping others who wanted to breastfeed successfully. 

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Gender Equity, Co-Parenting and Infant Feeding Choices

Jessica Pratezina, MA, is a Ph.D. student in Interdisciplinary Studies (Child and Youth Care; Sociology) at the University of Victoria, British Columbia, Canada. Her doctoral research studies gender equality, father involvement, and early family formation.

Research shows that a father’s positive involvement significantly impacts every domain of their child’s development. Less attention has been paid to how a father’s involvement can improve a mother’s health, well-being, and especially relationship satisfaction. Not every happy, healthy family wants or needs a dad (like lesbian couples or single mums). But when a father is an expected part of family life, they can make a world of difference not only to his children but to his partner. In particular, when couples share childcare and household responsibilities equitably, the benefits to a mum can be significant.

Yet, gender equality isn’t one of the topics parents are encouraged to discuss during their parenting transition. In between learning how to clip those impossibly tiny newborn fingernails and piecing together cribs that seem to require an engineering degree to assemble, talking about how to keep childcare and housework tasks fair and equal isn’t something most couples are supported to do.   

 Gender equality is also not usually discussed as a factor influencing parents’ feeding choices. When I worked as an infant development specialist, I was taught to ask all sorts of questions about a mother’s feeding plans. The intention was to guide (or possibly guilt) the mum into choosing exclusive breastfeeding. 

I was never taught to ask a mum how she wanted to involve the baby’s dad in feeding and how the different feeding options might support or hinder an equal sharing of the baby’s care.

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The Ten Steps to Ethical, Successful, And Inclusive Infant Feeding

In most hospitals and prenatal educational materials, exclusive breastfeeding (EBF) is the recommendation for infant feeding. EBF is promoted as the only healthy way to feed a baby, with partial breastfeeding, temporary supplementation, and formula feeding falsely characterized as “suboptimal.” Other infant feeding options, such as exclusive pumping or formula supplementation, are discouraged, even when requested by parents. But does this narrow definition of healthy infant feeding support patient rights and ethical infant feeding principles? No, it does not

 Infant feeding support in postpartum units should consider ethical principles of autonomy, beneficence, justice, and non-maleficence when considering the extent to which lactation should be promoted. 

What Are The Principles of Ethical Infant Feeding?

Autonomy: The parents choose how they intend to feed their baby at each feeding, and maternal bodily autonomy is affirmed and respected.

Beneficence: The benefits of infant feeding types are provided to the parent to help them make an informed decision. Healthcare providers must not decide what is best for the parent.

Justice: Do not assume a feeding method. Ask the parent how they want to feed their baby. Affirmative consent must be obtained before touching a patient’s body. 

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A Nurse Speaks Out About The Emotional Distress Parents Endure From Mandated Exclusive Breastfeeding Policies

“The sight and sound of babies crying out for food and fluids are why I decided to speak out. Babies are denied food and fluids to promote exclusive breastfeeding.”

As a mother-baby nurse, I’ve seen many preventable episodes of emotional distress for families in my thirty-year career. Unfortunately, The emotional distress increased significantly when the Baby-Friendly Hospital Initiative was implemented at my hospital. Some episodes of emotional distress are unforgettable, so I felt compelled to speak out about them, hoping to bring about the much-needed change to protect newborns from hunger and maternal mental health.

Mothers are incredibly vulnerable after giving birth, as their bodies transition physically and hormonally. They have a new life to take care of while recovering from birth and require compassionate, respectful, and individualized care. However, the Baby-Friendly breastfeeding protocol is one-size-fits-all and does not allow individualized care. Mothers must follow the BFHI protocol regardless of how they feed their baby or how complicated their birth was. We know as health care professionals that no protocol can be safe and effective without individualized care.

 Evidence based medicine cannot replace clinical judgment or account sufficiently for the complexity of individual cases. The limitations of EBM must be acknowledged and addressed so that it can be used effectively and without compromising patient care. -Mark R. Tonelli, MD, MA

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I’m Sharing My Mindset Shifts As A Low Milk Supply Mother To Help Others

 The current breastfeeding culture instills the belief that all women can exclusively breastfeed without any acknowledgment of our biological, physical, social, and psychological abilities to exclusively breastfeed.

Auli shared with us how her mindset shifts as a low milk supply mother. She has insufficient glandular tissue, which is thought to affect up to 1 in 20 mothers.

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