There is a great mystery in the world of breastfeeding support. How can so many women fail? How can so many women have such problems with pain and supply? We know that this isn't normal, women in other cultures don't have the problems we do.
What do we do? We blame the women: "She should have called the lactation consultant sooner! She should have called more than one! She should have gone to LLL while she was still pregnant! She should have danced naked in counterclockwise circles while spreading fenugreek on her doorstep and rubbing oatmeal on her breasts!" We blame those that should have been supporting her, we blame bad advice given at the wrong moment, we blame lawsuit-phobic nursery staff that pushes the canned food at the merest sniff of an elevated bilirubin level, we blame the high rate of c-sections that makes high bilirubin that much more of a common occurance.
But, we never answer the central question: WHY IS BREASTFEEDING SO FUCKING HARD?? It shouldn't be. If evolution worked the way it's supposed to, feeding our young would not be something that involves some of our tenderest bits getting bloody and scabbed. It would something relatively surefire.
Clearly, it's not. And there's no predicting which women will have serious problems and which will sail through with a little discomfort.
My completely unsubstatiated theory is that because we don't expose our nipples to sun and air, they are more tender than they would have been in a culture that doesn't sexualize and hide the breast. The very act of covering our breasts and shaping them with bras as soon as they make their appearance in adolescence might cause the kind of subtle structural changes that would result in the problems that are common here and rare in other places; low milk supply, flat nipples, high sensitivity, plugged ducts, bleeding, scabbing, PAIN.
So, there's nothing to be done, short of burning our bras and letting our breasts be seen* for what they truly are. And, uh, good luck with that. I can love my real-life working breasts until I'm blue in the face, it's not going to make a shred of difference to the readers of FHM, or to the industry that tells us what parts of our bodies can be deemed attractive.
As a breastfeeding educator, I have come to accept that there are unseen forces at work that make our success rates lower than they should be. I do what I can to help women mother the way they want to, but sometimes there's nothing I can do.
ps- this was the gist of the Lost Post, but the Lost Post was longer, more linky, and all around better.
*Edited to add a very relevent link to Shape of a Mother.
That is a really interesting theory. It is my opinion that subtle hormonal imbalances from the diets we eat (and were fed as children) and the toxins in our environment probably contribute to the preponderance of breastfeeding problems, too. But I think so much of it is that breastfeeding has been a truly invisible activity in our culture. My mom BF me and my sister and I don't remember ever seeing her nursing my sister (I was weaned at 10 months so obviously I don't remember being BF). I DO remember bottles, though. My own and my sister's! I think the first time I saw someone breastfeeding was in my mid-20's (it was my cousin). And I was far too embarrassed to sit near her and "take notes", even though I knew that I would probably BF my own kids someday. It just seemed strange and awkward, and everything around BF seems strange and awkward to most people in our culture. We're not comfortable with our bodies in the first place, and then to have to use our bodies to nourish someone else, while trying not to "reveal" a part of the body that has been fetishized, which is simultaneously ubiquitous and taboo? Ah, it's a lot that we take on when we BF! Thanks for this post.
Posted by: Elizabeth | Monday, July 17, 2006 at 12:47 PM
There's a whole slew of things I didn't get inot like the environmental toxins and artificial diet and all that other stuff that you mentioned. Thanks for adding that. It's an improtant note.
Posted by: Kateri | Monday, July 17, 2006 at 12:57 PM
I am pretty shy when it comes to my body except maybe around my husband. How can I desensitize myself to it? My cousin is bf'ing her daughter but I have never seen her do it around anyone. I have a feeling I will tend to do this too. In Inna May's book about breastfeeding and bonding she says to expose your breasts to the sun or a sun lamp to toughen them up...
where can you get one of these for not so much money?
Posted by: fuzzit | Monday, July 17, 2006 at 01:55 PM
I've wondered "why" myself. You have an interesting theory. All I know is that it was very hard for me, and it hurt like h*ll in the beginning, even though I was told in my breast feeding class that it shouldn't hurt if I was doing it correctly. We did use an L.C., and I still take Reglan to this day. My daughter was diagnosed with failure to thrive because I wasn't producing enough milk to satisfy her, but with the support of her pediatrician, the L.C., my ob/gyn, and most importantly, my husband, we managed to muddle through. And now my daughter is 22 months old and still going strong.
Posted by: abogada | Monday, July 17, 2006 at 03:29 PM
does it ever piss me off when they say "it won't hurt if you are doing it right."
i'm not sure it should necessarily be easy, i mean women have used wet nurses for hundreds of years.
I'm not saying breastfeeding isn't a wonderful amazing experience that is beneficial for mother and child, but it takes some practice and it is hard at first, and i'm thinking maybe always has been. I don't think it's un-natural to take some getting used to. It's just something you need a helping hand, like say your mother, sister, aunt, etc.
I'm not trying to blame any of the above mentioned womena nd relations for not supporting a nursing mom. Just saying, it's a challenge, but it's rewarding, and stick with it. You can do it.
Finally, posting a picture of me breastfeeding, as I do think seeing it as normal is a big step in teh right direction.
Posted by: Bridget | Monday, July 17, 2006 at 03:42 PM
Excellent observations. I also think that we malnourish ourselves postpartum to lose the baby weight here in this image obsessed country.
Posted by: lena | Monday, July 17, 2006 at 07:50 PM
Actually, I kind of suspect that it wouldn't necessarily be easier in a state of nature.
My feeling is that nature doesn't much care about whether breastfeeding is difficult or hurts the mother. After all, there are plenty of species where the infant basically eats the mother. Nature just cares about reproduction and keeping enough babies alive to keep the species going.
Some people find breastfeeding easy, some find it hard and everything in between, just the way there is a range of other physical abilities - some of us can jog easily and some of us can't at all!
Margot
Posted by: Margot | Monday, July 17, 2006 at 08:03 PM
I have a question. My son is 3.5 months old. (He's my third......all breastfed, but only until 6 months.) He has increased the amount he eats while I'm at work (I work fulltime) to about 5 ounces at a time, but when I pump at work (I use a double electric) I only get about 3.5 to 4 ounces. I have no problems when nursing him myself, but my frozen supply is about gone making up the difference while I'm at work. I tried fenugreek and strangley enough I got LESS while on it. Any suggestions? Please email me if you've got any advice.
Thanks!
Posted by: Tessy | Monday, July 17, 2006 at 08:15 PM
I totally agree with your theory and I hope you won't mind if I link this post to my blog. I've been preaching what you said about our boobs not being exposed forever. I have wondered if bras have anything to do with an increase in breast cancer?
I wish I could have breast fed my son, but induction is difficult and while I induced twice before him, this time around I produced even less and he had a hard time staying latched on me. The LC said I had, "difficult breasts". I tried for three weeks and I know he got some good stuff from me inthat time. Wish it could have been more.
Posted by: Away2me | Monday, July 17, 2006 at 09:14 PM
On that site I linked to above www.007b.com they have an article about how bras may cause breast cancer because they block lymph from draining and backing up toxins in the tissue or something. Interesting, but I wonder how extremist that site is.
Posted by: Kateri | Monday, July 17, 2006 at 09:33 PM