by
Vicky York

Today there is often a generation
gap when a mother sees her daughter struggling, often in tears,
with breastfeeding and suggests she "just give the baby a bottle"
though her daughter has been reading research about the benefits
of breastfeeding rather than formula feeding.
As a postpartum doula I frequently witness firsthand this new
turn of events for the grandmother/mother relationship.
Frequently distant grandmothers without nursing experience are
asked by daughters to stay home until their daughters have a
handle on the breastfeeding situation. Some grandmothers are
present but sit in a corner quietly listening to us talk,
learning for the first time themselves how to handle nursing
situations.
Too often tearful new moms are alone at home, sometimes
self-conscious about their awkward first efforts at nursing. Some
are feeling they aren't good mothers because they are having
trouble and they perceive that instant success should come
naturally, not realizing that the only way women have ever known
how to nurse is by watching other females. Babies know
instinctually how to suck and seek the nipple, but many details
of the art of breastfeeding are learned from other mothers. It's
one of the gifts mothers receive from the family elders, the
keepers of the heritage.
But grandma has competition. No need for baby to depend on
mothers milk. No reason why moms can't skip the learning curve
hassles of breastfeeding when she's heard formula is just as
good. Thank formula company's marketing tactics, and hospitals'
willingness to support formula feeding by giving their patients
gifts of free formula. This has produced at least a couple
generations of bottle feeders, breaking the cycle of the
continuous and precious handing down of breastfeeding knowledge
from generation to generation. Some breast feeders think they can
also bottle feed just to make sure baby's gets enough, not
understanding that this interruption in the emptying of the
breasts compromises future milk supply and for many it's
extremely difficult to build up that supply later. Every grandma
who's "been there, did that" knows this fact. This is not to
mention nipple confusion and the irritation that cows milk
protein creates in newly initiated intestines.
We are the only species that drinks the milk of another
species. It took some fancy marketing and billions of dollars for
formula makers to create the illusion that their artificial baby
milk was the "next best thing to breastmilk". We have a situation
in which bottle-feeding has become a more common sight than
breastfeeding and mothers are actually self-conscious when
publicly providing sustenance for their infants in the natural
way. Little girls today expect dolls to come with bottles. Dads
sometimes feel cheated if they can't give their baby a bottle.
And Grandma's are cheated of their role as bringers of the art of
breastfeeding.
Women of yesteryear didn't know why breastmilk was best; they
simply nursed for the same reasons all mammals nurse their young
and they learned from others. When a woman sits down and pulls
her baby to her breast she carries on a tradition of many
generations of mothers before her providing the perfect
nourishment to ensure that her offspring survives. We have heard
that natural childbirth is empowering; it teaches a woman that
she can trust her body to grow a child within her and withstand
the rigors of labor to bring that child into the world. Surely
realizing her capability of supporting this new life with the
milk of her blood and the warmth of her body is another form of
empowerment. It may be the first time she imagines her mother
feeding her in this way a generation prior. In this way emotional
healing often occurs in strained mother/daughter relationships.
Where it was once enough that grandma demonstrated how to feed
a baby, new moms are now confused by the contradicting advice of
friends, books, and physicians who don't have faith in mothers,
babies, or ancient history.
Husbands are stymied as to why their wives are struggling with
something they thought came naturally. Fathers 50 years ago left
it up to the womenfolk to teach each other while they went off to
work, knowing their wives were learning from the pros.
But breastfeeding is making a comeback. Though free food,
trinkets and trips given to hospitals and doctors by formula
makers has been persuasive the trend is changing as protestors
cite a shameful conflict of interest. It may take another couple
of generations to repair the damage done and revert back to
natural behavior in feeding by getting formula companies to step
out from between mother and child and pediatricians to add
breastfeeding to their training.
But as it stands now many of today's grandmothers don't have
the knowledge or experience to help their daughters because they
bottle-fed their own children during a time when it had become
popular to give their own babies artificial baby's milk. In the
60's pediatricians, happy to have a calibrated method to see and
chart how much babies were drinking, usually recommended either
formula, basically a concoction of tropical oils, cows milk and a
few vitamins and minerals required by the government. Now the
World Health Organization recommends nursing for one year. More
of today's mothers nurse than the last generation and with their
help their daughters won't miss one of the most unforgettable and
empowering experiences mothers enjoy.
Lactation consultants are very often necessary if a new mother
is to get any help at all when her baby is placed in her arms for
his first feedings. Doctors are usually untrained in lactation
and depend on lactation consultants to advise them. Therefore
lactation clinics are set up in or near most hospitals and
mothers who go home with problems can bring the baby back in to
get help, if they are able. Hospitals hire as few lactation
consultants as they can get away with and those are often busy
doing paperwork, arranging classes and even working on the labor
and delivery floor. Many women never see a lactation consultant
in the hospital and if they do it may be brief and they may only
have time to send struggling mothers home with breastfeeding
accessories, such as nipple shields and hope for the best. This
situation is regrettable to lactation consultants as much as
anyone as they have the training and the heart to do so much
more.
Doctors are feeling pressure to come up with answers about a
subject they know little about unless they are females who
successfully nursed their own, and therefore too often resort to
taking the more legally accountable route of recommending
prescribed amounts of formula. Midwives need to be more informed
than ever about breastfeeding if they want their clients to avoid
suggestions of formula supplementation from all sides as soon as
they encounter a potential problem
Mothers in larger cities now often pay for postpartum doula
services to fill a void in their own ability to solve specific
challenges with the techniques of breastfeeding. While doulas and
lactation consultants can save the day, this really should be a
time when mother and daughter come together in a new relationship
with one another, forming a bond through the "handing down of
knowledge" from mother to mother.
While sitting next to a new mom explaining some of the amazing
facts about breastmilk to keep her inspired, many a grandmother
has leaned over my shoulder and expressed regret that she used
formula by the influence of her pediatrician, formula company
ads, the availability of free formula samples, and her peers.
Older women today often confess feeling great regret at having
"failed" at breastfeeding because they "just didn't make enough
milk" or "the baby didn't like their milk" and so on. We now know
that if their own mothers and their peers had breastfed they
would have received information about early and frequent nursing,
supply and demand, and the proper latch that pediatricians today
don't have the time or training to teach mothers. It's grandma's
place. Grandma's who had the will but not the help can feel
psychological pain and sometimes embarrassment over missing out
on this experience. And the ones who did successfully nurse all
their children exclaim that fact with pure pride. Having to give
up is no small thing and those mothers never forget it. With a
little initial support they would have seen their babies not only
thrive on their milk but love nursing to the point of outright
rejecting formula. They could have bypassed bisphenol-A laden
bottles with their latex nipples and pacifiers and probably gone
straight from the breast to a cup, with guidance all the way by
their own mamas. Guidance any grandmother who nursed can give to
the great appreciation of an apprehensive daughter. Grandmothers
also know that breastfeeding ensures that mothers stay close to
their infants physically and emotionally and that this in itself
takes care of so many issues.
Native Americans and other ethnic groups must particularly
feel the sting of having modern American industrial society
replace older customs and traditions. They're missing yet another
route of handing down knowledge and skills from generation to
generation that can keep them tied as a culture or a tribe. Where
the natural inclination used to be to call grandma because of her
nursing experience now parents go to the market for formulas,
bottles, nipples, bottle-washing brushes and sterilizing
accessories. And if they breastfeed, hiring help can be
expensive.
At a time when some grandmothers may begin to feel that their
worth in society and to the family is waning, their daughters and
sons produce an opportunity for them to impart their knowledge,
skills and experience in mothering and providing for babies.
According to each culture grandmother knows which foods to feed
her daughter, which herbal teas are best for breastfeeding
initiation, how to ensure plenty of milk, etc. Valuable
information and handed down wisdom that has no place in a
bottle-feeding society. However-much mothers and daughters may
differ in ideas about parenting a deeper bond is created between
them, as a daughter trusts her mother's ideas and knowledge at a
time when she feels vulnerable and unsure. After a few weeks of
reassurance from mom there is a sense that all is well in the
family when the new young mother feels pride in being the only
one who can give her baby his birthright straight from her bosom.
The largely unrecognized effect of aggressive marketing ploys of
formula makers, and resultant prevalence of bottle-feeding is the
loss of the natural family tradition of grandma being able to
pass on her art of breastfeeding, truly mothering the mother as
no one else could.
Vicky York, IBCLC, CPD is an independent lactation consultant
and has worked with nearly 600 families in the Oregon as a
postpartum doula. She has taught postpartum doula training
workshops, newborn care classes, breastfeeding classes and
grandma classes and is a published author of postpartum related
articles.
Vicky York, IBCLC, CPD
Postpartum Care Services
Portland, Oregon
http://mypeoplepc.com/members/vmyork/
www.ikarma.com/user/vmyork
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