More more more more and standardization of training. One hosptial I was at had the nurses hollering at me to use formula or they wouldn’t discharge me when they discharged my child (pre-eclampsia and I wasn’t letting myself get enough rest) or that I’d brain damage my child (the bili levels weren’t that high. Their lac was kind of a joke, a real breastfeeding “enthusiast” (ran a support group full of NFPers who went on and on about how formula was unregulated medical experimentation on the most vunerable people on the planet and their children). Aside from completely blowing off my medical history as “impossible” when it came to my problems breastfeeding as an infant, she was useful only to get me free stuff. Kid latched, I just had to wait for milk and for the birth weight to come back (after about a month). I had to beg her to teach me to finger feed formual as the nurses refused to.
Another I was at had lactation consultants who tried, bless their hearts. And the nurses were sane (no lectures about me smothering the baby by breastfeeding). But not many of their clients (I witnessed them interacting with three different women aside from myself) were really willing to take the patience to go at it, they were also discouraged by their mothers and husbands or baby daddies. The house pediatrician was no help, either; they insisted on formula feeding my child and keeping my child for jaundice (levels weren’t that high, last time I got a bili box sent home with us) so I just did my best to keep my milk up (I didn’t pump, but I did express a little). Still took a month to get the child’s birth weight back.
I think some of the moms were intimidated by the lacs at the second hospital. A lactating mom might be more effective … maybe partnered with the lacs.
Most of the impatience on the medical people’s part was birthweight and jaundice. Mostly they wanted me to stuff the kids with formula. And only by using some formula did I (beside committing a captial crime) manage to get the kids up to speed; I’m not one of those 20oz a session gals and my kids were taking 5oz breastmilk bottles at just a month of age (which I keep getting told is impossible).
With nurses, lacs, parents, partners, doctors, et cetera finding different ways to discourage it, either through brute force or fear or various forms of intimidation, I don’t know what can really be done other than just keep educating everyone. And getting more money into the system, somehow.
More support groups (not all staffed by insane people). Home visit support. Bonuses by insurance companies, somehow … I know i had a waiting period for my marriage license and got a discount for taking a class … can we do something like that for babies? Like co-pay reimbursment? Just trying to think outside of the box, I know that logically the formual feeding folks would likely need the money more to pay for formula.
More celebrity nursers. A “got momma milk” campaign. Planting positive and real story lines in soaps and tv shows. Or just me and other moms, walking around Target and the grocery store, sligning and nursing and answering any questions kids have as we go about our daily lives.