Scientific Article

Mum Shaming - The Breastfeeding Norm

Angela Dinoia


Factors influencing maternal care

In mammals, the survival of the species is heavily influenced by parental behaviour, since it is the parents, and particularly the mother, who takes care of the newborn in the early months of exterogestation.

Oxytocin is the hormone that triggers maternal care at an emotional level, leading to the chain of maternal behaviours that makes both reproductive function and initial maternal care possible1.

But what does this maternal care depend on?

It is certainly linked to mammalian biology, but that is not all.

It also involves a behavioural choice associated with the culture the woman was brought up in and with her social, cultural and geographical context.

In recent years, in particular, the huge amount of media and scientific information regarding the benefits of breastfeeding has led to a culture in which breastfeeding is seen as the easiest and most obvious choice for all women2

Advantages of breastfeeding

There is certainly no doubt about the benefits of exclusive breastfeeding in terms of general health for both mother and newborn: the mother's milk is specifically designed for newborns, promoting the development of the baby's gastrointestinal tract and providing practical assistance in encouraging the bond between mother and baby, among other things. From the mother's point of view, breastfeeding promotes rapid uterine involution, encourages initial contact between mother and baby, and reduces the risk of breast tumours and cardiovascular disorders. But times have changed, and women are not always able or do not always wish to breastfeed their baby.

Acceptance of other forms of nutrition for newborns

Breastfeeding is just one of several ways to feed a newborn baby. However, choosing to feed their baby with anything other than breast milk (e.g. a combination of breast milk and formula, or just formula) exposes new mothers to controversy and judgement.

How can we encourage a culture that ensures new mothers are not caught in this trap and judged in this way?

First of all, we can recognise the uniqueness and the value of every mother and their baby, no matter what.

A common stereotype is that a "good mother" is a woman who embraces her baby immediately without any hesitation, has no doubts about breastfeeding and, for an extended period of time, is always happy and completely fulfilled by what she is experiencing. The "good mother" also lives in harmony with her partner, with both of them being full of enthusiasm for their newborn child.

And they are expected to all live happily ever after, like some kind of fairytale. My intention is not to be disrespectful or to trivialise such an important moment for mothers, but real life for women is often very different from this rose-tinted vision.

Motherhood without external prejudices

Pregnancy and postpartum motherhood, including breastfeeding, are such personal, complex experiences that it can become difficult and unhelpful to judge them. There is certainly no universal rule that governs how a mother will respond. It is different from one woman to another and from one family to another and depends on the social context and country in which they live.
Rather than judging them, midwives should simply provide women with information about the different ways for them to feed their baby and the advantages and disadvantages of each method.
Breastfeeding or bottle-feeding is a responsible act that every mother performs with love for her baby, whichever option she chooses.
There is no such thing as "good mothers" and"bad mothers"; there are simply mothers3.
I do not wish to speak of just the idyllic image of mother and infant. It is also part of the experience of being a mother for women to express exactly how they are feeling: the moments of joy and doubt, the effort of caring for a newborn baby, the sleepless nights and the quest to find a balance.
Our society does not often allow women to justify the fragility and ambivalence of the experience of becoming a mother and breastfeeding their baby. We expect women to quickly get back to normal, to be efficient mothers and to devotedly breastfeed their newborn. Social and cultural expectations are often very different from the real needs of women and their babies.
In this respect, health workers have a hugely important role to play in supporting women during this difficult phase by providing mothers with the strength and confidence to choose the right way for them and their baby.

Angela Dinoia

Midwife

Midwife and UNICEF breastfeeding trainer.

Degree in obstetrics from the University of Chieti.

Three years of study at the Istituto di Ricerca e Terapie Energetiche, Milan.

Author of the 2014 book Il Neonato e i suoi Segreti (Newborns and their Secrets). 

1Quaderni acp, Oxytocin and proximal care (2007), 14 (6): 254-26  Carter CS, Oxytocin and sexual behavior (1992)
2UNICEF, Breastfeeding (2013) Neville, MC, Anatomy and Physiology of Lactation (2001)
3Dinoia A, Il neonato e i suoi segreti [Newborns and their Secrets] (Mental Fitness Publishing, 2014)