The introduction to The Womanly Art of Breastfeeding specifies that “in addition to talking about breastfeeding, we’ll deliberately be using the word nursing because to us it means a connection that’s more than just the milk.” When people talk about the “benefits of breastfeeding,” they are often really talking about the
benefits of breast milk feeding. What I mean is that we talk a lot about the nutritional value of human milk, the antibodies and immunities in breast milk, or the decreased risk for various medical conditions when babies are fed breast milk or when mothers lactate. (See this list for examples.) With such a focus on the milk, exclusively nursing or exclusively pumping are often considered synonymous, because both are feeding breast milk. Even the word “breastfeeding” implies that it’s just about the feeding.
For a lot of people these days, breastfeeding is just about the feeding, about the milk. And of course, the milk is really important! But for me, breastfeeding is about much more than just food. Breastfeeding has been one of the most wonderful and worthwhile experiences of my life, and it has been a major part of my relationship with my kids through toddlerhood. I didn’t know it would be that way before I did it – I thought I’d nurse for about 6 months – for the immunities and because I though “that’s what people do,” and because I didn’t think it would work to nurse and also pump and work full-time. When I decided to breastfeed Munchkin, it was just about the milk. But once I became a nursing mother, it meant a lot more to me than I had imagined it would or could – it wasn’t just a feeding method, it was a parenting method.

When I say that I think breastfeeding is about more than just the milk though, people have accused me of being a bottle-hater and saying that bottle-feeding parents don’t love their children as much as those who breastfeed. I would never say that bottle-fed babies are loved any less. I’m am saying that breastfeeding can fulfill multiple functions in addition to feeding. But I’m not saying that those other functions can’t also be carried out by substitute methods, the way that the bottle substitutes for the feeding function of breastfeeding. Not only do bottle-feeding moms use these methods, but so do breastfeeding moms, and dads too!
A bottle can be used to satisfy hunger, sometimes thirst as well. A pacifier can satisfy the need to suck for comfort. Hugging and holding satisfies the need for closeness and warmth. There are other opportunities for skin-to-skin contact. Parents find many times for gazing into their child’s eyes. Parents can find a variety of methods for helping their babies fall asleep besides nursing. Parents can also find a variety of methods for re-connecting with their babies after a separation, or after meltdowns, tantrums, or punishments are over. Parents can find other ways of comforting their child after shots, boo-boos, and other upsets. There are other ways to alleviate air pressure in the ears on an airplane. And, of course, parents find many ways of bonding with their babies.
I certainly would not say that babies who are not breastfed are not getting these needs met. What I am saying is that breastfeeding can serve the purpose of meeting all of these needs in our family (and probably more), not just hunger. Breastfeeding is a parenting tool that I can use for a variety of purposes besides just feeding. I don’t see why it should be seen as offensive to bottle-feeding parents to say so, but that is often how it seems to be taken.
Imagine that I have a plain cell phone that just makes calls, and you have a smart phone that also sends emails and takes pictures and plays music. When it comes to making calls, we can both get the job done. And I can still send emails with my laptop, and take pictures with my camera, and play music with my iPod – I just need more gadgets to fulfill those purposes than just my phone. That certainly doesn’t make me any more or less of a person. And you can still use your laptop, camera, and iPod too, in addition to or insead of your smart phone if you choose. But there’s no reason to pretend that a smart phone has no more functions and capabilities beyond just making calls, even if we consider making calls to be its primary function.
You often hear people say that their baby is using them as a “human pacifier,” as though the Nuk was the original and the breast was the substitute. Some people worry that nursing to sleep or night-nursing are “bad habits”. Some people think their babies should only nurse at certain planned intervals. I think it’s because people often just put a big “should” on using the breast as a milk container, to satisfy hunger only. I think that we have such a bottle-centric culture now that we think of breastfeeding like a “human bottle” – nothing more than a different feeding vessel. I just disagree with this frame of mind. Breastfeeding can be so much more than just a feeding method!

And I think that this notion that food should be the only purpose of breastfeeding is the root of many of the obstacles that nursing mothers face these days. It can lead people to schedule nursing, which can lead to decreased milk supply, or even failure to thrive. It can lead people to think “Baby shouldn’t be hungry again ALREADY!” and doubt their milk supply and start to supplement. It can lead people to think they need to use a pacifier so that their baby won’t rely on them for comfort sucking, which may contribute to a poor latch for some babies or decreased milk supply for some mamas. It can lead people to be stressed out about night nursing because they think that their baby shouldn’t “need to eat” in the middle of the night anymore. It can lead people to believe that toddlers shouldn’t nurse anymore because they can acquire their nutrition elsewhere. And it can also lead people to think poorly of nursing in public, because they think the mom should just schedule her outing around her baby’s feedings, or else just pump a bottle.
Food is the primary function of breastfeeding, but it is not the only function of breastfeeding. I think it minimizes breastfeeding to imply that it is only about the food, and therefore equivalent to the bottle. And I think that this cultural attitude makes it harder for breastfeeding mothers today.