BiblioVault - Books about Breastfeeding

Back to the Breast

Natural Motherhood and Breastfeeding in America

Jessica Martucci

University of Chicago Press, 2015

After decades of decline during the twentieth century, breastfeeding rates began to rise again in the 1970s, a rebound that has continued to the present. While it would be easy to see this reemergence as simply part of the naturalism movement of the ’70s, Jessica Martucci reveals here that the true story is more complicated. Despite the widespread acceptance and even advocacy of formula feeding by many in the medical establishment throughout the 1940s, ’50s, and ’60s, a small but vocal minority of mothers, drawing upon emerging scientific and cultural ideas about maternal instinct, infant development, and connections between the body and mind, pushed back against both hospital policies and cultural norms by breastfeeding their children. As Martucci shows, their choices helped ideologically root a “back to the breast” movement within segments of the middle-class, college-educated population as early as the 1950s.

That movement—in which the personal and political were inextricably linked—effectively challenged midcentury norms of sexuality, gender, and consumption, and articulated early environmental concerns about chemical and nuclear contamination of foods, bodies, and breast milk. In its groundbreaking chronicle of the breastfeeding movement, Back to the Breast provides a welcome and vital account of what it has meant, and what it means today, to breastfeed in modern America.

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Beyond the Breast-Bottle Controversy

Penny Van Esterik

Rutgers University Press, 1989

"A new milestone in the literature on development. . . . Essential (and enjoyable)reading for a broad range of individuals including all those concerned with urban and rural development . . .; professionals and academics in . . . health, sociology, anthropology, and development economics; many women exploring gender issues and feminism; . . . food industrialists and marketeers; . . . and lastly, ordinary persons interested in how best to nurture babies."
--from the Foreword by Michael C. Latham, Cornell University

Penny Van Esterik takes the reader beyond the Nestle boycott and the activist campaigns against infant-formula manufacturers to the issues underlying the controversy. She shows how the controversy is embedded in the problem of urban poverty, the empowerment of women, the medicalization of infant feeding, and the commoditization of infant foods. She argues that the choice between bottle feeding and breast feeding has significant implications for developing countries. Beyond the Breast-Bottle Controversy raises a host of important questions: why has there been no consistent feminist position? How did infant feeding become medicalized in developing and developed countries? What mechanisms encourage the technology and taste transfer necessary for the expansion of bottle feeding? These questions are examined using documentary sources and interdisciplinary research in Thailand, Indonesia, Kenya, and Columbia.

For Van Esterik, the infant-formula controversy is a valuable case study for understanding the relations between women, the environment, and sustainable development. From this perspective, breast feeding has no long-term negative consequences. It depends on renewable resources, works on the principle that as demand increases so does supply, reduces the dependency of women on consumer products and multinational corporations, and puts pressure on governments to improve the health of mothers. On the other hand, the author argues that bottle feeding has definite long-term negative consequences. Her goal is not to have every woman breast-feed her child, but to create living and working conditions so that every woman can do so if she chooses.

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Don't Kill Your Baby

Public Health and the Decline of Breastfeeding in the 19th and 20th Centuries

JACQUELINE WOLF

The Ohio State University Press, 2001

How did breastfeeding—once accepted as the essence of motherhood and essential to the well-being of infants—come to be viewed with distaste and mistrust? Why did mothers come to choose artificial food over human milk, despite the health risks? In this history of infant feeding, Jacqueline H. Wolf focuses on turn-of-the-century Chicago as a microcosm of the urbanizing United States. She explores how economic pressures, class conflict, and changing views of medicine, marriage, efficiency, self-control, and nature prompted increasing numbers of women and, eventually, doctors to doubt the efficacy and propriety of breastfeeding. Examining the interactions among women, dairies, and health care providers, Wolf uncovers the origins of contemporary attitudes toward and myths about breastfeeding.

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Formulas for Motherhood in a Chinese Hospital

Suzanne Gottschang

University of Michigan Press, 2018

What happens to pregnant women when the largest country in the world implements a global health policy aimed at reorganizing hospitals and re- training health care workers to promote breastfeeding? Since 1992, the Chinese government has led the world in reorganizing more than 7,000 hospitals into “Baby- Friendly” hospitals. The initiative’s goal, overseen by UNICEF and the World Health Organization, is to promote the practice of breastfeeding by reorganizing hospital routines, spaces, and knowledge in maternity wards and obstetrics clinics. At the same time, China’s hospitals in the mid- 1990s operated as sites where the effects of economic reform and capitalism increasingly blurred the boundaries between state imperatives to produce healthy future citizens and the flexibility accorded individuals through their participation in an emerging consumer culture.

Formulas for Motherhood follows a group of women over eighteen months as they visited a Beijing Baby- Friendly Hospital over the course of their pregnancies and throughout their postpartum recoveries. The book shows how the space of the hospital operates as a microcosm of the larger social, political, and economic forces that urban Chinese women navigate in the process of becoming a mother. Relations between biomedical practices, heightened expectations of femininity and sexuality demanded by a consumer culture, alongside international and national agendas to promote maternal and child health, reveal new agents of maternal governance emerging at the very moment China’s economy heats up. This ethnography provides insight into how women’s creative pragmatism in a rapidly changing society leads to their views and decisions about motherhood.

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Mothers and Medicine

A Social History of Infant Feeding, 1890–1950

Rima D. Apple

University of Wisconsin Press, 1987

In the nineteenth century, infants were commonly breast-fed; by the middle of the twentieth century, women typically bottle-fed their babies on the advice of their doctors. In this book, Rima D. Apple discloses and analyzes the complex interactions of science, medicine, economics, and culture that underlie this dramatic shift in infant-care practices and women’s lives.
As infant feeding became the keystone of the emerging specialty of pediatrics in the twentieth century, the manufacture of infant food became a lucrative industry. More and more mothers reported difficulty in nursing their babies. While physicians were establishing themselves and the scientific experts and the infant-food industry was hawking the scientific bases of their products, women embraced “scientific motherhood,” believing that science could shape child care practices. The commercialization and medicalization of infant care established an environment that made bottle feeding not only less feared by many mothers, but indeed “natural” and “necessary.” Focusing on the history of infant feeding, this book clarifies the major elements involved in the complex and sometimes contradictory interaction between women and the medical profession, revealing much about the changing roles of mothers and physicians in American society.

“The strength of Apple’s book is her ability to indicate how the mutual interests of mothers, doctors, and manufacturers led to the transformation of infant feeding. . . . Historians of science will be impressed with the way she probes the connections between the medical profession and the manufacturers and with her ability to demonstrate how medical theories were translated into medical practice.”—Janet Golden, Isis

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Others' Milk

The Potential of Exceptional Breastfeeding

Wilson, Kristin J.

Rutgers University Press, 2018

Breastfeeding rarely conforms to the idealized Madonna-and-baby image seen in old artwork, now re-cast in celebrity breastfeeding photo spreads and pro-breastfeeding ad campaigns. The personal accounts in Others’ Milk illustrate just how messy and challenging and unpredictable it can be—an uncomfortable reality in the contemporary context of high-stakes motherhood in which “successful” breastfeeding proves one’s maternal mettle.

Exceptional breastfeeders find creative ways to feed and care for their children—such as by inducing lactation, sharing milk, or exclusively pumping. They want to adhere to the societal ideal of giving them “the best” but sometimes have to face off with dogmatic authorities in order to do so. Kristin J. Wilson argues that while breastfeeding is never going to be the feasible choice for everyone, it should be accessible to anyone.

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Viral Mothers

Breastfeeding in the Age of HIV/AIDS

Bernice L. Hausman

University of Michigan Press, 2010

"Long overdue . . . Hausman's focus on cultural representation rather than real mothers and practices is savvy and strategic in removing the debates from personal stories and investments to the ways in which this volatile topic becomes embedded in cultural values, language, and imagery."
---Alison Bartlett, University of Western Australia

Viral Mothers: Breastfeeding in the Age of HIV/AIDS addresses modern fears of dangerous motherhood, focusing on preoccupations with mothers' bodies as vectors for infection and contamination. The book examines how the maternal body is perceived as a conduit for disease, drugs, or contaminants that end up in the body of an innocent---and pure---infant. Paying special attention to HIV transmission through breastfeeding, Viral Mothers examines ideologies of maternal embodiment that influence public health protocols and mothers' behaviors worldwide.

The medical community has known since the late 1980s that HIV is passed through breast milk from infected mothers to their babies. In highly industrialized countries, HIV-positive mothers are advised not to breastfeed their babies, but in poor countries breastfeeding has continued to be a predominant and medically recommended practice as a partial solution to problems of infant health and welfare in resource-poor contexts. Now, in areas of high rates of HIV infection and high infant mortality, decisions concerning infant feeding are, literally, about life and death. Public health debates concerning breastfeeding and HIV transmission must consider both the mortality associated with not breastfeeding and the possibility of HIV infection from mother to child.

The transmission of HIV through breastfeeding is a medical and public health issue that touches on and augments contemporary concerns about bodies, germs, and the environment. These concerns affect all people around the globe as we struggle with the meanings of health, risk, and embodiment in modernity. Viral Mothers addresses and explores the dense cultural meanings evoked by mothers' postnatal transmission of HIV. In so doing, the book pays special attention to fears of contamination and contagion that emerge as consequences of a medicalizing modernity. The main themes of the book---risk, purity, denial, and choice---define the terms through which the viral mother is constituted in discourse and enacted publicly as a set of identifiable, culturally legible, concerns.

Bernice L. Hausman is Professor of English at Virginia Tech. She is also the author of Mother's Milk: Breastfeeding Controversies in American Culture.

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