I made the mistake of reading the formula feeding section of one of the UK parenting websites. Let's leave the hot potato issue of women who don't even try--what got me were the women who quit early when they may not have had to, either through ignorance or actual bad advice. Women need to know that if it's painful, there are things they can do to make it more comfortable. A lot of breastfeeding problems can be fixed. (Not all, as I may yet be evidence of that! But many.) And it's even worse when they get wrong advice from health visitors or midwives. Usually, from the stories I read, they think the baby's not getting enough, and tell the mother to add formula. There's 2 problems here: 1, in some cases the baby's weight gain is just fine! Breast fed babies gain more slowly than formula fed ones. I know of one woman who was told to supplement even when everything else seemed fine (plenty of dirty nappies, baby happy, feeding plenty and no other signs of malnutrition--the baby just didn't conform to the chart). 2, advising formula supplementation straight away can often lead to a cycle of lowered milk supply. Unless supply is critically low and formula is really needed, they should be focusing on trying to improve milk supply--and even if formula is added in, they should emphasise how to keep production going along with the supplement.
Of course, I realise I'm in a privileged position. Being a serious BF nazi is a very privileged thing. In some ways, it shouldn't be. All women should have access to this kind of knowledge and they should be supported rather than being given the "easy" way out. But it's also expensive. We've spent quite a bit of money on trying to make breastfeeding work. A hospital pump (rented directly from Medela) costs £49 for the first 10 days (including personal collection kit, delivery and pick-up) and £40/month thereafter. (For comparison purposes, a Medela Swing, which is a single portable pump, costs £89 to buy and a Pump In Style [double electric aimed at working mothers] costs £220. They're suitable for expressing when supply is established; the hospital grade pumps are better for exclusive pumping and/or early days.) We were also able to try specialist feeders--again more expensive--and supplements to try to bring in my supply. It's doable for us, but not for everyone. And I wish that weren't true. Breastfeeding is something that should be available to all babies, and my sense is that many babies aren't getting it because their mothers aren't in the good position I am. They get the double whammy of not getting the support they need (hospitals have improved, and they support it in hospital, but do women have access to the help they need when things don't work according to plan?) and not being able to afford expensive help if simple things don't work.