The 10th Step and Beyond: Mother Support for Breastfeeding

By Virginia Thorley, OAM, PhD, IBCLC, FILCA

Mother support for breastfeeding has been my passion for more years that I care to admit, starting when Marian Tompson, La Leche League’s first president, provided me with the confidence and encouragement to reverse iatrogenic lactation failure and successfully breastfeed my first daughter. At the time, I was living in remote north-west Queensland and Marian was in Chicago, the other side of the world. There was no email or Skype, international calls were prohibitively expensive, and we did not have easy telephone access. So contact was by letter, supported by printed material – a newspaper reprint, “Mother’s milk saves baby”, and the LLL book, The Womanly Art of Breastfeeding, which arrived in the nick of time.

After writing and speaking on mother support groups over the years, the logical next step was a book of information on old and new ways of providing this support, drawing on experience from round the world. Finding the right co-editor was important, and friends in WABA recommended Melissa Vickers. What an inspired recommendation! Melissa was the ideal collaborator, with professionalism and heart, and we thought alike in so many ways. It has been a joy to work with her. We also had a small support team who acted as a sounding board – Rebecca Magalhaes (USA), Sarah Amin (Malaysia) and Paulina Smith (Mexico).

The resultant book, The 10th Step and Beyond: Mother Support for Breastfeeding,
describes a range of ways to support mothers to continue breastfeeding after they leave
the maternity hospital. While mother support for breastfeeding is the 10th Step of the Ten
Steps for Successful Breastfeeding, which hospitals must fulfill in order to be accredited
as Baby Friendly, the chapter authors of this book go beyond this to look at mother support in a wider context.

Melissa and I have brought together experienced people from five continents to describe
what is being done to support mothers to breastfeed in different situations and cultures.

Some chapters describe traditional mother-to-mother groups such a La Leche League,
the Australian Breastfeeding Association and the Scandinavian and Malaysian groups.
Others describe innovative approaches to mother support through the use of new
technology such as text messaging (MumBubConnect), a peer counsellor program in a
Neonatal Intensive Care Unit, groups for mothers of multiples, and the Baby Café drop-
in centres. Other authors describe how peer counselling programs have been developed
in a variety of settings, for example in Bangladesh, India, Paraguay and South Africa,
occasionally with male breastfeeding peer counsellors as part of the team. Steps to
encourage exclusive breastfeeding for the recommended six months, and breastfeeding
with complementary foods thereafter, are described by some of the authors. Finally, the
authors discuss why good programs fail and what is needed for sustainability.

Mother support is not only about providing a mother-to-mother breastfeeding support
group or a peer counsellor program, but it is something the whole community can be
involved in. This book provides ideas to get you and your workplace or community
started. The intended audience is hospitals, departments of health, non-government
organizations, BFHI committees at hospital, state and national level round the world,
and individual health workers and policy makers whose work involves the breastfeeding
mother and her baby.

The editors have donated their royalties to support the work of the World
Alliance for Breastfeeding Action (WABA).

“The 10th Step and Beyond is about supporting the mothers. Virginia Thorley and Melissa Clark Vickers have brought together a truly remarkable mix of 26 people, a team that reflects both the global character of the issue, as well as its multidimensional nature.”
-Professor Anwar Fazal, Chairperson Emeritus, WABA

How has mother-to-mother support impacted your breastfeeding relationship?

*** Watch this space on Thursday for a follow-up piece by Dr. Thorley’s co-editor, Melissa Vickers on the power of making connections. ***

Dr. Virginia Thorley has been involved in the breastfeeding field since qualifying as a breastfeeding counselor in 1966 with both La Leche League and the Australian Breastfeeding Association (then the Nursing Mothers’ Association). She certified as an IBCLC in 1985 and remains certified. She was inducted as a Fellow of the International Lactation Consultant Association (FILCA) in 2008. She is on the Board of Directors of the Lactation Consultants of Australia & New Zealand (LCANZ). A cultural historian of the history of medicine, she holds two research high degrees in History (MA and PhD) and has many publications

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4 Responses to The 10th Step and Beyond: Mother Support for Breastfeeding

  1. Lisa Mandell, MBA, IBCLC 15 August 2012 at 02:05 #

    I know many of us have come to the lactation field through the mother-to-mother support we received as new mothers. That was true for me: I felt I found a “home” in the La Leche League group I attended when my daughter was a baby. I didn’t have any breastfeeding problems, but still benefitted tremendously from the support of other mothers. Thank you, Virginia and Melissa, for writing this book!

  2. mary anna Walloch 16 August 2012 at 16:21 #

    I think the idea of the book is great. I have breastfed my girls in many different countries. I always felt supported by women who did not share a common language but did share breastfeeding. So many of the supports and groups where not formal, the loving support and literally helping hand made a world of difference. I felt seen by these various women and included in varied and strange situations. My daughters have heard the stories of support and now as mom’s themselves do not hesitate to support other moms, It really is the milk of human kindness.

  3. Uzra Hashmi 12 October 2013 at 07:26 #

    I have personally known Dr. Virginia Thorley and until a few months back has been exchanging views with her through e-mail. She was kind enough to have shared some of her research papers with me. She is a wonderful person. I have been her ardent admirer for her research as well as the human cause that she has been espousing and has, indeed, been successful in promoting. 10th Step and Beyond must be a great book that I would read one day. Incidentally, I too have been in breast-sharing arrangement with some mothers at some stages of my life and have enjoyed the mother to mother support and the great feeling behind it.


  1. Making Connections: Serendipity + Opportunity + a Few Lily Pads | - 16 August 2012

    […] a follow-up to Tuesday’s post about mother-to-mother support, we asked Melissa Vickers to share about how she came to be a co-editor with Dr. Virginia Thorley […]

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