‘Always Ready and Always Clean’?: Competing Discourses of Breast-feeding, Infant Illness and the Politics of Mother-blame in Bolivia

Abstract

In this article I explore the multiple and at times conflicting public health and folk discourses which shape breast-feeding practices in Punata, Bolivia. I examine why women may cease to breast-feed despite active efforts made by the healthcare system to promote breast-feeding. Breast-feeding practices are saturated with meaning and circumscribed by time and economic constraints as well as numerous cultural factors. These include conceptualizations of the body, emotions and illnesses that affect infants who are breast-fed, as well as constructions of the mother–infant bond and attitudes about what constitutes ‘good mothering’ and its relationship to gender and class expectations. In this locality, the emotions of lactating women are said to find release through their breast milk and are seen to cause illness in their breast-feeding infants. I explore how mothers accepted, challenged or contested such views, and how they negotiated the politics of blame that emerged regarding who was at fault for their infant's illnesses. I demonstrate how breast-feeding is an embodied experience intrinsically linked to ideas about motherhood and show how the deployment of blame for these illnesses can strategically obfuscate or shed light on the numerous social and economic constraints under which women may find themselves.