This is Elmarina
South African, age 33
Location Outside a house in Delft, Cape Town, South Africa
Feeding her three-year-old child
Photographed August 2018
Whenever you give a child a bottle [that contains formula], they get sicker, more quickly. It’s because you get moms who don’t close the bottles properly. Flies get attracted to them, and there are more germs.
I’ve got three children. I didn’t breastfeed the first two, the boys. I had very small nipples and it wasn’t easy for me. For the first week, my eldest did drink from my breasts, but he couldn’t really get a grip on the nipple because it was so small. And I used to struggle with him the whole time.
But when my girl here came along, my husband hadn’t had work for a few months, so we decided we were going try the breast again. I couldn’t afford to buy the formula that worked for my two boys. I told myself, “Now Elmarina, you have to think. You must rather put her on the breast or what are you going to do? There is no money for formula.” So I had to try, and just do it and even though it was painful, try not to panic. But I would panic sometimes because my daughter would cry you know, because the nipple was so small, nè[not so]? I went to the clinic to speak to one of the ladies who works there. She really tried to help me with technique.
It was still really, really hard to feed my daughter, and she is still underweight. I cried with that nurse, asking her to just help me try to figure something out, because I didn’t have the finances for the milk. She told me to come whenever I’m ready, like every day, I could go to her for help. She was a little old lady, but a very nice one. You know how older people are: They know how to explain things to you down to the last detail. That’s why I think she showed me those techniques with my finger. She knew about my situation, the money, that there wasno money to buy a breastfeeding pump, you understand.*I wish the hospitals or clinics would give us pumps, or pills to help with the milk. I have a friend who was offered help by the clinic in Bishops Lavis. She didn’t have milk but she really wanted to breastfeed and not put her child on a bottle, so they gave her pills [probably sulpiride, believed by some doctors to increase serum prolactin and aid milk supply]. But I didn’t get that in the hospital I was at. Nobody even asked me: Do you want a pill to help you breastfeed? Nothing like that. I had to find a way to breastfeed.
My daughter was born very small, so I was often at the clinic, trying to get her weight and her iron right the whole time. When she was two, the doctor said she could drink till she’s five. She loves it; she doesn’t want to give it up [laughs]. Sometimes I tease her and tell her that she’s getting too big now and she says, “No, no!” and shakes her head [laughs].
South African public hospitals do not supply mothers with breastfeeding pumps.