A friend was sexually abused and when she had her baby the very idea of the baby breastfeeding sent her into a panic and forced to her relive her abuse. 

She was perfectly capable of breastfeeding, she produced milk. But she couldn’t breastfeed. She’s a great mother. Very dedicated to her kid.

That isn’t really medical reason...it’s mental health. And if that is the case the obgyn then consider that the mothers choice to not breastfeed. Not matter what her other doctors are telling her about the importance of getting back on her meds.

Mental health is the reason a chunk of women can’t breastfeed. It’s traumatic, causes stress, prevents them from going back on necessary medications that they need for their mental health. 

You seem like you really struggle with being empathetic. Not every woman (or even a small majority of women) that chooses not to breastfeed does so because of drugs or alcohol.