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Formula vs. Breastmilk

New York City hospitals vow to quit offering baby formula to new mothers.

 

Breastfeeding a newborn can be challenging. Add to the mix, a well-meaning nurse who pushes formula, and it can be enough to make a confused new mom give up breastfeeding all together.

New York City Mayor Michael Bloomberg believes moms need support and that having formula readily available at the hospital interferes with a woman's choice to breastfeed. So, he is inviting NYC hospitals to participate in the city wide initiative, Latch On NYC.

According to a press release issued by the New York City Health Department, the program involves both a hospital commitment to limit infant formula promotion and a public awareness campaign on the benefits of breast milk. Hospitals joining Latch On NYC have agreed to:

  • Enforce the New York State hospital regulation to not supplement breastfeeding infants with formula unless medically indicated and documented on the infant’s medical chart.
  • Limit access to infant formula by hospital staff.
  • Discontinue the distribution of promotional or free infant formula.
  • Prohibit the display and distribution of infant formula advertising or promotional materials in any hospital location.

Twelve private New York City hospitals have already made the commitment and all 11 public hospitals run by the New York City Health and Hospitals Corporation also joined “Latch On NYC” in an effort to encourage new moms to stick with breastfeeding.

The CDC reports that most babies in the US start breast-feeding, but within the first week, half have already been given formula, and by 9 months, only 31 percent of babies are breast-feeding at all.

It's well known that when a mother leaves the hospital, she'll most likely be given a diaper bag filled with baby goodies such as coupons for baby wipes, a handful of disposable diapers, and a can of formula or two.

I remember cradling my starving newborn baby with one arm and rummaging through a gifted diaper bag with the other. It was my first afternoon home alone with my son and he just wouldn't latch on to feed. In desperation, I resorted to grabbing a bottle of formula that the hospital had sent home with me. My exhausted brain filled with worry; would one bottle ruin our breastfeeding success?  

Suddenly, I looked down to see that he had latched on on his own, moments before I was going to feed him the formula. I left the full bottle on the counter and never looked back. Latch On NYC aims to minimize those moments of doubt for mothers who wish to exclusively nurse their baby.

Breastfeeding advocates praise the move as a way to prevent formula manufacturers from influencing new mothers. Not everyone is thrilled with the new policy though. Many skeptics question if it will shame women who choose not to breast-feed and that the state should not step in.

The New York City Health Department insits that formula will be fully available to any mother who chooses to feed her baby with formula but will no longer be offered to breastfeeding mothers who had not requested it.

Do you believe that hospitals should stop offering promotional formula to new moms? Do you feel that the initiative will alienate mothers who choose to bottle feed their babies? Please share your thoughts and experiences in the comments.

About this column: Columnist Leigh Hewett talks with moms (and dads) about the triumphs and trials of parenthood. Related Topics: Breastfeeding, Latch On NYC, and moms talk

Nicole McIntyre

1:14 pm on Wednesday, August 8, 2012

I think this initiative is wonderful! I myself nursed my girls exclusively and found it to be the best choice for me. I do sympathize with other mothers who either cannot or choose not to breastfeed, and feel that the formula should continue to be made available, upon request. The information about the benefits for breastfeeding is not as prominent as advertising for formula. I realize that it's easier to formula feed, but maybe with more support new mother's will try to breastfeed.

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Rebecca McCarthy

1:36 pm on Wednesday, August 8, 2012

Nicole,
thanks for commenting, and I'm glad breastfeeding worked well for you and your children. We all have our opinions about its benefits. I'm glad to know new moms will be getting support if they choose to go this route. And if they don't.

John B

1:57 pm on Wednesday, August 8, 2012

It's more child dependent than mother dependent. We have four children two of which took to nursing without issue and two that would have nothing to do with it regardless of the effort put forth. At least that's what my wife told me........

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Gail Moore

3:06 pm on Wednesday, August 8, 2012

Wow. Talk about limiting a woman's right to choice. I find this horribly offensive. Offering up support to a mom no matter which way she decides to feed and nurture her infant and I'm all about it ... but to take one of the choices away and FORCE somebody to breastfeed in lieu of their baby starving?? This is just horrible.

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Leigh Hewett

4:08 pm on Wednesday, August 8, 2012

Gail,
Latch on NYC created a document to sort out the myths and facts of the initiative. If you have a moment, head on over to read it and then please come back and tell me if you feel the same way. I would love to know your thoughts on what they have to say about some of the issues that you have raised.
http://www.nyc.gov/html/om/pdf/2012/latch_myth_fact.pdf

Kim Roberto

4:06 pm on Wednesday, August 8, 2012

I'm with you Gail. When I first heard this, I thought it had to be a joke. This is one of the most assinine things I have ever heard. I am more than offended - I am ANGRY that a mayor, or a state thinks they can impose this sort of restriction on a mother. While we all have heard that mother's milk is supposed to be superior to formula, millions of babies have turned out quite well after drinking formula in their early years. But this is one of those situational arguments where one side will never concede to the other, and the controversy will rage on forever. Let the mother decide!!!!!!!!

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Gail Moore

4:29 pm on Wednesday, August 8, 2012

Leigh, the link sounds pretty reasonable - but this part of the article, based on the press release, I suppose - is not supportive of mothers on both sides of this:
Hospitals joining Latch On NYC have agreed to (my comments with the ~):
Enforce the New York State hospital regulation to not supplement breastfeeding infants with formula unless medically indicated and documented on the infant’s medical chart. ~ "unless medically indicated and documented"?? Sort of leaving out the mom and dad's input there it would seem.

Limit access to infant formula by hospital staff. ~ Why? Seriously ... I know of NO ONE who was ever FORCED to bottle feed by a well-meaning nurse. However, I do know of several instances where mothers' decisions were questioned over and over and over by well meaning nurses, lactation specialists, doctors ...
Discontinue the distribution of promotional or free infant formula.
~ Again ... WHY? It's a good start for those moms who want to bottle feed their infants. You don't HAVE to use it ... throw it away. Donate to a shelter for the homeless.
Prohibit the display and distribution of infant formula advertising or promotional materials in any hospital location. ~ May as well prohibit the display of throw-away diapers (GOOD moms will ALWAYS use cloth), Diaper rash ointment (GOOD moms won't let their babies have diaper rash), Condoms (GOOD moms won't get pregnant until they can 100% afford a baby)
The link seems like damage control. Let mom decide.

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Leigh Hewett

4:49 pm on Wednesday, August 8, 2012

Gail,
I wish that I knew a mom that's about to give birth in NYC so she could report back how the situation is handled when formula is requested at the hospital. I'm with you that it's almost as if Latch On NYC is talking out both sides of their mouth. If it's as difficult to get formula as it states in the press release, then I could see how skeptics would be worried. If it's as easy peasy as the second document presents it, then I don't really see a violation of a woman's right to choose. It will be interesting to see how it all pans out in September, won't it? Thanks for taking the time to read the link and come back to comment!

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Rebecca McCarthy

4:50 pm on Wednesday, August 8, 2012

It amazes me how people so easily feel they are being attacked. I guess many moms still wonder if they are doing the right thing for their child. All I know and believe is what my own mother used to say: "You are the best mother for your child." So whatever you choose is best for your child. The hospital where I gave birth didn't have a lactation consultant as they do at Athens Regional. I would have liked feeling more supported in my decision to breast feed, but I was pretty hard headed and determined so it didn't really matter.

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Susan

5:38 pm on Wednesday, August 8, 2012

"Documented on the chart" probably means that the parents have made a decision to bottle feed and it was on the chart. If your child spends time in the nursery the nurses there will just feel free to give them formula even if you are breastfeeding rather than bring you the baby I think that is what they are trying to prevent. It happened to me and I was upset about it. With my first child I felt exactly like the non breastfeeding woman say they feel now but because I was nursing

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Gail Moore

6:24 pm on Wednesday, August 8, 2012

Leigh, I would love to know if there is a middle ground in the NYC hospital, too. What is the REAL story as experienced by somebody who has experienced it. Those first few days of motherhood are so stinking hard to find a pattern in your new life (especially for first time parents) that I hate to see ANY options taken away. If a mom wants to nurse, there should be a staff there showing her the best way to make it happen so there are fewer scary moments like Leigh experienced. If a mother wants to bottle feed, there should be folks there who support her and not make her feel like she is abusing her child in some way. It's formula, people, not crack for goodness sake!

Linda Labbo

4:53 pm on Wednesday, August 8, 2012

I think the decision is up to an "informed" mom and the needs of each infant. No mom should be made to believe that she is making a "wrong" choice if she chooses formula. As a new mom, I loved digging through those new mom gift bags, even though I chose a different formula (at pediatricians suggestion) than the free sample I received. No woman should be brainwashed or shamed into such an important decision. The mayor needs to but out! Well, that's one woman's opinion!

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Gail Moore

6:28 pm on Wednesday, August 8, 2012

I loved the goody bags that I came home with. And Thank GOODNESS I had it! There are too many uncertainties but I'm pretty sure even a nursing mom would welcome a can of formula in the cabinet in the horrific event that a child simply just was too weak to nurse or your milk was not coming in as needed and the lactate specialist wasn't in until after the weekend! How silly to make this "bad marketing" ...

Mary Jessica Hammes

5:19 pm on Wednesday, August 8, 2012

It's important to remember that this is less about feeding choices (mothers who still need formula receive it at any hospital, even those participating in Ban the Bags) and more about ethical marketing practices with formula companies and hospitals. For more information, I offer this article (disclosure: I wrote it!) - http://babygooroo.com/2011/11/formula-marketing/ - and also this one: http://babygooroo.com/2012/08/latch-on-nyc%E2%80%94what%E2%80%99s-all-the-fuss/

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Jesse

5:39 pm on Wednesday, August 8, 2012

Like Leigh, I had a vulnerable moment with both of my kids where breastfeeding wasn't easy and I just wanted someone to tell me that I should give them formula instead. When you're hormonal and tired and your baby isn't feeding, you need a supportive lactation expert, not a nurse dangling formula under your nose. I think that Latch On NYC is a HUGE step in the right direction. It's there if a mom needs it but not hanging out in the room waiting to be used. Most moms that I know that choose to bottle feed feel some guilt that they aren't breastfeeding and I believe that's why people are panicking about this program. We need more support and less marketing in the maternity ward!

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Erin Lashley

5:42 pm on Wednesday, August 8, 2012

The medical practice described in this article represents the definition of minding other people's business, and that makes me angry. I'm not even a "hey government, you get out of my life now" type, either, but dang. The immediate post-partum period is already so difficult and emotional even without people actively judging you!

You want to breastfeed? That's great. It didn't work for me and my son. I had (and have) too many other unusual challenges with that kid to worry about that. But he would have been pretty hungry if we had had no choice or if I had kept forcing it.

I'm just glad that I have never been one of those people who other people walk up to and give unsolicited parenting advice to, which is probably because I look really mean, and I feel sorry for moms that it does happen to. I hate seeing anyone being bullied even (and maybe especially) "for their own good."

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Marne M

7:48 pm on Wednesday, August 8, 2012

I really don't want Mayor Bloomberg, the New York City Health Department, or any other government entity in any way dictating, controlling or manipulating the choices that I make for my baby. I breastfed both of my children, but I've also seen a lot of bullying behavior by entities who seem bent on telling people their choices are wrong, or that they are somehow less of a mother if they do things one way instead of another.

I'm all for offering as much support as we can to breastfeeding mothers. I'm not on board with the nanny state approach, however.

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Rebecca McCarthy

8:54 pm on Wednesday, August 8, 2012

What is "the nanny state?" What does that mean? Lord, I would love to have had a nanny this past summer but that wasn't in my cards. I'm not clear on the meaning, and I wish someone would define these terms.

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Gail Moore

9:03 pm on Wednesday, August 8, 2012

If only Nanny State was something that related to school being out! LOL! FreeDictionary.com says that the definition of a nanny state is "a government that makes decisions for people that they might otherwise make for themselves, esp those relating to private and personal behaviour." When a government entity tells us we CAN'T drink large drinks because they're not good for us, or we CAN'T have 2 Big Macs because that's just too much ... it relates to government assuming that citizens are just too ignorant to make decisions in their own best interest, for their own health.

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R++ - One of the famous "Dacula Crew"

9:12 pm on Wednesday, August 8, 2012

New York City Mayor Michael Bloomberg believes

Well if being told by an ELECTED official about such a private family matter doesn't define a "nanny" approach to you, I really wouldn't know what would.

Perhaps the Mayor could be called upon for diaper duty too.
That’s a change I COULD believe in…

Leigh Hewett

9:19 pm on Wednesday, August 8, 2012

R...your comment literally made me laugh out loud!

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Gail Moore

9:24 pm on Wednesday, August 8, 2012

"Change we can believe in" ... will never mean the same! :)

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Rebecca McCarthy

9:36 pm on Wednesday, August 8, 2012

The government has always told people what to do. How fast to drive, for example, is a good rule, one that teenage boys in some families would like to ignore, and do. That benefits health by keeping people alive. Seatbelts and children's car seats are other government interference, and even motorcycle helmets in some states. The government says what type of medications are safe. Before the FDA, people were taking cocaine for headaches. The government folks tell you that meat and eggs are fit to eat, that bridges are safe to drive over, that water is safe to drink. The government scientists tells us that asbestos isn't safe to breath, that benzine isn't safe to drink or inhale. The world is so complicated and fraught with difficulties, I welcome experts who can keep me and my family safe and informed. I'm sure I could make all these decisions myself, but I have better things to do and fewer resources for evaluating them. Oh, and I like the government putting warnings on cigarette packages as well.

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Tara Cochran

9:51 pm on Wednesday, August 8, 2012

Back to the point of taking away the support given to women who choose not to or can't b/f...I am incensed by this initiative in NY. I had one child who would not latch and one that did. The support for both was key to doing what I needed to do for each child to thrive. Just because the cans of formula were given at the hospital that did not determine how I fed my babies. Choice should not be taken away. Glad I will not be birthing in NY ever!

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Sue Anderson

12:52 pm on Thursday, August 9, 2012

Isn't that the same mayor who wants to limit the size of soft drinks? He is quite the little policeman, isn't he?

;)

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Athens Mama

1:50 pm on Thursday, August 9, 2012

I was never able to get a breast pump to work with either child - hospital grade, manual, etc. - so breastfeeding was not convenient. I have a friend who was committed to breastfeeding, but her baby would not latch on for days and she finally had to use the formula. She felt immense relief she finally gave in to the formula. No one is saying that formula shouldn't be available to parents that want it. I mean, I know several Dads that were single parents with new babies, and those babies survived because of formula. I was very against using formula, but with my second child, the truth is, I could not fill him up. I nursed that kid on both sides until I experienced unpleasant symptoms and he still cried a "hungry cry." After nursing him, with milk flowing, and still he was hungry, I gave him formula. He sucked it down like he had a bottomless stomach. He still eats like that and he is 9 years old! Formula satiated my baby's hunger, and he was never overweight, just very active and strong! All that being said, I firmly support Mayor Bloomberg's initiative. From the first visits to the OBGYN and both hospital experiences with my kids' births, the marketing for the formula was relentless. It offended me, bothered me, and hurt me. I know of several Mothers who have had nurses give their babies sugar water in bottles in the hospital. This is outrageous. My friend whose baby would not latch on was one of them. I support formula ONLY upon request!!!

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Athens Mama

2:13 pm on Thursday, August 9, 2012

I reread my post and I want it to be clear that I did breastfeed both of my kids, but I supplemented with formula with my youngest.

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Kristen

3:22 pm on Thursday, August 9, 2012

Here we go again having politicians decide what is best for lifes and lifestyle. Freedom of choice seems to be more American then these sort of Breastfed Vigilantes. I'm very happy this was your preference but it may not be all so now let's control the hospitals in what they are allowed to provide. How bout just good ol information without your opinion attached to it? What happen to the 1st Amendment rights and Constitution we fought so hard to establish?

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Athens Mama

8:40 am on Friday, August 10, 2012

Oh please. The doctors and hospitals get bought by the corporate sponsors! No one is threatening the presence of formula in hospitals. But finally, someone is saying, "It is not acceptable to give babies and Mothers formula without it being specifically requested." It should have been this way all along. When I was born at Norcross Hospital in 1975, the doctor told my Mother that formula was better for babies' health. My Mother had to fight to breastfeed. Women are still getting kicked out of museums and told in malls to "cover up." We live in a society that thinks it is just fine for corporate Victoria's Secret to advertise women in lace bras and underwear but not for women to nurse their own babies out in public society. Formula is an option, and it should be ONLY THAT. No one should be putting bottles in babies' mouths, with sugar water or formula, before they have had an opportunity to latch on. Samples of formula should be available upon request, or through grocery stores. Health care providers have long been a marketing vessel for corporate formula companies, and Mayor Bloomberg is taking a progressive stance against this. If you think I'm paranoid, google Nestle's formula influence on the women and babies of third world countries.

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Rebecca McCarthy

8:51 am on Friday, August 10, 2012

Athens Mama: Preach it! I think the thing is to put breast feeding first, with instruction and support, and to offer formula if there's a problem. No one is hiding the baby formula here. Just making it not so front and center and dominant. Sometimes the easier option isn't best for everyone.

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Marne M

11:44 am on Friday, August 10, 2012

Right, because that's just what a new mom of a 3-day-old infant wants to hear when her newborn is screaming at 2am. "Oh sorry ma'am, but you had to specially request formula at the hospital if you wanted it. But you can bundle your infant into the car and go to the supermarket for some...oh, you don't have a car? Well, just take your screaming newborn on the bus. Oh, there are no busses? Sorry. But aren't you glad the Mayor is looking out for you?"

If you don't want formula, decline. Leave everyone else to make their own choice.

Athens Mama

10:46 pm on Friday, August 10, 2012

Lots of online blogs about choices today.....It's not a choice when a hospital nurse considers it protocol to put a rubber nipple with sugar water in it into a newborn baby's mouth without it's parents' consent? Wth?

@Marne M: That is the most inane post I have ever read. If you don't have a car and are expecting a newborn, don't you think you would have stocked up on formula if it were your "choice" to provide it to your infant? Last time I checked, a screaming newborn at 2 am is what you sign up for when you decide to become a parent. If you want formula to be an option, you'll have to get yourself to the grocery store and buy it, in preparation for the baby's birth. If not, REQUEST IT IN THE HOSPITAL!!

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Marne M

5:40 am on Saturday, August 11, 2012

What an amazing sense of entitlement you have going on there. Yes, screaming infants are a part of the package. I'm pregnant with my third child, I know the drill. But not everybody is as educated and prepared. No matter how much you read or think you are ready, nothing prepares you for the reality of a living, breathing tiny baby that is your responsibility. And some people simply don't have the resources you obviously expect. Having worked for the last ten years among the poorest of the poor, where I've seen everything from reusing disposable diapers to shoplifting baby formula, and working with DFCS on a daily basis I find your comments hopeful at best.

That sample of formula might be the lifeline for a mom who started out with the best, most educated decision to breast feed, and then found out at some terrible hour of the morning that she was unable to do so. It can gain her a few moments of sanity until she can get to the store, or call someone in the light of day.

With everything I'be seen, I wouldn't take that away from anyone.

Athens Mama

1:15 pm on Saturday, August 11, 2012

I've seen a whole lot of everything in my lifetime as well. My undergraduate degree is actually in Social Work, so we're not barking too far apart. WIC gives people of lower socioeconomic status coupons for free formula, and food stamps will cover what WIC doesn't. I know how the system works. I also know that those same women who don't have the financial resources and don't have positive women in their lives encouraging them to breastfeed are the MOST VULNERABLE population for sticking a formula bottle in their babies' mouths without even thinking about it - AND WHY WOULD THEY? The doctors must endorse formula - formula ads have been part of every doctor visit since their positive pregnancy test. The baby calendar and all the freebies they were given to "make their journey easier" had formula logos splashed all over them. In fact, before they even made it to the hospital, their doctor had probably already given them free formula samples. FORMULA AND MEDICAL CARE SHOULD BE SEPARATE. FORMULA SHOULD BE AVAILABLE AT FOOD STORES. PERIOD. What a sense of entitlement I have? How about the sense of entitlement those babies have - that I would EVEN SUGGEST that their parents be prepared to feed them? That babies deserved to be born into a society that says, with its actions and words, that breastfeeding is best for baby's health?

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Athens Mama

1:57 pm on Saturday, August 11, 2012

One more thought about my "sense of entitlement" over women of lower socio-economic status. If you did a quantitative study on the effects of formula on women who don't have financial power - I bet you would find that there are DEEP PROBLEMS caused by the introduction of formula to women of LSES. See, what the doctors, hospitals, and formula companies don't tell those disempowered women, is that their babies are a lot more likely to experience digestive problems or lactose intolerance when they are fed formula. So, if their baby has to go through a bunch of different formulas to try to find the one that their little systems can tolerate, it's going to cost a lot more money than the parents might have thought. In addition, their babies might end up needing a much more expensive formula because of digestive issues, and WIC may or may not cover the costs of all the formula that is needed for that baby. In fact, I watched a baby whose parents would ONLY buy the amount of formula that the WIC coupons covered, and that baby had terrible acid reflux, and I had to buy extra formula just so that baby could be fed enough. The research done on the effects of formula on poor families in third world countries is testimony to the fact that marketing formula to women who would have otherwise breastfed is damaging to babies. Like the drug dealers - of course the first hit is free.

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Athens Mama

4:15 pm on Saturday, August 11, 2012

I regret posting that your comment was inane, Marne M. Your comment was an empathetic consideration for lower income parents who are committed to breastfeeding and end up needing formula. I get that. I still think it's like C-sections in this country - it's an industry. What began as a helpful product or service became an out of control, for profit industry.

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Marne M

5:53 pm on Saturday, August 11, 2012

I'm 20-weeks pregnant, so I tend to go straight to defensive these days. I think that breast feeding education programs ARE vital. I just resent anyone, be it the government or corporations, restricting choices that may be vital for some. I don't otherwise disagree with most of what you are saying. I breastfed both my kids, but having that sample of formula saved my life in the two days before my milk came in with my second child (who was over ten pounds) and collostrum would not do. I hadn't needed it with the first, and it didn't occur to me I would with the second.

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Athens Mama

7:20 pm on Saturday, August 11, 2012

Honestly, as much as I believe in my opinion, I thought about your scenario again, and like you, there was no reason I would have bought formula to prepare for the birth of my second child. I didn't want it. It was nice to have the formula right there when I finally said, "I want to supplement." I agree with you also about people trying to force their opinions on others. Once someone has decided on formula, I don't want to demean that viable decision. Plenty of healthy children raised on formula only. I just want breastfeeding to be less of a crime and more of a collective, "This is what we do, and then there's a plan B." Instead, there's not enough info. for women who don't know what they might be getting into with formula or what they might miss if they don't breastfeed. I wish there were more community forums that involved women in their own communities - forums for women as a group, not just one to one. Even though we might not always agree, we always share information and benefit from hearing the thoughts and experiences of others.

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Gail Moore

8:13 pm on Saturday, August 11, 2012

Wow! Very glad I had my children in the 90's when it was apparently o.k. to be personally responsible for making a decision that was right for me and my family! And thank goodness, at this time, there isn't some government entity checking my pantry for preservatives in my food and non-organic salad greens in my refrigerator. Hopefully, there will be no food police that shows up and monitors the meals that I feed my family, because, doggone it, some times I just don't get to the full balance according to the food pyramid!

Again, it's not like these women are feeding their children crack. Well balanced formula is not BAD for a child. Is mother's milk better? Sure, in general. Some folks mileage may vary on that, but overall, no doubt. Does it work for everybody? Not hardly.

And I'll leave you guys with this personal experience - My mom was 15 years old when her mother died in childbirth, leaving behind a 1 year old that was still nursing. Cow's milk just didn't work for him, and neither did the goat's milk that some of the well meaning aunts brought to try. He died of starvation shortly behind my grandmother. Some 20 years later, when my sister is born, there is an option of soy based formula for her and that quite literally saves her life.

I'd fight for any new mother's right to breastfeed; I'd also fight for her right to feed her child from a bottle and I'd even hold the bottle if she needed.

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