Season 1 / Episode 12 / Feeding

Feeding: Formula

This is the story of why we exclusively decided to feed our babies formula and how we feel about the stigmas around it.

Two parts, one conversation

Part 1 The Moms

Feeding: Formula, with the moms

paula’s story

Formula vs. breast milk, the ongoing debate in the lactation world, continuously labelling mothers into two categories. Personally, I never fed my children formula. Some may say it's because I drank the breast is best Kool-Aid or because I wasn’t presented with a situation in which I needed to. But I cannot imagine a world where I would put my sanity and body in peril while pursuing breastfeeding. For some, formula feeding is a choice and not a consequence of the inability to breastfeed, and in my opinion, that is utterly acceptable. Is it a generational shift? Perhaps, as we have more scientific knowledge that benefits breastmilk today. Most of my friends were exclusively formula-fed, including myself, and we turned out just fine. There is this apparent stigma against formula from the healthcare world that is supposed to support mothers and give them all the information they need to decide. Instead, some of us feel like failures in giving formula, like we are feeding our children processed foods and guilty for not being able to provide them with the liquid gold they deserve. Are we misconceiving the information, or is the info entirely one-sided?

Joined by Rosanna, who shares her story about how she was forced to feed her baby formula, we cannot help but feel with her the emotions she clearly still carries with her today of guilt, pressure and helplessness.

rosanna’s story

Sitting by herself on my white couch, I can sense that this topic is close to her heart. She starts by explaining how even before her baby was even born, she felt brainwashed by the notion of breastfeeding and how breast is always best, not only by the healthcare system but also by family members. Before getting the chance to experience breastfeeding, she decided she would persevere and do whatever it took to follow the advice that was given to her, and she did just that.

“i was brainwashed with no formula, formula is poisin…”

As soon as Rosanna gives birth to her baby girl, the doctors rush the little one out of the delivery room and tell her that the baby’s sugar levels are too low and that they must give her formula right away. Since it is a question of survival, Rosanna agrees but instantly feels panic, anxiety and distress, thinking that the first thing in her child’s mouth cannot be formula after everything she heard and was taught. Soon after, if that wasn’t bad enough, Rosanna’s daughter started losing weight, and she was being pressured to breastfeed as much as possible and push through to feed, feed, feed.

Once again, she is being told that if she needs to supplement with formula, they will give it to her since they didn’t want to let her go home with a baby who wasn’t drinking enough milk.

Finally, they bring their little bundle of joy home, and Rosanna attempts to breastfeed. However, it looks like her milk has not come in yet because her daughter is latched and sucking, but nothing is coming out. At this point, despair hits them both as her daughter is starving, and Rosanna feels so guilty of being incapable of feeding her child.

After crying all night, Rosanna finally decides to send her fiancee to Walmart to get some formula so her daughter could eat.

”it killed me; IT took everything inside me to give her the formula…”

As Rosanna relives this story, her eyes fill with tears, and her voice gets shaky. Evidently, the overwhelming guilt she felt at that moment still cuts deep to this day. When her fiancee returns from the store, formula in hand, they put it in a bottle, give it to her, and she eats. I could hear the relief in her voice.

Finally, her milk decides to come in, and she can do what she has been trying to do this whole time: breastfeed. A few weeks go by, and she has an appointment with a healthcare professional who notices her daughter is still losing weight. And here we go again…what do they tell her? That’s right! Supplement with formula.

Rosanna doesn’t give up and decides to persevere to breastfeed her child. She succeeds and continues to do so for some time until she realizes that her baby is getting very bad eczema-like skin patches and experiencing a lot of reflux. She takes her to her pediatrician, where the words she never wanted to hear are voiced again: “She is only gaining 9g a day when she is supposed to be gaining over 20g.” Her heart sinks. She cannot believe that this is happening to her all over again. This time, supplement is not a solution the doctor suggests, but asks Rosanna to start changing her diet. Listening to the doctor’s advice, she starts eliminating dairy, nuts, and eggs to the point that she craves food and feels hungry but guilty when she eats something and her daughter reacts.

At this point, Rosanna’s sister and fiancee tell her that it may be time to consider…Formula, and so she did. At the next pediatrician appointment, the doctor noticed that her daughter was gaining weight again, and Rosanna confessed that she had switched to formula. Reassuring her, the pediatrician was happy to see Rosanna's decision to protect her daughter.

“she told me: you did the right thing”

Rosanna finishes by sharing what an emotional whirlwind it was to switch to formula because of the pressures she felt she was under during pregnancy. I asked her if mothers were given the choice of breast and formula like we are chicken or beef, does she think she would have had such a hard time accepting formula in her life. The obvious answer is no. The only thing she does feel like she missed out on is the bond of breastfeeding with her daughter, but I’m pretty confident she would give that up over a hungry baby any day.

moral of the story: fed is best!

Part 2 The Specialist Responds

Feeding: Formula, with Naomi Berkowicz

Naomi Berkowicz

Naomi Berkowicz, RD, IBCLC

Registered Dietitian, International Board Certified Lactation Consultant

In this podcast, Rosanna discusses her birth experience and the pressure to breastfeed. She talks about the anxiety she felt when her baby was given formula at the hospital due to low blood sugar because she didn’t want the first thing in her baby’s mouth to be formula. Naomi, a registered nutritionist and lactation consultant, takes us through the stigma around formula, where it all started and why it’s being talked about the way it is.

Navigating the Challenges of Breastfeeding

The discussion with Naomi begins and revolves around the many pressures to breastfeed and the various hospital policies surrounding it. She expresses uncertainty about the right approach and acknowledges that the quality of support given varies. She emphasizes the importance of asking questions and seeking alternative options and that while breastfeeding is often encouraged, it's only sometimes feasible or supported in practice.

Breastfeeding-friendly hospitals promote breastfeeding by following guidelines and offering support to mothers. However, some people intend to formula feed and may need to be a better fit for such health systems. The topic is complicated, with mothers often experiencing guilt and anxiety when faced with the inability to breastfeed. Breastfeeding-friendly hospitals aim to provide support and resources for mothers who choose to breastfeed, but there is it’s clear that there is a need for more clarity and alternate options for mothers.

The Influence of Marketing on Breastfeeding and Formula Feeding

Naomi provides a comprehensive overview of the history of breastfeeding and formula, particularly the era of intense formula marketing that led to a significant decline in breastfeeding rates in the late 1970s and early 1980s. This historical context is crucial to understanding the current landscape, where formula marketing still exists, but efforts to promote breastfeeding persist due to its undeniable health benefits.

Naomi dives deeper into the origins and implications of formula, understanding that it is a synthetic alternative to breast milk. The emphasis is placed on the biological norm, and that’s why there is a push towards breastfeeding. The environmental impact and government involvement in promoting formula are also discussed, along with the societal judgments surrounding formula feeding and the fact that it should be considered an option, not a contingency plan.

The Impact of Maternal Diet on Breastfed Babies

Breastfeeding is still downplayed in some communities, and breastfeeding mothers' diets can affect their babies, as breast milk is the biological normal. Some babies are allergic to proteins from the mother's diet, like dairy and soy, which can be passed through breast milk. The mother's filtration system plays a massive role in how much of these proteins are passed on to the baby, and some ways to manage this include maintaining a healthy gut and repairing any leakiness.

Rosanna experienced an allergic reaction in her baby due to various things she ingested, leading her to go on a strict diet to identify and eliminate these allergens. Naomi suggests that working with a registered dietitian is crucial to ensure proper nutrition during this process. Despite the challenges, the grief and loss experienced by Rosanna in not being able to maintain breastfeeding is highly valid and understandable.

Navigating the Challenges of Baby Formula Selection

Finding the right formula for a baby can be challenging due to taste preferences and potential allergies. Having someone who can guide and support the mother through this process is essential, helping her navigate different options and emotions. Although it has been discussed that formula is, in fact, seen as the “less optimal” choice for feeding, this school of thought has to change for the mental health and well-being of all the mothers who cannot breastfeed. As Naomi always says: “Feeding is a requirement.” So answer me this: if someone was allergic to water, would you judge them by giving them a synthetic version?