Breast feeding and the mismatch between idealism and realism

Against the backdrop of life as it is really lived, the decision to breast-feed or bottle-feed is minuscule. 

Whether or not you decide to breast-feed your baby — and for how long — is, in the scheme of things, just one decision out of a million. And ultimately, you should do what works best for you and your family.

Full disclosure here: I never wanted to breast feed. I don’t know why. But I knew that’s how I felt. My husband and I always shared the night feedings, I never wrestled with a breast pump, we nuked bottles of formula in the microwave, and I never looked back. And I’m a registered nurse.

And guess what? Our kids — now in their twentie – turned out just fine. They have no allergies. They are smart. They’re not fat. They’re healthy. They are kind, and funny and athletic, and you couldn’t pick them out in a crowd. But if you read some of the research and most of the women’s magazines, you’d think we’d be hauled in for heresy for disclosing this seldom-talking-about fact: in the end, whether you breast-feed or you bottle-feed, no one — not even a physician, a nurse, a teacher or a psychologist –  will ever be able to tell the difference.

Here’s the common sense explanation. From fetal life to adulthood, there are millions of things affecting a child’s health and well-being, from your own level of happiness and mental health to your culture, your values, your faith, the meals you serve, how careful you are about safety, your lifestyle, whether you smoke, or exercise, or expose the children to books and words and new experiences. There are the friends you allow your child to spend time with, there is fast food and slow food, and there are 18 or so years of all these factors and more churning until that baby becomes an adult.

So that’s why I was pleased to see the World Health Organization announce that although they recommend breastfeeding for the first six months of life, they say it may not be a realistic option for many.  The report was published online March 14, 2012 in the BMJ Open.

In essence, the researchers say there is a mismatch between idealism and realism. The participants said that over time, the general well-being of their families — the hassle factor of breast feeding — made people switch to giving their babies solid food or formula. Some people feel horrible when they switch to bottle feeding, and they need not.

Meanwhile, there is a ton of research with headlines like, “Breast-Feeding Linked to Fewer Behavior Problems in Children,” “Longer Breast-Feeding May Not Protect from Childhood Eczema,” “Breast Feeding Linked to Higher 14-Month Mental Development,” and on and on. Most of the research is solid enough, but it’s very difficult to control for all the variables, which means there’s too much going on in real children’s and real families’ lives to know just how strong a role breast feeding did or didn’t play.

So I’ll just say it. Do you what you want to do. Don’t feel guilty if you bottle feed. Know that you’ll have a gazillion other decisions to make for and about your child, and, if you do it right, you’re likely to end up with a happy, healthy adult. And if you’re really lucky, your kid will call home.

Barbara Bronson Gray is a nurse who blogs at BodBoss.

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  • http://www.facebook.com/nancynfoster Nancy Foster

    perhaps the worst advice I’ve ever read from a health care professional :(    If your child ever needs a blood transfusion…will you accept COW’s blood for your child or insist on HUMAN blood ??  I think not.  So, why would you suggest feeding a baby COW’s milk instead of HUMAN milk is acceptable, safe or healthy ??

    I cringe at the phrase “hassle of breastfeeding” :(   There is nothing involved…nothing to purchase, nothing to prepare, keep cold, warm up, etc .  One of the many wonders of breastmilk is that is:

    -always available, just lift one’s shirt
    -always the right temperature
    -always the composition…yes, breastmilk changes as baby changes and is always the perfect food. If mom is exposed to a virus, she will produce antibodies that are passed through her milk to baby.
    -breastfeeding is actually hassle-free !  Nothing to bring in the car, nothing to purchase. Mom’s milk is FREE.  Always ready on demand. I can read a story book to a sibling with one hand while nursing a baby in my other arm. I can nurse anywhere , anytime, 24/7. I can sleep with my baby if I choose and nurse throughout the night without interrupting the rest of the family’s sleep, etc etc

    http://articles.cnn.com/2010-04-05/health/breastfeeding.costs_1_breastfeeding-sudden-infant-death-syndrome-preterm-babies?_s=PM:HEALTH If most new moms would breastfeed their babies for the first six months of life, it would save nearly 1,000 lives and billions of dollars each year, according to a  study published in the journal Pediatrics.”The United States incurs $13 billion in excess costs annually and suffers 911 preventable deaths per year because our breastfeeding rates fall far below medical recommendations,” the report said.The World Health Organization says infants should be exclusively breastfed for the first six months of life “to achieve optimal growth, development and health.” The WHO is not alone in its recommendations. 

  • http://twitter.com/AnnFriedmann Ann FriedmannMD

    I would like to share an excellent analysis by a member of the Academy of Breastfeeding Medicine on the article cited. 
    http://bfmed.wordpress.com/2012/03/15/dont-throw-the-baby-out-with-the-bath-water/

  • Tara L

    This article is the worst of its kind.  It sounds like rational, reasonable advice that we can all get on board with.  Except it’s not.  It’s a single person’s PERSONAL account using anecdotal evidence.  Thanks KevinMD.com for parading around this kind of opinion as fact and undermining the efforts of responsible healthcare professionals & mothers who are promoting breastfeeding based on SCIENTIFIC evidence.  Shame on you.

    • http://twitter.com/bbgrayrn bbgrayrn

       Sorry you feel this way, Tara. The data suggest breast feeding is best. But all I’m saying is that there are many, many decisions to make over 18 years of parenting and parents should be encouraged to manage those decisions as best they can. In the end, science doesn’t tell us that 18 year olds who were breast fed are absolutely better off than those who were bottle fed. There are just too many variables involved over 18 years of living.

  • Ginger

    I’m good with her message.  Do what’s right for you and your family.
    My kids were breast fed and they were sick all the time.  IMO the health benefits are not a sure thing.

    However, the cost benefits are substantial.  Store-bought formula costs a great deal more than what a Mom needs to eat to produce milk.  You can save money by breastfeeding.

  • Anonymous

    For the ones who judge, understand that not every mother has the luxury of staying home and spending every waking (and sleeping) second next to their child. It’s irrational and unfair to assume that it is “just that easy”. No, it’s not as easy as just “lifting your shirt” for all of us. Just because it is that way for you, it’s not that way for me.

    And for the record, if my daughter’s only way of surviving was to be given cow’s blood in a transfusion, you bet I would use it. Without shame. My child’s life and health and FAR more important than anything. At any cost.

    The author of the article is right, the single decision of breast milk versus formula is one small decision in possibly millions. If it works for you, great, I’m thrilled for you. But sometimes it’s just not that ideal.

    • Carl Wilke

      Wow, I wish you had a better experience. For the record, the idea that successful breastfeeding depends on a woman “staying home and spending every waking (and sleeping) second next to [her] child” is ridiculous. Yes, in the beginning it’s important to be with the baby all the time, but isn’t that the idea of parenting a newborn? Do you get bored that easily? I went back to work after my 12 week FMLA and pumped and continued to breastfeed until she turned 1. I only pumped once per day, because I did not have break time except at lunch. I have noticed in my line of work that moms who are not able to relax properly seem to struggle with breastfeeding. I hope that you get the chance to try again if you have more kids. Peace.

    • Anonymous

      You can pump and your sitter or family member can give the baby a bottle. I didn’t stay glued to my kids constantly. I found nursing easy and enjoyable. You can read to your other kids while nursing your baby as you have a free hand. No bottles to fix or remember to take with you. I regret the breast feeding nazi’s who make it sound unloving to not breast feed, but there are kooks on both sides.

  • Anonymous

    I don’t want privileged western women beating themselves up if breast feeding doesn’t work out for them, either, but this article really misses the point in a big way.  The WHO changed the text of their recommendations to stop children in third world countries whose mothers work in sweat shops from STARVING!  There may be bigger fish to fry, but breastfeeding is still one of the best public health interventions we have, and as health care providers, it is our responsibility to get the word out.

    • http://twitter.com/bbgrayrn bbgrayrn

       Thanks for your comment. What we as health providers and researchers haven’t measured is: what is the downside to you and to your child if you breast feed when you’re not enjoying it? And is the difference in benefit great enough to make up for the stress and difficulty, if you’re feeling that? What if you don’t breast feed but you’re effective in getting your kids to wear seat belts? Or your teenager not to text when he drives? Aren’t those health interventions pretty important, too?

      • jennifer tow

        I never enjoyed fighting with my kids to stay in their car seats, or managing all the hassle of too much clothing, twisted straps, moving the seat from one car to the next and staying on top if all those cumbersome carseat guidelines. What is the downside to me and my children if I am not enjoying this hassle? Seems to me hassle is the new litmus test for parental decision-making in your eyes. Great, because it can be such a hassle to read that same book one more time to my toddler, take care of my sick children, teach them how to cross the street, talk about sex, drugs and relationships, drive them to social and sports events and generally, you know….put myself out. Thanks for making my life easier…because it is all about me after all. 

  • Craig Koniver, MD

    That’s great that you can feel good about your decision, but I don’t think the message with breastfeeding is as simple as: do the least that you can….

    Let’s forget about all the studies and just go back to one simple fact: breastfeeding is THE most natural way a mother can feed and nurture her child. It is a part of a female’s genes and infants dreams to connect this way. Only here in America where we have sped up and have changed the rules against nature do we get to “feel good” about going against nature.

    Certainly it is great that every woman can choose what is best for them when it comes to breastfeeding, but I think, as a society, we would be MUCH better off if we ENCOURAGED breast feeding so much more! Our children would feel more secure and connected to their moms and that goes a long way.

    Remember, the average age, worldwide, that a child stops nursing is 4 years old!

    • Anonymous

      “It is a part of a female’s genes and infants dreams to connect this way.”  
      It is apparently part of this female’s genes to have nipples that cannot be latched onto and to have a mild form of tongue tie that she passes on to her children.  Too bad my DNA didn’t get the memo about what is “natural”

      But more importantly, tell us more about what infants dream about!  I mean, I know it’s a little off-topic for this article, but that would be some fascinating stuff to learn about. 

    • http://twitter.com/bbgrayrn bbgrayrn

       Thanks for your comment. The question is this: if you’re stressed out and having trouble, is the decision to breast feed so critical that it’s worth creating difficulties in your life? Can a parent do EVERYTHING for 18 years to the highest possible standard?

      • Anonymous

         No, the question is WHY is the mom stressed out?  If she is not being supported, not sure she is doing it right, then those are things that CAN be rectified

  • Maryann Long

    What’s needed that we still don’t have in the US is real, honest-to-goodness comprehensive support for breastfeeding.  Breastfeeding shouldn’t and doesn’t have to be a hassle.  What makes it a hassle is the way we deal with it.  New moms are sent home from the hospital before breastfeeding is established, then often left without any sort of help or advice if problems arise (eg sore nipples) until they are finally seen at 6 weeks by which time they have given up.  Oh, and if they’ve managed to keep it going that long then they have to go back to work so they’re separated from their babies for hours, lack time and a clean private space for pumping (even if they have pumps and have got the hang of it, which isn’t a given). It’s a wonder some women manage it as long as they do and no wonder at all that the ones who do so generally come from fairly privileged backgrounds.

    If we really supported breastfeeding there would be several home visits in the first 10 days by an appropriately educated person who could troubleshoot and refer those with serious problems to care, all of this free of charge.  Baby and mother would be seen by their care providers no later than 2 weeks postpartum and sooner if needed.   There would be at least 6 months of paid maternity leave for every woman and a guarantee of her job back with no loss of seniority or other penalties for taking the time off.  FMLA would be used to cover a support person of the mother’s choosing, be it a spouse, sister, cousin, her own mother, whoever, or some combination thereof, for 12 weeks to provide functional support at home. Hey, I can dream!

    Sure, bottle feed if you want.  Talk about hassle! Expensive and resource-wasteful to buy premixed formula, otherwise you get it powdered which is cheaper but you have to mix it, make sure you have clean bottles and nipples, and put up with smelly baby poo. 

    • Anonymous

      Absolutely 100% agree with everything you said.

    • http://twitter.com/enkidu97 Tina M Cairns

      “Breastfeeding shouldn’t and doesn’t have to be a hassle.”  It is if you don’t make any milk.  Or if you have to exclusively pump because your baby is in the NICU for his/her first months of life.  Not everything can be solved by breastfeeding support and maternity leave.

      • http://profile.yahoo.com/I62EVKB6RGF4E2XLO6M46OPKZI Caddy

        Exactly. I never anticipated having a child with craniofacial abnormalities who would not be able to nurse, but that’s what happened. I don’t enjoy having to justify my bottle feeding choice to anyone. I appreciate this article as it does bring to light that not all of us choose to breastfeed or even can breastfeed and that’s OK. It may not be ideal, but it’s OK.

  • Anonymous

    For the majority of women and babies, exclusive breastfeeding is physically possible, even if it isn’t always as hassle-free as you describe (for example, if women have to return to work before their baby weans and have to pump and store expressed milk).  

    But there are a minority of women and/or babies who have physical impediments to exclusive breastfeeding.  Many won’t make exclusive breastfeeding impossible, but some will.  I, for one, had severely inverted nipples that made it impossible at first to get adequate stimulation either by my son directly nursing (which required a nipple shield for him to latch) or with a pump (it took me 3 tries to get the right size flanges).  Eventually that situation improved, and my son could actually get milk by nursing, but it was immensely painful because his latch was so shallow and there was so much fibrous tissue that needed to be stretched and broken through.  Pumping didn’t hurt nearly as much, but I couldn’t pump often enough or long enough to both meet his needs and also do other things like cuddling and playing with him, or sleeping or eating.  

    Even my best friend, who is a stay at home mom and has nursed both of her kids with ease wouldn’t say it was 100% hassle free.  She struggled with thrush for a while with her first, who was a pretty lazy nurser in the beginning.  She has had oversupply problems with both kids.  And now with her second, she has had to master the art of nursing in a sling so she and the baby can keep up with a VERY active toddler.    

    I would never suggest that general breastfeeding promotion or information should be done in a way that encompasses every scenario, no matter how rare.  I mean, even in online communities that I frequent, I’ve never met anyone who had the exact constellation of problems I had.  So I totally get why it was so hard for me to find any information about them and to even figure out what was going on.  But it also really bothers me when women who found breastfeeding to be hassle-free talk about breastfeeding as if their experience is somehow universal.  Even if you never experienced any hassles.  Even if you don’t believe that breastfeeding really needs to be as much work as it sometimes is.  At least accept that for some women and some babies it really, really does have hassles.

  • http://twitter.com/bbgrayrn bbgrayrn

     Hi Nancy: My advice to women is simple: take the breast vs. bottle decision as you will every other decision you’re going to be making for and with your child over the next 18 years. Learn the pros and cons, balance it with what works, and do the best you can.

  • http://twitter.com/bbgrayrn bbgrayrn

     Hi Ann,

    Again, just want to say that for many women breastfeeding works or they have family and friends who can help them through any rough patches. But for the women for whom it’s not working or who choose to stop breast feeding, we should be realistic that, in the total scheme of things, their children will be all right. To deny women the knowledge that millions of bottle fed babies are healthy, happy adults is unfair. We should give women the benefits of the research and encourage them to make the choice that works for them. Breast feeding should not be a religion.

    • http://twitter.com/AnnFriedmann Ann FriedmannMD

      The science of breastfeeding/breastmilk is ongoing and fascinating. The art of breastfeeding support and advocacy is also changing.The best practice is to optimize support both pre and postnatal and to advocate for social change. We all try our best and in general I have seen that most providers (doctors,nurses, lactation specialists) do not promote breastfeeding as a “religion”. It is sometimes hard not to get excited about the incredible qualities of breast milk and I am sure that can lead to overzealousness. 
       Women take what they can and use it in the context of the life they have to lead. I also tell my patients that they have done their best and there is no shame in not following every recommendation and guideline.I have had women look to me for permission to stop. They have always made this choice because of difficulties they were having either with the process of feeding or socially and sometimes both. Everyone’s story is unique and we all need to remember that “our” story is ours alone. We can’t walk in another women’s shoes and we can’t make her choices for her.

      With that I know that populations of human beings have grown and lived well without breast milk. For me it is the incredible science of what breast milk is that gives me pause and makes me wonder if we cannot IMPROVE health outcomes in the future. More will be revealed…

  • Anonymous

    Breastfeeding research, pseudo-research, and (oftentimes inflammatory) commentary are always quick to find a media spotlight and are prone to re-interpretation to the point of becoming unrecognizable. Case in point here is the inaccurate reference to this small, headline-grabbing study out of Scotland as an announcement from the World Health Organization that exclusive breastfeeding for the first six months of life may not be a realistic option for many. The assertion that “against the backdrop of life as it is really lived, the decision to breast-feed or bottle-feed is minuscule” also falls short given that the backdrop of life for many lies beyond our imagination. The WORLD Health Organization’s perspective is just that- a global one- and taken as such the decision to breast-feed or bottle-feed is in no way minuscule. It can, in fact, become an even critical decision of survival for many infants worldwide.This study and the subsequent discussion certainly serve as a thought-provoking (and much appreciated) reminder that meaningful breastfeeding support must always begin with the perspective of individual mothers and babies. IMO, it just does not end there.

  • http://twitter.com/enkidu97 Tina M Cairns

    “Always available.” EXCEPT when you 1) don’t produce milk; 2) don’t have breasts; 3) are taking medicine contra-indicated for breastfeeding; etc.

    Yeah, breastfeeding is SO EASY… for you.  Not for everyone.

    • Anonymous

      Of course not everyone can do it or want to do it, but that doesn’t mean that it isn’t the best way to provide nutrition for your baby. It is nature’s way of feeding your baby. We are mammals and we nurse our babies. If it doesn’t work for you or you just frankly don’t want to do it, that’s your choice. I don’t think you should feel guilty or be so upset. Life is a hassle, but it beats the alternative.

  • http://parentingmythsandfacts.com/ Dr Sarah

    Three points:

    Firstly, *please* correct a major error in this post: The report you’re discussing is not from the WHO, and the WHO have not changed their recommendations on the matter.  This is a recommendation from researchers into women’s experience, suggesting that more women may be persuaded to breastfeed if we ease up on the guidelines.

    Secondly, I think you’ve inadvertently reinforced the exact all-or-nothing thinking that the researchers advised against – the idea that the choices are between the WHO recommendations and formula-feeding, with no apparent middle ground.  I’d like to see it widely recognised that, for many of the women for whom exclusive breastfeeding isn’t an option, mixed feeding or perhaps even just a formula supplement now and again may be an option rather than feeling they have to switch completely to formula.  (Again, I do know there are women for whom this is the only option, but I’m trying to point out that it may not be.)

    Thirdly, I know no research is perfect, and I also know that the decision to breastfeed or formula feed is not going to be the ultimate decider of whether your child goes on to have a happy, successful, fulfilling life or not.  Unfortunately, those two messages often get mistaken for a third, inaccurate, one – the idea is that it really doesn’t matter at all whether you breastfeed or formula feed.  A stack of research has found benefits of breastfeeding even after adjusting for numerous confounding factors – it reduces the chance of diarrhoea or ear infections, it reduces the chance of rare but much more severe problems such as SIDS, diabetes, or leukaemia, and it seems to have at least some slight beneficial effect on promoting mental development.  So, yes, it does matter.  Not enough to be the be-all and end-all, not enough to drive yourself crazy over, and I’m happy to admit that my own life hasn’t been particularly the worse for being fed on formula.  But I feel we’re in danger of losing sight of the fact that it *does* make a difference.

    • Lumi St. Claire

      Incredibly well said, Dr Sarah.  The bottom line is that it’s both a complex and a personal decision, and there is no one blanket answer for everyone.  Breast milk definitely confers immunologic advantages to infants, and we shouldn’t be dismissing that.  On the other side of the scale, I’ve also witnessed mothers who were so browbeaten and guilted by their lactation consultants into believing that formula was evil that they ended up with infants who were essentially starving at the breast and dehydrated because they simply weren’t getting near enough milk. Having admitted an infant to the hospital who has lost 22% of his body weight in 2 days with severe hydration and a resultant dangerously high sodium level that required days of hospitalization to correct isn’t an ok situation.  It’s about being well-informed with current and accurate data, and supporting choices that are right for individuals and families.  

    • http://twitter.com/bbgrayrn bbgrayrn

       Good point about the all or nothing mentality. But I still say that, taken in the context of a childhood full of issues, variables and decisions, we should all relax a little. More kids will be hurt by fatty diets and lack of exercise than by anything one can suggest a year of bottle feeding could do.

      • http://www.facebook.com/nancynfoster Nancy Foster

        Your “one year” of bottle feeding cow’s milk to a human baby can indeed be more harmful than “fatty diets” or “lack of exercise” ! 
         It is estimated that *911* babies in the United States DIE each year due to NOT receive breastmilk ! 
         That should be a powerful enough thought to convince anyone that “hassle” or not…ALL babies deserve breastmilk. And before anyone says “Well, I tried, but couldn’t breastfeed.”  The WHO states that infant feeding choices in order are: 1-breastfeeding2-pumping and bottle-feeding3-donor (or milk bank) breastmilk4- artificial baby milk (ie cow’s milk)

  • CBRN

    I’m not sure if a woman who never wanted to breastfeed and therefore never encountered any of the realities of breastfeeding is the right person for KevinMD to be publicizing as a voice on the recent (small, Scottish, qualitative, hypothesis-generating-not-testing) study on the mismatch between breastfeeding ideals and women’s real experiences.  
    For one of the many more thoughtful and productive consideration of what the study does tell us than this author’s “my kids are fine so research be damned”, I would recommend: http://birthingbeautifulideas.com/?p=4805  

  • A Kazen

    I’m glad breastfeeding works so well for you, but the point of this article is simply to try and reduce the stigma surrounding formula. Honestly, I think saying “There is nothing involved” is worse than saying breastfeeding is a hassle – because there is a lot involved. It’s not easy for everyone to do, and you are minimizing that. For a woman who finds breastfeeding difficult, I doubt you are really encouraging her to keep going by saying breastfeeding is so easy. 

    Furthermore, saying you are feeding your baby cow’s milk is an exaggeration. Formula is either modified cow’s milk or soy. To literally feed a baby cow’s milk would be stupid…and that is not what someone is doing if they choose to use formula. 

  • http://twitter.com/bbgrayrn bbgrayrn

    With your logic, no male doctor can comment on breastfeeding because he couldn’t or didn’t experience it. My point is simple: Good if you want to breast feed. But if you don’t, or if it doesn’t work for you, take it easy on yourself. There are no studies comparing 18 year olds that show that bottle feeding damages you physically, emotionally or intellectually. Better to focus on car seats, seat belts, alcohol and smoking.

  • Luísa Costa Gomes

    Please, more of this, and try to end the breastfeeding totalitarianism and all pedagogic do´s and don´ts. Just be a Mother! It´s more than enough!

    • http://twitter.com/bbgrayrn bbgrayrn

       Thank you. When I was in labor and told the nurse I planned to bottle feed, she became very concerned and said, “Would you like me to call in the social worker?”  Honestly.

  • http://dschondog.wordpress.com/ Dawn

    Today is the day the Supreme Court weighs in on the nation’s health care system. If the system stands as is hospitals get reimbursed on whether or not breastfeeding mothers really breastfeed or not. One drop of formula given without a doctor’s order and the hospital stay will not be reimbursed. Also, the Women, Infant, Children’s (WIC) food program insists a woman who wants to breastfeed be given no artificial supplementation products for one month. Instead, the family gets more nutritious foods for the mother who is making the milk. While all this may sound fine and dandy if one is pro-breastfeeding (which I am), I am more pro-liberty and freedom. I want the government to stay out of family decision-making. I want them to stay out of health care PERIOD. Health care should be on a free-market basis. No one should have insurance. Insurance should be illegal. Everyone should have to pay for services rendered and, if you can’t pay, well, you can’t get it. Hospitals should not be forced to take people who can’t pay. That is that! This is much bigger than breastfeeding.

  • Anonymous

    As someone who breast fed my 5 kids and found it easy and inexpensive, I get the point about not laying on a guilt trip on someone who doesn’t do it with their kids. BUT breastfeeding is best for the child providing the perfect nutrition (since the body makes it specifically for this purpose), helps their immune system and helps in bonding. Breastfeeding is good for mom and may help to reduce chances of breast cancer. Breastfeeding is the normal thing to do that is why your body makes the milk and you have breasts in the first place. Of course not every woman has enough milk or inverted nipples or some other reason (including “I don’t want to”). It would be helpful if new moms had a helper who had previously nursed a child to help the new mom get started, but our healthcare system practically throws them out of the hospital immediately postpartum; surprised they don’t have drive by L&D’s. So it would be great if all babies were breast fed, but since that won’t happen doesn’t mean that there aren’t real physiologic reasons and benefits to breast feeding.

  • Anonymous

    I could pretty well tell that the author was never interested in nursing by the first two paragraphs.  I’m not sure what hassle she is speaking of; to me, the hassle would have been formula.  My milk was always ready always the right temperature, didn’t even have to microwave it, there were no bottles to fool with, and no expensive and questionable cow or soy milk formulas to buy.  I never used a pump, and I nursed (30 years ago) our two boys for 2 years each.The author uses anecdotes to make her case for a very strong, negative opinion. Unfortunately, this is the type of nurse that new mothers often get, and that sets them up for failure if they want to nurse. If the team around them is so obviously blasé about nursing, and tell her, “Hey, go ahead and try if you want.  It makes no difference though,” they have little chance to do so successfully.  Nursing is not only the good stuff in that milk– made specifically for that baby; it is skin- to -skin contact; it is eye to eye contact; it is knowing that your body is now nurturing the life you’ve been growing on the inside, on the outside.  It is the knowledge that you are doing something special for your baby that only you can do.  It is that unique nursing relationship between that baby and her mother.  It’s far, far more than nutrition.  And I can hear the cries of, “You can do that with a bottle!”  Part of it– you can take off your shirt and put the baby up against your bare skin.  How often does that happen?  I still see bottles propped all the time.  It’s convenient.  With nursing, you have to take the time for your baby in those formative years, when you think you should be doing something else.  Most women who “cannot” nurse started with someone who obviously didn’t care, finds it somehow not important, and has “better” things to do than take up her time supporting a new mother to nurse.  By the way, my husband and I shared the night feedings too.  He’d get up, get the baby and then bring him to me.  After we were finished, he’d pick up our son, change him and put him to bed.  I hope that all new, first time mothers, are not subjected to nurses who have this type of attitude about nursing. Of course it is their right to bottle feed and if they are adamant that they don’t want to, they absolutely shouldn’t. Reluctant nursing certainly does no one any good, especially the baby. But if they give a hint of wanting to nurse, they must be supported (not pushed, not guilted; supported) by the right people so that they won’t look back and say, “I wish I had….”  It’s an amazing experience and one that should not be taken so lightly.

    • http://twitter.com/bbgrayrn bbgrayrn

       Thanks for your comments. I would just like to add that my opinion isn’t negative, as you say. In fact, it’s positive. I think there’s a wide range of how women and babies react to breast feeding and it’s important women do what they want to do. I’m pro-choice when it comes to breast feeding and  physicians and nurses should be frank about the benefits and challenges. Encourage women to make decisions that work for them, for their babies, for their lifestyle and for their families.

  • http://empoweredpractice.com/ Trista

    I see this both ways. I have nursed both of my children, not having been nursed myself or really ever been around it. I worked in the hospital where there was a big push for breast feeding, at least giving it a try. The nurses were always encouraging and when I was ready to give up because of the hassle of trying to balance work and nursing. My husband still doesn’t understand the looks of death I would give him if a bag of pumped milk had to be wasted or had a hole in it or if he dumped even a tablespoon of milk down the drain. It is a precious commodity. I am very happy I experienced this but for all nursing mothers (including myself) it isn’t all easy and natural. My first child had latching issues that we worked through. Then once I started exercising, it was over and we were on to formula. With my second, nursing all the way for a year, but I wanted to give up because it was exhausting as he seemed to be a bottomless pit. Not to mention those days/nights I got called to the hospital for an emergency and couldn’t pump for hours past due! Miserable only begins to describe it. I am now pregnant with the third. I will give my try at nursing again, but I also realize that it doesn’t make or break my children. Like Barbara says, there is so much more to the health and success of a child. For this pregnancy, my bigger anxiety is whether to give cloth diapers a shot or not ;) But that is for another day! Thank you, Barb, for posting something that lets moms feel like they are not a complete failure if they can’t or don’t nurse. 
    -Trista 

    • http://twitter.com/bbgrayrn bbgrayrn

       You’re welcome. Thanks for your interesting comments and feedback.

  • http://www.facebook.com/drjoe.kosterich DrJoe Kosterich

    Breast feeding is a great thing to do for many reasons. It is not a religion. Mothers should be encouraged and supported to do so but not castigated if they do not

  • http://profile.yahoo.com/SXP3VY5NIPX7XC2ZEJGFL54U2U Red

    thank you for this article! i nursed my first son for 14
    months, until he weaned himself. but my second son just wouldn’t so it! i tried
    for weeks with poor results. he wasn’t gaining weight, he just wouldn’t nurse
    properly. but i believe the “breast is best” so i was determined! by
    week 7, when he was still only at his birth weight and I could see and feel his
    bones, i gave up and started formula. i pumped for as long as i could, but it
    was not possible to sustain, not because my supply dwindled, but because it
    took so much time and it was tearing my breasts up. i froze what i could to
    make sure he got as much i could give him. and now, he is a healthy 4 month old.
    but i am staring at the last bags of breast milk the freezer feeling devastated
    that he won’t receiving any more breast milk in a few days. i can’t tell you
    how many hours i have sobbed over this. i have felt so guilty and defective for
    not giving him the “best”. but your article was a much needed dose of
    encouragement! I think I will have to book mark it and read it a few more
    times. thank you.