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Breast is Best - Or is it?
Filed under: Breast-Feeding, Expert Advice: Pregnancy
Medical studies about breastfeeding point to moderate health benefits, but also advise mothers who struggle to use a bottle and formula if it becomes too physically -- or psychologically -- taxing. Do breastfeeding advocates put too much pressure on moms?Hanna Rosin takes on one of modern parenting's most sacred cows in this month's issue of The Atlantic, in an ambivalent piece about breastfeeding. She writes that medical experts cannot demonstrate definitive benefits, and also points the finger at upper-middle class women who pass judgment on those who cannot -- or choose not to -- breastfeed.
The article is prefaced with this provocative statement: "In certain overachieving circles, breast-feeding is no longer a choice -- it is a no-exceptions requirement, the ultimate badge of responsible parenting."
Rosin sketches her own encounter with a group of sanctimommies, who immediately cool toward the author after she remarks that she may or may not continue to breastfeed her newborn:
"This time around, I said, I was considering cutting it off after a month or so. At this remark, the air of insta-friendship we had established cooled into an icy politeness, and the mothers shortly wandered away to chase little Emma or Liam onto the slide."
She goes on to ask if breastfeeding is nothing more than today's version of the vacuum cleaner, an anti-feminist tool to "keep women down." Rosin also debunks several popular rationales for breastfeeding, including that your baby will have a higher IQ or be generally more healthy than a bottle-fed baby.
"So how is it that every mother I know has become a breast-feeding fascist?" she asks.
How, indeed?
Issa is a 28-year-old mother of three from Colorado; none of her children were breastfed. Her first baby, a daughter, was premature, and doctors suggested that breastfeeding was particularly important for the baby's health. However, Issa's milk failed to come in, and she was unable to nurse.
Her experience was so upsetting, Issa says, that she decided not to even attempt breastfeeding when her second daughter was born. That decision was met with open disapproval from the nursing staff on the maternity ward.
"One nurse actually pulled my shirt down and shoved her at me. When I said, 'I'm not breastfeeding,' she actually said to me, 'Oh yes you are. There is nothing wrong with you,'" Issa recalls. "It made me feel like I was a child. Like my opinion didn't matter. It's the only time that people would dare to tell you that you are harming your child. But they will tell you that, I've had it happen."
It is difficult to imagine a trained professional, someone who's job description is to care for women recovering from the trauma of childbirth, literally shoving a child at a new mother who was equally traumatized by the experience of failed breastfeeding. But Issa's experience is not not uncommon. So why is this acceptable?
Right after our firstborn was delivered via c-section, the nurses peeled back my hospital gown and attached my baby girl to my breast. I watched as she sucked away, waiting for the Legendary Breastfeeding Nirvana to kick in. Fast forward three days to a frantic new mother, a hysterical, starving newborn with a sideways suck, and a cadre of tongue-clucking nurses dismissing my demands for a bottle. Keep trying, they said. Don't give up, they said.
Finally, a lactation consultant came and determined that the baby couldn't latch. Only then did the disapproving nurse reluctantly bring me a bottle of formula. Once we were through with breastfeeding, they were through with us, demonstrating that their main purpose was make sure I complied with the "breast is best" mandate.
From that moment on, every woman I met felt comfortable questioning me about why I was not breastfeeding. I will never forget standing in my mother's kitchen, being interrogated by her real estate agent, about why I made that "choice."
My peers are adamant about their right to breastfeed, even militant in their stance that breast is best -- and more power to them. Should anyone question their right to do what is best for them and their children? Absolutely not. Should they be prevented from breastfeeding their babies any place or any time, as Bill Maher so famously suggested in 2007? No way.
So why do so many of these women feel entitled to question someone else's personal judgment when it comes to feeding their babies formula? Women whose mantra is "How dare you question my choice?" feel totally justified doing the same thing to other moms who take a different path.
This fetishizing of breastfeeding strikes me as terribly unhealthy. Just look at the furor that broke out recently when high-profile mom blogger Catherine Conners breastfed another woman's baby at a public relations event. The response from other mothers -- on both side of the debate -- was almost irrationally emotional.
Breastfeeding is the cornerstone of the new Cult of Parenthood. Mothers (and fathers) micro-manage every aspect of their child's life -- and feel perfectly justified casting aspirations on those who don't agree with their standards: formula is the devil's invention, vaccinations cause autism, juice will give you diabetes, TV rots your brain, refined sugar causes ADD, and other ridiculous rules and axioms.
When our second baby was born in August, breastfeeding was out of the question for me. It would have tethered me to my son in a way that would have been detrimental to everyone in our household, including me. And I challenge anyone to question our bond -- if my kids were any more bonded to me, I would have to take out a restraining order.
While Hanna Rosin's story ends with her continuing to breastfeed, she expresses a deep ambivalence about it in the Atlantic article. While she may have mixed feelings, she's doing the best she can, and isn't that all any of us can do?
Where do you stand in the breastfeeding debate? Are you a card-carrying member of the Le Leche League, or are you a formula-feeder? And how do you feel about your choice?











ReaderComments (Page 1 of 3)
3-18-2009 @ 3:31PM
Amy said...I don't know if this article is about how judgmental breastfeeding moms are or how insecure bottle feeding moms are about their choice. The question is if you know you're doing the right thing why would you care what anyone else thinks. I breastfed for a year and a half but let me tell you I am no La Leche leaguer, I hid in closets, toilets and back rooms. I was terrified of the disapproving stares of the Bill Maher's and Barbara Walters of this world. My issue . . . not theirs.
Amy
Shirtseed Clothing
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3-18-2009 @ 4:23PM
Jamie said...I was able to breast feed both of my boys for almost 6 months. It was my choice to quit. I think breast feeding is a personal choice. I do believe that there are benefits to breast feeding, but none are as important as a Mother's sanity. The child will still be healthy and smart with or without Mother's milk.
My first child was not easy to feed. I can remember weeks of feeding him for a duration of one hour. He would give me one hour off and then want to feed for another hour. Who has that time in their day to sacrifice? I am lucky to be a stay at home mom and I took advantage of the situation I was in. I would not look down on ANYONE who choses not to breast feed their baby. I know it is not easy to breast feed children. You have to do what is best for you and your family.
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3-18-2009 @ 4:28PM
Danielle Cavallucci said...Every woman should be free to do whatever she deems best for herself & her child. Cortisol & stress are far more detrimental than not breast-feeding, and feeling under the gun or under the blanket of other mommy's judgement just plain sucks. Tend your own children and mind your own business, mothers. That fundamental ought to be part of your 'do as I do, not just as I say' routine in forging a better citizen of your little one, no?
Cheers to you for deciding what's best despite the pressure and poopoo-ing of mothers with too much time and information on their hands. What did your grandma and your priest say about judging??
Good luck to all of you breast-feeders and bottle-feeders alike. It's a rough enough road to navigate without negative feedback. Hopefully, blogs like this will have some minimizing effect on the propensity of some moms to offer unsolicited opinions and advice. Yoga, anyone?
Danielle Cavallucci
author, Your Orgasmic Pregnancy Little Sex Secrets Every Hot Mama Should Know
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3-18-2009 @ 5:04PM
Karen said...You won't convince me that breast isn't best by a long shot. And I think it is selfish of women to not even try.
I also don't believe women are victims. You may not be able to choose how you feel, but you can choose how you react to those feelings. So, protecting your sanity doesn't fly with me. You determine your own sanity, etc. and if you don't like breastfeeding, you should just call it what it is. It is a decision you made that may not be best for the baby.
But we all make choices in our lives and nobody does the perfect thing all the time. So despite the fact that I generally don't buy the excuses about why people don't breast feed, I totally respect the woman who says I chose not to.
Parents aren't going to make the best decisions all the time. But there is a huge difference between not doing the best thing and doing something bad.
And you can disagree with someone's decisions making without thinking they are a bad person. That is where I fall with not breastfeeding. I don't believe that women should be put down for choosing not to breast feed, but I think that they should acknowledge they made a choice that may not be best for their baby. We all do what works for us in our life. As long as that isn't harming the baby, it isn't our business.
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3-19-2009 @ 12:46PM
Karen said...What a diverse group of Karens on this site. I am glad that the Karen above has never had to deal with mental illness, but as someone who has, I just want to say, shut up if you don't know what you're talking about. And I also do not care whether you think you judge other mothers, because you do. Fortunately, one thing I do have going for me is the ability, developed at a young age, to disregard the judgments of people whose business it isn't. I hope the other mothers here can learn that skill -- it really keeps idiots and jerks from ruining your day.
3-19-2009 @ 1:48PM
Karen said...I made it clear that I made judgments about behavior (ie - not trying is selfish), but that I can separate that from judging the person. If you can't make that distinction, and you are offended by that - well...too bad. Maybe the comments section of a message board is not the best place for someone dealing with mental health issues. Based on your reactions, it doesn't appear you developed (at a young age) an ability to disregard other people's personal judgement of you or your behaviors after all. Aparently that applies to comments that aren't even directed AT you.
Secondly, when referencing sanity - I'm not addressing mental illness, I'm discussing it in terms of people saying that they make choices for "their own sanity" which isn't really dealing with their mental state, but with their own personal life choices. Certainly, you can distinguish true mental illness, from people referencing "losing their mind" and "protecting their sanity" as terminology for dealing with frustration.
People often act as if they cannot help the choices they make that are based on how they feel. I call BS on that most of the time.
Additionally, you know nothing about my knowledge or experiences with mental illness, so if your advice is not to comment on things that you know nothing about -- well...take your own advice.
Again, I think breast is best. I acknowledge that there are true physical conditions that prevent breast feeding. I'll even give you there are mental conditions that prevent breast feeding (although I'd more likely make judgement about all kinds of parenting issues in that case). I think that people who don't try are selfish in that decision. I think that those that choose not to breastfeed are choosing to NOT do what is best for their baby but are NOT harming them. Therefore, it is nobody's business. It doesn't make anyone a bad person. But people need to understand that other people can have opinions, and are entitled to those opinions. The opinions don't make you feel bad, you allow yourself to feel bad. There is a huge difference. And it is something that parents should understand at an early age because parenting skills/choices are evaluated and judged all through life. It doesn't stop at breastfeeding. People will make judgements about how you dress your child, discipline your child, what movies you let them watch, what schools you send them to, etc. It is never ending. I advise people to make well thought out decisions, and then refuse to allow yourself to feel bad if your decisions don't jive with someone else's.
Because again, if you aren't HARMING your baby, it isn't anybody's business.
3-19-2009 @ 8:00PM
Karen said...You might want to re-read your original post. Maybe you don't realize how you come across. How is calling a woman selfish not judging her? There is a difference between "stating" that you make something clear and then actually making something clear, because as much as you say you judge the action, not the person, your words reek of disapproval. You also write "You choose your own sanity," and then when I take issue with it, you say you weren't talking about mental health, as if there were some other kind of sanity. I do agree with you here: "The opinions don't make you feel bad, you allow yourself to feel bad." Which is the point of my last line. Finally, because you know nothing about me either, I will fill you in: Your judgments don't hurt me, not only because I don't care what people outside a very select circle think of me, but also because I breast-fed my baby. A whole different group of women would be judging me as I whipped it out at the park, and I didn't care then either.
3-19-2009 @ 8:43PM
Karen said...I think you are the one that didn't read carefully, found something that struck a nerve and lashed out. If you read carefully, you would have seen that the previous comments referenced "my sanity" (clearly not addressing mental health) and that it is common terminology to express dealing with frustration rather than dealing with mental illness.
And if you read my post clearly, I said that although I don't think it is BEST for the baby, that people should just ACKNOWLEDGE it. Because I DON'T think it is a big deal - rather than talk around it, just acknowledge it and move on. Because, like I said -- it isn't HARMING the baby and it is nobody's business.
I don't have an opinion about you one way or the other. I only responded to what you wrote and judged the tone of your post as well.
3-22-2009 @ 8:23PM
Alethea said...A lot of the "benefits" to breast feeding may not be a causal relationship. Correlation /= causation. Perhaps families where the mother can afford to exclusively breastfeed have more of other resources, including time, which contribute to the child possibly having more opportunities, and thus contributing to the increased average intelligence?
Babies have been raised on formula for a very long time now. Formula has been advancing dramatically over the years. Even the boost to the immune system... They're now developing formulas that can serve that purpose, which is basically selling me on formula.
There is no absolute, clear evidence that breastfeeding is hands down better for the child. Keep your judgmental arrogance to yourself.
(And in case you were wondering, just on the chance I might someday decide I want to have children, and if I do, that I might want to try breastfeeding, I've put off a much desired and possibly needed breast reduction surgery - I am not anti-breastfeeding. I AM anti-self righteous jerks.)
3-22-2009 @ 8:30PM
Karen said...Well, you still haven't convinced me that breast isn't best.
And if you hate self righteous jerks, you might want to examine your own post.
But umm....no - I won't keep my opinion to myself. And again -- (DO YOU OBNOXIOUS PEOPLE NOT READ or do you just lack the ability to comprehend?) - I don't care if you breastfeed or not.
3-18-2009 @ 5:10PM
Nicola said...It is only a "choice" now because of the synthetic products which we are able to factory produce and feed to our babies. We are MAMMALS. See that "mamm" in there? Mammary glands. Those two bumps on your chest. They are there for the one and only express purpose of feeding the children to whom you give birth. As much as some women would like to distance themselves from the biological reality of our place on this planet, human or not, you are still nothing more than a mammal at the end of the day.
Sure, you can make the "choice" to do it the synthetic way. But if a few card carrying members of LLL happen to look down their noses at you, realize that it is largely with pity and knowledge that one of these days you'll realize that you're just like us. Human. Woman. Mammal. And you've missed a great opportunity to be a part of it all in feeding your child. You've skipped a step in the process.
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3-18-2009 @ 8:03PM
Liz said...So I am a mammal. I am born to breastfeed? I'll go with that.
My milk ducts were separated from my nipples in a long ago, necessary operation. It is impossible for me to breastfeed.
Am I to feel guilty and put myself down for being so selfish (as I have been called) to have that operation long before children were dreamt of because I knew would make breastfeeding impossible?
You dont know why some people "choose" to formula feed so before you judge, think to yourself that it might be possible that you dont know the circumstances.
I wish I could have had an option, I would have loved the experience, but I'm pretty sure I endured enough abuse for my "choice" for several people.
Oh and my child and I have a very very close bond, breastfed or not.
3-19-2009 @ 5:27AM
LizJ said...Nicola,
Bravo to you for being able to breastfeed.
However, not everyone is able to. Not even every MAMMAL is able to feed their baby. Have you never heard of animals fed by bottles or nurse-animals as their mothers are unable to feed? On my father's cattle ranch, it is referred to as "dry cow". It does happen and to say that every mammal can breastfeed is injurious to those of us who can't, and it is ignorant.
Please do not assume that every mother who does not feed is doing it by "choice". Your quotes, not mine.
My daughter was hospitalized as I insisted upon trying to breastfeed her and I had - quite literally - NOTHING coming out of my breasts. I was truthfully starving my baby by trying to feed her. The best thing I ever did was put my baby on a bottle. It saved her life.
Fortunately, I had a lovely doctor who told me to beware the breastfeeding mafia and made me realize this: NO CHILD HAS EVER DIED FROM FORMULA FEEDING BUT CHILDREN DIE OF STARVATION.
I am sick and tired of those of you who are fortunate enough to have been able to breastfeed looking down on their noses (again, your words, Nicola) on those of who who cannot and/or who choose not. As others have said, it is often for the best of the mother and baby to bottle feed.
Aren't mothers supposed to be more compassionate than others?
We all make choices based on what is best in particular circumstances, and we should all respect the choices that other mothers make, not judge them for doing something we may deem "wrong" or "bad" for ourselves.
3-19-2009 @ 10:11AM
jlhart55 said...Nicola....I have some interesting things to mention. When I was born 55 years ago, the nurses DISCOURAGED breast feeding because of all the problems mothers sometimes encountered. My FORMULA consisted of Karo syrup and Carnation Evaporated Milk!!! When my children were born, fortunately, I was able to breast-feed them. I gave up my career to be home with them and did without many things. I will never regret that time I had with my kids. Now, I am working at a childcare center, mostly with infants, to help with college expenses. Mothers come in with formula or breast milk, and I see absolutely no difference in the way the children develop. In fact, one little guy was doing poorly on his mother's milk and is now so much better satisfied with formula. I really can't understand why working mothers insist on pumping. They must be so hurried and harrassed each day, as it is. They should relax and enjoy what little time they have with their babies. Maybe try and keep enough milk for a nighttime feeding; then offer formula for the rest of the time. We mothers need to stick together and not judge each other. But I guess I just passed judgement on those working moms who pump! Forgive me!!! Hang in there and know that you are trying to do what you think is best for you and your kids. All mom's are.....
3-22-2009 @ 8:18PM
Alethea said...There are actually several features of mammalian physiology that completely differentiate so called "mammals" from other animals, including, but not limited to, body hair. While I personally have no idea why someone decided to focus on the mammary glands (which both males and females have, btw, and men are capable of lactating, and even feeding a child entirely on their own that way if they choose to), nomenclature is a poor reason to decide why something must be done. If the group was named according to the body hair, would it suddenly become wrong to shave it off?
Also, for some people, breastfeeding isn't fun. I'm sure for a lot of women, they'd rather they never did it. For the ones who can't, pointing out "missed opportunities" is kind of insensitive.
3-18-2009 @ 6:15PM
Sharon said...When my first son was born, I was unable to nurse him due to complications with my delivery (complications that were detrimental to my health, not my son's). Even knowing that I was putting my LIFE at risk, I continued to try to nurse him. After 5 days, I was in much worse shape, and he was losing weight and failing to thrive. At that point, I had no choice but to formula feed. With all of the pressure to breastfeed, I was devastated. Any postpartum depression that I felt was directly linked to my guilty feelings.
With the birth of my second son, I went into it with the intentions of pumping for a short time, and then transferring to formula. I made this decision with my entire family in mind...my baby, my husband, my son, and myself. For our family, this was the best decision and it has been a wonderful one for us.
To all of you who think that it is OK for you to be judgmental of those of us who bottle feed, think again. It is not your place. You do not know the circumstances behind every situation. And regardless of whether it is your choice or not to breastfeed, it isn't what is best for every new mommy or family.
As a bottle feeder, I cannot tell you how many times I have felt discriminated against for my decision. It is time for all mothers to call a truce to this battle. No mother is perfect, and how you feed your baby does not make you a good or bad mother.
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3-18-2009 @ 6:40PM
KarenH said...Good for you for posting this opinion. As a new mother, I'm so sick of all of the sanctimonious "It's in the best interest of the child" schtick being used as an excuse to attack others for their choices.
Sure, breastfeeding has benefits. So does formula feeding. Maybe breastfed babies are smarter, healthier - just all-around better. The question is, is the advantage worth the payout? If I breastfeed and it's causing me major trauma, should I continue just so my kid can have one fewer cold and get an IQ of 109 instead of 108? It's up to the mother to decide, and I'm sorry, none of you pro-breast ladies know what another mother is going through while trying. And you also don't empirically know what the benefits are, either.
I often wonder what negative effects children of breastfeeding "fascists" will experience - they learn early that simple manners aren't important, and as a result, are more likely to be rude to others, which affects their ability to make friends, which subsequently affects their ability to network as an adult, which has been shown to negatively affect their future income potential and their ability to attract quality mates...I can't believe that their mothers are so irresponsible!!
See how silly.
And I breastfeed, because I'm sure you're wondering.
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3-18-2009 @ 9:25PM
newMama said...As a new mother, I wanted to breastfeed more than anything. It didn't work. And boy did I try. I tried for three months. Cracked, bleeding nipples, lactation consultants, mastitis, clogged milk duct, and finally a yeast infection in my nipples. The pain I felt was severe. The emotional distress made it all worse. I endured all of the pain, because I so wanted to breastfeed. But I couldn't even hold my baby against my chest, there was so much pain. At three months, I decided it was best for baby and mama to go to formula. It's the best decision I've ever made. And not only can mama bond with baby during feedings, so can dad. When I have another child, I will try again to breastfeed. But this time I will go into it with a kind heart to myself. If it doesn't work, then move on and enjoy the baby ... isn't that what is most important to create a lasting bond?
3-18-2009 @ 10:36PM
Sandyone said...Heh, heh. Someone invented breastfeeding to keep women down.
Clever!
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3-18-2009 @ 11:09PM
shab said...I think it's sad that anyone is judged for her choice. Each mom has to do what is best for MOM+BABY. I have friends who's babies have not gained weight and had health risks because they were breastfed and the mom's supply was not abundant enough. I have friends who have bled by pumping to increase supply to no avail. We have formula so that these mothers can enjoy being mothers instead of worrying, suffering, feeling guilty.
Every circumstance is different. Babies used to die when mothers had breastfeeding issues. We have resources now.
I've been lucky to have it pretty easy when it comes to breastfeeding, but I have a lot of people close to me who haven't. I think it's a personal choice. We love our children and want wants best for them, and sometimes that means formula!
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