FFF: Furious Formula Feeders?

“The community of women who choose to formula feed, and the moms who have so many challenges with nursing that they formula feed, tend to feel that the lactation professionals are insensitive, pushy and overstate the amazing-ness of nursing a baby. And they are ANGRY!! Check out the Fearless Formula Feeder page and you will get a massive dose of angry. They seem to take so much personally and cannot seem to see the broader cultural ramifications of the formula companies’ marketing campaigns. They also do not seem to understand that successful nursing is time sensitive. It has to be initiated early after birth or there is really no going back.”


After seven years of working in the infant feeding space, I’ve become rather immune to criticism. There are people who will never understand why a site like this is needed; people who think what I do “promotes” formula feeding; people who don’t think there should be any sort of choice in how babies are fed. Recently, my Facebook readers were threatened by someone claiming they would be reporting them to social services for child endangerment, due to their feeding method. It happens. People suck, and all that.

But last night, I saw the above comment on the page of someone who claimed to be all about female empowerment, empowered choice, and sisterhood. This was someone I collaborated with – or, rather, allowed to use my image and words in a way that resulted in no financial compensation, favorable publicity, or support for my own cause (the exact opposite, actually – it was a film which portrayed formula as the devil and romanticized mostly white, upper class, celebrity women and their breastmilk). Someone I welcomed on the FFF page. Someone, I assumed, who respected that our opinions were different, but whose goals were ultimately the same: ensuring that mothers were informed, autonomous, and supported in their choices.

Seeing her comment did, indeed, make me “ANGRY!!”

Then, I started thinking… maybe she’s right. Maybe we really are ANGRY!!. For a moment, I felt self-conscious and defensive, wondering if I should post something sweet and positive to counteract this negative portrayal.

But then I stopped myself, because damn straight, I’m angry.

I’m angry that despite sharing hundreds of stories of what the “breast at all costs’ mentality does to women, the people who are responsible for perpetuating this culture refuse to listen.

I’m angry that these same people spend so much time and energy hating the formula companies, when the formula companies are not the ones mishandling women in the hospital, leaving IGT and other potential breastfeeding complications undiagnosed, ignoring the mental health needs of new parents, or forcing women to go back to work after a few short weeks in order to support their families.

I’m angry that they can’t see the difference between “anti-breastfeeding” and “anti-breastfeeding-extremism’. These are not the same things. quotescover-JPG-32

I’m angry that they continue to gaslight the women who come to me for help, sometimes suicidal, over their perceived “failure” to breastfeed.

I’m angry that they are allowed to be angry at anyone and everyone who doesn’t think the way they do, but insist on absolute complacency and infinite patience from us.

I’m angry that they think we are uninformed about breastfeeding, when the most common reason parents come to my page is that they were blindsided by formula feeding; they had read books and taken classes on breastfeeding, but never even thought of using formula. These women know more breastfeeding than most. They know about jaundice protocols, Thomas Hale, SNS feeding, galactogogues, tongue ties, lip ties, skin-to-skin, the magic hour, the breast crawl, good latches and bad latches, exclusive pumping, power pumping, and more. They know how important it is to breastfeed immediately after birth. There’s a reason nearly every FFF Friday starts with a scene in the delivery room.

I’m angry that some of the “new voices” in this debate are doing more harm than good, making claims that can’t be supported, confusing the issues, and making it harder for the rest of us.

I’m angry that my community members are told that they are victims when they don’t feel like victims. I’m angry that when they do feel victimized, they are dismissed, brushed off as unfortunate casualties in the War Against Big Bad Formula.

I’m angry that the formula companies continue to make stupid marketing moves, adding fuel to a fire that should’ve been extinguished back in the early 1980s.

I’m angry that “celebrating moms” always means “celebrating breastfeeding”. Moms should not be celebrated for feeding their babies. They should be celebrated for doing a job that is often hard and thankless, for bringing home the bacon, frying it up, and cleaning all the dishes afterwards before putting the kids to sleep and working on tomorrow’s quarterly reports. I’m angry that this myopic focus, this fetishizing of what should be a perfectly normal act, marginalizes adoptive parents, primary caregiving fathers, and anyone without working mammary glands.

I’m angry that moms can’t nurse in public without it being a fucking federal case. Literally.

I’m angry that moms don’t get sufficient support in the hospital for breastfeeding – especially if they are young and/or non-white.

I’m angry that parents get no support whatsoever about formula feeding, and that parents in the UK need to preemptively bring their own supplies if they think there’s even a chance they might need or want to supplement. (Has anyone else thought about how this might be more self-sabotaging than having formula available in the hospital? Not that I think either is actually self-sabotaging, but for those constantly making that argument… let’s use basic logic for a minute.)

I’m angry that my use of formula is somehow threatening to your efforts to encourage other women to breastfeed.


I’m angry that women insist on battling each other in these snarky ways, like life is just one big junior high school. Grow up. Grow. The. Hell. Up. There are so many problems in the world – you really want to spend time arguing about whether we feed babies breastmilk or a perfectly viable substitute? Is live and let live really that hard a concept? Do you really have nothing better to do than tell random women on the internet how they are Doing It All Wrong? And formula-feeding moms who hang out on breastfeeding sites to cause trouble – I’m talking to you, too. You’re part of the problem. Making shitty comments about breastfeeding moms, who have just as much right to community and support as you do, is hypocritical and mean. Mean girl behavior is not “venting”.

I’m angry that comments like the ones above leave my community no choice but to stay silent. If they respond, and say what they want to say, they sound ANGRY!! If they don’t respond, they are silenced. Neither is an attractive or empowering choice.

I’m angry that I still feel the need to write posts like this, when my kids are in elementary school. I am angry that I care. I am angry because it doesn’t change anything, and I’d probably be a much happier person if I never said the word “lactivism” again.

So yes, I am angry. In fact, I am ANGRY!! And I’m sure much of it is self-imposed, because I could be focusing my own efforts on something more important, like the Syrian refugee crisis, the poverty and inequality in my own city. I could be focusing this energy on my children – sometimes I think that formula feeding made me a better mom, but Fearless Formula Feeder made me a pretty crappy one.

As for the FFF community? Sure, I suppose they are ANGRY!!, too. But no more than they should be. And if they are talking and venting and crying and supporting each other on my page, they are handling that anger appropriately. They have a safe space to work through that anger – but there are many people who want to take that away from them. “Concern Trolls” who repeatedly post inflammatory pieces (and if you’re going to argue that “information” isn’t ever inflammatory, ask yourself: would you post a piece on how easy it was for you to get pregnant on an infertility support page? Or an article about a plane crash on a Fear of Flying support group?), “experts” who try to school them, people who don’t believe they have any right t feel bad because formula feeding is so prevalent. (So is obesity. Doesn’t make the kid who gets relentlessly teased in school for their weight feel any better.)

Most of my readers work through their anger, and move on. Many go on to breastfeed future kids, armed with the knowledge they now have that there’s no such thing as failure. They understand relative risk. They know how to spot problems, and what can and can’t be done about them. They aren’t trapped in the sticky spider web of dogma. They know they have a soft place to land, should things not go as planned.

ANGRY!! isn’t a bad thing. ANGRY!! is what makes us act up, speak out, and create change. ANGRY!! is a healthy, justified emotion when you’ve been shamed, mistreated, embarrassed, ignored, and insulted. ANGRY!! is empowering, as opposed to sad, depressed, lonely, ashamed.

So yes, you’re right. We are ANGRY!! We don’t enjoy it. We don’t want it. We want to move on and be HAPPY!! CONFIDENT!! ACCEPTED!!

Maybe if you could just let us be, you could let us be.


The following are some additional comments sent to me by FFF members, reacting to this piece.

“Well yes I am angry. I am angry for being bullied into breastfeeding even though it was clearly not the right path for me. I’m angry my sons were left to go hungry and get sick because nobody would believe I wasn’t producing breast milk. I’m angry my midwives believed in breastfeeding at all costs. I’m angry there were entries in my post natal notes essentially calling me lazy and not trying hard enough to breastfeed. I’m angry that “normalise breastfeeding” has caused the vilification of formula feeding. I’m angry that I have been made to feel like a second rate mother who is poisoning her children and condemning them to a life time of low intelligence and obesity. That is, of course, if they survive child hood at all. I’m angry that I am supposed to laud and bend over backwards to accommodate breastfeeders but the courtesy is never returned. I’m angry that twaddle like “only 2% of women can’t actually breastfeed” is bandied around and taken as gospel, despite there being no respectable scientific research into such a claim. So yeah, I am angry. But as I usually say, if you kick the dog long and hard enough, sooner or later it will bite back.” – Emma

“What it comes down to is that unless you agree with the lactivist mentality that breastfeeding is a child’s “birthright” and that it’s the “end-all, be-all” of infant nutrition, then you wrong, misguided and angry. In reality, we are standing up for what we believe in just as much as they are standing up for their beliefs. However we believe in a women’s right to choose, to keep her bodily autonomy while still nurturing her children. And above all we lift one another up as mothers. I’m proud to be a part of the latter side.” – Deanna

“Being angry about having your body policed and having your parenting choices judged and shamed is a completely legitimate feeling/thing. Or are we as women only allowed to ever be happy or sad and anger is never ever appropriate?” – Nikki

“I wonder what the end game is if they actively alienate women who chose to, or had to, formula feed. I wonder, do they really care if we breastfeed? If so, do they think this kind of hurtful rhetoric will be a useful tool in convincing women to try breastfeeding again with the next child? Or are they just turning women off to their agenda through causing them pain? I for one have found the most support and kindness in caring for my child in the ff community, so I’d stick with what worked to keep myself and my family healthy and safe. It just seems so disingenuous that they are trying to “help” through hurting people. I don’t think they give a fig in the long run what I or any of you do, or for the health of our children. They just want to stare into their own reflections in solipsistic fantasy.” – Jessie

“I’m not angry that I couldn’t breastfeed. Not anymore, at least. You know what DOES make me angry though? A bunch of sanctimonious women (and men too, I guess) telling me how wrong I am for feeding my children formula. You know what? Formula saved BOTH of my kids’ lives. And it saved my sanity! My kids are happy, healthy, and thriving.” – Tasha

“I’m not angry or disappointed that BFing didn’t work out for us. I really don’t care anymore. Shit happens. I’m angry about the way moms are treated and babies put at risk for something that doesn’t really matter.” – Amy

“It’s funny because I’m not angry at all. Formula helped my son’s life from the beginning and formula helped me through PPD and other issues with my two girls. Not angry, grateful.” – Shannon

” I honestly think we are entitled to stand up for ourselves. All of us have at least one, if not many more, stories of being shamed for feeding our healthy and beautiful babies. The whole reason we’re here is to receive support from each other, that we are amazing mothers and parents, regardless of how we feed. We aren’t here to just bash breastfeeding, we are here for each other when everyone else is bashing us. were an amazing group of women who need support. We may come off as angry, but if these individuals who bash were in our shoes, they would see just how wrong their opinions of us are.” – Alexis

“They don’t even get *why* I’m angry. It’s not about me, I don’t give two shits I’m angry for two reasons. 1-All of the lovely ladies and GOOD MOMS who come here with broken hearts because of how the lactivist community has treated them and 2- Because their judgement doesn’t end with their side eye and snarky comments, they are changing public policy (think BFHI and all the horror stories from WIC offices) and that affects all of us. I don’t care if you sit there and comment about my bottles til the cows come home, but when you’re changing policies based on bad info that’s dangerous.” – Maria

“As someone who had no desire to BF whatsoever I have never gotten used to the opinion that we’re not allowed to decide what we want to do with their bodies and we’re not allowed to get angry when people tell us we’re not allowed to decide– or act as if we are stupid or misled when I KNOW we are some of the most informed women when it comes to this issue.” – Nicole


“How can they read the stories of what the mothers and babies went through to establish breastfeeding, and still blame women and claim everyone can Bf!!. DARN RIGHT I am angry!!!!!. I bought the “everyone can breastfeed” BS. None of those brilliant nurses (who were also licenses LCs) managed to help my baby latch. My baby had hypoglycemia, jaundice and lost 10% of her birth weight within two days, under their ‘watchful eye’.” -Bahan

“The justification for why why “should not be angry” is both condescending and misdirecting. Also, I’m pretty sure a lot of us are way more educated on formula and breastfeeding, and have given far more thought about the rhetoric surrounding it and it’s implications than most people.” – Bethanny

“They’re silencing us, undermining our autonomy. ‘They make X choice because they’re angry and stupid so X isn’t valid'” – Stephanie

A World Breastfeeding Week Plea: Stop celebrating, start collaborating

Usually, I’m all over the place this week. Getting quoted in the requisite “it may be breastfeeding week but gosh darnit some women still find exclusive breastfeeding super hard” articles. Posting my own stuff here on the blog, or over on HuffPo. Talking about #ISupportYou and pissing off hundreds of people in the process, because they see it as a veiled attempt to “steal the thunder” from World Breastfeeding Week.

But this year, I’m all but invisible.

Part of this was unintentional. I’ve been going through some stressful career-change mishigas, dealing with the inevitable gaps in childcare that occur between camp and school, entertaining a ridiculous number of visiting extended family members. I’ve been too exhausted to blog, or talk to media sources, or self-promote (because let’s be honest – that’s a part of what all of us parenting bloggers do. Even the most altruistic of us. Even those of us who don’t depend on hits or advertising or who never make a cent off their blogs. We write because we want to be heard; we pray for bigger audiences, book deals, evidence that we’ve made some sort of impact. I happen to be rather shitty at this, which is why I don’t blog much anymore. I don’t have the stomach for that part of the job).

Another part of my conspicuous silence has been intentional, however. Probably more than I care to admit. See, I’ve been focusing my efforts on the supportive stuff. Reaching across the aisle, trying to understand all facets of this debate, and hoping that by creating better resources for all moms, I can help stop all the guilt/anger/resentment/confusion/hurt. I know that breastfeeding is important to many, many women. I want those women to succeed, and feel happy and proud and supported. So this year, I wanted to try and stay out of World Breastfeeding Week drama like I try and stay out of my kids’ sibling squabbles.

Yeah. Because that works so well with my kids.

The problem is, I also want formula feeding mothers to feel happy and proud and supported. And for some reason, it’s not okay to want both of these things. It’s ok to pay lip service to it, to claim #ISupportYou and tell formula feeding moms that celebrating breastfeeding isn’t about them. But if you actually do the work you need to do to ensure that non-breastfeeding parents are supported, you are violating WHO Code. You are taking attention away from the women who “need it”. You are stealing…. what? Resources? Sympathy? One-up(wo)manship?

I tried to stay out of it. I really did. I held my newly-minted CLC certification close to my non-lactating chest and bit my tongue.

And then the articles came, and came, and came. And so many this year were not about the benefits of breastfeeding, but rather how hard it was. Or how hard it was NOT to breastfeed. How this mom felt like she was poisoning her baby, or this one felt like she’d be booted from the “mom club” because she didn’t wear the EBF badge.

So much guilt/anger/resentment/confusion/hurt. None of it is stopping. There’s more this year than ever before.

Then this happened.



And I heard my community inwardly wince. Not for the reasons you might think. Not because they didn’t think it was a beautiful image, and not because it glamorized something that had been messy and painful for most of them, although those certainly were thoughts that some of us had to squash down into that endless pit of mother-guilt. No, it was because it was yet another image of a breastfeeding celebrity, with headlines and stories that spoke of her bravery for normalizing nursing, and comments all over the place about how breastfeeding was finally being celebrated.

I think, for many of us, it was the “finally” that did it. For many of us, it would seem far braver for a celebrity to do a shoot with her bottle-feeding her kid with a can of formula in the background. We have only seen breastfeeding being celebrated. There’s so much partying going on, and we feel like the crotchety old neighbors calling the cops with a noise complaint. But you know, it’s late, the music is loud, and we’re tired.

Now, just to be clear – I’m talking about breastfeeding being “celebrated” That celebration doesn’t do us much good. It does not mean that it is easy for moms to nurse in public. Obviously, it isn’t. Or that lactation services are plentiful and accessible to all. Obviously, they aren’t. Breastfeeding is celebrated, but that doesn’t stop it from being difficult for the new mom in the hospital, whose birth didn’t go as planned. Or the one who has to go back to work 2 weeks postpartum. Or the one with a job not conducive to pumping. Breastfeeding is celebrated, but not when you’re overweight. Or when you’re nursing a toddler.

Idealized images in the media of what breastfeeding looks like do not normalize nursing. In fact, I’d argue it fetishizes it – not for men, so much, but for women. Now, we don’t just have to feel inadequate for not fitting into size 2 jeans a month after giving birth, but we need to feel inadequate if we don’t meet the feeding norm and make it look gorgeous and natural and easy.

Please do not misread what I’m saying here – talking about breastfeeding, supporting breastfeeding, and implementing changes to make breastfeeding easier for those who want to do it are important, admirable, and necessary goals, as far as I’m concerned. But the comments I saw coming from my community after this photo hit the news were not about any of these things. They were from women feeling totally drained, frustrated, and alienated after a nearly a week of hearing how inferior their feeding method was, who were sick of being told they were defensive or that they feel guilty if they tried to stand up for themselves. This story was the last straw. It’s weird, when you think about it – it wasn’t the piece on the risks of formula, or the memes about the superiority of breastfed babies – what broke the camel’s back was a seemingly innocuous spread of a gorgeous, confident actress proudly nursing her baby.

This is what perpetuates the cycle of guilt/anger/resentment/confusion/hurt: our lived experiences are so damn different, that it’s like we’re constantly talking at cross-purposes. The nursing mom who is the only one in her small town not using a bottle sees a photo spread like this as thrilling, victorious, self-affirming – as she should. The formula feeding mom living in Park Slope who carries her formula-filled diaper bag like a modern-day hairshirt sees the same spread as just another celebrity being held up as a pioneer, when she’s only doing what’s expected of a woman of her stature – as she should. Both are right. Because both are personal, emotionally-driven responses.

Earlier this week, I said that deciding how to feed your baby is just one of a myriad of important parenting decisions. But somehow, it’s become the most important one. We cannot expect formula feeding moms to support their breastfeeding sisters when they don’t receive the same support. We just can’t. It’s not fair, and it’s not realistic. I feel like that’s what I’ve been asking of all of you, and somehow I just woke up to that fact.

Why are there still articles talking about how shitty we feel for not breastfeeding, instead of articles talking about what’s being done to change this? Where is the news story about the doctors who are saying enough is enough (because I know they are out there – many of them contact me, and I appreciate these emails, but I wish they were able to say these things publicly without fear of career suicide)? Where’s the NPR program about ways we can improve breastmilk substitutes so those who cannot or choose not to nurse aren’t left hanging? Where’s the Today Show, The View, The Katie Show, doing segments on why women are REALLY not meeting breastfeeding recommendations, instead of segment after segment on how brave so-and-so is for posing nursing their newborn on Instagram, or talking to dumbasses on the street about the “appropriate” age for weaning?

When we stop “celebrating” and start normalizing and supporting and being realistic about how different life can be even just a street away, maybe World Breastfeeding Week can have it’s proper due. Maybe we can actually talk about ways to help women in the most dire straits feed their babies as safely as possible – clean water, free breast pumps, free refrigeration, access to donor milk.

I want to be able to be silent during World Breastfeeding Week. It shouldn’t have to be “overshadowed” by emotional, personal pieces about breastfeeding “failure”. It shouldn’t be a time for articles about not making formula feeding moms feel “guilty”. These words shouldn’t even be part of our infant feeding lexicon, for godsakes. Failure? Guilt? For what?

This year, I want us to stop celebrating, and start having some calm, productive conversations with people outside your social circle. For many of us, the celebration feels exactly like high school, when the popular kids had parties and we sat home watching Sixteen Candles for the thirty-fifth time. That’s not to say breastfeeding isn’t worth celebrating, but the end goal should not be one group feeling triumphant and the other feeling downtrodden. Formula feeding was celebrated for decades too – and that celebration made the current atmosphere of breastfeeding promotion necessary. Please, let’s learn from our mistakes. Let’s move on. Rip down the streamers, put away the keg, and open the doors to the outsiders looking in. You never know – they could end up being the best friends you’ve ever had.


The ads on the bus go bad, bad, bad – a response to the Calgary Breastfeeding Matters Group campaign

“Children of parents who have diabetes have higher risk of diabetes themselves. Reproduce responsibly. Learn more.”

“Hispanic and Black children have higher risk of diabetes. Race matters. Learn more.”

“Children who are poor have higher risk of diabetes. Money matters. Learn more.”


If any of the above statements were posted on the walls of a bus, there would be an intense backlash, and rightfully so. Not only do these messages contribute to the shaming of people with diabetes – a condition that, according the American Diabetes Association, is primarily due to genetic predisposition – they are also offensive, misleading, and would fit quite well into a sci-fi thriller about eugenics. True, these factors are associated with higher rates of diabetes, but the story is far more complex than these slogans suggest, and to imply otherwise is nothing short of irresponsible.

Yet, a similar advertisement will be posted on public buses in Canada, suggesting that mothers of children who develop diabetes may be to blame for their children’s condition, due to their infant feeding choices (or lack thereof).

Ad from the Calgary Breastfeeding Matters Group (CBMG.ca)

Ad from the Calgary Breastfeeding Matters Group (CBMG.ca)

The slogan Babies who aren’t breastfed have higher risk of diabetes, is problematic. The omission of the word “may” (“Babies who aren’t breastfed may have higher risk…) implies that ALL babies whose mothers do not (or cannot) provide mother’s milk are doomed to a higher risk of diabetes.

Yet, the recent meta synthesis study by the World Health Organization (1) which examined 314 studies from 43 countries, reported that while breastfeeding may have protective effect for type -2 diabetes among adolescents, “Generalization from these findings is restricted by the small number of studies and the presence of significant heterogeneity among them” (p. 12). Moreover, there is no evidence to support that breastfeeding is protective against Type 1 diabetes, which is more common in the pediatric population (2).

To understand how this ad is misleading, it’s important to understand that diabetes is not one disease, but actually a group of diseases marked by high levels of blood glucose resulting from defects in insulin production, insulin action, or both. Saying blanket statements about diabetes is like saying “Brittany S sucks”. Who? Brittany Spears? Brittany Snow? Brittany S. Pears from Glee? Brittany spaniels? Same name, but very different entities. The causes of the various types of diabetes also vary. Although there are 3 main types of diabetes (Type 1, Type 2, and Gestational), people can get diabetes as a result of other conditions, like cystic fibrosis, organ transplantation, or having HIV/AIDS.

Type 2 diabetes, formerly known as non-insulin dependent diabetes or adult onset diabetes, is the most common form of diabetes across the general population. It is most often associated with older age, obesity, family history of diabetes, previous history of gestational diabetes, physical inactivity, and certain ethnicities, and can typically be managed via weight control, dietary changes, and exercise. It has come to be viewed in society as a disease of “fault”; another spoke in the wheel of the obesogenic machine that is currently speeding through our society like a shiny, red Corvette, crushing all nuance and holistic scope in its path.

Type 1 diabetes is an autoimmune disease, unrelated to weight or lifestyle factors. This is important to distinguish because children with Type 1 and their parents often get unjustly blamed for the condition (imagine how it must feel, on top of worrying about your chid’s blood sugar levels getting deathly high or low, to contend with people asking if you fed him or her nothing but junk food?) While there is some data suggesting the existence of environmental, viral, or physiological “triggers” for Type 1 diabetes, current research has not shown that it can be prevented (3) by any means, including maternal feeding.

Furthermore, to date, no studies have shown direct correlation between maternal feeding and the development of either form of diabetes, as this campaign would suggest. There is some evidence that children who were breastfed have a lower incidence of developing Type 1 diabetes [4] but the data are merely associative, as there are multiple confounding factors known to develop conditions for the disease. For example, the data coming from the burgeoning field of epigenetics have demonstrated a fairly robust association between allostatic load, or stress, in pregnancy, and higher risk for diabetes, coronary and ischemic disease. [5]

The Babies who aren’t breastfed have higher risk of diabetes advert, sponsored by the Calgary Breastfeeding Matters Group (CBMG), is the fifth in a series of pro-breastfeeding posters. The first four successfully inform and empower public awareness regarding breastfeeding; promoting the message that breastfeeding in public is normal with witty slogans and amusing imagery. This makes the current diabetes-themed poster all the more troubling–with its image of a bottle marked with the word “insulin” next to a foreboding hypodermic needle. To promote the scientifically inaccurate message with hyperbolic imagery misleads the general public, and burdens the parents and children affected by both Type 1 and Type 2 diabetes with unnecessary doubt and concern.

The CBMG may have expected backlash as its website offers a “Resource Sheet” to accompany the advertisement. They link to three different sources of data to back up their claim, with the introductory proclamation that “Recent 2013 research states that breastfeeding as a preventative measure against Type I and Type II diabetes is Level III Evidence”. The first link, to a Nordic systematic literature review, does confirm that the evidence supporting longer-term breastfeeding as a preventative measure (as opposed to “any” breastfeeding) is “Level III evidence”, indeed. What the CBMG fails to mention is that “Level III evidence” is defined as “limited-suggestive”. [6] (To be fair, the study does qualify the evidence for “any” breastfeeding being potentially protective as Level 2 – “probable” – based on studies of varying quality and methodologies.)The other two citations – another review and a seminar about epigenetics [7] [8] – both contain numerous caveats about their findings; neither offers anything close to conclusive evidence that breastfeeding is protective against diabetes – evidence that is hardly worth screaming from the rooftops. Or posting on the wall of a bus.

Without going into a lengthy discussion on the limitations of using two reviews and a lecture as the basis of an emotive advertising campaign, It should suffice to say that infant feeding has not been adopted as a significant reductive factor worthy of promoting to the general public by the American Diabetes Association, nor the Canadian Diabetes Association, expert authorities on this condition (although both of these sources do discuss the research into the breastfeeding-diabetes connection on their websites). In fact, diabetes expert Dr. David Lau  has already spoken against about the campaign, telling the Calgary Herald that the studies used to support the campaign “were essentially surveys…(and) he called any ad based on current, formal research to be an ‘extrapolation’.”

The CBMG “Resource Sheet” also contains a “Q and A”:

So, I breastfed my baby but she still got diabetes!  Is that my fault?

  • There are many risk factors which influence chronic diseases, not breastfeeding is only one of these risk factors.
  • When you have not realized your breastfeeding goals, you may inappropriately blame yourself, when it is the lack of information and support which is the real culprit
  • Let go of guilt. Use that energy to enjoy and celebrate your child and the accomplishments you have made.

This ad is cruel! It makes women who did not breastfeed feel guilty.


  • This argument by the public and health professionals takes the responsibility away from those supporting mothers who have not provided the information and support to help her reach her breastfeeding goals. 

  • Information about the health risks of formula do not come from formula companies, but it is very important for moms-to-be to realize there are risks. This needs to be delivered along with breastfeeding support resources.

(Source: CBMG.ca)

In other words, if your baby was breastfed and still got diabetes, there’s a potential that other factors may be at play- but more likely, you didn’t meet your breastfeeding goals. Don’t feel guilty, though – you were probably booby trapped! It’s not your fault you gave your baby diabetes. Although it kind of is.

This ad, well intention as it may be, will quite possibly inflict unnecessary shame and guilt on the parents of children with diabetes; perpetuate the confusion between Type 1 and Type 2 diabetes; and stigmatize women into breastfeeding rather than encouraging them to do so in a positive, constructive way. It would serve CBMG to remove this ad from their otherwise positive breastfeeding promotion campaign. Otherwise, they risk ruining an empowering, powerful campaign with the usual polarizing, negative, and historically ineffective tactics that have perpetuated the “bottle/breast” wars and kept parents from the important work of keeping themselves, and their babies, happy and healthy.

This post was a collaborative effort between Suzanne Barston (the FFF) and Walker Karraa, MFA, MA, with assistance from Polly Palumbo, PhD,  Sarah Lawrence, PharmD, MA,  Teri Noto, and Kristin Cornish, and several others who wish to remain anonymous for professional reasons. 


[1] Word Health Organization. 2013. Long-term effects of breastfeeding: A systematic review.

[2] University of Rochester Health Encyclopedia, date unknown. Type 1 Diabetes in Children.

[3] American Academy of Pediatrics, 2013.  Healthy Children.org – Diabetes Mellitus.

[4] American Diabetes Association, date unknown. Genetics of Diabetes.

[5] Barker DJ, Winter PD, Osmond C, Margetts B, Simmonds SJ (1989) Weight in infancy and death from ischaemic heart disease. Lancet 2:577-580.

Barker DJP, Bull AR, Osmond C, Simmonds SJ (1990) Fetal and placental size and risk of hypertension in adult life. BMJ 301:259-262

Barker DJP (1995) Fetal origins of coronary heart disease. BMJ 311:171-174.

Barker DJP, Osmond C, Forsén T, Kajantie E, Eriksson JG (2005) Trajectories of growth among children who later have coronary events. N Engl J Med 353:1802-1809.

[6] Hörnell A,et al. Breastfeeding, introduction of other foods and effects on health: a systematic literature review for the 5th Nordic Nutrition Recommendations. Food Nutr Res. 2013; 57: 10.3402

[7] Nolan CJ, Damm P, Prenkiki M.Type 2 diabetes across generations:from pathophysiology to prevention and management. Lancet. 2011 Jul 9;378(9786):169-81.

[8] Patelarou E, et al. Current evidence on the associations of breastfeeding, infant formula, and cow’s milk introduction with type 1 diabetes mellitus: a systematic review. Nutr Rev. 2012 Sep;70(9):509-19]




Celebrity culture and infant feeding: Does breastfeeding need a makeover, or a makeunder?

There’s a startling disconnect inherent in the way our society views infant feeding. On a daily basis, I see vomit-worthy comments posted on Twitter disparaging mothers who are committing the mortal sin of nursing in public – some recent gems included a tweet from a guy who got his jollies waiting for a nip slip from breastfeeding moms, and several women taking cheap shots at “exhibitionist” moms who were “grossing them out” by feeding their babies in plain sight. Seeing this, I can absolutely understand the need for breastfeeding to get an “extreme makeover” in our culture; I can start to see why online discussions about the need for bottle-feeding support devolve into defensive diatribes about how we (FFFs) are in the majority, and have no comparable need for sisterhood.

And yet, my Twitter feed serves as a stark contrast to my other guilty pleasure – celebrity culture. We may live in a “bottle feeding society”, but breastfeeding has become a rite of passage among the pop-cultural elite. Just for fun, I spent a few days googling every single famous mom who had given birth in the past year or two, and almost every single one had a photo, interview, or online mention about how they were breastfeeding, or at least planning on it. The few who didn’t either adopted, or made it a point to explain why they weren’t (Tina Fey, Bryce Dallas-Howard). From hard-living rockstars like Pink, to pin-ups like Alyssa Milano, January Jones, and Beyonce, to girls-next-door like Sarah Drew, Alyson Hannigan, and Jenna Fischer, to the French first lady Carla Bruni... it seems as if everyone on the A, B, and C-lists were using their A, B and C cups (even the enhanced ones, a la Tori Spelling) for their evolutionary/biological purpose.

I’ve talked before about how important perspective and environment are in this discourse: two women in the same city could have markedly different experiences with infant feeding support, depending on their socioeconomic and cultural surroundings, as well as their individual peer groups. I live in Los Angeles, a stone’s throw away from Hollywood, so looking at this list of happily-lactating celebutantes clarifies why I felt so alone in my bottle-feeding days. But I realize my breastfeeding-friendly area is nothing like where so many women live, places where they feel ostracized every time they lift a shirt to feed a crying baby. I know this alienation is real; one look at Twitter proves that, and then some. I’m not sure what’s worse – enduring the threat of borderline sexual harassment each time you breastfeed, or having famous physicians tell you that you are harming your baby by not trying hard enough to give them their birthright of mother’s milk. I think it’s probably a toss-up, or at least depends on your psychological makeup and personal triggers.

However, I think lactivism needs to take a serious look at US Weekly before focusing more attention on “glamorizing” breastfeeding. It’s been glamorized. And yet, women are still experiencing ignorance and intolerance about nursing their babies (or toddlers). Celebrity culture has tremendous influence – the advertising industry capitalizes on this; think about how many famous folks endorse the products you purchase, directly or indirectly. Numerous articles have been written about how celebrity post-baby weight loss has a negative impact on our collective psyche; we supposedly watch them shrink in a matter of weeks and believe that’s how postpartum bodies should act (incidentally, most of them attribute their miraculous weight loss to breastfeeding).  If we see a Kardashian pushing a certain type of stroller on their insipid reality show, it becomes a hot seller the very next day. Depressing as it is, our society looks to the bobbleheads on the television for guidance on style and substance. So why isn’t it working with breastfeeding?

Seeing Victoria Beckham or Miranda Kerr or Hilary Duff breastfeed doesn’t make an impact, because of course these women are breastfeeding. They have the resources to do so – flexible and accommodating work environments, nannies, housekeepers, access to superior healthcare providers, support, and most importantly, they live in breastfeeding-friendly environments. How is this making breastfeeding look any more do-able to the average woman? It might make it look more attractive, but not more attainable.

So, maybe the focus should be less on giving breastfeeding a makeover, but rather a makeunder. Focus on making it more accessible and attainable to those who are struggling to make ends meet, to those who not only are lacking a nanny and personal trainer, but also a supportive partner; the ability to switch to a breastfeeding-friendly pediatrician; money to see a private lactation consultant, or a car to drive to see that consultant.

And from a formula feeder’s point of view, I want to make one last point: breastfeeding moms have their choice of role models. Maggie Gyllenhal, Marion Cotillard, Jennifer Gardner… Women who are opting not to breastfeed have Snooki, who recently was accused of saying breastfeeding is “kind of like you’re a cow” (although for the record, she was just talking about pumping, which she intends to do – she was scared of breastfeeding because her friends had experienced trouble…but I digress):

Source: http://www.hollywoodlife.com/2012/06/11/snooki-breastfeeding-cow-interview/

Speaking of makeovers….

FFF Friday: “I support parents to make decisions for their children…”

Welcome to Fearless Formula Feeder Fridays, a weekly guest post feature that strives to build a supportive community of parents united through our common experiences, open minds, and frustration with the breast-vs-bottle bullying and bullcrap.

Please note, these stories are for the most part unedited, and do not necessarily represent the FFF’s opinions. They are also not political statements – this is an arena for people to share their thoughts, and I hope we can all give them the space to do so.

I stumbled across this brilliant post from Brian Smith on his own blog, and promptly begged him to let me reprint it here. If you dig it as much as I do, make sure to to stop by his own corner of the internet or follow him on Twitter (@briansmith31681) and tell him so. 

Happy Friday, and a very happy Mother’s Day to all the fearless ones out there….

-The FFF


My support of breastfeeding and of breastfeeding moms–including the right to breastfeed in public–is well known. My post back in January and numerous tweets affirm this. One friend of mine (@fakegimel, I’m looking at you) even once described me as a militant supporter of breastfeeding.
While I have been quite vocal in my support of breastfeeding, it isn’t because I believe “breast is best”. While research has indicated that there are benefits to breastfeeding for both mom and baby, my defense of breastfeeding is rooted in my support of moms (and dads, too) to do what they feel is best for their baby. I support breastfeeding–and, by extension breastfeeding in public–because I support parents to make decisions for their children, largely free from interference from others. My wife used a cover when our kids nursed because that’s what made her comfortable. And I supported her decision. But, I would have been equally supportive if she didn’t think a cover was necessary. My wife used a cover not because she was trying to avoid offending anyone but because she didn’t want to be gawked at.
My wife tried to pump once she returned to work after our first child. However, she never could extract more than a few ounces. Her disappointment was evident every night when she came home and put the extracted milk in the freezer. At 3 months, we could no longer exclusively feed our son breast milk and had to supplement with formula. At 4 months, my wife was  barely able to extract more than a couple of ounces a day and we had to begin formula feeding the Bug entirely.
With our daughter, my wife’s supply simply could not keep up with Em’s demand and we started supplementing with formula after 6 weeks. By 3 months, she was being fed entirely formula and again, my wife felt a tremendous sense of disappointment.
The point I am trying to make is that for some mothers, breastfeeding isn’t an option, even if she wants it to be. It is, then, disheartening to read the vitriol found on many breastfeeding websites and forums directed at parents who formula feed instead of breastfeed. And, while I am willing to concede that you likely won’t find many people using social media to complain about a mom formula feeding her infant in public, you will find breastfeeding advocates attacking parents who formula feed.
What these “militant” breastfeeding supporters don’t seem to understand is that the very thing they want from others–support for feeding their child–they often times fail to give to other parents. Read an article about breastfeeding and you’re likely to see the words “dangers of formula” or “evils of formula” somewhere in the text. Now, imagine that you’re a new mom trying to breastfeed, going back to work soon, unable to pump, and upset at the prospect of having to supplement with formula. Is the language affirming? Does this language support moms (and dads)? Of course not!
Further, when breastfeeding advocates attack the companies that make formula–calling them evil and questioning the safety of their products–they damage their own cause. Yes, more needs to be done to provide support to mothers wanting to breastfeed and to remove the stigma of nursing in public. But, the pursuit of these goals does not have to come at the expense of formula feeders. It is not a zero sum game.
I have been known to engage in online arguments with those who would seek to shame, embarrass, or otherwise harass mothers choosing to breastfeed in public. My position has always been that breastfeeding in public–whether covered or uncovered–is no big deal. It’s a boob. Who cares?!? But my support for breastfeeding is based on my belief that moms deserve to feed their children as they see fit without interference from others. This belief extends to mothers–like my wife–who have chosen, for whatever reason, to formula feed. Just as breastfeeding moms don’t need to be shamed because they’re nursing in public, formula feeding moms don’t need to be shamed. At the end of the day, it comes down to are you being supportive of moms and the choices they are making or are you seeking to create division?
Like what you read? Hate it? Let me know in the comments. Follow me on twitter: @briansmith31681
My blog is at http://briansmith31681.blogspot.com

Are you fearless? Working on it? Send in your story – it’s a step in the right direction… formulafeeders@gmail.com.
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