FFF Friday: “We do the best we can with what is presented to us.”

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 also are not political statements – this is an arena for people to share their thoughts and feelings, and I hope we can all give them the space to do so.

I’m too exhausted from this week’s craziness in Boston to write anything even slightly intelligent to preface Katherine’s FFF Friday story. Luckily, Katherine has enough intelligence for both of us. As a fellow hypoallergenic formula mom, I appreciate her disbelief at how warped some people’s sense of relative risk can be. When your child is suffering from ingesting a food, it doesn’t matter if the substance in question is made from unicorn horns. All you want to do is make the suffering stop. It’s a loving, rational, and (as much as I hate the term) “biologically appropriate” response. I’m not sure how anyone can speak of trusting the maternal gut and making childbirth/childrearing less of a monitored, medicalized experience, and then in the same breath tell a mom she should breastfeed, in spite of her child’s bleeding insides. 
Could be the exhaustion talking, but… I don’t get it. I really don’t get it.
Happy Friday, fearless ones,
The FFF
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Katherine’s Story
I always planned to breastfeed my baby for the first year. After all, “breast is best” right? I read many books, made sure I had all the requisite nursing supplies, and spoke with friends about their nursing experiences. No one I knew formula fed; I never really considered it as an option.

After an emergency c-section my baby girl was admitted into the NICU immediately after being born. She had ingested a great deal of meconium, and required CPAP her first night to help her breathe. The hospital we were at was a WHO designated “breastfeeding friendly” hospital. Staff were very proactive in getting me pumping early on so my milk would come in. I was able to nurse my daughter in the NICU 12 hours after she was born, and every few hours after that, supplementing as needed with the colostrum I pumped. My daughter never needed formula in the NICU, and on day 4 she was well enough to room with us just as my milk came in. I felt pretty pleased with myself. In spite of needing a c-section and not having immediate skin to skin, here I was, successsfully breastfeeding.

I batled some latch issues, but with the help of my midwife and public health nurse, we were able to resolve them. I didn’t love nursing, but my daughter was gaining weight like a champ (she only ever dropped 2 oz from her birth weight), and seemed to enjoy it. I resolved to persist with my goal to nurse for one year.

At 10 days old, my baby started having bloody and mucousy stool, diarhea, gas and abdominal pain. She also became very fussy at the breast. I cut dairy from my diet. Then soy. Then nuts, eggs, and several other foods. Her issues continued, and her hemoglobin dropped to below acceptable levels. After meeting with a pediatric surgeon who performed a rectal biopsy, we confirmed she had allergic colitis. I met with a nutritionist to ensure my diet was apropriate, and persisted. I was finally beginning to enjoy nursing, and didn’t want to give up just as I was really getting the hang of things.

Finally, after over 2 months of a restricted diet,  we made the choice to temporarily use hypoallergenic formula while I pumped, in the hopes her GI would heal and I could resume nursing. Short term pain, long term gain. I’ll never forget the exchange with the pediatric nutritionist at the hospital as she was giving us samples of hypoallergenic formula to try. It felt like we were doing a drug deal in the parking lot. Since it was a breastfeeding friendly hospital, she felt ashamed to be giving us formula samples, even knowing my daughter’s GI issues.

First we tried Alimentum, but within 12 hours her bleeding was significantly worse. Since Alimentum contains elements of cows milk protein, it can cause a reaction in some babies with milk protein intolerance. So, we switched to Neocate. The change was immediate, but it took 2 weeks for her symptoms to completely resolve.

I should have been thrilled, but instead I was becoming increasingly anxious about resuming breastfeeding, and depressed from the burden of pumping and being on such a restricted diet. I stumbled across an article on Dr. Sears’ website that basically equated hypoallergenic formula to poision. Should I have persisted with breastfeeding in spite of all our challenges?
Finally, we were able to meet with a pediatric allergist. He suggested waiting another 2 months before re-introducing breastmilk, to allow our daughters system to completely heal. I would need to keep pumping, and maintain the diet, since food proteins can remain in the system for several weeks. Even then, there would be no guarantees she would tolerate my milk. His reccomendation was to continue with Neocate, and not reintroduce breastmilk at all. After careful consideration my husband and I decided that switching to formula for good was the best choice for our daughter’s health, and also for my wellbeing.

Making the choice to switch to formula was incredibly liberating. my depression lifted, and I was able to get out of the house with my daughter, eat like a normal person and enjoy life again. Still, I always feel the need to justify why we formula feed. I feel like an anomaly-I’m a formula feeding, c-section having mom in the land of home births and extended breastfeeding. I should have tried harder, eaten less, or -this one takes the cake- kept breastfeeding even if my daughters GI issues didn’t resolve. Because “breastfeeding is best.” Even if it means having a GI tract that is so inflamed, it is BLEEDING.

If anything, my experience has made me so much more empathetic to other moms and the difficult choices we all have to make as parents. We do the best we can with what is presented to us. Ultimately my goal as a parent is to raise a kind, compassionate, open-minded human being, and I seriously doubt that being formula fed has any bearing whatsoever on what kind of a person she will grow to be.

However a mom comes to the choice to formula feed, or have a c-section, or whatever, is ultimately her own business, and we could all stand to be a lot more open minded and empathetic.

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Feel like sharing your story? Email it to me at formulafeeders@gmail.com.

FFF Friday: “Society has made it so that if we don’t breastfeed, we better have a damn good reason for it.”

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 also are not political statements – this is an arena for people to share their thoughts and feelings, and I hope we can all give them the space to do so.

I can’t read Amy’s story without tearing up, because it is SO much like mine. And it infuriates me – because no mothers, and no babies, should have to suffer like this. The dismissive attitude of her care providers; the lack of information that might have at least helped her find an appropriate formula (why wouldn’t a pediatric GI suggest a hypoallergenic? I’m dumbfounded…); the helplessness, inadequacy, and frustration Amy felt… this isn’t “okay”. Even for those who claim our fight is maternal-centric; that we only care about the well-being of the mother – how was any of the experience detailed below beneficial to Amy’s daughter? Maybe we should focus on the babies for a minute – because we certainly aren’t doing them any favors with the warped, convoluted system that passes as “maternal-infant care” these days. 

Rant over. Now it’s Amy’s turn – and boy, does she have reason to rant.

Happy friday, fearless ones,

The FFF

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Amy’s Story

My story is a lot like many others on your site. And really, I should leave it at that. Why do we breastfeeding “failures” always feel the need to explain and explain and explain? We shouldn’t have to. But alas, society has made it so that if we didn’t breastfeed, we had better have a darn good reason for it. And so, explain we do. To anyone who will listen, really. Even long after the little one has started kindergarten, for goodness’ sakes.

My start at motherhood failed fantastically in every way you could possibly think of. I couldn’t even *get* pregnant. After four years of battling painful infertility and two straight agonizing and expensive years of fertility treatments, our IVF (In Vitro Fertilization) miracle was finally, finally conceived. So, I first failed at that. When it came time to actually have her, my body failed at that, too. I needed a c-section (and don’t get me started on that topic, with the way things are going in that department, we need a Fearless C-Section Momma blog). Is it any wonder breastfeeding failed, too?

All my friends breastfed. While pregnant, people would ask if I would breastfeed. Is that a trick question? Why of course I would! Duh! Who wouldn’t? Smarter, healthier kid? Come on! Besides, this was a VERY wanted child; we spent years trying to have her (not to mention thousands of dollars), so naturally we’re going to do everything “right.” Oh sure, we might need to supplement from time to time; I’ve heard that’s really common, especially in the beginning, and I’m okay with that. My husband and I were both raised on formula and we turned out to be pretty healthy and intelligent people, so a little bit won’t hurt her if it becomes necessary. Plus, I’ve read a lot lately that there’s really no such thing as “nipple confusion,” so I’m not worried. But oh, we’d ABSOLUTELY breastfeed. I’d pump, too, of course. I’d like to get a break from time to time; maybe take a long bath, run to the store solo, or sleep in. A “relief” bottle would be daddy’s time to bond with the baby. I had it all figured out.

So imagine my frustration, when in the hospital, she wouldn’t latch. AT ALL. A steady stream of several different nurses and lactation consultants came in to try to force my babe onto my boob. I sat with my shirt open, both breasts hanging out, and no less than two people at a time trying to force my gigantic, swollen breast into her tiny mouth. She just wouldn’t do it. None of the tricks worked, not the nipple shield, not even the SNS. I started pumping with that ridiculous torture device known as a hospital-grade pump. I was a milk machine. Oh, I made plenty of milk alright. Tons of colostrum; several ounces at one time. The nurse even remarked that I had produced enough colostrum for two other babies in the nursery. I felt so good about myself. Oh sure, we were having some minor bumps in the road, but at least my baby was receiving liquid gold (from a syringe). Except the syringe method was wasting an awful lot of milk; most of it seemed to run down her chin. The nurses suggested feeding her the colostrum from a bottle, yet she seemed to struggle with that, too. It was strange; I was making so much and she clearly wanted it, but couldn’t seem to figure out how to take it. Tongue-tied! That’s it! She must be tongue-tied! I read about that – super common. I asked the LC to check. They said they already did. “Check again, please,” I requested. Nope, she was not even slightly tongue-tied. She was, however, jaundiced and getting worse. Dehydrated and fussy. Hubby determined we just needed to get home where we could have some privacy and get into our rhythym. We made a deal for early release (48 hours!) if we’d come back every day for bilirubin checks. We agreed.

We got home and that’s when the screaming started. No, this can’t be. All the books say newborns are exceptionally sleepy the first several days. Mine wouldn’t sleep. She still wouldn’t latch, and we tried every different type of bottle and nipple to figure out which one she’d take. Every time we went back for a bili check, I’d see the LCs. They were woefully unhelpful and incredibly chastising. The only medical professional I had ever come to for help who treated me with suspicion; as though they thought I didn’t really want to do this. Each encounter felt confrontational; they seemed aggravated with me. I was in tears, and all they could do was tell me that “you can’t pump forever, you’ll dry up” and that I was going to get mastitis and clogged ducts if I didn’t put the baby to breast, among other ominous warnings about pumped milk not being as good as “fresh from the tap.” At the end of each session, they’d sigh and do what I call the Jedi Hand Wave: “She’ll figure it out,” as though they could simply will it to be with a wave of the hand.

I still tried to get her to latch at every feeding, but I had an overactive letdown reflex and if she managed to get any of the nipple in her mouth, it just made her choke (yes, I tried pumping first, but remember, I was a milk MACHINE – the stuff came squirting out like water from a garden hose with your thumb over it). It got to the point where I’d merely take out the breast, and she’d scream and turn away from it (how’s that for rejection for a post-partum hormonal new mother not getting ANY sleep whatsoever?). So I decided to pump exclusively, despite the LC’s and Internet’s warnings (cue guilt trip number three). Babies are smarter than we give them credit for, and she clearly figured out that the breast was not her friend. So I pumped. And pumped. And pumped. I wasn’t sleeping and was smashingly exhausted, given that my body was trying to heal from the c-section. She continued to scream. You. couldn’t. put. her. down. She was up every hour. She wasn’t doing ANYTHING the books and magazines said she should be doing, like eating every 2-3 hours and sleeping 2-4 hour stretches (she NEVER slept, unless you were holding her and she ate one ounce every hour). I never knew what that “milk drunk” satiated look looked like. She was NEVER content, NEVER peaceful. And I’d kill for a two hour stretch of sleep. Are the people who write these books idiots? Or is there something seriously wrong here? She would fight the feedings. She’d suck for a bit, pull off the bottle, then turn her head away and arch her back, all while screaming. For horrifying special effect, she’d often gag and choke, unable to breathe for a few terrifying seconds. Her lips would even turn blue. Then she started projectile vomiting; entire contents of bottles. Bottles full of the liquid gold I’d worked so hard to produce. She wasn’t gaining well. She also broke out in full-body rashes and hives. Several times a day, she had explosive, smelly diarrhea laced with mucous (and traces of blood, we’d later discover) that caused diaper rashes that looked more like chemical burns. I started cutting things from my diet. She continued to get worse. Even though I was producing plenty, we started supplementing a small amount (remember, I was okay with this), but it didn’t really help. We went to the doctor every few days; I desperately looked forward to the appointments. It was the only time we got out of the house. Friends were taking their babies to the mall, for walks, and I couldn’t comprehend how this was even possible. One friend with a baby the same age often called me lamenting how “bored” she was. I was flabbergasted because I was ANYTHING but bored. I was a veritable prisoner in my home. My outings were doctor appointments (to which the baby screamed the entire drive). I was usually in tears (wearing sweats and not having showered) and needing confirmation from some professional, ANY professional, that I wasn’t a fantastic failure at motherhood. I began to believe that my infertility was because God knew I’d be a horrible mother. He saw this coming. He tried to tell me. What people say about infertility is true, and their hurtful words echoed silently in my head: “It’s God’s will, some people aren’t meant to be parents.” We messed with nature and now I have a baby I wasn’t meant to have. Depression and despair began sinking in.

“Colic,” the pediatrician said. “You just have to wait it out.” But the reflux and apparent food allergies (milk protein and soy, we later discovered) were treatable. They apparently can exacerbate each other. She referred us to a Pediatric Gastroenterologist. While waiting for the appointment, we kept a journal of what I ate and how she acted (it never changed, despite my obsessive label-reading and eliminating foods one by one). We tried several different formulas; soy, rice added, sensitive. Still no dice. I knew NOTHING about formula, so I didn’t know about hypoallergenic formulas at the time (I couldn’t even PRONOUNCE Nutramigen). I remember standing in the formula aisle at the grocery store astounded by all the brands and choices and feeling completely overwhelmed and stupid. This whole thing strained our marriage (hubby was so over the attempts at breastfeeding, the constant pumping and washing pump parts, my crying, the baby’s crying, etc). He went back to work, and I spent my days hooked up to the pump, trying to rock the car seat with my foot while my child screamed; screamed in agony. From hunger. From the as-yet-diagnosed food allergies. From the reflux and esophageal irritation that was burning her throat like fire (we’d later find this out during a swallow study). To say I was a mess would be the understatement of the century.

One chaotic morning after hubby had left for work, I looked down at my screaming baby while the pump whirred rhythmically, splashing a substance into the bottles that was clearly harming her. It was then that things suddenly became clear. THIS was supposedly what was best for her? This? All this? I’ll save you the rest of the agonizing details and skip to the part where we finally tried a hypoallergenic formula sample given to us by the pedi GI, and within about 48-72 hours, the rashes, hives, and diarrhea gradually disappeared. She cried a whole lot less and stopped fighting feedings. Feeding her actually became a calm and enjoyable experience for both of us. She took more than just one ounce at a time. She slept a four hour stretch for the very first time in her life, after waking, literally, every 45-60 minutes around the clock. We tried a few different reflux meds until we finally found the one that worked. I quit pumping. And really started mothering. We finally bonded and I fell head over heels in love with my little girl. I started feeling like a good mother who truly was meant to have this miracle child. At nine weeks old (yes, this went on for nine long weeks), she finally smiled for the very first time.

And so did I.

Postscript from Amy:  At 15 months old, my daughter was diagnosed with Dysphagia (difficulty swallowing), an exaggerated gag reflex, Sensory Processing Disorder, and poor muscle control of the tongue, cheek, and jaw. It took that long for a diagnosis because she wouldn’t/couldn’t eat solid foods (not even baby food). With the exception of the occasional cracker or Cheerio, she existed almost solely on the hypo formula up until that point. It was why she was literally incapable of latching and had so much trouble even with bottles. It took 18 months of Occupational Therapy to teach my child to chew and swallow properly. 

 I am relieved to report that despite having been formula-fed, my now-6 year-old is the healthiest in her kindergarten class, having NEVER had a single stomach bug, having suffered exactly ONE ear infection in her entire life (at the age of four), is in the 40th percentile for weight, and is reading at a second-grade level. So much for being dumb, sickly, and obese.

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Want to share your story for an upcoming FFF Friday? Email me at formulafeeders@gmail.com.

FFF Friday: “Turning to formula was my first courageous act as a mother.”

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 also are not political statements – this is an arena for people to share their thoughts and feelings, and I hope we can all give them the space to do so.

This week’s story comes from Michelle, a self-professed “foodie” who was dismayed to find that while food was a pleasure, feeding… well, not so much.

I love Michelle’s discussion of how food can be so much more than just calories. The act of eating is social, emotional… it can and should be a pleasurable act. In our society, though, we’ve turned it into something so fraught with judgment and anxiety – from our current obsession with childhood obesity in this generation, to the eating disorders that plagued our generation, we just can’t seem to get it right. This complicated relationship with eating and feeding begins with how we nourish our infants – I believe that by creating feeding experiences that are loving, happy, and full of laughter we will take a step in helping the newest generation have a better relationship with food. 

And I think that Michelle and her Sweet D are well on their way to doing just that. 

Happy Friday, fearless ones,

The FFF

 

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Michelle’s Story: Foodie Becomes the Fooder

I love food. I’d even say I’m obsessed with food. It is sustenance, happiness, culture, adventure, and excitement for me. When thinking about Sweet D and exploring food with her when she gets older, I get very excited. In an ironic slap across my face, feeding her was hard for me. And eating was hard for her.

Just as I was instructed, I took the first possible opportunity in the delivery room to try to breastfeed Sweet D. It worked, but not great… but it was the first time for both of us.  As our time together continued, it became evident that something wasn’t going right. It shouldn’t have hurt that much and Sweet D would become furious with frustration after just a few minutes of trying to latch. I repeatedly turned down the formula offered by the nurses. We had the lactation consultants in the hospital come see us — they immediately checked her frenulum, that piece of tissue that connects your tongue to the bottom of your mouth. Hers was connected to the very tip of her tongue making it impossible for her to move her tongue as freely as was necessary for breastfeeding. I knew this was going to be a problem.

During those first few days Sweet D cried a lot. She was hungry and I was desperately trying to satisfy her. Because of the problems with her tongue, her poor attempts at latching really hurt me to the point where I was bleeding after only a short time on the job. I would nurse as long as I could stand it and would eventually have to cut her off because the pain was so bad. Neither of us could take it much longer.

I was nervous about my first appointment with our pediatrician the morning after we were released from the hospital. Everything I read online about her said she was very strict about breastfeeding. I didn’t know what she was going to tell me. By that first appointment, Sweet D had lost over 10% of her body weight. That’s the magic number that indicates the baby isn’t eating enough and something needs to change. I nursed in the doctor’s office as we talked about Sweet D’s tongue and my pain. “You’re definitely in rougher shape than you should be,” the doctor told me. I was surprised to hear that from her. I thought she was going to tell me it was normal. We left the office and headed to the ENT specialist who would snip Sweet D’s frenulum in an attempt to free her tongue and resolve this situation once and for all. I held my newborn in my lap as the doctor performed the quick procedure.

That afternoon I hit my limit. The pain was unbearable. Sweet D was screaming. She had become so frustrated that she wouldn’t eat. I was in excruciating pain. I couldn’t take it anymore. My baby needed to eat and I couldn’t provide her with food as I had hoped. My husband called the pediatrician’s office and spoke to a nurse.  He explained the situation and asked what to do. The nurse said, “Uh… give her formula.”  Her tone implied she omitted the “duh!” from the end of her statement. I needed to hear my staunchly pro-breastfeeding pediatrician’s office say it was time for formula. Even with that seal of approval, I felt like I had failed, like I was doing something awful to my little girl. Formula. Anything you read about nursing will make you feel like feeding your baby formula is child abuse. Unfortunately, given our situation, I had read lots on nursing before delivering and now was feeling like a bad mother for turning to formula. But Sweet D needed to eat — I needed to feed my baby.  So I did.

I took a few days off from nursing to allow myself to heal. Then we brought in a lactation consultant. We got a pump. I wasn’t ready to give up on breastfeeding, but I also wasn’t ready to go back to it full-force. The lactation consultant was incredibly understanding. She wanted to see me succeed, but she knew the odds weren’t great. We worked together to come up with a plan: I was breastfeeding as much as I could starting with once each day and increasing; I was pumping at least 8 times a day for 10-15 minutes; and we were feeding Sweet D a bottle every few hours. It was exhausting.

My milk production suffered because of the initial delay in feeding. I was pumping every few hours to help boost my production and to get breast milk for Sweet D to have in her bottle but it didn’t improve much. And Sweet D’s ability to nurse didn’t improve much either After two bouts of mastitis, I turned to exclusively pumping. And after my third infection, I had to quit after two and a half months. The stress of it all was tainting my first months of motherhood.

I eventually felt better about my decision to give Sweet D formula, but I never felt great about it. I felt self-conscious mixing bottles in front of other people. Sweet D is 19 months old and I still feel like I have to defend my decision despite her being long off the bottle.

Sweet D is an incredible kid. Her teachers at daycare constantly tell me how smart she is and how much more quickly she learns than her classmates. And since the day she discovered it, she has been in love with her tongue. Every time I see her stick it out or use it to make silly noises, I think about how much trouble that little tongue caused her.

Now I can say that my only regret is that I read so much about breastfeeding before giving birth. I shouldn’t feel that way, but I do. I wish I hadn’t read everything that implied giving my daughter formula meant I was giving up, being selfish and choosing to start off motherhood as a terrible mother. In fact, turning to formula was my first courageous act as a mother. Given the choice I’d do it again and I should do it again.

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Feel like sharing your story? Send it to me via email – formulafeeders@gmail.com.

Preschool, Shmeeschool: Carnival of Evidence-Based Parenting, First Edition

Today’s post is a bit of a departure for me, since it has absolutely nothing to do with infant feeding, or infancy, for that matter. And this is a good thing, because to be perfectly honest  it gets rather dull writing about babies. Babies are kind of boring. Preschoolers are much more interesting. Also more whiny, but that’s fodder for another post.

The reason I’m writing about preschool today is that I’ve joined an incredible group of research and science-driven parenting bloggers. It’s nice to feel I’m part of a group, rather than my usual position as the parenting world’s social media pariah – and I also appreciate that by joining this group, who will be doing a monthly blog carnival with rotating topics, I will be forced out of my comfort zone and inspired to write about a variety of parenting-related issues.

This month’s topic is Preschool. This is a subject which I don’t think much about; ironic, as my children are both in preschool. You’d think I would have at least done some thinking about what type of educational environment would be best for them, but when the time came to decide on a school, I didn’t feel I had much choice. There were very few schools in my area which were not church-based; being Jewish (totally secular, but still self-identifying) I wasn’t sure how I felt about my children learning about God in a way that didn’t feel kosher to me. Thus, we chose the one Jewish (secular, but self-identifying) preschool within a 30-minute radius and called it a day.

We were lucky, because that school turned out to have a warm, outdoor-focused, play-based curriculum. In other words, there really is no curriculum. The kids run around outside. screaming like banshees, riding trikes around the play yard sans helmets (oy), planting lemon trees, and creating Thomas the Train out of old boxes and paint. When holidays arise, they usually approach them by crafting some sort of makeshift art project (i.e., the “Star Wars”-themed Passover seat cushion my 4-year-old proudly brought home last month). It’s a haphazard, seemingly directionless environment, and I adore it (so much so that I’m willing to drive 20 miles to and from school every day, in LA traffic, with gas prices being what they are).

However, a few months ago, I started getting a wee bit nervous when I entered my son’s preschool classroom and discovered him doing a “Letter Book” with one of the teachers. That day’s letter was “C”; I was hoping they’d have him think of all the words that started with “C”, or talk about the different sounds “C” can make.

Instead, the teacher had him glue a “C” she cut out from construction paper onto the book. That was the extent of the project.

Now, my son, like many 4-year-olds,  can write the entire alphabet, and is starting to sound out words on the page when we’re reading together. He recently created a pair of paper “shoes” for his sister using nothing but tape, construction paper, and our (regular, non-”kiddie”) scissors, so there was no reason he couldn’t have at least cut the darn “C” out himself. So this project seemed a bit…well, for lack of a better word, pointless.

I started panicking a little. What were other preschools doing? (I didn’t know, but I knew you had to sign up for them before you even conceived.) Had I picked a school for my son out of laziness? (Yes.) I knew play-based curriculums were all the rage, but this wasn’t the sort of free-form artwork I’d envisioned. And maybe I’d picked the wrong environment for my intellectual, perfectionist child – my daughter was thriving at the same school, loving the social interaction and singing and craziness of it all. My son, though – he flourished with structure. He loved instruction and learning. Maybe this was the wrong school for him?

But through the panic, the uber-rational devil on my shoulder kept whispering “does it really matter? It’s preschool.”

Of course, I started looking into the research (a few years too late, but whatever) and found myself even more confused. The overall benefits of preschool have been all over the news lately, as Obama has announced a new plan to bring universal preschool to our nation’s 4-year-olds in “low and modest-income families”. The opposition has argued that this will be a waste of money and resources; a spokeswoman from the Heritage Foundation countered that “the administration should be working to trim duplicative and ineffective programs, and leaving the provision of early childhood education and care to private providers and, most importantly, parents.”

Taking away the politics for a minute, let’s consider the research being used to back up Obama’s assertions that funding universal preschool will make an impact on society, and what this research means for parents. The National Institute for Early Education and Research (NIEER) put out a position paper trying to explain the research, and it does seem clear that there is a small but significant benefit in early education, in both cognitive and social development, that lasted well into the school years – this effect was seen in a number of studies and meta-anaylses, across different populations and socio-economic groups.

Still, one must ask: How much of this advantage had to do with the children merely being surrounded by their peers? Was it the educational component of the curriculum, or simply having an adult who paid attention to them and attended to their needs? What were these kids’ home lives like? If it was more an effect conferred by social interaction, are parents doing kids a disservice by homeschooling preschoolers? (This would be relevant to the Heritage Foundation’s argument, because it might mean that a parent can give all the attention, education and creative play s/he can muster and it wouldn’t be as beneficial as sending a kid to a multi-age daycare).

The NIEER report does attempt to address some of these quandaries.  For example, there has been substantial research on whether preschool has more of a positive effect on disadvantaged children:

Generally, studies in the United States and abroad (where universal programs have a longer history) find that preschool education has larger benefits for disadvantaged children, but that high-quality programs still have substantive benefits for other children (Barnett, 2008; Burger, 2010).

They discuss a twin study which “finds positive impacts from attending preschool at age 4 across most of the socio-economic spectrum with effects declining gradually as socio-economic status increases” and another study from 1983 (almost as old as I am) that found “positive effects on achievement continued into the school years with very large effects for boys, in particular, found in the second and third grade (Larsen & Robinson, 1989.” even in higher socio-economic groups. But I still wonder – higher income is not synonymous with healthy home life. I’m not sure any of these studies really address whether the kids involved had parents around who were giving them the type of interaction, attention and play that they needed; that would again matter for those who choose to homeschool, or who didn’t qualify for public programs and yet didn’t have access to good preschools. Could parents make up for any shortcomings in their children’s early education?

The NIEER report also makes the point that the type of program matters. They cite the HighScope Preschool Curriculum Study, which randomly assigned 68 kids to one of three types of preschools:

 Both the HighScope and Nursery School approaches emphasized child-initiated activities in which young children pursued their own interests with staff support. The Direct Instruction approach, in contrast, focused on academics and required young children to respond to rapid-fire questions posed by teachers. (Source: http://www.highscope.org/Content.asp?ContentId=241)

They followed these kids through adulthood, and found significant differences in outcome. There wasn’t much difference in terms of IQ between the groups, but in terms of social development, the “direct instruction” kids fared the worst . And these results were… well, odd. For instance, the HighScope kids were more likely to be living with their spouses. (Crap- I should’ve asked about Fearless Husband’s preschool curriculum before we made it legal.) The Direct Instruction group were more likely to be involved in delinquent activity by the age of 15.

So what the heck does this all mean?

Obviously, my concerns, sitting here in my suburban Starbucks and obsessing over the quality of my childrens’ preschool curriculum have little to do with the concerns of the Obama administration or those criticizing the push for higher-quality public preschool. But I think all of us could use a dose of reality – these studies do not seem to show a definitive answer to what is going to help kids the most, in terms of both academic and social success. What does seem clear is that kids are helped to a small, but significant, degree when they are given some higher-quality early education. Child-led curriculums seem to fare better than having kids sit in chairs and firing questions at them (surprise) and having social interaction is a positive thing. Do with it as you will.

As for me? I’m sticking to my down-home preschool. The kids are nice, the teachers are warm, and my kids seem to like it.  I can work on the alphabet at home; what my son really needs is to learn to be free, to get dirty, take risks on the slide, and run around playing Power Rangers with other boys. He will enter elementary school thinking that school is a fun place where you can spend half the day wandering outside finding “treasures” of broken barrettes and rogue shoelaces in the sandbox. He might be in for a cruel awakening, but I’ll deal with that when the time comes.

Check out the other posts from the Carnival of Evidence-Based Parenting Bloggers (all much more coherent than mine, I’m sure):

Picking a Preschool (Momma, PhD)

Universal Prekindergarten: Evidence from the Field (Six Forty Nine)

 

 

FFF Friday: “People were acting like Aubrey had some kind of condition… rather than just eating formula…”

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 also are not political statements – this is an arena for people to share their thoughts and feelings, and I hope we can all give them the space to do so.

Some of the judgment women experience for formula feeding is overt. Other is more subtle – like the type FFF Brittany describes below – and in some ways, more harmful. It’s easy to fight back when someone says something really extreme, like “formula is poison”. But when well-meaning friends imply that they feel sorry for you due to the fact that you aren’t breastfeeding, or professionals make statements about how successful breastfeeding is all about commitment… well, maybe you feel like a jerk, getting all huffy. I know I have in the past, convincing myself that these people “mean well”.
 
However, I believe we need to start speaking up about these “quieter” forms of formula feeding judgment – because it is judgment, and judgment has no place in this discussion anymore. We can evolve past that. I know we can.
 
Happy Friday, fearless ones,
 
The FFF
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Brittany’s Story
I was due this past October to have my first baby, a little girl, and I was 100% planning on breastfeeding her. All my friends and my sisters-in-law breastfed their babies up to about a year, and so I thought that this was the right thing to do.
Aubrey was born Oct. 5, 6 lbs 13 oz. She was a week early but wasn’t very undersized; just a petite baby. We attempted breastfeeding within the first hour of her birth, to pretty much no success. Aubrey could not figure out how to latch on at all. Regardless, I wasn’t feeling frustrated because I’d heard that this if often the case for the first attempt. I was sure it would work out later on.
However, after attempts pretty much every hour that first day, Aubrey still didn’t know how to latch. After about 12 hours of trying unsuccessfully, the nurse came in and told me they were concerned that Aubrey’s blood sugar was low, and would I be ok with giving her a bottle. Being very concerned at this point, I consented to give her a little formula. The next day we tried again and still no latch. The nurses suggested I use a nipple shield, as this can help the baby figure out how to latch, but warned me under no circumstances should I use it past a week. I tried it out and Aubrey took right to it. From then on, if she breastfed, it was with the shield.
I never really felt that my supply was very good, because even after feedings Aubrey always seemed hungry. She would nurse for an hour or more and then STILL be hungry enough to drink a full bottle (we were planning on supplementing with formula at this point). At my doctor’s advice I tried oatmeal, fenugreek, power pumping, and visited a lactation consultant, but my supply still wouldn’t increase beyond what it was already at. At this point, my boobs felt like they were going to fall off, they hurt so much, and Aubrey wasn’t gaining weight like she needed to.
We fought the breastfeeding battle for 2 months until one day, Aubrey decided that she flat out would not breastfeed anymore, shield or no shield. I would try to feed her and she would scream until she was purple, and I was crying out of frustration. After talking with my husband (who has been tremendously supportive about all of this) we decided I would give up breastfeeding and switch to formula full-time. It wasn’t worth it to Aubrey, who was always upset with breastfeeding, and to me, since I was incredibly frustrated with the experience.
I felt a great deal of guilt when I gave up breastfeeding, both self- and other people-imposed. The lactation consultant I saw suggested to me that “I could make breastfeeding work if I was actually committed to it” which suggested that my problem was just a lack of commitment  That really irked me. Other times moms, I’m sure without meaning to offend, would post these extreme pro-breastfeeding, anti-formula feeding articles all over Facebook touting the “immense advantages” of breastfeeding. One article even talked about how “formula fed babies die more often from SIDS”. My husband’s brother died as an infant from SIDS, so this was already a sensitive subject for me and that article about sent me over the edge. Other moms constantly expressed to me how disappointed they were for me that I couldn’t breastfeed: “Oh, what a shame”, or “Oh, that’s really too bad”, the whole time during which I was thinking, you do notice that my baby is completely healthy and happy, right? It was very strange to me that people were acting like I was telling them that Aubrey had some kind of condition or something rather than just eating formula instead of breast milk.
Since giving it up, though, I have been SO much happier and Aubrey seems a lot less stressed out about eating. I don’t dread feedings that take 2 hours and leave me feeling sore for a day anymore, and Aubrey gets her fill and has been gaining weight like a champ! For my sanity and Aubrey’s, formula feeding has been the answer for us.
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Share your story: email me at formulafeeders@gmail.com
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