My Plea to Pediatric Health Care Professionals | The Fussy Baby Site

21
Jul

My husband dared me to write this post, so if you are offended by it, blame him.

Well, actually he dared me to title this post Breastfeeding Nazis, but I didn’t quite have the guts to do that.

Let me start by saying that I am a HUGE advocate of breastfeeding, believe breast is best and all that.

In a perfect world, every mother would breastfeed exclusively for the first 6 months. We would all produce enough milk (granted, the vast majority of us do), babies would contentedly feed, and most importantly, we would have amazing and supportive friends and family who encouraged us in our pursuit to breastfeed.

Unfortunately, the phrase breast is best is often not used to encourage and support women, but to beat them over the head.

Here are some examples:

“But my baby cries and squirms and pulls up his legs when I nurse him! What if something in my milk is hurting him?”

Breast is best.

“My baby cries all day long, and I keep wondering if he’s getting enough milk. I’m considering supplementing with formula.”

Breast is best.

“I am worn out, drained, at the end of my rope. My baby is colicky, and none of us are sleeping. I don’t enjoy breastfeeding but I feel guilty about the thought of switching to formula.”

Breast is best.

(you get the picture)

Expert Opinions on Formula for Colic

I recently put out a call to experts to comment on the use of formula for colicky or fussy babies. I wanted some feedback on questions such as:

In what situations (if any) would they recommend switching to formula?

Is there a particular type of formula they would recommend for colicky babies?

Should formula ever be used as a treatment for colic?

Here is one response I got to my query:

Physicians, who are not breastfeeding experts, say to try formula. They have no idea other than what the formula advance reps tell them. Why are you focussing on formula as a cure for colic? You have one [question] which asks if it should “ever” be an option (“never” and “ever” have connotations), and all the rest assume formula is a viable choice for this purpose.

Since breast milk is acknowledged by everyone with a shred of physiology knowledge to be THE best food for babies of colic age, it does not make any sense that switching to something that isn’t (and makes babies unhappier in the bargain– more gas, more spitting, smellier and more caustic stools, and more waiting) is a good idea.

Better that you should:
1) seek the input from breastfeeding experts, who tend to be nurses, and have good ideas on how to deal with fussy and colicky babies, and
2) teach your readers more about colic, surviving it, and not confusing your baby with different feeding modalities when, in reality, colic is outgrown in about 6 weeks almost all the time with no changes in diet or behavior at all.

Hmm. Interesting.

I actually do agree with most of the points in this response, which by the way, was from an RN (except that colic is outgrown in 6 weeks, obviously).

I wanted to include this response as I think the attitude and lack of compassion represented here is all too common. I don’t even have a colicky baby anymore, and I was taken aback by this response.

Now imagine you’re a new mom whose baby cries all day, you’re sleep-deprived, your husband works long hours, and you are considering supplementing with formula on the off-chance it will provide even a minuscule amount of relief from the crying. You contact the local public health nurse (I am not slamming public health nurses. I think in general they are amazingly supportive), and you receive a response akin to the one above.

Does this help you feel empowered? Encourage you to keep at it? Or does it make you feel like you’re obviously a failure to even consider using formula? One more guilt-laden remark you can ruminate on at night while you’re laying in bed waiting to hear your baby wake up crying, yet again?

Whether you like it or not, formula is an option for parents, and nothing you can do will change that. Tell parents the facts: Formula will likely not help their baby’s colic, and in fact may make it worse. But also tell them it is their decision to make, and their baby will be just fine regardless of what choice they make.

There is a time for presenting the facts, and sharing what the research says. But do it in a gentle and empowering way, and trust that parents will do what’s best for themselves and their baby.

 

You may also like:

Category : colic / rants

7 Responses to “My Plea to Pediatric Health Care Professionals”


Well said (I mean by you…not so much the nurse’s response). I nursed for 16 mos. And in the beginning it was exceedingly stressful with a HN baby. I tortured myself (I was so convinced something I was eating caused her fussiness. Even did the total elimination diet for 10 days. But saw no change.). Would I do it again? Probably. But I always apprecated how supportive our pedi was–encouraged me to pump and try formula for 48 hours just to see if there was a difference (he is a man with years of wisdom–and knew from the beginning that I simply had a very spirited babe). I never did that though. I was too scared! Breast feeding is a huge commitment as it is, and when you toss a HN baby into the mix, it is so stressful. I support breast feeding but more so support moms doing whatever works best for them. I am 100% certain that babies turn out fine either way!

    admin

    Amy, well said! I think the key is what you said – supportive. THAT is what new moms need, support. Give us the facts, then assure us that this is not a life and death decision and our babies will be just fine. Good for you for persevering though…you’re right, feeding a HN baby can be very, very difficult, whether that’s formula or breastmilk. Moms need to know that formula will likely not help with colicky behaviour (and in fact often makes it worse), but moms need to have that choice and feel supported either way.

Sarah

I generally agree with your article, if the response is simply “breast is best” and/or said in the tone of the nurse above, that is just terrible! There is nothing loving or supportive about that. Tone and presentation makes such a huge difference. Mothers need information, most importantly ACCURATE information about BOTH bfing and ffing so that THEY can make the best decision for their own family.
That being said, I feel I need to share a little of my story. I entered motherhood with a strong commitment to bfing, little did I know how hard it would be. Do you know what made it 10x harder? The fact that I received NO support from anyone other than my mother. I PRAYED for a bfing nazi, lol. I absolutely support a mother’s right to make the decision to bf or ff, but I fear that far too often it is swayed by a lack of support or MIS-information by pediatricians (many of who are require to have little to no bfing expertise…yet who do we go to for support?). Here is a list of reasons my pediatrician recommended I “supplement” (this started on my dd’s 2nd day of life), dehydration, jaundice, unexplained fussiness, reflux (which she did not have), not satisfied by bfing (fed “too long” at the breast)…the list goes on. Most of the advice they gave me on the how to’s of bfing were false, and if I had followed their instructions would have “failed” miserably. I cried nearly every time I left the pediatrician’s office because I felt like a terrible mother who was making my child this miserable, only to do research on my own to find that I was doing the right thing.
I do not have a problem with mothers using formula, I don’t think it is the end of the world, and I hate that mothers feel guilty for their choices (on BOTH sides of the fence). BUT, again I have a HUGE problem with medical professionals who hand out false information.
For ME, bfing was the best possible option for my HN baby. One of the only things that would calm her was the breast (not that we didn’t have horrible battles), she spent HOURS at the breast for both nourishment and comfort. If I had switched to the bottle (breast milk or formula) I would not have been able to comfort feed (a baby at the breast cannot be overfed). The extra time, effort and expense of bottle feeding was just not something I could afford as the mother of a HN baby.
I hope to never be seen as a bfing “nazi”, I hope I don’t come across that way. I guess because my bfing experience was so different that you are describing, I wanted to share. Blessings to all you mommas out there, please make the decision that YOU can live with.

    admin

    Sarah, thanks so much for your thoughtful response. I agree 100% with everything you said. I don’t think you ever could come across as a breastfeeding nazi lol. I wanted to share this side of this issue, as it’s one I hear about often. I also hear the opposite, and it also bothers me – I find often it’s public health nurses (again, most are awesome, I’m guessing this is the minority) and lactation consultants who seem to push bf’ing to the point of making a new mom feel like a failure for even considering formula. I find more often it’s MD’s who suggest formula before bf’ing has been given it’s proper chance. I LOVED bf’ing…I’m SO so glad I didn’t give up on it even though it was so incredibly hard with Sammy. We even went through a one month total nursing strike when he was 11 months old, and I pumped for 4 weeks for him…so I am definitely pro-bf’ing!! I just get so annoyed when, as you said, the harsh tone of what someone is saying, particularly when they are an ‘authority’ figure, makes a new mom feel like scum of the earth for even considering it. Thanks again for your comment :)

Sarah

Wow, I wrote a book! So sorry, haha! Holly, thanks for all you do!

Jess

Great article first of all! And good on your husband for pushing you to do that. As a first time mummy myself with a “high needs” baby or colicky at least for the first 4 months I had nothing but nil support from health care professionals, even now to the point i dont bother with taking my daughter to a doctor unless absolutely neccesary. I was a pro bfing mum before my daughter was born, and two weeks later I lost a large percentage of my milk supply, and had to suppliment. I didnlt give up without a fight though. At two months i called it quits because at $50 a pop for a lactation consultant that only bashed me basically for supplementing, and a ped that cost me $200 – $300 a pop, we could not survive. Not to mention all the potions in the world they put me on that I mostly had side affects to my health was down the drown, along with a baby that could hardly latch, very sore boobs with no milk, my daughter frustrated to no end with mummy’s lack of liquad “gold” i was losing my mind! Lol. So, we made the switch and it just so happened in the end after i hounded my ped that she had severe gerd (she stayed awake almost constantly!) and chuck protein intolerance into the mix and there was the colic. Although after 6 weeks of treatments the “colic” left, my high needs baby did not. She is still fussy, but i wish so much RN’s, lact consultants, ped’s and doctors would really “listen” to us mothers, as we really do know best. So, I believe if bfing isn’t working and its only making the family more frustrated and you choose to switch – why feel slack for it? Your doing what you know is BEST for your child! I do wish I was able to breastfeed, and I will try again with the next, but until then im happy with my DD progress, she’s a healthy girl to say the least and has an extremely healthy diet and is reaching every milestone early so am I a happy ffing mum? You bet I am! It saved my sanity :-)

    admin

    Jess, thanks for your comment. You must live in the US…I can’t believe the prices you pay for basic medical care!! Anyways, it sounds like you tried SO hard and I’m sorry bf’ing didn’t work out for you. I always say we do the best we can in the situation we’re in…with the resources, strength and abilities we can muster. Making a mom feel bad does NOT help!