A modern lifestyle brand redefining motherhood

I’m a Doctor and I Think Breast Isn’t Always Best

Print Friendly and PDF

Is breast always best? Breast milk is undoubtedly the ideal nourishment for an infant and baby. Many women plan to breastfeed their babies, and for the lucky, breastfeeding is a rewarding and easy experience that facilitates bonding and nurturance. However, for some moms, the act of breastfeeding can range from difficult, to taxing and painful, to absolutely impossible, and the inability to attain this goal can supercede the joys in having a newborn. Our culture often focuses on breastfeeding at the expense of a new mother’s mental health and wellness, too often forgetting that filling baby’s belly is ultimately all that matters.

Here are four reasons why I, as a doctor, think that you don’t always need to breastfeed.

1. Breastfeeding was originally a necessity due to unsafe bottle-feeding, an issue that no longer exists in the Western World. Breast milk was considered the optimal baby nutrition in the 18th and 19th centuries. Mortality rates were incredibly high for bottle-fed babies due to factors such as poor bottle sanitation procedures, unpasteurized animal milks, and malnutrition.

The early 20th century saw a profound reduction in infant mortality owing largely to the introduction of glass bottles and the subsequent release of Liebig’s formula, the first artificial formula considered a reasonable alternative to breast milk. By the 1940s, the general consensus among pediatricians and the overarching opinion of the American Medical Association (AMA) was that formula was a safe alternative to breast milk.

FEATURED VIDEO

Rates of breastfeeding declined steadily until the late 1960s into the 1970s. People viewed breastfeeding as an uncultured practice maintained by the uneducated and those unable to afford formula. Many viewed the practice as ‘disgusting.’

Since that time, though, public support for breastfeeding has swung back into the pro camp, partly driven by recommendations to breastfeed from the American Academy of Pediatrics and other health organizations. Healthcare professionals believe that breast milk, which caters to babies’ needs as they grow, provides the healthiest, most adequate nutrition for infants, which can provide immunity against various illnesses and infections. What’s more, more recent studies have shown a correlation between breastfed babies and lower rates of SIDS (sudden infant death syndrome). Support for breastfeeding has increased so much over the past 20 years that in some circles there is currently almost a blind enchantment with the practice. Formula advocacy is not about replacing breast milk, but instead reasserting the idea that health of mom and baby is ultimately what is most important; the drumbeat of breastfeeding advocacy sometimes obliterates this message.

2. Using a bottle can help with postpartum self-preservation. A lot of overwhelmed women who feel they are failing at breastfeeding and thus at motherhood turn up at my practice after consulting friends, social media, and lactation consultants. Instead of concern and helpful guidance, these mothers are greeted with criticism and a myopic focus on the “breast is best” narrative; and the messaging is not subtle.

One of my patients who tried to calm her fussy infant with a pacifier during a breastfeeding information session was called out as a ‘bad example.’ She was told she was being lazy and was ultimately ejected from the event. Nipple confusion is typically cited as the reason why pacifiers should be avoided, yet multiple studies have failed to find causality between pacifier use and reduced rates of breastfeeding. Pacifiers may actually confer safety benefits as they have been linked with a decreased risk of sudden infant death syndrome (SIDS).

Knowing that she was at particularly high risk for postpartum psychosis, a pregnant, bipolar patient of mine painstakingly mapped out a plan to fulfill her dual goals of breastfeeding while remaining emotionally well: she would breastfeed by day and have baby receive a bottle at night while she optimized sleep. Unfortunately, after baby arrived via a complicated C-section birth, she was shamed for her nighttime formula request and was woken every two hours to nurse her new baby. After barely sleeping for three days, she was discharged feeling broken and scared and subsequently developed the very postpartum psychosis she had hoped to avoid.

Some women who don’t have issues nursing can also develop exhaustion and end up struggling as time goes. They are engrossed in an all-consuming breastfeeding schedule -- day in, day -- and oftentimes, nursing their babies become a chore rather than an anticipated bonding time. This can lead to a sense of disconnection, resentment towards partners, and even anxiety and depression.

In any of these cases, bottle feeding, whether it be with breastmilk or formula, could help tremendously in preserving not just your sanity, but also your appreciation and love for this new journey you just embarked on.

3. Formula is not only safe, it can save your baby’s life. Breast milk is the optimal source of nutrition for an infant, yet there are a wide variety of modern formula options that are very similar to breastmilk in terms of nutrients, and sometimes opting out of breastfeeding can actually be protective.

A 2018 study out of UCSF found that supplementing with formula in the first few days of life does not harm baby. Instead for babies who had lost significant weight after birth, providing formula reduced rates of hospital readmission compared with babies exclusively breastfed. In rare cases, a bottle of formula can literally be lifesaving. Furthermore, supplementing with formula does not lead to premature weaning, as is often suggested by breast-is-best adherents, and it does not change baby’s gut flora.

Study after study shows that mom’s mental health is intimately bound to baby’s short- and long-term health and welfare. Consistent data indicates that maternal depression is associated with impaired child cognitive and neuro-development, behavior problems in preschool and beyond, and depression in the teen years.

If breastfeeding is for whatever reason detrimental to mom’s mental health, then bottle feeding is a reasonable alternative. Medical evidence and common sense favor this approach, so it’s a mystery as to why our culture continues to shame moms who opt out of breastfeeding.

4. Happy (and Fed Baby), Happy Mommy. Breastfeeding isn’t always an option for everyone; and in some case, it may even be discouraged. The crux of it is that there is no right or wrong answer - the best way to feed your baby is to do what works: breastfeed, bottle feed, do it all - just don’t beat yourself up or feel like a failure.

Whether the breast glands work or not has absolutely nothing to do with whether someone is a loving, kind and engaged mother. The ability to breastfeed has become a litmus test by which one’s worth and value as a new mom is measured, and this is ridiculous.

It’s time to move beyond the politics of breastfeeding and respect each parent’s decision for how they feed their baby. Babies need to be fed -- the mode is not as important as the love provided while doing so. Being a mom is a long journey with countless opportunities to nourish and support your child -- this is only the first.

Dr. Snyder is a reproductive and perinatal psychiatrist with a unique approach that combines integrative medicine-based treatments. She maintains a private practice in Manhattan and specializes in women’s mental health. Dr. Snyder graduated with a BS from Emory University in Neuroscience & Behavioral Biology. She is a frequent lecturer on the subject of Women's Mental Health and Wellness, and has received extensive medical training in Reproductive Psychiatry from New York University, Beth Israel Medical Center, and Payne Whitney Women’s Program at New York Presbyterian Hospital – Weill Cornell Medical Center. She is also an executive board member for Postpartum Support International. Her weekly radio show, "MD for Moms," can be heard anytime on her website. Dr. Snyder’s Huffington Post parenting blog shares the "MD for Moms" moniker. Dr. Snyder resides in NYC and the North Fork with her husband and three awesome children. In her free time you can find Dr. Snyder training for a marathon, skiing or gardening. For more information, you can check out her website, on Twitter, or on Facebook.

Who said motherhood doesn't come with a manual?

Subscribe to get inspiration and super helpful ideas to rock your #momlife. Motherhood looks amazing on you.

Already a subscriber? Log in here.

As mamas, we naturally become the magic-makers for our families. We sing the songs that make the waits seem shorter, dispense the kisses that help boo-boos hurt less, carry the seemingly bottomless bags of treasures, and find ways to turn even the most hum-drum days into something memorable.

Sometimes it's on a family vacation or when exploring a new locale, but often it's in our own backyards or living rooms. Here are 12 ways to create magical moments with kids no matter where your adventures take you.


1. Keep it simple

Mary Poppins may be practically perfect in every way, but―trust us―your most magical memories don't require perfection. Spend the morning building blanket forts or break out the cookie cutters to serve their sandwich in a fun shape and you'll quickly learn that, for kids, the most magical moments are often the simplest.

2. Get on their level

Sometimes creating a memorable moment can be as easy as getting down on the floor and playing with your children. So don't be afraid to get on your hands and knees, to swing from the monkey bars, or turn watching your favorite movie into an ultimate snuggle sesh.

3. Reimagine the ordinary

As Mary says, "the cover is not the book." Teach your child to see the world beyond initial impressions by encouraging them to imagine a whole new world as you play―a world where the laundry basket can be a pirate ship or a pile of blankets can be a castle.

4. Get a little messy

Stomp in muddy puddles. Break out the finger paint. Bake a cake and don't worry about frosting drips on the counter. The messes will wait, mama. For now, let your children―and yourself―live in these moments that will all too soon become favorite memories.

5. Throw out the plan

The best-laid plans...are rarely the most exciting. And often the most magical moments happen by accident. So let go of the plan, embrace the unexpected, and remember that your child doesn't care if the day goes according to the schedule.

6. Take it outside

There's never a wrong time of year to make magic outside. Take a stroll through a spring rainstorm, catch the first winter snowflakes on your tongue, or camp out under a meteor shower this summer. Mother Nature is a natural at creating experiences you'll both remember forever.

7. Share your childhood memories

Chances are if you found it magical as a child, then your kids will too. Introduce your favorite books and movies (pro tip: Plan a double feature with an original like Mary Poppins followed with the sequel, Mary Poppins Returns!) or book a trip to your favorite family vacation spot from the past. You could even try to recreate photos from your old childhood with your kids so you can hang on to the memory forever.

8. Just add music

Even when you're doing something as humdrum as prepping dinner or tidying up the living room, a little music has a way of upping the fun factor. Tell Alexa to cue up your favorite station for a spontaneous family dance party or use your child's favorite movie soundtrack for a quick game of "Clean and Freeze" to pick up toys at the end of the day.

9. Say "yes"

Sometimes it can feel like you're constantly telling your child "no." While it's not possible to grant every request (sorry, kiddo, still can't let you drive the car!), plan a "yes" day for a little extra magic. That means every (reasonable) request gets an affirmative response for 24 hours. Trust us―they'll never forget it.

10. Let them take the lead

A day planned by your kid―can you imagine that? Instead of trying to plan what you think will lead to the best memories, put your kid in the driver's seat by letting them make the itinerary. If you have more than one child, break up the planning so one gets to pick the activity while the other chooses your lunch menu. You just might end up with a day you never expected.

11. Ask more questions

Odds are, your child might not remember every activity you plan―but they will remember the moments you made them feel special. By focusing the conversation on your little one―their likes, dislikes, goals, or even just craziest dreams―you teach them that their perspective matters and that you are their biggest fan.

12. Turn a bad day around

Not every magical moment will start from something good. But the days where things don't go to plan can often turn out to be the greatest memories, especially when you find a way to turn even a negative experience into a positive memory. So don't get discouraged if you wake up to rain clouds on your beach day or drop the eggs on the floor before breakfast―take a cue from Mary Poppins and find a way to turn the whole day a little "turtle."

Mary Poppins Returns available now on Digital & out on Blue-ray March 19! Let the magic begin in your house with a night where everything is possible—even the impossible ✨

After a pregnancy that is best described as uncomfortable, Jessica Simpson is finally done "Jess-tating" and is now a mama of three.

Baby Birdie Mae Johnson joined siblings Ace and Maxwell on Tuesday, March 19, Simpson announced via Instagram.

Simpson's third child weighed in at 10 pounds, 13 ounces.

Birdie's name is no surprise to Jessica's Instagram followers, who saw numerous references to the name in her baby shower photos and IG stories in the last few weeks.

The name Birdie isn't in the top 1000 baby names according to the Social Security Administration, but It has been seeing a resurgence in recent years, according to experts.

"Birdie feels like a sassy but sweet, down-to-earth yet unusual name," Pamela Redmond Satran of Nameberry told Town and Country back in 2017. "It's also just old enough to be right on time."

At this moment in time, Simpson and her husband, former NFL player Eric Johnson, are probably busy counting little fingers and toes , which is great news because it means Simpson's toes can finally deflate. She's had a terrible time with swollen feet during this pregnancy, and was also hospitalized multiple times due to bronchitis in her final trimester.

FEATURED VIDEO

We're so glad to see Simpson's little Birdie has finally arrived!

You might also like:

Spring is officially here and if you're looking for a way to celebrate the change in the season, why not treat the kids to some ice cream, mama?

DQ locations across the country (but not the ones in malls) are giving away free small vanilla cones today, March 20! So pack up the kids and get to a DQ near you.

And if you can't make it today, from March 21 through March 31, DQ's got a deal where small cones will be just 50 cents (but you have to download the DQ mobile app to claim that one).

Another chain, Pennsylvania-based Rita's Italian Ice is also dishing up freebies today, so if DQ's not your thing you can grab a free cup of Italian ice instead.

We're so excited that ice cream season is here and snowsuit season is behind us. Just a few short weeks and the kids will be jumping through the sprinklers.

Welcome back, spring. We've missed you!

You might also like:

The woman who basically single-handedly taught the world to embrace vulnerability and imperfection is coming to Netflix and we cannot wait to binge whatever Brené Brown's special will serve up because we'll probably be better people after watching it.

It drops on April 19 and is called Brené Brown: The Call to Courage. If it has even a fraction of the impact of her books or the viral Ted talk that made her a household name, it's going to be life and culture changing.

Announcing the special on Instagram Brown says she "cannot believe" she's about to be "breaking some boundaries over at Netflix" with the 77-minute special.

Netflix describes the special as a discussion of "what it takes to choose courage over comfort in a culture defined by scarcity, fear and uncertainty" and it sounds exactly like what we need right now.

April 19 is still pretty far away though, so if you need some of Brown's wisdom now, check out her books on Amazon or watch (or rewatch) the 2010 Ted Talk that put her—and our culture's relationship with vulnerability and shame—in the national spotlight.

The power of vulnerability | Brené Brown

FEATURED VIDEO

If Marie Kondo's Netflix show got people tidying up, Brown's Netflix special is sure to be the catalyst for some courageous choices this spring.

You might also like:

My husband and I recently had a date night that included being away from our son overnight for the first time since he was born three years ago (but don't let your heads run away with a fantasy—we literally slept because we were exhausted #thisiswhatwecallfunnow). It was a combination of a late night work event, a feeling that we had to do something just for the two of us, and simple convenience. It would have taken hours to get home from the end of a very long day when we could just check into a hotel overnight and get home early the next day.

But before that night, I fretted about what to do. How would childcare work? No one besides me or my husband has put our son to bed, and we have never not been there when he wakes up in the morning.

Enter: Grandma.

I knew if there was any chance of this being successful, the only person that could pull it off is one of my son's favorite people—his grandmother. Grammy cakes. Gramma. We rely so much on these extended support systems to give us comfort and confidence as parents and put our kids at ease. Technically, we could parent without their support, but I'm so glad we don't have to.

FEATURED VIDEO

So as we walked out the door, leaving Grandma with my son for one night, I realized how lucky we are that she gets it...

She gets it because she always comes bearing delicious snacks. And usually a small toy or crayons in her bag for just the right moment when it's needed.

She gets it because she comes with all of the warmth and love of his parents but none of the baggage. None of the first time parent jitters and all of the understanding that most kids just have simple needs: to eat, play and sleep.

She gets it because she understands what I need too. The reassurance that my baby will be safe. And cared for.

She gets it because she's been in my shoes before. Decades ago, she was a nervous new mama too and felt the same worries. She's been exactly where we are.

She gets it because she shoos us away as we nervously say goodbye, calling out cheerfully, "Have fun, I've got this." And I know that she does.

She gets it because she will get down on the floor with him to play Legos—even though sometimes it's a little difficult to get back up.

She gets it because she will fumble around with our AppleTV—so different from her remote at home—to find him just the right video on Youtube that he's looking for.

She gets it because she diligently takes notes when we go through the multi-step bedtime routine that we've elaborately concocted, passing no judgment, and promising that she'll follow along as best as she can.

She gets it because she'll break the routine and lay next to him in bed when my son gets upset, singing softly in his ear until she sees his eyelids droop heavy and finally fall asleep.

She gets it because she'll text us to let us know when he's fallen asleep because she knows we'll be wondering.

She gets it because just like our son trusts us as his mom and dad, Grandma is his safe space. My son feels at ease with her—and that relaxes me, too.

She gets it because when we come home from our "big night out" the house will be clean. Our toddler's play table that always has some sort of sticky jelly residue on it will be spotless. The dishwasher empty. (Side note: She is my hero.)

She gets it because she shows up whenever we ask. Even when it means having to rearrange her schedule. Even when it means she has to sleep in our home instead of her own.

She gets it because even though she has her own life, she makes sure to be as involved in ours as she can. But that doesn't mean she gives unsolicited advice. It means that she's there. She comes to us or lets us come to her. Whenever we need her.

She gets it because she takes care of us, too. She's there to chat with at the end of a long day. To commiserate on how hard motherhood and working and life can be, but to also gently remind me, "These are the best days."

After every time Grandma comes over, she always leaves a family that feels so content. Fulfilled by her presence. The caretaking and nourishment (mental and food-wise) and warmth that accompanies her.

We know this is a privilege. We know we're beyond lucky that she is present and wants to be involved and gets it. We know that sometimes life doesn't work out like this and sometimes Grandma lives far away or is no longer here, or just doesn't get it. So we hold on. And appreciate every moment.

As Grandma leaves, I hug her tight and tell her, "I can't thank you enough. We couldn't have done this without you." Because we can't. And we wouldn't want to.

You might also like:

Motherly provides information of a general nature and is designed for educational purposes only. This site does not provide medical advice, diagnosis or treatment.Your use of the site indicates your agreement to be bound by our  Terms of Use and Privacy Policy. Information on our advertising guidelines can be found here.