In a  message dated 2/5/2015 3:46:30 P.M. Eastern Standard Time,  
[log in to unmask] writes:<<<<And surely the baby's health  trumps the 
mother's emotional well-being,>>>>
 
Good that Pamela added baby's health into the discussion. Consider  
inserting *lifestyle choice* in place of "emotional well-being."  
 
To clarify: for the purpose of providing a remedy as in the case of an  
actual mental health medical condition, an alternate feeding method, and/or  
product such as donor milk whenever available, may certainly be the  
appropriate and necessary plan of care regarding feeding the  baby. 
 
Most often though, formula feeding is chosen, decided upon, or switched to, 
 due to the mother's priority of an emotional and/or physical  preference 
for a feeding method that she deems most congruent  with her preferred 
lifestyle. The priority is not the baby's  nutritional well-being and health. 
 
As you know, the AAP included in their heavily evidence  based 2012 policy 
statement on Breastfeeding and the Use of  Human Milk: "Thus,  infant 
feeding should not be considered as a lifestyle choice but rather as a  basic 
health issue. As such, the pediatrician’s role in advocating and  supporting 
proper breastfeeding practices is essential and vital for the  achievement of 
this preferred public health goal."
 
http://pediatrics.aappublications.org/content/129/3/e827.full#content-block
 
Now,  how to get moms who are planning to formula feed to eagerly consider 
the  baby's health a priority, over and above their image and expectation  
of their preferred non-breastfeeding lifestyle....? 
 
 
 
Debbie Tobin
RN, BSN, 20 yr IBCLC -> lapsed
Fairfax  County, Virginia suburbs outside the Washington DC  beltway

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