I'd like to suggest a further step than choosing to call it either ABM
or formula:  use both, and make them synonymous. There is no inherent
conflict between being precise, and being compassionate.

It is true that the word "formula," as generally used, perpetuates an
industry falsehood. It isn't a scientific formula, but only cooked cow's
milk with slight modifications and a partial vitamin/mineral supplement
added to try to cover a few of the deficiencies. 

Yet using the word "formula" gives parents a sense of familiarity.
Having established this commonality, we move the familiar into new
territory. As we use the term "formula," we redefine it. This helps
consumers to bridge the gap between the meaning dictated to us by
commercial interests, and a new way of looking at this artificial
substitute.  

The problem, as I see it, is our own fear that consumers will judge
themselves harshly for using something "artificial."  Yet we accept
artificial sugars and fats, colors and fragrances, as well as artificial
knees, hips, and teeth--and we accept ourselves for making informed
choices whether or when to use each.

Clarifying that "formula" is an artificial substitute helps people to
understand its limitations. "Formula" is not bad simply because it is
artificial, any more than a prosthetic hand or insulin pump is. However,
the limitations of artificial replacement parts are such that very few
of us would elect to replace a well-functioning part with an artificial
substitute, if we knew the difference.  

Formula use replaces a normal system with an artificial substitute, and
certain limitations and side effects can be expected. This simple
concept is part of the information parents need to know.

Defining "formula" as an artificial substitute gives us another
educational tool to help clarify the real differences between feeding
choices. This is easily done within a cultural framework which includes
both compassion and respect for a mother's decision-making power.

Arly Helm, MS, IBCLC

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