Baby formula shortage: why many mothers can't breastfeed

With the recent nationwide baby formula shortage, breastfeeding is often suggested for mothers as a natural alternative, but it’s not so simple, according to a recent the New York Times report. 

“TRY BREASTFEEDING. It’s free and available on demand,” singer and actress Bette Midler, 76, tweeted on Thursday, May 12 in response to the national formula shortage.

“Most mothers have the ability to breastfeed, so I feel it’s hard for them to understand what it’s like for a mother who cannot. As a new mom, we’re told it’s so important to breastfeed, even before the baby is born, they drill it into you. After working with five lactation consultants, I wasn’t built for it,” first-time mother Misty Mortezaie, 40, told Fox News.

The New York native, who now has started a family in California, didn’t have a choice – she could only use baby formula to feed her daughter, now a little older than 1.

Midler later qualified her comments on Twitter: “No shame if you can’t breastfeed, but if you can & are somehow convinced that your own milk isn’t as good as a ‘scientifically researched product,’ that’s something else again.”

BABY FORMULA SHORTAGE IS A PUBLIC HEALTH CRISIS

But approximately two out of three infants are not exclusively breastfed for 6 months – and the rate has not improved in over two decades, according to the World Health Organization (WHO).

The American Academy of Pediatrics recommends exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with the goal of breastfeeding for at least one year, per a release.  

“Although most healthy-living” target=”_blank”>infants receive some breast milk<, including problems with lactation and latching, worries about infant nutrition and weight, medication interactions, unfriendly work policies or parental leave, lack of family support as well as cultural norms.

Grocery store shelves where baby formula is typically stocked are locked and nearly empty in Washington, DC, on May 11, 2022. 

Grocery store shelves where baby formula is typically stocked are locked and nearly empty in Washington, DC, on May 11, 2022. 
(Photo by STEFANI REYNOLDS/AFP via Getty Images)

But the healthy-living is pushing more mothers to breastfeed, with some trying to find ways to start after they already stopped, but the breasts need constant feedback from the baby to produce milk, per the Times.

After a baby latches on to drink milk, this initiates the “let-down” reflex where the breast nerves are stimulated, triggering the hormone prolactin to stimulate milk production and another hormone known as oxytocin to release, or “let down,” the milk, according to Healthline.

But the body’s feedback loops for breastfeeding “is not especially resilient, in that once it’s over it’s very hard to build it back,” said Dr. Casey Rosen-Carole, director of the breastfeeding and lactation medicine program at the University of Rochester Medical Center.

KENTUCKY MOM OF 9-MONTH-OLD TWINS GOES THROUGH MULTIPLE BABY FORMULA CANS WEEKLY, AIMS TO HELP OTHERS, TOO

This can increase stress for mothers who are trying to breastfeed after stopping by pushing their bodies to almost defy physiology, Rosen-Carole added.

Even though mental-health” target=”_blank”>breastfeeding is recommended as the healthiest option<, many mothers do not breastfeed or simply can’t, according to the Times.

Shelves where baby formula is normally available are nearly bare.  

Shelves where baby formula is normally available are nearly bare.  
(Jason Rantz)

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Breastfeeding can also cause medical complications, including cracked and bleeding nipples, blocked ducts and mastitis, where the breast tissue gets infected.

Expecting every woman to breastfeed “is not predicated on reality. Every person can’t make all the insulin they need. That’s why there’s a disease called type 1 diabetes –  and we don’t say, ‘Well, if you just tried harder, you wouldn’t need that medicine,’” said Dr. Alison Stuebe, an OB-GYN and distinguished scholar in infant feeding with the University of North Carolina’s Gillings School of Global Public Health.

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