Exclusive breastfeeding: Is supplementing formula really all that bad?

I couldn’t really say why, but breastfeeding is one parenting topic that is hotly debated with parents on both sides of the fence with powerful opinions that they are not afraid to share. Many of those black or white positions make very little sense to me, exclusive breastfeeding for example. I breastfed both of my children, but when they became older I supplemented with formula.
formula feeding
Sure, I could have pumped bottles, and there were times when I did, but realistically there was no reason that formula use was “bad.” Frankly, I’m rather tired of hearing people spout these opinions at moms as if they are fact in some odd attempt to make everyone in the world raise their children the way they do. So, factually, is exclusive breastfeeding best?

The benefits of breastfeeding are obtained with any level of feeding.

The first inaccurate debate tactic I often see is the old, “breastfeeding has *these* benefits.” Yes, study after study after study has supported that breastfeeding has a wide range of benefits. However, those benefits are obtained whether you feed exclusively or supplement with other foods. On the same thought train just because breastfeeding has a benefit and formula doesn’t, that doesn’t make the reverse of the benefit a risk of formula feeding. It simply means if you didn’t breastfeed at all, you would miss out on that benefit.

Studies only support exclusive breastfeeding as better in the first four months of life.

I’m not saying that exclusive breastfeeding has no benefits. There is indeed research that suggests exclusive breastfeeding-this means no solid food even-may reduce your baby’s risk of gastrointestinal and respiratory infection as well as help you return to your pre-pregnancy weight sooner. In some countries, the current recommendation is six months, but some research has suggested that those two extra months can lead to iron deficiency, a higher risk of developing allergies and celiac disease, and the possibility of limited food preferences which could hinder a healthy diet and lead to obesity later in life. Basically, current research supports exclusive breastfeeding until around 4 months, and then there is no harm in feeding formula or solid food as well if your baby is developmentally ready.

There are no risks to formula feeding.

You can read a full overview here, but the stones often thrown at formula as far as risks are unfounded. While there are factors that can create a risk to formula feeding such as bottle propping, contaminated water supplies, and overfeeding, formula feeding itself poses no unavoidable health risks. Much like pretty much any aspect of parenting, there are mistakes that can be made which can lead to risks, but that doesn’t make supplementing bad.

When all is said and done, a baby that is not breastfed at all can turn out just as healthy as one who has been fed nothing but breast milk. Yes, breast feeding presents benefits to both mom and child, but not doing so or mixed-feeding isn’t dangerous, and that’s a fact.

Is Formula Feeding Safe? Health Risks of Baby Formula Facts

I don’t know anyone that would argue that breast feeding hasn’t been proven the healthiest feeding option for infants, but I was surprised when someone suggested that formula feeding actually had health risks. Even being a mother who breastfeeds, I found this implication rude as many mothers are left without the option to breastfeed for one reason or another. It didn’t seem right to me that advocates of breastfeeding are guilting those that bottle feed into feeling they are sub-par mothers. In reaction, I set out, much like in my recent article on the health risks of diapers to find unbiased, fact supported details on the subject. A full list of any studies, verifiable sources, or other information used in this article can be found in source.formula feeding

This article will not include the benefits of breastfeeding. The logic that breast feeding has a certain benefit, for example, that breast feeding increases a child’s IQ, and formula feeding does not, does not equate to formula feeding lowering IQ. It simply does not offer that benefit. You will find many unsupported websites online that use such logic. Only actual health risk claims against untainted formula feeding will be covered. Note, that the water used to mix formula can pose health risks, and its always important to be sure the seal on your formula is not broken when purchased.

Formula health risk claim: Formula feeding increases the risk of type 1 diabetes.

There have been a wealth of studies done on this subject some of which show an increased chance of diabetes in milk-based formula fed babies and babies that were introduced to cow’s milk at an early age. Others found no relation or even found that milk-based formula not only didn’t increase the risk of diabetes, but reduced it at a later age. Some studies also found only children pre-disposed to diabetes or becoming pre-diabetic already were affected. Based on current studies and facts as of March, 2018 I must then leave this health claim in inconclusive or unknown status.

Studies that did find an increased chance for type 1 diabetes in formula fed infants suggest the reason behind the increase is that cow’s milk contains bovine insulin, which can cause an immunity to insulin in turn causing diabetes. This could be avoided by using non-cow’s milk based formulas.

Formula health risk claim: Formula feeding increases the rate of ear and respiratory infections.

This formula health risk claim is one of the many that have been misinterpreted. Studies have shown that breast feeding significantly reduces the occurrence of ear and respiratory infections, however no studies have shown formula actually causes either. Its suggested breast milk reduces the risk due to its immune-boasting properties. Positioning of the baby while bottle feeding may increase the risk of ear infections. You should never prop a baby with a formula bottle for this reason. As a result of this information, this health claim is found to be false.

Formula health risk: Formula feeding causes cancer.

This health claim is counted among the “breast feeding reduces the risk so formula must increase it” logic claims. It is included here simply because this claim is so often made. There are no studies that support formula increases the risk of cancer. This health claim is found to be false.

Formula health risk claim: Formula feeding increases the risk of SIDS. (Sudden infant death syndrome.)

Studies done on this subject are conflicting, but suggest that breastfeeding reduces the risk of SIDS. However, they have also found that bottle or formula feeding itself does not increase the risk of SIDS. Rather parents that formula feed are more likely to present other SIDS risks such as smoking and allowing tummy sleeping than breast feeding mothers. Many formula-fed infants also have pre-existing health issues which may have even been the reason for being formula fed in the first place. When all other factors are considered subtracted this health claim is found to be false.

Formula health risk claim: Formula feeding negatively affects social development.

This health risk is based on the assumption that formula fed babies have less skin-to-skin contact, interaction, and bonding time with their parents than breast fed babies. While all of the above have been proven to improve social skills and overall psychological health, this claim is based on a usually false assumption. No studies have been done to support this claim. As long as a formula fed baby is held while being fed this health claim is found to be false.

Formula health risk claim: Formula feeding increases the risk of gastrointestinal disease and upset.

Studies have shown that breast feeding decreases the occurrence of gastrointestinal disease and upset including diarrhea, constipation, and even diaper rash. Formula is more prone to cause allergic reactions which can cause digestional upset. This chance is also present, though lower, in breast feeding infants due to the mother’s diet. Choosing the proper formula for your infant can reduce this risk. This health claim is found to be true but avoidable.

Formula health risk claim: Formula feeding causes obesity later in life.

Studies have found that formula fed babies are at a higher risk for obesity later in life. It’s suggested this may be simply a result of over feeding on the parents part as bottle fed babies have less control over the feeding. Other studies suggest the way the body develops to use energy from breast feeding differs than that of formula fed babies causing the increased chance of obesity. It’s recommended any bottle-feeding parents learn the cues of hunger and satisfaction (fullness) that infants exhibit. This health claim is found to be true, but dependent on other variables as well.

Citation and study links:

Overall Summary of studies done on type 1 diabetes and formula fed infants or cow’s milk

http://www.todaysdietitian.com/newarchives/072710p36.shtml

Study: Early exposure to cow’s milk not a risk for diabetes but may reduce risk at later date

http://www.ncbi.nlm.nih.gov/pubmed/19263185

Study: Early exposure to cow’s milk is a risk factor for diabetes

http://diabetes.diabetesjournals.org/content/48/7/1389.short

Study list: Breastfeeding reduces the risk of ear and respiratory infections

http://courses.washington.edu/nutr526/news/biospec.htm#_Toc516479362

Google book result on breast and formula feeding and ear infections: Pediatric Otolaryngology: Volume 2 By Charles D. Bluestone, Sylvan E. Stool, Cuneyt M. Alper, Ellis M. Arjmand, Margaretha L. Casselbrant, Joseph E. Dohar, Robert F. Yellon pg. 495-496

http://books.google.com/books?id=Qcxg1OCHg3oC&lpg=PP1&dq=Pediatric%20Otolaryngology%3A%202-Volume%20Set%2C%20Volume%202&pg=PP1#v=onepage&q&f=false

Study: Formula feeding does not increase the risk of SIDS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2548486/

Benefits of skin to skin contact for infants

http://www.scientificamerican.com/article.cfm?id=infant-touch

Google book result: Breast feeding reduces rate of gastrointestinal disease and upset

Pediatric gastrointestinal disease Volume 1: pg 876

http://books.google.com/books?id=MjF7ZbmpHx4C&lpg=PP1&dq=Pediatric%20gastrointestinal%20disease%3A%20pathophysiology%2C%20diagnosis&pg=PP1#v=onepage&q&f=false

AAF on choosing the right formula for your baby:

http://www.aafp.org/afp/2009/0401/p565.html

Studies: Formula feeding and obesity

http://www.bmj.com/content/319/7203/147.full

http://www.nature.com/ijo/journal/v31/n7/full/0803622a.html

Suggestions of the reason behind the obesity-formula link

http://www.telegraph.co.uk/health/healthnews/5818854/Bottle-feeding-with-formula-milk-may-risk-babys-health.html

Is Well Water Safe for Babies?

When thinking of water sources and separating good from bad, city water is usually the type labeled as less than stellar, while the alternative, well water, is often thought to be a clean and safe choice if no known ground contamination is present, but is that assumption misplaced?

Is well water safe for babies?

Sadly, even ground water that is delicious, pure, and safe for adult consumption can be dangerous to a formula-fed baby. Well water can contain naturally occurring contaminants including microorganisms, nitrates, radionuclide, radon, heavy metals, and fluoride.is well water safe baby

Nitrates:

The most commonly seen issue with well water safety in regards to infants is nitrate content. Nitrates are a natural byproduct of human and animal waste. They are also found naturally deposited in some soils and are commonly added to fertilizers as well. Excessive nitrate exposure can cause a form of blood poisoning in infants also known as Blue Baby Syndrome. Blue baby syndrome can be fatal if left untreated. A baby that has a blueish tint to his or her skin or shows other signs of poor oxygen saturation should see a doctor immediately. As nitrate exposure can also be dangerous in-utero, it’s recommended pregnant women have their well water tested.

Microorganisms:

Bacteria, viruses, and parasites can also find their way into well water. In some cases, even adults can be affected by such contaminants causing symptoms ranging from severe food poisoning to mild digestional upset. Naturally, as infants often have weaker immune systems and less developed digestive systems, they are more prone to adverse effects.

Radionuclide and Radon:

These two are more commonly seen in areas where the soil has high concentrations of uranium or radium, both of which are naturally occurring.

Radionuclide and Radon have no immediate effects, but do increase the risk of certain types of cancer and very high exposure can cause kidney failure. This risk is increased in infants. Contaminated drinking water can also increase the levels of radon in your home’s air supply. Inhaled radon significantly increases the risk of lung cancer in both children and adults.

Heavy Metals:

A high concentration of heavy metals in well water is unusual, but can occur. The location of your well may increase these risks. Metals that are most commonly found in well water when contamination occurs include arsenic, cadmium, chromium, copper, iron, lead, and selenium. Most of which are naturally occurring in soil.

Arsenic: Homes near older fruit orchards pose a higher risk of arsenic contamination. Effects include increased risk of various cancers, skin discoloration, blindness, paralysis, numbness of the feet and hands, and digestional and stomach upset. Arsenic can be fatal to a baby.

Cadmium: Found in natural deposits and also applicable to some industrial uses, cadmium can cause kidney damage with long-term consumption.

Chromium: Chromium is a naturally occurring element which is even found in the human body. It is harmless in small doses, and is even included in many vitamin supplements, but in high doses chromium can cause allergic dermatitis. As a baby’s body is far smaller than an adults, levels would not need to be as high to cause negative effects.

Copper: Copper is another naturally occurring element found in higher concentrations in some soils. Copper in small concentrations is harmless. Higher concentrations from soil or from piping in the home eroding could cause digestional and stomach upset.

Iron: Iron also occurs naturally or can find its way into drinking water from erosion of man-made structures. Iron, like copper, is safe and actually necessary in small doses. High concentrations of iron can cause depression, respiratory issues, coma, heat failure, and even death, however, these concentrations are nigh impossible in well water. Well water with iron content is actually considered to be beneficial as many pregnant women and children are prone to anemia or iron deficiency. It can cause some nasty sink and tub stains though. If you notice orange staining on your porcelain, you may have high iron.

Lead: Lead is most commonly introduced into drinking water as a result of eroding pipes in your home and not from the soil. Lead can cause serious developmental delays in infants and children. It may also cause kidney failure and high blood pressure in adults. This is mostly a concern in older homes.

Selenium: Yet another naturally occurring element, large doses of selenium can cause the loss of fingernails and hair, numbness in the hands and feet, and circulatory issues.

Fluoride: You may be wondering why this one makes the list as fluoride is often added to city water to promote dental health, but high levels of fluoride consumption can cause bone disease and teeth mottling in children (teeth stained white or brown in spots). Some research suggests it may also cause developmental issues. You might notice infant toothpaste is often fluoride free for this reason.

Long story short, while in most cases well water is perfectly safe for all ages—and often delicious—it’s always a good idea to have your water tested or retested if it has been awhile before formula feeding your baby with it. In many cases a simple home test kit is sufficient.