Will Formula Feeding Harm My Baby?

Will Formula Feeding Harm My Baby?

When a mother has her new child, she faces a tough decision: breastfeed or formula feed? Perhaps a combination of both? Many mothers have reservations about breastfeeding because of the time commitment and concerns over producing enough milk, but also fear that formula feeding could impact their baby's health. Are these fears warranted, or is formula feeding a safe and effective alternative to the natural method?

Next question in Health

  • “No”
  • “Objection”
Joan B Wolf PhD

Formula Does Not Make Babies Sick

Joan B. Wolf, PhD

Texas A&M University

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Science has not demonstrated that breastfeeding is medically superior to formula-feeding. The most respected medical journals are replete with contradictory conclusions about breastfeeding’s impact: for every study linking it to better health, another finds it to be irrelevant, weakly significant, or inextricably tied to other unmeasured or unmeasurable factors. For virtually every outcome analyzed, including ear and respiratory infections, cardiovascular disease, obesity, diabetes, cognitive development, leukemia, cancer, pre-term infant health, asthma, allergies, and mother-infant bonding, the evidence is widely variable. Multiple studies indicate that breastfeeding reduces the risk of gastrointestinal infection (such as diarrhea or vomiting); PROBIT, a large study lauded for its design and reliability, found that one in twenty-five bottle-fed babies was at greater risk to have one or more episodes of such infection in a year.  However, scant research supports claims that breastfeeding or formula-feeding have any impact on other outcomes, such as bed-wetting, eczema, growth pains, inflammatory bowel disease, sleep-related breathing disorders, social mobility, stereoacuity, stress, and urinary tract infection. Significant data indicate that breastfeeding might actually increase the risk of allergy and asthma for particular children. A recent study demonstrated that expanded maternity leave mandates in Canada led to increased duration of both partial and exclusive breastfeeding but not to improved health outcomes.

Evidence

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Study: Breastfeeding and Health Outcomes
Michael.S. Kramer et. al. for the PROBIT Study Group, “Promotion of Breastfeeding Intervention Trial (PROBIT): A Randomized Trial in the Republic of Belarus,” Journal of the American Medical Association, 285 (2001), 413-20.
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Study: Breastfeeding, Asthma, and Allergies
Joanne M. Duncan and Malcolm R. Sears, “Breastfeeding and Allergies: Time for a Change in Paradigm?” Current Opinion in Allergy and Clinical Immunology, 8:5 (2008), 398-405.
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Study: Impact of Longer and More Exclusive Breastfeeding on Health
Michael Baker and Kevin S. Milligan, “Maternal Employment, Breastfeeding, and Health: Evidence from Maternity Leave Mandates,” Journal of Health Economics, 27:4 (2008), 871-87.
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