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TELL US: Should the Government Tell New Moms to Breastfeed?

The NJ Department of Health may be giving hospitals guidelines on swaying new mothers to choose breastfeeding over bottles. Should that be the role of government?


A new mother has just delivered a healthy, crying cherub of a baby. It's time to feed the infant. What could be more natural or healthy than breastfeeding?

The New Jersey Department of Health has just issued what may become new rules for hospitals to encourage and teach their new moms to breastfeed their infants and wean the mothers off using baby formula.

The goal is "to increase exclusive breast-feeding rates, improve health outcomes of mothers and infants, reduce childhood obesity rates and contain health care costs," the Department of Health told the Star-Ledger.

That would make New Jersey one of four states with written guidelines for hospitals on breastfeeding.

By doing so, the Department of Health may have walked into a field of landmines. The topic of whether to breastfeeding - or not - has been a highly charged one among various mothering groups.

Some militant moms go to one extreme, that not only is a bottle mom risking her child's health by not breastfeeding, but that she is selfish and lazy for not doing so. 

Mothers who have been stung by the barbs of the breastfeeders strike back by calling them Nursing Nazis (and worse.)

And then there are a few mothers who believe in live and let live, whether it's breast or bottle. The battle to make mothers who don't conform feel as if they are bad mothers may be a strong incentive for them to turn their backs on formula and go back to Mother Nature.

Some who believe that breastfeeding is a mother's choice don't think that the government should be forcing hospitals to put pressure on new moms to breastfeed. 

TELL US: Should breastfeeding be a private decision? Should mothers be pressured, whether by the hospital or by breastfeeding moms, to give up the bottle? Should the government be involved in this? Do you think that mothers who use formula for their children are selfish, while breastfeeding moms are saintly?

What do you think?

brad schaeffer February 19, 2013 at 07:08 pm
Although it's tough for a man to comment on this, at first glance I would think this should be a mother's call and hers alone no?
This also goes to the larger question: exactly how much supervision for our own good from nanny government do we need? if the NJDH is just making suggestions and wants to maybe provide pamphlets or a web-site re: the subject then I guess it can. But this article reads like they are issuing rules or dictating specific guidelines to hospitals. At what point are a free people responsible for their own lives? WHen did we lose the capacity to make our own decisions? It is the symptom of the larger over-regulation of the American life with no recourse at the polls. You can vote out a congressperson, but how do you vote out an Assistant Secretary In Charge Of Mammary Affairs And Chesticular Nutrition For The State Of New Jersey who is passing down new regulattions at his/her whim? Enough. Please. Big Government creates a small, infantilized citizenry. On another note, as a father, I enjoyed helping out with the bottle-feeding...I didn't even mind the three am shift (well, not always). Finally, I don't think breast vs. bottle is at the root of childhood obesity, I think it's as simple as wolfing down empty calories while spending hours in the basement at the playstation on a beautiful day when 30+ years ago, the bottle-fed kids, most of whom were thin, were outside organizing games of running bases or kickball. IMHO.
Michele February 19, 2013 at 07:15 pm
I'm a little surprised Sara that anyone would lament the "lack of support and information" about breastfeeding. There is a WEALTH of information out there and no woman should need anyone to tell her about it. It is out there online and if one does not have a PC all they have to do is head to the library or even have a talk with their OBGYN.
Michele February 19, 2013 at 07:16 pm
Very well put!
The Duke February 19, 2013 at 07:32 pm
Fascinating that a woman should have a choice about whether the child in her womb should be born but once she chooses life her choices for feeding and nourishment should be limited by the government. NJDOH needs to make their recommendations but when it comes to breastfeeding, "my body my choice" seems an apropos adage.
Sal G February 19, 2013 at 08:36 pm
I clicked through to the NJ.com article and read:
"If the rules are adopted, New Jersey would be one of only four states — including New York, California and Massachusetts — that require hospitals to have written policies that encourage breast-feeding. The changes would direct hospitals to support breast-feeding before and after birth, and require hospitals to have written policies for identifying and supporting the needs of a breast-feeding mother and child. Hospitals would also be required to have lactation-support rooms for consultation, breast-feeding and pumping. Under the proposed regulations, new moms will be asked how they want to feed their babies. If a mother is having trouble breast-feeding, hospital staff will work with her to overcome those difficulties and they can offer formula as an alternative, said Donna Leusner, a spokeswoman for the Department of Health." cont....
Sal G February 19, 2013 at 08:36 pm
I only WISH there was such support available with my first child. The nurses were no help to me other than to shove a ready-to-feed bottle of formula when I couldn't get my son to latch. When I asked about pumping I was told that I "would not be able to pump colostrum because it's too thick". That was very WRONG information. My mother's generation was brainwashed into believing that formula was the way to go so my mother and many others in her generation are not helpful to us now.
Someone above said: "There is a WEALTH of information out there and no woman should need anyone to tell her about it. "" When you've just given birth, and for many that includes being horribly sleep deprived/exhausted/recovering from surgery etc etc.....I really don't think a PC or library is going to help when you encounter difficulties or have questions in general. And good luck with the OB, they're usually long gone by then.
Sal G February 19, 2013 at 08:39 pm
Hi Deborah,
You may want to differentiate between "bottles" and "formula" as many women express their milk and feed via the bottle.
Linda Pregenzer February 19, 2013 at 10:08 pm
There is nothing wrong with a mother making her own decision on how to feed her baby. What is needed is education, so the mother can make this decision based on knowledge. What better place for this education than the hospital? I happily (and lazily, might I add.....no heating up bottles in the middle of the night) breastfed all of our four children for years. Linda Pregenzer, wife of Gerard Pregenzer, MD (Ob/Gyn)
Diane Thomas February 19, 2013 at 11:37 pm
Krissy - where are the marketing campaigns promoting baby formula? I haven't seen or heard any In newspapers, TV, or the media. Not sure, but I know the Marketing Campaigns for breast feeding being fed to women today. Having a baby is a happy event, not a brooding decision making fright it has become. You believe what you want and others can do the same. Believe what they want.
patricia roman February 20, 2013 at 12:04 am
patricia roman ,i am a nurse midwife, who encourages breast feeding, but strongly agrees, that this is a mothers choice and she needs to be comfortable .education is needed and ,prenatal care, should be the front line of education. there are way to many so called guidelines impossed by goverment lately ,that i wonder where i live sometimes .now, i am waiting to see if there will be some type of tax ,moms that bottle feed will be paying just wait and see.
Diane Thomas February 20, 2013 at 12:20 am
Patricia- very good point. I think perhaps hospitals will soon charge for formula.
Perhaps that is the real direction. Certainly, breast feeding has been heavily promoted for some time now with much education, support, and Information easily available to all of us. Isn't it always about money in the end?
patricia roman February 20, 2013 at 12:30 am
patricia roman so true
Diane Thomas February 20, 2013 at 12:43 am
Well put, Brad. Agree with your input. With thanks for caring to comment about this issue!
Kemb February 20, 2013 at 01:41 am
Definetely a Mother's choice. Hospitals are providing support and education which ius great but sometimes circumstances don't work out. If baby has low blood sugar they will get the bottle first. It can work out during the hospital stay and then when you go home it doesn't work as well and need to supplement. What if the mother doesn't produce enough milk. There are plenty of reasons a woman can't brestfeed. There is also the mental factor that if you don't succeed women feel bad as it's "supposed to be the natural and normal thing to do". Maybe putting in place an in-home after birth service could be more beneficial.
blue February 20, 2013 at 01:45 am
I don't think the government should be involved at all. That is not the role government should play in our country. What is happening around us is fascist, and everyone is nodding and smiling, saying, "yes, let them dictate what is best and force us to do it---we are are just children too weak and stupid to make our own choices, good or bad." I don't understand who this hypnotized population is! It doesn't matter if you prefer breastfeeding or formula feeding or think one is better or worse. The government/law should have zero say in how you choose to raise your child unless you are actively and intentionally abusing the child in some way. Hospitals should offer information, instruction, and supplies for any feeding a mother chooses.
Diane Thomas February 20, 2013 at 02:18 am
Agree. Maybe this fiasco does indeed has to do with hospitals now wanting us to pay for formula if we want it. And not about much else. Women today are educated, smart, and informed. This is doing nothing more than dividing us again.
Let that not happen!
Martin Spielman February 20, 2013 at 03:12 am
For years women were stigmatized if they wanted to breastfeed because of all the money pumped into hospitals by formula companies. Unfortunately nowadays rather then just acknowledging the facts and letting families decide what is best for them there is a bit too much push back. And that is a mistake too. The best thing is for each side to give an equal amount of information and let the families themselves decide based upon their own situation.
Sara February 20, 2013 at 03:59 am
I was in Shoprite about a month ago and they had moved all of the formula to the front of the store in a locked cage. A young lady in the next aisle asked to buy some. When asked how much, she said, "As much as you have. I hate having to buy it like this." That angered me so much. This woman should not have felt humiliated just because she didn't breast feed. My sister and I were bottle fed. We've managed to get through life JUST FINE. It's a personal decision. Unbiased information is great. Then let the mother decide. Government can kiss off.
Ingrid Chuley February 20, 2013 at 04:04 am
I think it's great that hospitals will educate women in the hospitals and provide support to mothers. Though, ultimately, you cannot force a woman to breastfeed!! About the $ issue-When i had my first child 11 years ago, I was sent home with a backpack of formula. This formula was provided as free samples to hospitals- from pharmaceutical companies who manuacture the formulas. My education on breastfeeding 11yrs ago came from my Latina family members-mom, aunts, cousins, friends, grandma..who all simultaneously felt the need to get very "hands on" on how to teach me to nurse in the "best way" possible. Lol! I'm thankful they were there (perhaps not as forcefully...), but still thankful because I'm pretty sure I would have reached for that pack of formula a lot sooner had i not heard their coaching voices in the background. I knew that I wanted to breastfeed, but sometimes there are complications & can be very difficult and without education & support, it may seem that the only option is to not do it. I think, as women, we need to support and educate each other, work together gracefully & be respectful of each others choices.
Sal G February 20, 2013 at 04:07 am
Sara, formula being locked up at retail locations has to do with theft, not breastfeeding choice.
Sal G February 20, 2013 at 04:18 am
Hi Diane,
Honestly the formula promotion is everywhere. Commercials, baby/parent magazines, my OB's office, the very hospital room after giving birth where companies like Similac have their logos emblazoned on those nifty "free" diaper bags. Think of programs on TV, when you see a woman with a baby, and that baby is being fed, how often is that baby breastfed? I had this discussion with another mother recently and I could not think of one sitcom where a baby was breastfed. It's a huge part of our culture today, we're just so used to it that we're no longer aware.
Chris February 20, 2013 at 02:36 pm
The government got involved with School Lunch Programs...and look how well that turned out!!...All my kids were bottle fed...and they are healthy and happy. Maybe a little less fast food and TV would help with the obesity problem...but that is the PARENTS job, not the government!
Katy Lake February 20, 2013 at 03:06 pm
I agree that it's a great idea if women would respect one another's choices. Unfortunately that's not how it works in real life. I didn't breast feed my kids, but it wasn't for a lack of the PRESSURE to breast feed. Anyone who tells you otherwise is either naive or deluded. There are enough pushy mothers who feel the need to tell you how to raise your kids, and it starts from the baby's first exit from the birth canal.
I'm fine with the choice to breast feed. I just wish the mammary militants were as tolerant of other women's decisions if it's not in accord with their own.
NJ Opinion February 20, 2013 at 03:26 pm
This article is ridiculously biased. Did anyone bother to actually read proposal? They're not forcing anyone to breastfeed, they're suggesting having standard guidelines to help with infant feeding which includes breastfeeding and formula. Nobody is forcing anybody to do anything. And honestly if you want to avoid government imposed guidelines then maybe you should be birthing at home and not in a hospital.
KrissyFair February 20, 2013 at 03:30 pm
Diane, if you haven't seen an ad for artificial milk on TV, in a newspaper or in media, it's because you don't watch TV, or consume other media. Marketing is everywhere, it's a multi-million dollar endeavour. Aside from the straight up commercials and print ads, new parents are also treated to the following types of marketing:
- artificial milk-branded trinkets given by hospitals (like the Nestle note pads that doctors' offices write your baby's weight down on at checkups) - "Breastfeeding help lines" paid for by artificial milk manufacturers and promoted by doctors - cans of artificial milk sent home with parents who birth in hospitals, whether they express a wish to use it or not - cans of artificial milk sent directly to the homes of expectant parents using addresses they unwittingly provided to maternity clothing stores And you are entirely correct, having a baby is and should be a happy event. I work with new mothers and I can't tell you the number of times I've had a woman break down and cry in front of me. NOT because she felt breastfeeding was pushed on her, but because she WANTED to breastfeed and everyone she went to before me tried to stop her from doing it. The point is, we need to start from the true baseline and deviate from it as necessary/desired, not the other way around.
NJ Opinion February 20, 2013 at 03:40 pm
read *the* proposal
Linda February 20, 2013 at 05:01 pm
Welcome to the "Nanny State" aka socialism! I say the government is way too intrusive in our lives! I suppose it should be a welcomed change! Once these same children reach 3 or a parent then hands these breast fed children over to the schools for the rest of their indoctrination. Wake up parents, if you need the government to tell you how to raise your child, you probably should not be having a baby! It is only going to get worse from here with this Obamacare socialize medicine! Just wait!
Linda February 20, 2013 at 05:03 pm
*3 or so,
Diane Thomas February 20, 2013 at 09:48 pm
Krissy - I have four TVs, subscribe to the Star Ledger, and several magazines. But not any Parents magazines. By artificial milk, do you mean baby formula? Not sure. I am a grandmother not raising children myself now. I thought La Lache had this issue well in hand for assisting nursing moms. But maybe I am incorrect. I feel i've said enough on this issue. Not meaning to cause you or anyone angst. My final thoughts might be that no women need feel guilt about choosing either way. And the government need not involve themselves. A woman and her doctor can certainly figure out the best way to nurture Baby.
LFW February 20, 2013 at 11:36 pm
Thanks for your comment. These new regulations do not tell anyone what to do in terms of infant feeding or how to care for their newborn. The purspose of regulations is to assure that hospital care and care providers are well positioned to support mothers' choice whatever it is. That is not a nanny state it is simply a way to move the health system toward evidence based quality improvements in care. Since the overwhelming majority of mothers choose to breastfeed, and most hospitals are conducting policies and procedures that undermine this choice, these regulations will help hospitals and their practitioners develop policies and procedures to support this choice, as well as any other choice.

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