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Free Infant Formula: No More At Rhode Island Hospitals

Free Formula

By DAVID KLEPPER   11/28/11 06:48 PM ET   AP

PROVIDENCE, R.I. -- New mothers in Rhode Island will no longer leave the hospital with a free goody bag of infant formula.

To encourage breastfeeding, the state's seven birthing hospitals stopped formula giveaways this fall, apparently making it the first state to end the widespread practice.

State health officials hailed the decision Monday, noting that breastfeeding has been proved healthier than formula for both infants and mothers. Stephanie Chafee, a nurse and the wife of Gov. Lincoln Chafee, called the decision a critical step toward increasing breastfeeding rates.

"As the first `bag-free' state in the nation, Rhode Island will have healthier children, healthier mothers, and a healthier population as a whole," Chafee said. "This is a tremendous accomplishment."

Formula will still be available to new mothers who experience difficulties with breastfeeding.

The new policy isn't intended to force women into nursing their children, according to Denise Laprade, a labor and delivery nurse and lactation consultant at Woonsocket's Landmark Medical Center, which eliminated free formula distribution last month. She said the focus is instead on parental education and helping mothers decide what's best for their child.

"We never make any woman feel guilty about her decision," Laprade said. She said she has received few complaints from parents about the new policy, though she said the older nurses needed a little time to adjust.

Thirty-eight percent of Rhode Island mothers nurse their babies six months after birth, compared with 44 percent nationally, according to a report issued this year by the Centers for Disease Control and Prevention.

State Health Director Michael Fine said the state hopes to raise the percentage of Rhode Island mothers nursing at six months to 60 percent by 2020.

Public health officials in Massachusetts endorsed a ban on free formula samples in 2005, but the regulation was rescinded by then-Gov. Mitt Romney before it took effect. Getting the new policy in place in small Rhode Island was easier, since it's not a law or regulation and required the agreement of only seven hospitals.

Nationally, about 540 of the nation's 3,300 birthing hospitals have stopped the formula giveaways, according to Marsha Walker, a registered nurse in Massachusetts and co-chairwoman of "Ban the Bags," a campaign to eliminate formula giveaways at maternity hospitals.

Walker said the bags given to new mothers – typically containing a few days' worth of formula – amount to a sophisticated marketing campaign by formula manufacturers.

"Hospitals should market health and nothing else," she said. "When hospitals give these out, it looks like an endorsement of a commercial product."

The International Formula Council, a trade group representing formula manufacturers, opposes the end of free formula samples. In a statement, the council notes that sample bags also include "key educational materials" on how to use and store formula.

"Mothers should be trusted to make good choices for their babies," the council said in its statement. "More than 80 percent of U.S. infants will be given formula at some point during their first year of life ... these educational materials are needed by the vast majority of mothers to ensure infant formula is prepared correctly and the baby's health is not jeopardized."

New mom Crystal Gyra said that while the new policy is well-intended, women should have the option of taking home formula samples. The Providence woman said she gladly accepted the free formula she received after giving birth to her daughter Gianna, now 2 months old. Gyra gives her daughter formula.

"It helped me," she said of the samples. "They should leave it up to the women to decide whether they want to take the samples or not. We're smart enough to figure it out."

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PROVIDENCE, R.I. -- New mothers in Rhode Island will no longer leave the hospital with a free goody bag of infant formula. To encourage breastfeeding, the state's seven birthing hospitals stopped for...
PROVIDENCE, R.I. -- New mothers in Rhode Island will no longer leave the hospital with a free goody bag of infant formula. To encourage breastfeeding, the state's seven birthing hospitals stopped for...
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hetrose
Laugh, Love, Live!
08:17 PM on 01/19/2012
Nature designed a plan to insure humans a good healthy start in life. It is called Breast Feeding! We can follow the plan, or we can subvert the will of Nature and suffer the consequences. The incontrovertible fact is that there are consequences to the failure to breastfeed. If one absolutely cannot then that is what one deals with, but if one can then one should.
02:31 AM on 12/23/2011
Even if your baby is in NICU you can still feed him/her expressed breast milk. Actually, especially if your baby ia in NICU. As pre the high cost of breast pumps- anyone heard of manually expressing? ( sarcasm) It is absolutly free and works just as good! BUt sure, why bother when we can blame high pump prices for our laziness...
05:38 PM on 12/03/2011
I keep seeing breast pumps are expensive. you have 9 mounths to buy one and K-Mart has lay-a-way all year long.

Again you have 9 mounths, buy formula before hand. its a dry good it will keep a while.

Who cares how you feed your kids just as long as you feed them. so stop fighting on here .
judithelise
I believe that robots are stealing my luggage.
01:47 PM on 12/03/2011
I found an interesting article on why formula marketing is so controversial:
http://banthebags.org/347

Also, for an updated journal article about the risks associated with not breastfeeding follow this link: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2812877/

It is pretty clear that there are far more risks than outlined in the "breastfeeding support" information that is provided by the formula companies, including childhood obesity, DM, SIDS, Leukemia, and pneumonia. I realize now that if this is where most women are getting their information about the pros and cons of breastfeeding they will not be making informed choices, as these risks are quite a bit more serious than "a few more ear infections or common colds". For those who want to research more, the article has many references at the end that you can copy and paste to your google search bar.
12:48 AM on 12/03/2011
My oldest son wasn't breastfed, mainly because it hurt me too much and my brests were constantly engorged to the point they were squirting milk everywhere if they weren't bound and so after about 6 weeks, I stopped. My middle son wasn't breastfed due to him being so orange that the doc told me to switch to formula and i did and 24 hours later he was normal, so I just stuck with the formula. My third son was breastfed until a year old. So far, I haven't seen any difference in him than the others. They are all equally healthy kids (rarely get sick) and are all quick learners and my bond is just as strong with the kids I bottle fed as with the one I breastfed. My sister in-laws kids were breastfed until they were almost 2 and are constantly sick and as for learning they are at the same learning speed as my three. I read all the studies but, in my experience, it doesn't make that much difference. I say do what feels best and right for you with each child you have. And for goodness sake stop judging people who make choices different than yours, you can have a really healthy happy baby that you have an amazing bond with without breastfeeding and breastfeeding can be an amazing and wonderful experience if everything is favorable for you.
judithelise
I believe that robots are stealing my luggage.
10:16 PM on 12/02/2011
So here’s what I am seeing from the comments on this board: The women who have objections to the BFHI almost all have had some sort of breastfeeding experience which ended up with them feeding their infants with formula. This is pretty clear from most of the comments. I cannot to pretend to fully understand exactly how this experience of theirs informs their objections to breastfeeding promotion efforts. The women who are in favor of the measures included in the BFHI have all breastfed their infants although many of them experienced problems getting to that point. Personally, having experienced problems getting started with breastfeeding that were ultimately overcome with persistence, professional help, and outright stubbornness I am really grateful for the experience of nurturing my baby with my own milk. I would like to help other women who wish to have this positive experience. In looking at all the ways to accomplish this goal I recognize (through evidence-based studies) that the BFHI is one way to go. I will continue to advocate for the implementation of the BFHI. I understand that no childrearing choices can be forced on any woman and that many choices are cultural. I also believe that we are all struggling to do the best we can in raising our young.
09:10 AM on 12/03/2011
Finally, we have an area of agreement--more evidence based research. Thank you!
03:57 PM on 12/02/2011
There is a larger picture to infant health then just formula vs. breast milk. You can breast feed a baby all you want, but smoke through your pregnancy and your child will still be harmed. So, they have places a small band aid on a small problem.

There is no perfect answer, but to be so judgemental about the choices other people make is absurd! Why do we live in a society where we have to look down on other's for the choices they make? Not all that long ago mother's were told that formula was better for their children and breast feeding mother's were the outcasts. It was also said mothers shouldn't touch their children. So listening to what doctors say is not always the best answer.

The only real problem with not giving free formula is that for mothers who planned on breast feeding, who can't, will have to run to the store right out of the hospital, that free formula would allow a little cushion for those who didn't plan on formula feeding. More women will have to buy formula, just in case, and may actually lead to more formula fed babies because mothers have it on hand??
judithelise
I believe that robots are stealing my luggage.
02:05 PM on 12/03/2011
You’ve got a point. I was a fanatic about eating healthy during pregnancy and lactation and feeding my toddler healthy foods for the first three to four years of her life. I was proud of the fact that I grew such a beautiful healthy child. Once she started school, it was the beginning of a slow slide into a less than optimal diet. Today she is still healthy but she lives out of state and has an atrocious diet. It makes me sad to think that inside her otherwise pretty body the conditions for the onset of diet-related degenerative diseases may already be making inroads into her life. They are saying that for the first time in history this next generation may have a shorter life span than their parents.
pfreddie88
Facts drive the GOP crazy...
12:07 PM on 12/02/2011
Do you alkl realize that middle aged women have 35 years worth of toxaphene, flame retardants, PFAO's, pesticides, and other fat soluable chemicals accumulated in the body. Since mothers milk is high in fat content, quess where all that is going to go once mothers start to breast feed? Formula isn't always the less healthy choice.
judithelise
I believe that robots are stealing my luggage.
12:54 PM on 12/02/2011
Nope not always, but almost always. There have been a few populations that have been advised against breastfeeding their young because of toxins in their environment. For the rest of us, the benefits of breastfeeding (even with the toxins we all have in our bodies) compared to artificial baby milk feeding is still recommended. Good point though and good reason to fight for more environmental legislation.
01:05 PM on 12/02/2011
And you think the milk that the formula is made from is free of all those toxins, plus the hormones and antibiotics that are force fed to our dairy cattle? If you somehow think that the stuff in a can is 'pure' you are highly naive. Look at the first few ingredients of formula, milk (bought in bulk at the lowest possible price from factory farms that pump up with their stock with hormones and antibiotics and feed them pesticide laced feed that also included ground up animal waste), high fructose corn syrup (nuf said) and hydrogenated vegetable oil. You think that is better than breast milk? You really need to research this topic more.
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Sarita1225
Made In Detroit. Not one of its suburbs.
09:31 AM on 12/03/2011
Cite sources, please. Seriously.
pfreddie88
Facts drive the GOP crazy...
12:04 PM on 12/02/2011
Boy, you do not mess with the Mothers' Milk Mafia. They are as impassioned, intractable, inflexible group as ever I have met.
judithelise
I believe that robots are stealing my luggage.
12:13 PM on 12/02/2011
So are a lot of people in the environmental movement. Would you have them just role over and allow big business interests to continue to poison our water, air and soil to the point of no return? It's an uphill climb but somebody has got to to be thinking about the children, their future, and the cost to society.
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HeresaClue
Grrrrrrr.....
01:24 PM on 12/02/2011
Every doctor will tell you it is healthier, why not promote it? It's not like they are banning formula, only the direct in hospital marketing of it to new mothers, and even then it is provided to any mother who has trouble breast feeding.
02:09 PM on 12/02/2011
It is not provided to every mother who has trouble breast feeding. While at the hospital a mom has access to nurses and lactation consultants. Upon discharge, that is when the formula is needed. The mom will no longer have ready access to formula "just in case" unless she purchases it herself beforehand. As for the marketing of formula companies, I get those concerns. But what about the marketing of breast feeding supplies (pumps, etc.) That too is an industry in and of itself. My position is that moms should give breastfeeding a try, but that it is really nice to have formula as an easily accessible option if one needs it. I do not think the state has a legitimate interest in taking this away without providing free access to breast pumps and the like.
06:59 PM on 12/01/2011
Pretty sad, as there are moms who need the formula.
judithelise
I believe that robots are stealing my luggage.
02:50 AM on 12/02/2011
Moms that need formula can go to WIC or the grocery store. Just because you couldn't breastfeed you want all those other moms who gave birth at the hosptial to use artificial baby milk also? What is that about?
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HeresaClue
Grrrrrrr.....
01:25 PM on 12/02/2011
And if you read the article, it says it will still be provided to anyone who has trouble breastfeeding. As for those who choose to formula feed due to work constraints or for other reasons, they can go out and buy it themselves.
05:47 PM on 12/01/2011
Wow, just read though all the comments again....really starting to feel like its best to just do whatever the exact opposite of what Judith and Maggie say to do, regardless of the circumstances. Who's with me?
judithelise
I believe that robots are stealing my luggage.
02:40 AM on 12/02/2011
Go for it. People in healthcare encounter junkies and drug addicts with the same mentality as you every single day, and you have no idea how sad and wearying it is. Ultimately the best response is to just leave you to make your own choices. What I would ask of you is that you would leave us to our jobs, which is to support and educate patients to make healthy choices. There are SO many women out there who really do want our help and that we can have a beneficial effect on. If in the process we somehow have a negative effect on someone like you with issues who has a need to blame someone else for it then so be it.
09:00 AM on 12/02/2011
Amazing answer, Judith.

Are we, as Health Care Providers supposed to lie or not do our jobs so people like "erinewithane" can feel better about her choices? No, we are here to advocate for the babies and for the mothers who can breastfeed (a good 999 out of every 1000 women) and supply them with fact based data.

And erinwithane's attempt to gang up on truth tellers with her "who's with me?" is abusive and bully like behavior.
09:04 PM on 12/02/2011
As a nurse, I encounter patients every day who make choices I don't agree with. I learned in nursing school that I'm obligated to take care of them and show them respect regardless of my personal views. You can educate without being condescending-example-when you said above, "You do realize..." to another poster or in your post above, "you have issues". Not very constructive ways to get your point across.
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Num1Christy
Progressive Ohioan
01:09 PM on 12/01/2011
"We never make any woman feel guilty about her decision" - Definitely not my experience with lactation consultants. I had one call me constantly until I had to submit a complaint to the hospital since they had provided her with my home phone #. Judging is what women do best. I can't count the number of times I was asked if I was breast feeding... wow, mind your own business ladies.
07:00 PM on 12/01/2011
Lactation consultants at NY and NJ hospitals are relentless as well.
judithelise
I believe that robots are stealing my luggage.
02:30 AM on 12/02/2011
Yeah, I know. Junkies feel the same way when someone tries to help with an intervention. They just want to be left alone.
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scarletxoxoxo
I was born in a ditch and I eat babies.
11:29 AM on 12/01/2011
I don't see what the big deal is about removing these gift bags. If you are unable to breastfeed or choose not to, the hospital still provides formula for the babies. It is not like they are going to let anyone's baby starve to death.
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HeresaClue
Grrrrrrr.....
01:27 PM on 12/02/2011
No kidding, this is just banning in hospital marketing, which is ridiculous anyway.
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david speicher
david speicher
05:40 AM on 12/01/2011
Well as an E.R. nurse I notice that we see very few breastfeed babies. Many people try to add more water to make the formula strech farther and this is a no no. There immune system is not as good unless they breastfeed. It is free and ready to go all the time. I realize that not all women can breastfeed and then formula is ok. Some children are tounge tied and if they get this clipped than breatfeeding will be easier for the child. Most hospital have nurses that know if this is needed to be done. Think of the millions the govt could save if they did not have to spend this money on formula. Think of it healthier children for less money. The most important time is the first 2 weeks.
09:15 PM on 12/02/2011
I disagree. I've seen a huge increase in breastfeeding and of the 10+ mothers (myself included) I've known who have had children in the past two years, every single one tried breastfeeding and only 2 stopped after one month. Now the women I know are middle class and educated, so I'm only able to speak to that group, but I would agree that low income women are probably less likely to BF. That goes back to them having limited resources, having to return to work sooner with less maternity leave and the cost/time of pumps; whereas WIC covers formula.
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StrawHat
Eat veggies, don't vote for them
02:56 AM on 12/01/2011
I know of hospitals in the Pacific Northwest that made this same decision two decades ago.

The practice of giving out free formula to new mothers is disgusting. It's like you're telling them right upfront: we know you won't be able to handle breastfeeding your baby, so here you go.

Breastfeeding is the most natural thing in the world.
07:01 PM on 12/01/2011
Not every new mom can breastfeed, I guess from your avatar that you are male? Disgusting is a strong word.
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WilmaJune
10:41 PM on 12/01/2011
I was not able to breastfeed. My family kept pushing guilt trips on me. For some of us, breastfeeding is not natural for numerous reasons. Assuming you are a man, you are clueless. Your comment shows you want to control an area of life that is beyond your control.
01:11 PM on 12/02/2011
I'm a women and I think that 95% of the woman that say they 'can't breastfeed are full of it. Less than 10% of woman are truly unable to breastfeed but the overwhelming majority like to claim that there is something wrong with them when it's just that they'd rather not breastfeed. It's your choice of course, but at least be honest about it.