Misinformation about how families can overcome formula shortages is fueling concern for pediatricians like Dr. Tanya Altmann.
The California doctor has received phone calls, emails and social media posts – not just from his patients but from families across the US – as well as photos of empty store shelves that once held preparations for infants.
Parents say they’ve been to a dozen stores and looked at a hundred websites and they can’t find their baby’s formula, and they want to know what to do and if some of the so-called alternatives they hear about are legitimate. .
“It’s scary for these moms and their babies, and it becomes a real problem,” Altmann said.
Supply chain issues and product recalls have triggered the national infant formula shortage. In early April, seven states reported that between 40% and 50% of infant formula was out of stock. Manufacturers said they were producing at full capacity to make as many as they could, but this week 43% of infant formula was out of stock, according to a new report from Datasembly.
The U.S. Food and Drug Administration is working with Abbott Nutrition, the company involved in the recent recall, to safely resume production and find tools to support infant formula supply, according to a spokesperson for the agency. FDA. But its Michigan facility is likely still about two weeks away from being back online, pending FDA approval, and it will likely be another six to eight weeks before products are back on shelves, according to a company statement.
Some people turn to online caregiver communities for ideas on what to do if they can’t get their baby’s source of nutrients. However, pediatricians are concerned about the health effects of some of the ideas posted online, said Altmann and Dr. Steven Abrams, professor of pediatrics at the University of Texas at Austin and former president of the American Academy of Pediatrics. Committee on Nutrition.
Pediatricians said there are ways to overcome the shortage for many people and that it is important to work with your pediatrician to meet your baby’s special needs. Here are the answers to some of your questions about what’s safe and what’s not.
“There’s a lot of talk about making your own formula at home and things like that, and I really want to discourage that as much as possible,” Abrams said.
The formulas are complex, and researchers have spent years developing the right ratio to give babies the nutrients they need, Altmann said.
Infant formula should be dense in protein, fat, vitamins and minerals, many of which cannot be purchased at the grocery store. And the balance must be precise for the health and development of babies, she added.
“You can see how very difficult it would be to duplicate in your own kitchen,” she said.
Homemade formulas can prevent a baby from feeding properly or have their electrolyte ratio disrupted, which can be dangerous, Altmann said. There have also been cases of bacterial contamination, which can make infants sick.
It’s tempting to add other food sources or add more water to formula as you near the end of your last container of formula, but pediatricians say it’s not. a good idea.
Families can start introducing solids into an infant’s diet when the infant is between 4 and 6 months old, Altmann said. But these foods are not a nutritional substitute for formula at this age.
“Even when you start eating solids, breast milk or infant formula is still the primary source of nutrition for your baby,” Altmann said.
And adding extra water to stretch the formula you have can dilute the essential nutrient profile and lead to serious health issues and interfere with proper growth and development, she added.
“We are not irrational. If there’s nothing you can put in the baby’s mouth but cow’s milk, you will,” Abrams said. “But that’s not what we want people to do.”
It really depends on how old your baby is and what your pediatrician says.
For at least the first six months, infant formula is really important, Altmann said. But the closer they are to a year, the more flexibility there is.
“You can actually choose a toddler formula at this stage where normally you’d want to wait until they’re exactly one year old,” Altmann said. “Talk to your pediatrician, always, first.”
“We advise against the use of cow’s milk up to one year of age, but it is certainly true that as the baby approaches one year of age, especially if there is no just no infant formula, you can use that or toddler formula,” Abrams said. “None are ideal, but the closer you get to the year, especially in the short term, those are alternatives.”
Altmann said there are high-quality products made in Europe and Australia that she loves that are available online. But it’s important to make sure you’re ordering from reputable retailers.
She recommended buying from trusted pharmacies in the country where the formula originated and checking how the nutrition of the formula compares to the FDA-approved formula.
“Not all international formulas are created equally, so you might want to make sure you know what you’re getting and that it’s a high quality product,” she said. .
But Abrams cautions against imports, reminding families that imported formulas are not reviewed by the FDA.
“It’s a less than ideal alternative, but if that’s what they have to do, then that’s what they have to do,” he said.
The FDA recommends not importing any preparation online because it could be counterfeit, a spokesperson said.
“What we want people to do if possible is to be as flexible as possible and change the formula,” Abrams said.
It may take your baby a few days to get used to a new brand of formula, but in most cases, the switch is okay, Altmann said. You can find great formula choices for your baby here.
It becomes more complicated, however, in cases where a child may be on a certain formula due to an allergy or sensitivity.
“If your child has an allergy or sensitivity and has had reactions to formulas in the past, please consult your pediatrician before switching off as not all formulas are the same,” Altmann said. “But in most cases there are other options available that we can help you with.”
The FDA allows Abbott Nutrition to distribute products on a case-by-case basis to certain families in dire need of specialty and metabolic formulas, according to the agency.
It is complicated.
There have been cases where parents may induce lactation for the first time or restart lactation after choosing not to breastfeed, Altmann said. However, the process is complicated and likely requires the help of a lactation specialist.
There are also banks where you can buy breast milk donated by other families. You can find milk banks near you through the Human Milk Bank Association of North America.