USA TODAY US Edition

Feeding a baby for a year is not cheap

Whether it’s breastfeed­ing or infant formula, the costs can add up quickly

- Zlati Meyer

The question of how to feed a child is as old as time. But the economics behind it are back in the spotlight following a news report that the U.S. government opposed an internatio­nal resolution supporting breastfeed­ing and limiting inaccurate marketing of alternativ­es.

The debate over breast milk versus baby formula stirs arguments about the health effects and convenienc­e of each. But it also raises the question about what we pay to feed babies.

“Cost plays an important role in the decision between whether to nurse or formula-feed,” said Carrie Johnson, an assistant professor of human developmen­t and family science at North Dakota State University. “But breastfeed­ing isn’t always what you think of as free.”

Some women don’t have a choice; they have to buy formula due to a medical condition (theirs or their babies’), an aversion to breastfeed­ing or limited time because of their jobs.

Infant formula – such as Similac, Gerber, Enfamil and Earth’s Best – costs an average of $1,200-$1,500 for a baby’s first year, according to the surgeon general. It’s that kind of outlay that has fueled sales of formula, now a $2.3 billion industry in the U.S., according to market research firm IBISWorld.

And both methods can have longterm economic consequenc­es, whether it’s increased risk for food allergies for formula-fed babies, or lost

income for mothers taking time off to pump, according to experts.

For formula feeding on the less expensive end, there are store brands like Target’s Up & Up, which starts around $16 for a 22.5-ounce container. More expensive options include special recipes that are non-GMO, organic, reflux-fighting or designed for infants with special nutritiona­l needs, such as Similac Alimentum for babies with protein sensitivit­y (a 12.1-ounce tub for around $26) and Enfamil PurAmino for those with severe cow’s milk protein and other allergies (about $45 for a 14.1-ounce container).

Also throw in the cost of baby bottles and their upkeep – items like sterilizer­s ($20-$70), warmers ($25-$70), cleaning brushes ($3 and up) and travel containers ($4 plus).

As for breastfeed­ing, data from the Centers for Disease Control and Prevent show that among American children born between 2002 and 2014, it steadily rose. The percentage of babies who were exclusivel­y breastfed for the first six months of their lives, for example, jumped from 10.3 percent to close to 24.9 percent.

Breastfeed­ing also comes with costs. While the Affordable Care Act requires health insurance companies to cover breast pumps, a woman may have to pay for a lactation consultant if she needs help.

She’ll need nursing bras ($15-$70) and nursing pads ($5 and up) to put in those bras – and maybe nipple cream

($7.50 plus), a pump bustier (about

$30) and milk storage bags (starting at

$9). Optional accessorie­s include a nursing pillow ($25-40) and a modesty drape ($13-$25), though those could be replaced with a strategica­lly-placed rolled-up towel and a large square scarf.

Johnson of North Dakota State University estimates that the cost of breastfeed­ing for a year can reach

$1,000.

And taking time away from work to pump can affect one’s earnings in the short term and the long term. For example, a saleswoman working on commission isn’t making money in the lactation room, nor is a lawyer who bills in six-minute increments.

The big-picture negative economic effect extends to formula feeding, too: The possibilit­y of more food allergies and less skin-to-skin bonding with the baby

“It’s a mix of health science and economics,” said Parke Wilde, a professor of food policy at Tufts University, who recommends breastfeed­ing for mothers’ and infants’ well-being. “It tends be associated with a lower risk of certain types of health problems and feelings of joys and happiness for the mother.”

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 ?? GETTY IMAGES ?? A World Health Assembly resolution says mother’s milk is healthiest for children.
GETTY IMAGES A World Health Assembly resolution says mother’s milk is healthiest for children.

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