Those that can’t breast feed, or are unable to do so for medical reasons should rely on formula. That would at this time include HIV positive mothers, and those who took the Covid shot (because there are no long term studies on the impact of breast fed babies-so I would be cautious). Formula is not the best choice because it is comprised of chemicals and not natural. There are a number of excellent breast pumps on the market, and insurance and Medicaid provide free pumps. Mothers who are returning to work need only to research the best pumps and find out what your insurance provider provides. Is it stressful and requires organization if working full time? Yes. But by law time must be provided by an employer to pump, and use your lunch time and breaks. Keep powdered formula for emergency back up. It takes sacrifice, determination, organization and confidence to pump/breastfeed, but it is healthier for mom and baby, cost effective and provides better nutrition.