The Institutional Review Board at the George Washington University approved this work. The details of the IRB/oversight body that provided approval or exemption for the research described are given below: I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. This study was funded by a Research Enhancement Award from the Milken Institute School of Public Health at the George Washington University. The authors have declared no competing interest. Findings demonstrate the urgent need to develop strategies to support mothers in feeding their infants, especially mothers who may lack the resources to locate and obtain formula. Conclusions Even among highly educated women with access to financial, social, structural resources, the infant formula shortage adversely impacted mothers’ mental and emotional health, and has been costly, in terms of financial and intangible costs.
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