What Formula Should I Give My Newborn

Sneak In Formula In The Midst Of Breastfeeding

Infant formula-how much to feed my baby? Why I should not overfeed. Dr Sridhar Kalyanasundaram

One common strategy for introducing a bottle for the first time is to switch to a bottle towards the end of a breastfeeding session. Your baby will still be hungry for more and in the zone of feeding, and will ideally feel calm and relaxed enough to try something new, such as a bottle containing formula. A related technique is to put some breast milk on the nipple of the bottle, so that it smells and tastes more familiar for your baby.

If youre not able to introduce a bottle in the midst of a breastfeeding session, and have to start the feed with a bottle, try giving your baby a bottle containing expressed breast milk. This will get them used to the feel of the bottle, while still giving them the taste theyre used to. If this isnt possible, introducing a bottle of formula with even a small amount of breast milk on the nipple may still encourage your baby to accept the bottle as it tastes and smells more familiar.

What About Organic Or Store Brand

Now you know that ingredients should be the number one factor in a formula choice. If you can find your dream ingredients in a store-brand formula celebrate! Thats what I call shoe money! But lets be honest, we both know youll spend it on diapers.

Similarly, organic ingredients are desirable to many families. However, the ingredients matter more. If full-size proteins cause your infant to be uncomfortable and sleep less, then an organic full-size protein formula is not the best choice for your unique baby. The ingredients are all that matter.

What About European Baby Formula

Recently the FDA has approved additional formulas made outside of the United States: Kendamil , Bubs , Nestle , and a version of Similac produced for Spain. These formulas meet US safety standards for production and labeling and are valid options to feed your baby.

The biggest difference between these formulas versus the formula produced in the US is iron content formula produced abroad contains about half of the iron content as its US counterparts, explains Dr. Fradin, although she also notes that different preparations of iron may predispose to better absorption.

We know iron is a critical nutrient for brain and liver growth in babies, especially for babies born preterm or after pregnancies with certain complications like preeclampsia. If youre using one of these formulas and are worried about anemia or iron deficiency, talk to your pediatrician, she says.

Recommended Reading: Why Newborns Cry More At Night

How To Make Up A Feed

If youâre using powdered milk, follow the seven steps below to make up a feed. Always read the manufacturerâs instructions carefully and ask your midwife or health visitor if thereâs anything youâre not sure about.

Always make the formula just before you need to use it and donât reuse any formula milk thatâs been left over from a previous feed.

Make sure the surfaces youâre using are cleaned and disinfected, and the feeding bottle and accessories are also cleaned and sterilised.

  • Boil at least 1 litre of fresh tap water in a kettle, then leave it to cool for no more than 30 minutes .

  • Stand the bottle on the disinfected surface, and â following the manufacturerâs instructions â pour the correct amount of hot water from the kettle into the bottle. Be careful to check the water level.

  • Again, following the manufacturerâs instructions carefully, use the scoop supplied with the formula to add the powder to the water in the bottle. Donât forget to level off each scoop of powder with a clean, dry knife or the provided leveller.

  • Insert the teat into its retaining ring and screw it on.

  • Put the cap over the teat and shake the bottle until all the powder is dissolved.

  • Cool the bottle under cold running water or leaving it to stand in a bowl of cold water.

  • Test the temperature of the formula by dripping some onto the inside of your wrist â it should be warm or cool, but not hot.

  • How Much Formula Does Your Baby Need

    How much formula should I give my baby?

    Your newborn baby only needs small amounts of formula in the first few days â after all, his or her tummy is still very small, but itâs growing all the time.

    Just to give you an idea how small your newbornâs stomach is, and how fast it grows:

    • On day one itâs about the size of a cherry and holds around 5-7 millilitres

    • On day three itâs the size of a walnut, with room for 22-27 millilitres of formula or breastmilk

    • After one week itâs grown to the size of an apricot and can hold about 45-60 millilitres at a time

    • After one month your babyâs stomach is about the size of a large egg, with a capacity of 80-150 millilitres.

    From after the first week until around 6 months old , your little one may need around 150 to 200 millilitres of formula milk a day for every kilogram of body weight.

    So, for example, a 1-month-old baby weighing around 4 kilograms might need between around 600 and 800 millilitres of formula a day, spread over several feeds. Here are some more examples of how much formula your baby may need per day based on different bodyweights:

    Approximate Quantities of Formula Depending on Body Weight
    Babyâs weight
    1,500-2,000 ml

    All babies are different, and so are their appetites! In practice, though, once your child settles into a feeding pattern and you get to know his or her feeding cues, youâll probably find it natural to increase the quantity of formula gradually in response to demand.

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    Bubs Organic Grass Fed Follow

    Bubs Australia

    • Not suitable for all ages

    • Contains soy

    Similarly to the Nestle NAN formulas, a high quality two-step formula that hails from Australia is now available to American consumers as well. Aussie Bubs strives to provide the best of what nature offers through their line of grass-fed infant formulas. Sourcing milk from grass-fed cows produces a product richer in omega-3s, beta-carotene, lutein, and vitamin E to name a few key nutrients.

    Their Stage 2 Formula, which is designed for children over 6 months of age, is certified organic, iron fortified, contains beneficial probiotics and prebiotics for gut health, and is a blend of 50% whey and 50% casein proteins. It is proudly free of palm oil and corn syrup.

    Aussie Bubs Stage 1 formula delivers the same high quality. Specifically made for the needs of infants 0-6 months old, compared to the Stage 2 formula, Stage 1 provides slightly more whey versus casein protein, more omega-3s, and higher folic acid. Both the Stage 1 and Stage 2 utilize soy lecithin as an emulsifier, so they would not be suitable for babies with a soy allergy. However, their omega-3s are sourced from algae, so these products do not contain fish if that is a dietary concern for your baby or family.

    The FDA news release notes that Bubs Australia will plan to provide 1.25 million cans of several varieties, two of which include the Organic Grass Fed Stages 1 and 2 formulas.

    How To Calculate Formula Needs

    In addition to looking for cues to when your baby is hungry and when they’ve had enough, you can use different techniques to estimate the amount of formula to prepare. But again, from one day to the next, your baby may want more or less at any feeding. So watching for hunger/fullness cues is important.

    Read Also: How To Get Your Newborn To Sleep In A Bassinet

    Prevent Uncomfortable Engorgement Leaking And Clogged Ducts

    When you start introducing formula, your breast milk production will take a few days to adjust to the reduced demand. In the interim, your breasts may become uncomfortably engorged, which can lead to embarrassing leakage, clogged ducts or even mastitis a painful infection of the breast tissue.

    Thus experts generally advise introducing formula slowly, gradually replacing breastfeeding sessions with formula feeding.

    One method is to replace one nursing session per week with a formula feeding session. Start by giving your baby one bottle of formula at around the same time each day. This will train your body to stop producing milk at that time.

    Another way to start introducing formula, according to the National Childbirth Trust, a nonprofit based in Britain, is the top it off method, which involves giving a small amount of formula after a nursing session. The extra nourishment will make your baby feel more full, extending the time until your next nursing session and gradually reducing the amount of milk you produce at that time.

    If your breasts still become engorged, you can relieve some of the pressure by pumping or hand expressing a little milk, but only until you feel relief, said Dr. Neifert. She warned against draining your breasts completely, as that signals to your breasts to continue to produce milk.

    How To Be Sure Your Baby Is Getting Enough Formula

    What’s Behind America’s Baby Formula Shortage?

    Rather than strictly following a chart to decide how many ounces or millilitres a baby should eat at a given age or weight, experts advise feeding âon demandâ in response to the feeding cues listed above.

    As long as your little one is gaining weight normally and producing enough wet nappies, you can be pretty certain he or she is getting enough formula.

    From the first few days after being born itâs normal to see around six heavy nappies, soaked with pale or clear urine, every day.

    Your baby will usually be weighed a few times in the first 10 days after birth, and then once a month after that â at monthly health and development reviews â until the age of 6 months.

    During the health and development reviews your health visitor and/or doctor will use growth charts to keep track of your babyâs growth and weight gain.

    These visits are also a great opportunity for you to ask questions or discuss any concerns you might have. But if youâre ever concerned about whether your baby is eating enough, you can always turn to your midwife or doctor between the scheduled visits.

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    Enjoy Mealtimes With Your Baby

    Mealtimes are a time to be together and communicate. Just as adults and children enjoy talking with each other at mealtimes, so do babies. Hold your baby close to your body, facing you, when feeding. This should be an enjoyable and social experience for you both.Take the bottle away as soon as your baby has had enough.Do not put your baby to bed with a bottle, to feed alone. This is dangerous because your baby may choke. Also, older children who are regularly fed this way are more likely to get middle-ear infections and tooth decay.

    How Do I Formula Feed My Baby

    The most common way to feed a baby with formula milk is with a bottle. There are lots of different bottle brands and styles to choose from. Teats can either be made from rubber or silicone and vary in shape. Theres no evidence that one is better than the other, so it just depends on what you like and if your baby has a preference. You may find that you try several different brands before you find one that works well for you and your baby.

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    What Water Is Best For Baby Formula

    Although it can be confusing to know what type of water to use when mixing baby formula. Dr. Fradin advises that tap water is usually fine, but to always check with your pediatrician first about your town or citys water.

    In most parts of the U.S., tap water works great to mix formula, she says. Some water labeled baby water doesnt contain fluoride, and may actually do more harm than good.

    Is My Newborn Getting Enough To Eat

    How much formula should I feed my newborn?

    New parents often worry about whether their babies are getting enough to eat.

    Babies are getting enough to eat if they:

    • seem satisfied
    • have about 68 wet diapers a day
    • have regular bowel movements
    • sleep well
    • are alert when awake
    • are gaining weight

    A baby who is fussing, crying, seems hungry, does not appear satisfied after feeding, and has fewer wet diapers may not be getting enough to eat. If you’re concerned that your baby isn’t getting enough to eat, call your doctor.

    Most infants “spit up” a small amount after eating or during burping, but a baby should not vomit after feeding. Vomiting after every feeding might be a sign of an allergy, digestive problem, or other problem that needs medical care. If you have concerns that your baby is spitting up too much, call your doctor.

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    Is 4 Oz Of Formula Too Much For A Newborn

    In the first week after birth, babies should be eating no more than about 1 to 2 ounces per feed. During the first month, babies gradually eat more until they take 3 to 4 ounces per feed, amounting to 32 ounces per day.

    Is 30ml enough for newborn?

    Newborn babies often take about 30 mL of formula per feeding, and this increases to about 60 mL to 90 mL by the end of the first week. Your baby will probably need about eight feedings per day for the first three weeks of life.

    How do you calculate baby feeds?

    A 3-week old baby should eat approximately 150 ml per kilogram of its body weight per whole day. To find the total amount of formula needed for the day, you should multiply the babys weight in kilograms by 150 ml or 5 fl oz. Every baby is different and has its own needs.

    How can you tell if a newborn is full?

    Your child may be full if he or she:

  • Pushes food away.
  • Closes his or her mouth when food is offered.
  • Turns his or her head away from food.
  • Uses hand motions or makes sounds to let you know he or she is full.
  • Can I give my 2 week old 4 oz of formula?

    During the first 2 weeks, babies will eat on average 1 2 oz at a time. By the end of the first month they eat about 4 oz at a time. By 2 months, increase to 6 oz per feed, and by 4 months, about 6-8 oz per feed.

    What Is Cluster Feeding

    Cluster feeding is very common and normal in babies who are breastfed. Cluster feeding is when a baby wants to nurse more often than every 2 to 3 hours. When a baby is cluster feeding, they eat several, small meals in a short period of time. Cluster feeding tends to happen most often in the evenings and when your baby is experiencing growth spurts.

    Cluster feeding helps your body boost your milk supply during a growth spurt so your baby gets exactly what they need. It also increases skin-to-skin time, which has emotional benefits for both baby and parent.

    While cluster feeding can feel exhausting in the moment, it wont last forever.

    Also Check: Is Infant Formula Safe For Newborns

    Stage 1 And Stage 2 Formulas

    Cows milk-based baby formulas for babies up to 6 months of age are called stage 1 or starter formulas. You can use stage 1 formulas up until your baby is 12 months old.

    From 6 months, you can choose stage 2 or follow-on formula, but you dont need to change to stage 2. You might see advertisements about the benefits of stage 2 or follow-on baby formulas, but these have no advantages over starter or stage 1 formulas.

    Understand That Bottle Feeding And Breastfeeding Place Different Demands On Your Baby

    Is it okay to breastfeed my newborn and give them formula at the same time?

    To breastfeed effectively, babies must open their mouth wide, latch on to the breast and then coordinate a suck, swallow and breath sequence. Bottle feeding, by contrast, provides a continuous flow of milk instead of working to extract the milk, babies only need to pause the flow of milk in order to breathe.

    Because of these differences, some babies will develop a strong preference for the bottle or, less often, for the breast.

    Nipple confusion. Women sometimes receive dire warnings that artificial nipples, including pacifiers, can lead to nipple confusion or an inability to latch on to the breast and effectively extract milk.

    these concerns can cause significant stress for new mothers who are struggling with breastfeeding, Dr. Chad Hayes, M.D., a pediatrician practicing in Charleston, S.C., wrote on his blog.

    For example, La Leche League, a nonprofit focused on breastfeeding advocacy, warns that many mothers have noticed a change in her babys sucking patterns after introducing a bottle or a dummy . Her baby may struggle and cry, find it difficult to latch on, or simply nurse ineffectively at the breast.

    Flow preference. While true nipple confusion is rare, a more common cause of a baby fussing at the breast or refusing to latch is flow preference.

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    Feel Good About Your Choice

    The A.A.P. recommends that women breastfeed exclusively for about the first six months of life, and then continue breastfeeding while giving solid foods for at least a year.

    Exclusive breastfeeding for six months without additional solids or formula provides the strongest protection against gastrointestinal and respiratory infections during infancy. But partial breastfeeding does still provide some protections against diarrhea, ear infections, Sudden Infant Death Syndrome and respiratory infections like pneumonia.

    Note though, that this protection against infection lasts only as long as you are breastfeeding, said Dr. Kramer.

    Some studies also suggest that breastfeeding can confer additional lifelong protection against obesity, eczema, asthma and allergies, as well as a slight boost in I.Q., though many of the studies showing these long-term benefits have major methodological issues, according to the A.A.P.

    Women sometimes hear that just one drop of formula will change a babys microbiome the mélange of bacteria, fungi, and other microscopic bugs that line the skin and gastrointestinal system. Such changes, they are warned, may have lifelong consequences for their babies immune and metabolic health.

    Some popular breastfeeding websites also warn that using formula can shorten the breastfeeding relationship.

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