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Bottle-Feeding Guidelines

At every doctor’s office and hospital reception, the walls are plastered with breastfeeding advice. What you don’t often see are best practice guidelines for mothers who choose to bottle feed their babies. So, to fix it, here are some pointers.

Don’t let your baby’s crying be the signal to start feeding. If your baby is fussy before he starts bottle feeding, he may be fussy during feeding. Breastfeeding mothers are told to breastfeed frequently and the same advice applies to bottle feeding. An important point to remember, however, is that formula milk takes about four hours to digest compared to two hours for breast milk, so the interval between feedings should be longer for the bottle feeding

A baby will need up to about 85 ml (3 fl oz) per feed. As it grows, the amount of feed will increase, as will the period between feedings. Babies know when they’ve had enough, so don’t worry if your baby hasn’t finished all the milk. Discard the milk left in the bottle; never, ever try to feed your baby later. Formula milk that is left sitting is a perfect breeding ground for bacteria. If your baby still seems hungry after emptying the bottle, offer more milk. Don’t overfeed your baby.

The best way to get a baby to bottle feed is simple. Hold the baby as you would for nursing, but in a slightly more upright position to make it easier for him to swallow and to prevent formula from spilling out and down his nostrils and ears.

Don’t just put the nipple of the bottle directly into the baby’s mouth. Rather, gently rub your baby’s cheek and lips with your nipple, as recommended for nursing mothers. This gentle rubbing stimulates your baby’s ‘rooting reflex’.

You can reduce the amount of air your baby consumes by tilting the bottle to ensure that the nipple only contains milk. Wind is uncomfortable for babies and after a feed they will let you know about their discomfort. It’s usually best to avoid baby wind, for both mom and baby!

Take your time and let your baby take a break every now and then. It’s quite normal for babies to stop drinking for a while before continuing. As they get older, they may also have a tendency to lose concentration and look around instead of feeding. So, before you feed your baby, make your environment as calm and relaxing as possible. If you feel uncomfortable during feeding, change your position. Remember that if you are uncomfortable or distracted during feeding, your baby will be too.

Feeding is not just feeding your baby; it’s also about providing comfort. Hold your baby close to you and maintain as much skin-to-skin contact as possible. During feeding, caress, caress, talk and maintain eye contact with her, and above all, smile.

Feeding a baby is a special time for both mother and child. It can be a relaxing and comforting experience for both of you. To make sure this is the case, follow the points above and most importantly, follow your baby’s example; they often know better than we do what is the best way to do things.

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