Guide to bottle feeding baby
Bottle feeding advice - NHS
If you're planning to bottle feed with expressed breast milk or infant formula, these tips will help you feed your baby and keep them safe and healthy.
If you decide to use infant formula, first infant formula (first milk) should always be the first formula you give your baby. You can use it throughout the first year.
Buying bottle feeding equipment
You'll need several bottles, teats and a bottle brush, as well as sterilising equipment, such as a cold-water steriliser, microwave or steam steriliser.
There's no evidence that 1 type of teat or bottle is better than any other. Simple bottles that are easy to wash and sterilise are probably best.
Making up bottles for your baby
Make sure you sterilise bottles and teats until your baby is at least 12 months old. Wash your hands thoroughly before handling sterilised bottle and teats.
If you're using infant formula, follow the instructions on the packaging carefully when you make up the feed.
See how to make up baby formula.
How to bottle feed your baby
Bottle feeding is a chance to feel close to your baby and get to know and bond with them. Babies will feel more secure if most feeds are given by you, your partner or their main caregiver.
Make sure you're sitting comfortably with your baby close to you. Enjoy holding your baby, look into their eyes and talk to them as you feed them.
Hold your baby in a semi-upright position for bottle feeds. Support their head so they can breathe and swallow comfortably.
Brush the teat against your baby's lips and when they open their mouth wide let them draw in the teat.
Always give your baby plenty of time to feed.
Do not leave your baby alone
Never leave your baby alone to feed with a propped-up bottle as they may choke on the milk.
Keep the bottle horizontal
Gently place the teat into the baby’s mouth. Keep the bottle in a horizontal position (just slightly tipped). This will allow the milk to flow steadily and help prevent your baby from taking in air.
If the teat goes flat while you're feeding, pull gently on the corner of your baby's mouth to release the suction.
If the teat gets blocked, replace it with another sterile teat.
Be guided by your baby
All babies are different. Your baby will know how much milk they need. Some want to feed more often than others. Just follow your baby's lead.
Feed your baby when they seem hungry and do not worry if they do not finish the bottle.
Winding your baby
Your baby may take short breaks during a feed and may sometimes need to burp.
When your baby has had enough milk, hold them upright and gently rub or pat their back to bring up any wind.
Throw away unused milk
Throw away any unused formula or breast milk after you've finished bottle feeding your baby.
Only make up the feed when needed – one feed at a time.
Help with bottle feeding
Talk to your midwife, health visitor or other mothers who have bottle fed if you need help and support.
You'll find the phone number for your health visitor in your baby's personal health record (red book).
Your questions about bottle feeding
Why if my baby does not settle after feeds?
If your baby swallows air while bottle feeding, they may feel uncomfortable and cry.
After a feed, hold your baby upright against your shoulder or propped forward on your lap. Gently rub their back so any trapped air can find its way out.
Your baby may sometimes only burp up a small amount of air.
Why is my baby sometimes sick after feeds?
It's normal for babies to bring up a little milk during or just after a feed. This is called possetting, regurgitation or reflux.
Keep a muslin square handy just in case.
Check that the hole in your baby's teat is not too big. Drinking milk too quickly can make your baby sick.
Do not force them to take more milk than they want during a feed. This may be distressing for your baby and can lead to overfeeding.
Sitting your baby upright on your lap after a feed may help.
If it happens a lot, or your baby is violently sick, seems to be in pain or you're worried for any other reason, talk to your health visitor or GP.
Can formula make my baby constipated?
When using formula, always use the amount of powder recommended on the packaging.
Do not add extra formula powder. Using too much can make your baby constipated and may cause dehydration.
If your baby is under 8 weeks old and has not done a poo for 2 to 3 days, talk to your midwife, health visitor or GP, particularly if your baby is gaining weight slowly.
Your baby should be gaining weight and have plenty of wet and dirty nappies.
Infant formula and allergies
If you think your baby might be allergic to or intolerant of formula, talk to your GP. If necessary, they can prescribe a special formula feed.
Some formula is labelled as hypoallergenic, but this is not suitable for babies with a diagnosed cows' milk allergy.
Soya formula should only be given to babies under medical supervision.
Always talk to your GP before using hypoallergenic or soya-based formula.
Read more about cows' milk allergy and lactose intolerance.
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The Start4Life website also has more information and advice about expressing and bottle feeding
Bottle-feeding babies: giving the bottle
About bottle-feeding
If your baby can’t always feed directly from your breast, you might choose to bottle-feed with expressed breastmilk.
Or you might need to feed your baby infant formula, which is the only safe alternative to breastmilk.
Before you bottle-feed your baby, it’s important to know how to clean and sterilise bottle-feeding equipment, as well as how to prepare, store and warm bottles of formula. This will help to keep your baby safe from infection and make sure baby is getting the right nutrition.
Getting the right flow when bottle-feeding
To test the flow of the formula or breastmilk, hold the bottle upside down when it’s filled with liquid at room temperature. The liquid should drip steadily from the teat but not pour out.
If you have to shake the bottle vigorously to see the drip, the flow is too slow. Your baby might go to sleep before drinking what they need.
When you feed your baby, you might see a little leakage at the corners of your baby’s mouth. This doesn’t mean the flow is too fast. It’s nothing to worry about. It will stop as your baby gets older.
If you have trouble finding a teat with a flow to suit your baby, try a faster teat rather than a slower one. You might need to try a few different teats before you find one that suits.
Giving baby the bottle
Make yourself comfortable and cuddle your baby close to you, holding baby gently but firmly. It’s better for your baby to be on a slight incline so any air bubbles rise to the top, making burping easier.
Put the teat against your baby’s lips. Your baby will open their mouth and start to suck. Keep the neck of the bottle at an angle so it’s filled with formula or breastmilk.
When your baby stops sucking strongly or when about half of the formula or breastmilk has gone, gently remove the bottle and see whether baby wants to burp. Once you’ve tried burping your baby, you can offer the bottle again.
Paced bottle-feeding
Babies who are normally breastfed might find it hard to pace themselves when bottle-feeding, particularly if they’re premature.
This is because they’re used to controlling the flow of breastmilk. Sometimes these babies can drink too much too quickly.
Paced feeding can sometimes help. This involves holding your baby in an upright position and letting them rest every few minutes. If you’re interested in paced bottle-feeding, it’s best to get help from your child and family health nurse or a lactation consultant.
Holding, cuddling and talking to your baby during feeding will help baby develop and grow. It’s also a great opportunity to bond with your baby.
When baby doesn’t finish the bottle or goes to sleep while feeding
Don’t worry if your baby doesn’t finish the bottle. Babies are very good at judging how much they need, so you can let your baby decide when they’ve had enough formula or breastmilk.
If your baby goes to sleep during a feed, put baby over your shoulder, rub their back, and stroke their head, legs and tummy. This can help your baby to wake up. A nappy change is a good way to wake up your baby if that doesn’t work.
Wait until your baby is properly awake before offering the rest of the formula or breastmilk.
If there’s any formula or breastmilk left in the bottle, throw it away after one hour. When your baby drinks from a bottle of formula or breastmilk, bacteria from their mouth get into the milk. The bacteria can grow and make your baby sick if you give your the baby the half-finished bottle later.
When baby refuses the bottle
Babies sometimes refuse a bottle altogether. Here are things to try if this happens:
- Try a new feeding position or change the feeding environment. For example, move around while you’re feeding, find a quieter place to feed, or play some relaxing background music.
- Try again later when your baby is more settled. For example, give your baby a bath and then try again.
- Ask your partner or another family member to give your baby the bottle.
- Try using a different teat. If the flow of formula or breastmilk is too slow, it might frustrate your baby.
- Let your baby open their mouth for the bottle when they’re ready, rather than putting the teat into their mouth.
- Offer the formula or breastmilk from a small cup or spoon. To do this, sit your baby up and offer them small sips.
If your baby is regularly refusing the bottle, you could try adjusting your routine.
If you think your baby is refusing the bottle because they’re unwell, treat your baby’s symptoms or take your baby to see your GP.
How much do bottle-feeding babies drink?
Newborn babies commonly have 6-8 feeds every 24 hours, but there’s no set amount of food or number of feeds your baby should have. Different babies drink different amounts of formula or breastmilk. Some might have feeds close together and others further apart. And it can change from day to day.
Just feed your baby whenever they’re hungry. You’ll see baby cues that say ‘I’m hungry’ – for example, your baby will make sucking noises or start turning towards the breast or bottle.
If your baby stops sucking or turns their head away from the bottle, you’ll know they’ve had enough.
As your baby eats more and more solid food, the total amount of breastmilk or formula they take in a day will decrease. The amount of breastmilk or formula will also decrease as your baby starts to drink from a cup instead of a bottle.
Some babies never drink the ‘recommended amount’ for their age and size, and others need more. Plenty of wet nappies, consistent healthy weight gains, and a thriving, active baby mean all is well. If you’re concerned about how much breastmilk or formula your baby is taking, talk to your child and family health nurse or GP.
Bottle-feeding in bed: issues and risks
Sleep associations
If your baby gets used to falling asleep with a bottle in bed, they might depend on it to get to sleep. This can make it more difficult for your child to fall asleep or settle for sleep independently.
Bottle-feeding in bed also has several risks for your baby.
Choking
Babies who fall asleep while bottle-feeding can draw liquid into their lungs. They might then choke on it or inhale it.
Tooth decay
Babies have less saliva in their mouths to protect their teeth during sleep. If your baby falls asleep with a bottle, the lactose in the milk can build up on your baby’s teeth, putting your baby at risk of tooth decay.
Ear infections
If your baby drinks while lying flat, milk can flow into the ear cavity, which can cause ear infections.
It’s best to put your baby to bed without a bottle or to take the bottle away after your baby has finished feeding.
Using a feeding cup
When your baby is around 6 months old, you can help your baby start leaning to drink from a cup. It’s best to stop using bottles by the time your baby is 12 months old.
You should continue to thoroughly wash and sterilise feeding cups containing infant formula or breastmilk until your baby is 12 months old.
How to properly bottle feed
Feeding your baby is not only an important process for healthy growth and development, but also a way to establish close emotional contact with the baby and build trusting and loving relationships. The transition from breastfeeding to bottle feeding should be carried out after the mother and the child are fully prepared for this. We are talking about both the moral aspect, and about choosing the right bottle and getting adults the necessary skills so that eating brings only positive emotions and benefits to the baby. In this article, we will talk more about how to properly bottle feed your baby and where to start.
How to prepare your baby for bottle feeding
If this method of feeding is a completely new experience for the baby, or if parents decide to bottle feed their baby from a very young age, slow flow nipples should be preferred. So you protect the child from the possibility of choking while eating. Over time, you can gradually switch to bottles with nipples, which would provide faster and more intense feeding.
Feeding bottle selection and daily care
All baby accessories should be kept clean and sterilized regularly and thoroughly.
There are several ways to sterilize dishes:
- select the appropriate mode when using the dishwasher;
- or place the bottle and teat in a vessel of boiling water for 5 minutes.
Before using this method of cleaning the bottle, make sure that the material it is made of can be exposed to high temperatures. Since some types of plastic contain various chemicals in their composition, after sterilization they can become dangerous for their little user. For this reason, experts recommend choosing glass bottles.
The need for thorough cleansing of everything that the baby will touch is caused by the fact that in the first months of life, the child's immune system is just beginning to strengthen. Before sterilizing the teat, it can be cleaned with dishwashing detergent. There are special products for washing children's dishes, without a strong odor and with a safe composition.
How to bottle feed your baby
Before starting a meal, mom or dad should wash their hands well with soap and warm running water. Particular attention should be paid to the area between the fingers and under the nails. The hand washing process should take at least 20 seconds. And after carrying out this hygienic procedure, hands should be wiped dry with a paper towel or clean towel.
The next step is to prepare for the meal. If you plan to fill the bottle with formula, then dilute it with water in accordance with the instructions in the instructions. Improper proportions can lead to dehydration or bloating. It should also be remembered that for the preparation of the mixture you need to use only clean drinking water.
Breast milk is the most beneficial for a newborn. Despite this, pediatricians advise breastfeeding babies for as long as possible. Even if the mother is ready to give up breastfeeding, milk can be expressed into a bottle and gradually accustom the baby to the nipple.
If, for one reason or another, the mother does not have the opportunity to feed herself, then the only alternative is feeding with a special mixture.
In the first six months after birth, cow's or goat's milk or its substitute in the form of soy milk should not be included in the baby's diet. Valid options for supporting healthy development of a newborn are breast milk or formula milk only.
What temperature should the bottle filler be? Under no circumstances should the bottle be heated on the stove or in the microwave. If the temperature of the bottle and its filling exceed 37°C, the baby may be burned. It is recommended to use special bottle warmers. If this is not possible, then use the following method:
- put a saucepan on the stove with a little water;
- bring the water to a boil, then remove the pan from the heat;
- place a bottle of milk in a vessel and heat it up to 37◦С;
- check the temperature with a pre-cleaned thermometer or a special device for measuring the temperature of foodstuffs.
You can also check the temperature of the ready-to-use bottle as follows:
- turn the bottle over;
- drip several times into your wrist area.
In this way, you can check not only the temperature of the milk or formula, but also how well the liquid flows out of the bottle. If you have to shake or squeeze the bottle hard to drip, the nipple is blocked and needs to be cleaned out. If, on the contrary, the filler pours out when the bottle is turned over, this means that the nipple is damaged and another nipple should be used to feed the baby, having previously sterilized it.
How to bottle feed your baby lying down
There are several techniques for feeding your baby. However, it is the feeding of the child lying down from the bottle that young parents consider the most comfortable. It is worth noting that eating in this position will only be safe when the baby's head is slightly raised. Otherwise, the child may simply choke.
In the prone position, the child should be placed on his arm bent at the elbow. After feeding, you should place the baby in an upright position, taking him in your arms and putting his stomach to your chest.
Make sure that the feeding bottle is closed correctly: the ring at the connection of the nipple to the bottle must not be too tight. Air must enter the bottle, otherwise a vacuum will be created there, which, in turn, will complicate the consumption of food for the child.
How to bottle feed without spitting up
Since the newborn is not able to fully control the process of feeding, along with milk, he can also take in air. This may be the reason that at one meal the child could not master the planned portion. In view of this, it is recommended to take small breaks during feeding.
As soon as you notice that the baby has stopped sucking on the pacifier, is tired or thoughtful, pick him up and press his face to you, holding his head and back.
To help burp excess air, you can make a light massage between the shoulder blades, pat on the back or pope.
The air will quickly rise up and the baby will burp it without any extra effort. However, you should be prepared for the fact that, along with the air, part of the consumed mixture or milk may also return. Therefore, before taking the baby in your arms, cover yourself with a diaper, because it will be easier to wash it than clothes.
Never leave your baby alone with the bottle or let him fall asleep while using it. After eating, mom or dad must help their child burp. This will help to avoid colic, bloating and other manifestations of stomach discomfort.
Where to buy baby accessories
It's safe to say that I Love Mommy online store is one of the best places to buy baby food. Our catalogs feature products from world-famous brands, the quality of which you will not have to doubt for a minute. Bottles, baby dishes, pacifiers, baby bibs - all this and much more you can buy for your son or daughter from us at affordable prices in just a few minutes.
Rules for breastfeeding
Rules and techniques for breastfeeding.
Every woman can breastfeed her baby.
All troubles arise from ignorance of the rules and techniques of feeding.
The first rule is very important - early contact of the mother with the child in the maternity hospital, in the first minutes after birth.
Psychological benefits of breastfeeding.
Breast milk has a positive effect on the formation of the emotional and intellectual sphere, the development of creative abilities.
- emotional connection from both mother and child:
- close, loving relationship between mother and child;
- - emotional satisfaction of mother and child;
- - the child cries less, positive emotions are formed;
- - the mother becomes more affectionate, attachment to the child appears, self-confidence; : - less likely that the child will be abandoned or offended; breast milk also protects against the occurrence of neuroses.
- Development: the child shows the best results of intellectual development and creative abilities at an older age.
No less important is the correct laying of the baby to the breast, because this is a powerful stimulus to provide the right amount of milk - galactopoiesis.
- The position of the mother during feeding should be comfortable. It is better to feed the baby either from a lying or sitting position.
- Take the chest in the palm of your hand with 4 fingers from below and 1 from above.
- Touch the nipple to the baby's lips so that he opens his mouth.
- The baby should capture not only the nipple, but also the halo.
- If the mother felt pain in her chest while feeding the baby, this means that the baby did not take the breast correctly. In this case, it is necessary to carefully touch the child's lips with a finger so that he opens his mouth, and not pull it by force. Try to apply to the chest again.
- Feed the baby on demand. In the first days up to 10-14 times a day. After the formation of lactation (after approximately 2-3 weeks), the regimen is established independently and is 6-7 feedings per day.
7, It is not recommended to take night breaks in feeding.
- Frequent feeding, including night feeding, contributes to the development of the prolactin and oxytocin reflex.
Produced BEFORE and DURING feeding causes milk to EXTRACT
Sensory suction impulses
- Promotes uterine contractions
- No additional food other than breast milk should be given to a child under 3-4 months of age.
- It must be remembered that during the day the baby sucks out different amounts of milk.
- Negative emotions block the oxytocin reflex, spasm occurs and milk is poorly excreted.
- The positive psychological attitude of the mother, the desire to breastfeed her child and the belief that breast milk is the best food for children are important.
- It is important to observe the rules of personal hygiene (clean linen, hands, mother's chest).
- The duration of feeding is currently not limited.
Among the most important factors in the formation of full lactation in the early days are:
- Skin-to-skin contact;
- Early breastfeeding;
- Joint stay of mother and child in a maternity hospital;
- Feeding the baby "on demand";
- Application to both mammary glands;
- Exclusion of pre-lactation feeding and supplementation; • Exclusion of devices imitating mother's breasts (nipples, pacifiers).
There are certain rules you must follow with an infant:
- forbid yourself to take a baby to bed !!!!!!!
- the baby does not belong in a bed with other family members, also do not put him to sleep with each other, in order to avoid harm in a dream;
- do not overheat the baby, there is no need to wrap him in a large amount of clothes;
- no need to swaddle the baby tightly.
He should be able to change the position of the head and body in case of lack of air;
- the surface of the bed should be pretty flat, without extra pillows, duvets, blankets. These items can accidentally cut off the oxygen supply to the baby. But even under the weight of your body, it should not fall through, otherwise there is a high probability that the child will get there on his face and strangulation may occur;
- there is no need to put the child to sleep between yourself and the back of the sofa, even if it is soft, so that he is not sandwiched between the fabric and the body of an adult;
- consider measures that will protect your baby from an unexpected fall from your bed.
Feeding technique Bottle feeding
Feeding technique Bottle feeding is not really difficult. However, there are a few feeding rules you should remember to avoid baby tears, food spills, and other problems.
The position taken by the feeder should resemble the natural position of the mother during breastfeeding:
- The child's head should rest on the left hand.
- The nipple that enters the baby's mouth must always be full of milk or formula - otherwise the baby will swallow air which can cause colic.
- The appearance of bubbles in the bottle means that the child is eating incorrectly and you need to help him, change the position, tilt the bottle in a different way.
- Do not leave a child alone with a bottle and do not let the baby sleep with a bottle in his mouth - in both cases this can lead to choking.
- It is best to feed your baby when he is in your arms - babies feel most secure in parental arms.
- Remember that the baby's head should always be slightly higher than his torso.
- Make sure that the baby does not tilt the head too far back or forward - if the head is in the wrong position, it becomes more difficult for the baby to eat, the wrong head position can also cause food to enter the respiratory tract.
- When a baby eats from a bottle, he swallows air with nutrition, so he may feel full, despite the fact that he has eaten little.
- Take breaks every 5 minutes during feeding so that the baby has the opportunity to burp.
- After he has let out air and some food, he will feel hungry again.
- In order for the baby to burp, you need to change his position: put the baby's head on your shoulder and support his back with your hands.
- The child must be in an upright or semi-upright position. If the baby does not burp between feedings, the accumulated air will lead to the formation of painful gases.
- The sitting position is the most classic feeding position. With this feeding, the baby sits on your hips with his booty, his back leans against your left hand, and his head is in the crook of the elbow of his left hand.
- Handling the bottle from the side is convenient if the baby suffers from gastroesophageal reflux or has a runny nose. In this option, the child lies on his side (according to the recommendations of doctors, it is better for the child to lie on his left side), and you are nearby and can also take a position lying on your side, turning to face him.
