Is combination feeding good for baby

When mixed feeding is recommended

The reasons for introducing supplementary foods may vary, but the main one is the lack of mother's milk. There are other situations where this is necessary, but they are much less common. Sometimes an allergy in an infant, frequent regurgitation, constipation is considered a sufficient reason for mixed feeding, but this is not the case. By themselves, these conditions are not yet a reason to introduce supplementary feeding - often these problems can be solved by changing the diet of the mother or prescribing medication to the mother or child. nine0003

Only in very rare cases (for example, a combination of constipation in a child and a lack of milk in a mother) do you have to introduce a medicinal mixture as a supplement. There are also very rare hereditary diseases (for example, phenylketonuria and other metabolic disorders) when it is really necessary to find the right combination of breast milk and a suitable therapeutic formula.

Not a single, even the most modern, adapted milk formula can be a complete replacement for mother's milk - it is, by and large, irreplaceable. Therefore, supplementary feeding is introduced only when all the ways to stimulate lactation have been exhausted and there are obvious signs of a lack of breast milk. nine0003

The main guideline is weight gain

How can you tell if a mother is really low on milk? This is a medical problem that should be addressed to a pediatrician or neonatologist. He will listen to the mother's complaints, weigh the child, evaluate his behavior and the dynamics of weight gain. By the way, in 2019, at the initiative of the Union of Pediatricians of Russia, a Program was created to optimize the feeding of children in the first year of life. A whole section of this document approved by the Ministry of Health is devoted to how to understand that a child is not getting enough mother's milk and when supplementary feeding is introduced. nine0003

The big problem is the too early and unreasonable introduction of supplementary feeding in the maternity hospital (on the first or third day after birth). However, it should not be administered when the child is crying and seems to be hungry.

In the first few days after birth, breast milk is often not enough. But if the mother is constantly next to the baby, often puts it to the breast and feeds on demand, then lactation is quickly getting better and supplementary feeding is usually not needed.

After discharge from the maternity hospital, the mother is left alone with her baby and, as a rule, is especially worried about his nutrition. But in the first days and weeks, the child naturally loses weight, and this does not mean at all that there is not enough milk. According to WHO experts, body weight can return to what it was at birth only by the end of the second week of life. nine0003

You can understand that there is not enough milk, for example, by the color of the baby's urine - normally it should be light, not concentrated. Another indicator is the number of bowel movements: they should be at least 4-6 per day. But the most reliable way to find out if the baby has enough mother's milk is regular weighing. Scales for newborns do not have to be bought, they can be rented - this will save money and reduce parental anxiety.

The baby should be weighed without clothes and a diaper at the same time of day. There is no need to do this before and after feeding - he can suck out different amounts of milk at a time. It is better to track the weight once a day, every 3 days, or even once a week. nine0003

For the first month, the minimum required is an increase of 25–30 g per day from the second week of life, or 400–600 g of birth weight. If during this time the child gained less than 400 g, then supplementary feeding should be introduced.

At the same time, it is necessary to continue to stimulate lactation, to put the baby to the breast as often as possible and try to keep mother's milk as the basis of the diet, and also to continue weighing the baby. If in the second month of life the increase is 180–200 g per week, then supplementary feeding is not needed. nine0003

At the age of 3-6 months, the rate of weight gain decreases to 120-130 g per week. In addition to weight dynamics, pay attention to other signs. If the child is often worried, rarely urinates, and at the same time the urine is concentrated, saturated in color, resume weighing once a day and share your concerns with the pediatrician.

How to choose the right milk formula

All formulas on the market are certified to be as close as possible to breast milk, adapted to the needs of babies, fortified with essential substances and similar in composition. To understand what kind of mixture a child needs for supplementary feeding, it is important to remember the features of his development. If there are no complaints, but the mother has little milk, then, in principle, the parents themselves can choose any milk formula for healthy children. nine0003

However, if there are complaints (regurgitation, constipation, allergies, colic), then a doctor will help you choose a special therapeutic mixture. After all, even ordinary, it would seem, infantile constipation can have different causes - for example, allergies. And in this case, even a therapeutic mixture for constipation will be useless. Therefore, first you need to find out the cause of the problem, and only then select a mixture that will help eliminate it.

Sometimes parents try to find the right formula for their baby by changing brands. However, firstly, the effect of introducing a new formula becomes noticeable no earlier than after 2 weeks. Secondly, mixtures of the same type (for example, for healthy children in the first six months of life or against colic and constipation) are almost identical in composition, regardless of the brand. Mixtures for different purposes from the same manufacturer differ much more from each other. Therefore, instead of changing brands, you need to look for a solution to the problem together with a specialist. nine0003

How to maintain lactation with mixed feeding

To prevent the milk from "leaking", formula should be given only after the baby is attached to the breast. To prevent a baby from switching to a pacifier, alternative methods of supplementary feeding are sometimes offered - for example, feeding from a spoon or through a drinking bowl. This approach can be applied to older children, especially if the proportion of complementary foods in the diet is small. But if the child is small, and the mixture is, for example, 50% of the daily ration or more, then it is still more convenient to supplement it from a bottle with a nipple. And so that the baby does not wean from the breast, it must be applied to it as often as possible - both day and night. nine0003

Of course, there is a risk of reduced lactation - studies show that the introduction of supplementary foods reduces the success of breastfeeding. But here it is important not to fall into another vicious circle: if a mother is very worried that she does not have enough milk, and the child is really screaming from hunger, then there will be even less milk. Therefore, it is better to introduce supplementary feeding for this period, calm down, continue to stimulate lactation, achieve stable weight gain in the baby, and then begin the gradual abolition of supplementary feeding.

How to correctly calculate the amount of mix

The amount of supplementation depends on the mother's milk production, the age and weight of the baby, so there are no clear recommendations here. First of all, you need to focus on the condition and well-being of the child after feeding. For example, a 1-month-old baby may start with 10 ml (2 teaspoons) of supplementary feeding after breastfeeding, older children may need 30 ml.

After feeding, observe the condition of the baby: if he behaves calmly, then the mixture is enough and next time you can give the same amount. If the child is restless, you can gradually increase the amount of the mixture and control weight gain. It is not necessary to supplement the baby with each breastfeed - as a rule, it is enough to do this 2-3 times a day. nine0003

Supplementary feeding should be canceled in time

Supplementary feeding should remain a temporary phenomenon, therefore, against the background of its introduction, lactation should be continued to be stimulated: often attach the baby to the breast, use special thermal pads on the breast before feeding, drink a hot drink before feeding, do contrast pouring over the breast area.

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