Feeding your baby

How to prepare

How to feed

  • How to feed with syringe (early on)
  • How to feed with tubes (struggling w latch)
  • How to feed with a bottle
  • SWIRL OR SHAKE:
    • “There is no evidence that shaking milk is harmful. This is where some common sense comes into play. If shaking denatured proteins significantly, then those of us who run, exercise, play sports, ride rollercoaster rides, etc would be damaging our bodies and our milk. This is definitely not the case.
    • Shaking is the quickest way to incorporate the fat back into the milk. Getting the fat into the milk is very important for baby's growth and development. “
  • Warming milk
    • “not medically necessary - can be given warmed, room temperature or direct from the fridge however some babies do have a temperature preference. Warming is something to try when you introduce the bottle
    • slight warming makes it easier to incorporate the fat back into the milk
    • warmed excessively has lower fat content and other components may be damaged.”
  • How to pace a feed
    • “If using a bottle, ensure the care giver is giving paced bottle feeds. This helps to replicate the flow of milk with a breast feed and ensures the baby does not develop a bottle preference, as well as ensuring we respond to their signs of being full.  Renee Keogh (RN, IBCLC) has made an excellent video demonstrating how to do this available at: https://possumsonline.com/video/about-paced-bottle-feeding-renee-keogh

How much to feed

30-37mLs/hr that you’ll see mentioned here quite a bit  The volume of breastmilk they drink doesn’t change with age or weight, it stays the same between 1-6mths of age, and then actually decreases very slowly!

  • pumping - how much milk does a baby need
  • pumping - how much milk to feed
  • pumping - how much milk to feed
  • pumping - how much milk to feed baby
  • pumping - how much milk to feed back
  • “Milk supply from month 1 - 6 is the SAME! (-ish) Human babies eat human milk in the same volume at one month through 6 months of age. Then the volume of milk needed goes DOWN not up because of introduction of solid foods. WHAT???? Publications from 1999, 2003, and 2008 showing that the volume of milk produced at 1 month through 6 months is the same (small +/- 30-60 cc in 24 hrs). The metabolic *burn* of an infant slows down and lessens (as the growth chart flattens) in that same time frame. Breast milk fed babies require fewer calories to grow over time; however cow milk fed infants do require escalating volumes of milk to meet their higher calories to grow over time. When you metabolize your own species' milk, it's a very efficient process - so your kcal/kg/day goes DOWN as infant grows. So the same volume of milk feeds a 10 pound one month old as a 20 pound one year old! Calories are relatively consistent in the milk if averaged over a 24 hour period. We are all trained in medical school on tables of dietary requirements that increase with weight in first year of life, but that data is all from cow-milk fed infants. A stay at home Mom knows that her breasts have not doubled in size (with double the volume) for her one year old versus her one month old :) So stop using any weight based volume calculators for your human milk fed infant...... normal volume 24-30 ounces per 24 hours (1-1.25 ounces per hour) is the same from month 1-6. From 6 months to a year, the total daily volume gradually drops to an avg of 18 ounces per 24 hours at 12 months of age. This is normal and not low supply. We recommend 2 cups (16 oz) of milk at 12 month well check..... which is exactly how much human milk most mothers make! “ – dr milk

 

Common problems

  • pumping problems - nipple confusion
    • Babies may fuss with a bottle to start with if they are used to feeding at the breast. Try not to panic, your baby will understand that you are not available and will take what they need.  The carer should not force the bottle, but to continue to try the bottle every now and then.  You can trust that when the baby is hungry or thirsty enough they will drink.