Last week we discussed exclusive breastfeeding while working a full time job, and the challenges that can present with this style of care. What about our moms on medications unsafe for breastfeeding, or moms fed up with breastfeeding all together? Since we are eliminating the breast completely, you will no longer need to use a pump. Pumping will only encourage your body to produce more breast milk. Instead of pumping, you will want to hand express the milk until you feel more comfortable. When done as needed, this will significantly reduce the chance of engorgement, and will not cause any more milk production. Eventually you will be able to eliminate hand expressions all together. We will be addressing the two major decisions made with bottle feeding; what kind of bottle should i give my baby, and what kind of formula is best for my baby?
The best advice I can give parents when starting out, is buy 3 different types of bottles in the beginning. If you're still breastfeeding, pump for one feeding a day, and test out each bottle on your baby. They will tell you what they like. I want to be clear - start testing bottles and nipples only if you plan to bottle feed. It is best to stick to exclusive breastfeeding or exclusive bottle feeding within the first few weeks of development, so as to avoid nipple confusion.
We as a generation are fortunate to have all the resources we do for such a time in our lives, but like many things that have been fine tuned over time, the over-abundance of choices can be very overwhelming. Lets talk about some of the details to consider when choosing a bottle for your baby. As of 2012 BPA (Besphonal-A) a chemical that is said to create hormone-like substances was banned from the manufacturing of plastic bottles. Most of the bottle companies were producing products without BPA long before the ban, but with this is mind it is safe to say you shouldn't just use any old bottle lying around. With these developments the option between plastic and glass bottles has surfaced. Consider your activity level as a mom, traveling with glass can be risky. For one, it is gonna be the heavier option and can potentially break. Lets not forget your budget, glass bottles will certainly be a more expensive purchase. On a positive note, by choosing glass you are narrowing down your options a great deal, and they also last a lot longer than your traditional plastic bottle.
Now lets address nipples. Nipples are often a source of confusion for parents; You have slow flow, fast flow, orthodontic, traditional (bell shaped), or the latest on the market flat topped. These will vary with the manufacturers. They are produced in both latex and silicone, so you will want to consider any potential allergens you or partner have when deciding. NUK and Gerber produce the orthodontic, these nipples are said to be better for baby's teeth as the flat part rests on baby's tongue. The Bell shaped are said to be best for babies that both breast and bottle feed. It said to mimic the breast and reduce nipple confusion. The flat topped are the trendiest on the market currently being produced on most every new bottle, however the most popular bottles (tommee tippee, Comotomo, and Adiri) are still producing with the traditional bell shaped nipples. As for flow, this is often based on the child's development age. A newborn will require a slow flow as they are still learning how to feed. As the child develops over time you will notice cues that baby is not getting what they need, and you will want to consider the nipple flow when making changes as baby matures.
Just when you thought you were finished summing up all your options, we now will briefly address formulas. In this case you will want to seek out a formula that baby best responds to. One should watch baby closely after feedings and make sure they are comfortable and not having any issues digesting. This can be overwhelming to some, as not all babies respond to formulas the same way. Baby should seem rested, full, and keep the formula down post feed. Some babies spit up.- they just do. What we want to avoid are spit ups that are several ounces, as this can lead to acid reflux, discomfort, and lack of weight gain. Formula's are tough to nail down and are often chosen through trial and error. I would recommend doing your own research on what is available and most comparable to what you feel most comfortable feeding your baby. The marketing of formula's will seem focused on a few different brands (and while a topic for another day), this can make your decision making process a bit difficult. I urge you to search outside of the box, and ask your community how they made their decision.
As you can see, there are prominent challenges for both breastfeeding and bottle feeding, and we are truly only scratching the surface on this topic. Try and practice patience with this process. Your baby is an ever evolving creature and this is just the first of many changes they will endure.
Next week we take a look at weaning with solid foods, and choosing food for baby. I will also be listing my direct resources for this months topic!