Bottlefeeding: There are many formulas out there and even though they have small differences between them, they will all provide adequate nutrition for an infant. Breast is best, but as I said before, it is not for everyone, so if you choose not to breastfeed do not feel guilty. Each brand has a few varieties. 1. Milk based: the milk is heat treated so it is more digestible and easier on the stomach. They all have lactose as the sugar, the same as breastmilk. Every GI specialist that I know will tell you, babies do not become lactose intolerant 2. Soy: just as it says, it is soy protein from soybeans. The sugars are different, containing no lactose. 3. Most now offer a partially digested milk protein formula. One is Gentle-ease from Mead Johnson. It sometimes helps babies who are cranky. 4. Protein Hydrolysate formulas. The 2 biggies are Nutramigen and Alimentum. In these the milk protein is chopped up into little pieces so there is almost no chance of having a milk allergy to them. In that rare instance, there are some amino acid formula that are available. Nutramigen and Alimentun are smelly and disgusting to the parent, but the babies still drink them. There are 2 problems: 1. True allergy to milk or soy and 2. formula intolerance. A true allergy involves the allergy part of your immune system (IgE). It may be fussiness, vomiting, diarrhea or rash. Formula intolerance is an ill-defined reaction to a formula that is real, usually causing what seems to be abdominal pain/fussiness. If they have a milk allergy, one will usually try a soy formula, but about 30% of the time they have or will have a soy allergy. Usually they end up of Nutramigen or Alimentum. Thankfully they usually out-grow a milk soy allergy. Technique: How to make. At first use boiled water. Add one scoop to 2 oz of sterile water. Mix well. Always use some room for mixing. Later you can use water directly from the tap (no definite date) city water is not great, but there will be very little bacteria in it, therefore safe. Do not let is sit around for a long time as the bacteria will grow and eventually spoil it. At home a couple of hours is not a problem. But do not let it sit in a diaper bag on a warm day, that is when you need a cooler. What I like to do is offer them a little more than they take, for 2 reasons. 1 you learn and stay in tune with them when they tell you they are full. 2. when they want more it is there for them, so it eliminated the guesswork of When do I give him more? It works like this; offer him 2 oz, but do not make him take the whole thing. When he takes 2 oz at every feed, offer him 2.5 oz. When he takes 2.5 at every feed offer him 3 oz, etc, etc. On average a 1 month baby takes 4 oz. When you feed them keep them at an angle of about 30 degrees. This keeps the stomach at the top as the highest spot. The air that he swallows will remain at the highest spot and make it easier to burp. If they are flat the highest spot is actually the bottom of the stomach, so when you sit them up to burp, it is more difficult and more likely to bring up a bunch of milk. Continue formula until age 1. I like to mix the formula 1/2 and 1/2 with whole milk for a few days before changing to whole milk. Some kids need to go slower. Because they usually out grow the milk allergy or formula intolerance, almost all kids will change to whole milk with out a problem. Almost all.
Posted on: Tue, 15 Jul 2014 18:30:44 +0000
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