| Bottlefeeding |
Using formula
milk is sometimes necessary and, indeed, may be
the preferred option for some mothers. While formula
milk can't match the important immunological benefits
of breastmilk, it's nutritional composition is
as close to breastmilk as possible. |
| There are
two types of formula milk: whey-dominant and casein-dominant.
Both are based on cow's milk. Whey-dominant milks
are the most highly modified and closest to breastmilk;
therefore, these are considered to be the most
suitable for babies less than three months old.
Casein-dominant feeds are marketed as more suitable
for older or hungrier babies. Although they have
the same nutritional composition, it may be that
the type of curds formed in the stomach from casein
take longer to digest, leaving the baby feeling
fuller for longer. |
| Possible
feeding problems |
Diarrhoea
and vomiting |
These are
potentially serious problems that can cause life-threatening
dehydration and an electrolyte imbalance. A combination
of vomiting and diarrhoea is more serious than
diarrhoea alone. |
Many babies
regurgitate small amounts of milk at the end of
a feed. This is completely normal. However, projectile
vomiting, vomiting both after and between feeds,
or blood- or bile-stained vomit must be reported
immediately to your doctor. Feeding should be
stopped and replacement fluids may be recommended.
Feeds should then be reintroduced gradually until
symptoms disappear. With bottlefed babies, your
midwife may suggest that you reintroduce the milk
at a reduced strength, gradually build up to full
strength. |
Poor
weight gain |
A slow rate
of growth isn't necessarily a cause for concern.
Your midwife and health visitor will monitor your
baby's weight gain and offer appropriate advice
if necessary. Typical causes of poor weight gain
include: inadequate nutrient intake thanks to
poor breastfeeding technique, incorrect formula,
inadequate milk supply or a baby's inability to
feed properly (eg, fixing difficulties, poor suckling
position), and inadequate absorption due to food
intolerance or intestinal disturbances. |
| Excessive
weight gain |
This is rare
in babies who are exclusively breastfed. Bottlefed
babies often grow at a more rapid pace and if
weight gain is excessive your health visitor or
midwife should check the amount of formula and
its dilution. Surplus weight often disappears
once a baby becomes more active. |
