For best printing results, open the llli.org site in Google Chrome or Microsoft Edge. A breastfed baby can be very picky once they’re used to the breast, they seem to flatly refuse all sorts of bottles and teats no matter how hard you try, but there are a few ways round this. For example, if you are working on a Windows computer, and you want to print to a PDF file, select Save as PDF. When this happens, it's not uncommon to blame yourself, saying, "If only I had given him a bottle a day from the beginning, this wouldn't be happening." This time element is significant because the infant’s system needs time to recognize satiety, long before the stomach has a chance to get over-filled. Sucking milk from a bottle requires different mouth and tongue movements than breastfeeding, so it may take your baby a little time to get used to the change. https://www.llli.org/breastfeeding-info/bottles/ [Accessed July 2019], Meyers D. 2003. Introducing too early can lead to nipple confusion for baby. https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Is-Your-Baby-Hungry-or-Full-Responsive-Feeding-Explained.aspx [Accessed July 2019], Kassing, D. 2002. Offer the bottle again in an hour or two, when your baby is alert and receptive but not frantically hungry. I go through best practice on bottle feeding a breastfed baby and paced feedings here. Our FAQs present information on topics of interest to parents of breastfed children. Make sure you have lots of time to take it slow during this process. Feeding Breastmilk From a Bottle If you are generating a PDF, click Save. When you’re ready to introduce the bottle, feed your baby as usual so they aren’t as hungry. Tickle the baby’s mouth to encourage an open mouth then bring baby up onto the bottle nipple, aiming the nipple toward the palate. Just be sure that your baby gets the same one-on-one, physically nurturing and affectionate time with you during bottle-feeding that she did with breastfeeding. Not all of the information may be pertinent to your family’s lifestyle. You'll also never have to break a bottle habit. If your baby suddenly refuses to take a bottle, talk to your child's doctor to rule out a medical reason then try reintroducing it at another time. 2019. If you've tried offering the bottle and your baby has refused three times, let it go for now. Remember you are pumping “leftovers” and should only expect a small amount. That means the magic window for offering a bottle is somewhere between 3 and 6 weeks. When is the best time to introduce a bottle to a breastfed baby? The preview might take a minute to display, depending on the document size. Try these tips for a smooth transition: Tory Winnick introduced her son Philip to the bottle when he was 3 weeks old. It is usually best if you are close but not present in the room during this first “experiment” with bottle feeding. I've tried everything, but my baby is only getting more frustrated and resistant. 1. Experiment With Different Bottles. AAP. https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Introducing-the-Bottle.aspx, https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Is-Your-Baby-Hungry-or-Full-Responsive-Feeding-Explained.aspx, https://www.ncbi.nlm.nih.gov/pubmed/11845739, https://www.llli.org/breastfeeding-info/bottles/, https://www.aafp.org/afp/2003/1201/p2129.html, All pregnancy, parenting, and birth videos >, Weaning: When and how to stop breastfeeding, Breastfeeding and supplementing with formula, the most helpful and trustworthy pregnancy and parenting information. Mam bottles were created for breastfed babies, they feature skin-soft nipples that make it less confusing for baby to switch back and forth. "I pumped and put my breast milk in a bottle so my husband Mike could experience feeding the baby," she remembers. You will continue this pattern until you have enough milk stored in your freezer to get you through a normal work day plus a few extra for any hectic day at work where you may not have been able to pump as often. You can add other pumpings to it after they have been cooled in the freezer. Others may tell you that if you just wait him out, he'll eventually be hungry enough to take a bottle. Remember that the baby is always better than a pump! 1. Daycare providers may not be able to accommodate this arrangement. The information in this post is also contained in our Working & Breastfeeding article. When introducing the bottle for the first time, start small. To figure out how to bottle feed a breastfeeding baby here are certain steps and procedures you can adhere to: Choose to introduce the bottle to your baby when he is hungry and not when it is the time to feed him. This information is general in nature and not intended to be advice, medical or otherwise. 6. Infant Feeding in Emergencies (Multilingual), Karin Gausman Leader Accreditation Fund (KGF), Steps to Accreditation with Videos about Application Work, How to Submit New Leaders and Leader Applicants, Global Professional Liaison Network (GPLN), Cleaning and Sanitizing Pumping Accessories. Since I had 10 weeks off from work, she was exclusively breastfed until the 2-month mark. Although you can view the site well in any browser, printing from other browsers might not operate correctly. Journal of Human Lactation 18(1):56-60. https://www.ncbi.nlm.nih.gov/pubmed/11845739 [Accessed July 2019], La Leche League International. But before you start considering bottles, you should first make sure that your baby is breastfeeding successfully – that means having a good latch and getting enough milk from feedings. (Find more information on such topics as sterilizing bottles and how often to bottle-feed in our article on bottle-feeding basics.). 110 Horizon Drive, Suite 210 Is your baby hungry or full? Your baby may not eat very much when you aren't home and may begin waking more frequently at night if you're apart all day. And why not? (Wait at least five minutes before breastfeeding – that way he won’t associate refusing the bottle with immediate gratification.). As always, what works best for your family may vary from what is outlined below: Thaw out the 2-ounce bottle in the refrigerator overnight. Encouraging your breastfed baby to accept a bottle is a process that may require both practice and patience for several weeks. The warmed bottle should be held at an angle tilted just enough to fill the nipple to allow baby to keep control of when and how fast the milk comes. American Family Physician 68(11):2129-33. https://www.aafp.org/afp/2003/1201/p2129.html [Accessed July 2019]. Introduce the bottle in a stress-free, low-pressure manner. When you have enough stored to equal the expected volume and a bit more, you can begin to plan a time to introduce a bottle. Finally, it’s important to introduce a bottle to your baby when they are younger if you want them to take a bottle when they’re older. Your baby will need time to learn this new skill. For one breastfeeding session a day, offer your baby a small amount of formula or breast milk in a bottle after they're done breastfeeding. From then on, offer the bottle once or twice a week (let daddy or grandma take a turn!) ; Philips Avent Natural baby bottle because their petal shape nipple design makes for a more natural latch and similar feel to the breast. Medical questions and legal questions should be directed to appropriate health care and legal professionals. Some moms feel guilt when introducing bottle feeding because it’s a huge change for baby, while some moms worry about nipple confusion (also known as nipple preference). Once breastfeeding is well established – usually after about four weeks – begin pumping after one feeding a day where your breasts still feel a little full. No body wants to waste that liquid gold. Waiting too long can lead to a baby who is nipple-preferenced. Plan to fully breastfeed for all feedings when not separated from your baby. But this just isn't true. Your baby needs time to get used to new sensations, so stick with the same nipple, bottle, and feeding technique for a while before trying something new. When Can I Introduce a Bottle to a Breastfed Baby? If all attempts to bottle-feed him fail, go the cup route. Look for bottles with a slow flow rate, gradually sloped nipple shape, and a nipple tip that looks like a real nipple (not strangely shaped) Your pediatrician suggests that your baby probably takes about 24 ounces a day. He'll lap it up at first and then figure out to drink it. 2017. That's not necessarily true, and making a baby go for long stretches without eating isn't a good idea. That gave me two weeks of introducing the bottleb before I went back to the office. If nursing is going along smoothly, there should be no reason to use artificial nipples in the first few weeks of breastfeeding. If you do not pump as much as the baby took, it is more likely a pump issue than an issue of not enough milk. Hand Expressing. "We had to try a few different nipples until we found one that most closely simulated the breast. This opens the browser print window. My baby took to the bottle easily at first, but now she wants only to breastfeed. What if I decide to wean my baby from the breast? You pump until you have a 2-ounce bottle and then have several 1/2 ounce bottles to equal at least three ounces or more saved. American Academy of Pediatrics. For more information on easing this transition, see our article on how to wean your baby. Don't make mealtime into a battleground. Here’s where I got lucky with my daughter. Your pediatrician may have given you a total number of ounces your baby may feed in a day or a range from the smallest probable amount to the largest, based on your baby’s weight. If you baby isn’t jumping onboard the bottle train right away you may want to explore a new bottle. Related: Best Bottles for a Breastfeeding Baby If you don’t know exactly when you will return to work, it’s best to wait until your baby has at … My baby absolutely refuses to take a bottle. While exclusively breastfeeding is always preferable over any other source of feeding, it is always not possible when you have to return to work or other obligations. Introducing Bottle to Breastfed Baby “When should I introduce bottle to breastfed baby?” can be a tricky question, especially since there is a window of time where the baby might actually reject the bottle, or even begin to reject the breast, depending on how long you wait. Some babies never take a bottle. The way a baby drinks from the bottle requires a different sucking method and may take your baby a while to get … If you're returning to work, start bottle-feeding at least two weeks before your start date so you both have time to adjust. Have her get used to a cup at an early age (but not until breastfeeding is well established), and introduce it gradually – one feeding a day. Introducing the bottle in the 3- to 6-week timeframe offers the best shot at baby being able to master both “languages.” “If breastfeeding is going well, it’s a great time to introduce the bottle.” How to Introduce a Bottle to a Breastfed Baby. That means he could take anywhere from 2 to 3 ounces. Occasionally a breastfed baby will begin to refuse an artificial nipple for feeding. Introducing a Bottle. Let your baby draw the bottle nipple into his mouth – don’t force the nipple into the baby’s mouth. Introducing a bottle to your breastfed baby is time-sensitive. Plan to leave your baby for 1-2 hours before you go back. If your baby is having a hard time, try these techniques: One resourceful father put on his wife's bathrobe and tucked the bottle under his arm while holding the baby in a breastfeeding position. It may take a while for a breastfed baby to get the hang of bottle feeding, because they need to use a different sucking action. Learn how to bottle-feed a breastfed baby using paced bottle-feeding method to mimic breastfeeding. 4. Of course, helping your baby drink from a cup is time-consuming. See more on breastfeeding and the working mom. Introducing the bottle. If you are returning to work or school, plan ahead and do a trial run or rehearsal of the new routine. Few days of practicing will make you expert and adjust your baby with a bottle. If dealing with a range, store volumes of the lower amount. After a few weeks this reflex fades and introducing a bottle can take a while for your baby to get used to sucking on a teat, even if they have had bottles before. Some have found that it can help to have an article of clothing you have worn, like a nightgown or t-shirt, to place on their arm, shoulder, or chest where the baby can smell your scent. Breastfeeding is warm, cozy, and involves their favorite person – Mom. As required, configure the other options such as the pages to print. Baby should be held in an upright, almost sitting, position that is similar to the position usually used by the support person. In some countries, infants who can't nurse are taught to use a cup from the get-go. Bottle-feeding as a tool to reinforce breastfeeding. Therefore, introducing the bottle needs to be a tricky endeavour. Introducing a bottle to a breastfed baby: 5 helpful tips. Turns out, that was one of the keys to my success. Browse to the web document that you want to print. Responsive feeding explained. Maybe baby’s dad can feed the baby a bottle while you get a longer stretch of sleep, or perhaps you have another caregiver who’d like to bond with your baby. if your baby is 6 months old or more and can drink milk from a cup, you may not need to introduce a bottle at all; For more information, see drinks and cups for babies. If your baby starts crying and pushes the bottle away, back off, comfort him, and then try again. This post contains affiliate links. Introducing Bottle to a Breastfed Baby Tips, Tricks, & More! Here is one approach to beginning pumping and introducing bottles that has worked well for many mothers as they prepared to return to work: Once breastfeeding is well established – usually after about four weeks – begin pumping after one feeding a day where your breasts still feel a little full. When To Introduce A Bottle To A Breastfed Baby Knowing when to introduce a bottle to a baby who is used to getting their breast milk straight from mom is all about perfect timing. Introducing bottles to breastfed babies can be a stressful and emotional time for both mom and baby. Most lactation experts suggest waiting until your baby is at least a month old and breastfeeding is well established before introducing a bottle. Having another caregiver try introducing the bottle may help baby recognize that bottle-feeding complements and doesn’t replace time with mom at the breast. 5. In the Printer box, select the desired printer. We dutifully waited until week four to introduce a bottle and, with some convincing, our firstborn … How to introduce a bottle to a breastfed baby. See if he’ll turn slightly or open his mouth to seek out the nipple – called the rooting reflex. Unless you use a sippy cup or a cup with a built-in straw, you'll have to help her drink – and be prepared for the inevitable mess. Of course, when you decide to start is completely up to you and will depend on your plans as a family. https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Introducing-the-Bottle.aspx [Accessed July 2019], AAP. HOW OFTEN TO BOTTLE FEED. If dealing with a total volume over a 24-hour period, divide that by the typical number of times your baby feeds for a target volume for the first bottle. If you're going back to work, start a few weeks before so your child has time to get used to this new feeding method. Don’t worry though if your baby is struggling there are some ways that you can make the process of introducing a bottle to a breastfed baby easier. Wait at least three weeks after their birth before you introduce a bottle. After introducing the bottle, giving your baby 1 bottle per day only 2-3 times a week should be plenty of practice before going back to work. Fax: +1-919-459-2075 | Email: info@llli.org. Keep these tips in mind when you introduce a bottle to your breastfed baby. What if I want to skip the bottle and teach my baby to drink from a cup? Often it helps to run the bottle nipple under warm water, if it was also in the refrigerator, to make it more acceptable to the baby. Store some extra small volumes in case baby is hungrier than expected. Just pump after another breastfeeding and add that amount to what you pumped to get the amount baby took. Before the birth of our first baby, lactation consultants recommended introducing baby to a bottle between four and six weeks of age. Freeze that first pumping immediately. How to Introduce Bottle Feeding to Your Breastfed Baby. May 15, 2017 - When to introduce a bottle to a breastfed baby depends on why you are introducing it and when you need your baby to take a bottle. When to Introduce a Bottle to a Breastfed Baby. Please contact a local La Leche League Leaderwith your specific questions, or visit our Breastfeeding Support Online Community. 2. This means that you need to start introducing your baby to a bottle at least two to three weeks before your first day back on the job. Most lactation experts suggest waiting until your baby is at least a month old and breastfeeding is well established before introducing a bottle. Early success isn't necessarily an ironclad guarantee that your baby will always take a bottle. The transition from breastfeeding to bottle feeding is a major change for the infant. Giving your baby their first bottle. If you're returning to work, start bottle-feeding at least two weeks before your start date so you both have time to adjust. Don't be surprised if this happens, and just take advantage of these quiet and intimate times to reconnect with your baby. Breastfeeding and returning to work in the physician's office. Unfortunately bottle flow rates aren’t universal. Hold him upright in one arm and bring the cup to his mouth, tilting it gently until a bit of milk or formula drips in. Begin introducing the bottle 1-2 weeks before you return to work or school. You are prompted for the name and folder location to save the file. This give them enough time to practice latching and nursing from the breast. Raleigh, NC 27615, USA What's the best way to introduce my baby to a bottle? Administrative Office: +1-919-459-2167 | +1-800-LALECHE (525-3243) 2019. The window displays a preview of the document that will be printed. Click the Print button that is displayed on the web page (not the Print command on the browser menu or toolbar). Gently, allowing the infant to draw nipple into mouth rather than pushing the nipple into the infant’s mouth, so that baby controls when the feed begins. There are a few things Murphy recommends when introducing the bottle: Upright hold. This is a good time to introduce a bottle to a breastfed baby. [3] He knows milk comes from you and may not understand why he’s not going there instead of to this foreign object. Introduce the bottle when the baby isn’t very hungry. Most lactation consultants agree that a bottle should not be introduced to a baby until they are at least a month old and breastfeeding is well established. Many babies who have been getting bottles all along suddenly decide they simply prefer breastfeeding and don't want a bottle anymore. Give your baby a bottle after breastfeeding. If you are holding your baby, it may trigger the habit to breastfeed and make introducing the bottle more difficult. Even with just an ounce or two, especially if you are using pumped milk. Some babies take to the bottle without much fuss, but others struggle quite a bit with the transition. That won't work for you, but it might work for Dad! You can also use a hollow-handled medicine spoon to do the same thing. You know that he feeds between eight and 12 times a day. Here is one approach to beginning pumping and introducing bottles that has worked well for many families as they prepared to return to work. If you've decided to wean your baby, or to nurse only before and after work, you deserve congratulations and support for having given your baby weeks or months of breast milk. When to Introduce a Bottle to a Breastfed Baby. The general consensus is that introducing a bottle to your breastfed baby should wait until your little one is 4 to 6 weeks old. Many breastfed babies associate “boob time” with mom alone and consider bottle-feeding an entirely separate activity. Bottles and other tools. In starting 15 to 20 minutes are expected for this training. The following are some suggestions that may help when offering a bottle to a resisting baby. By the time baby is 6-8 weeks old and your body is maintaining a good milk supply. When discussing baby bottles the term “flow rate” refers to how fast the milk comes out of the bottle nipple when baby is sucking. Introducing bottle to a breastfed baby can be challenging. When baby begins to stir, place the bottle from the refrigerator in a bowl of warm water (bath temperature) or a bottle warmer while the person offering the bottle goes to get baby from his bed, changed and ready for the feeding. Your baby is very wise and will wait for you to come feed her if she knows you are nearby. If you are introducing the bottle just for some date nights away, that’s fine also. American Academy of Pediatrics. 3. ; Comotomo bottles also made the list as best bottle for breastfed babies because of their breast-like nipple shape. At the beginning babies have a strong sucking reflex which means they usually suck on a teat easily. Here is one approach to beginning pumping and introducing bottles that has worked well for many mothers as they prepared to return to work: Once the feeding is completed, you will pump to create a bottle equal to what the baby consumed. What can I do if my baby resists taking a bottle? Pumping  Many of the same principles of introducing your baby to a bottle hold true for using a cup. Introduce a bottle to a breastfed baby when he/she is calm and relax. Baby may accept a bottle more easily from someone other than you. You want breastfeeding to be well-established and practiced. Working and Breastfeeding  Cleaning and Sanitizing Pumping Accessories It really made Mike feel great that he could feed the baby too.". If your baby wants to play with a bottle nipple then let her be familiar with the bottle. Earlier than this, baby is still getting used to adquiring the right skills to breastfeed – introducing a bottle will only confuse him. Try to pick a time when the baby is sleepy and relaxed, such as a few minutes after an evening feeding, and carefully position the baby for an “extra” feeding with the bottle. What should I do? to get baby used to the bottle while maintaining a strong breastfeeding relationship. Try stroking the bottle nipple against baby’s cheek, then lips. Nursing frequently and using the breast as a pacifier are what builds a good milk supply and helps you and your baby develop a special closeness during the period immediately after your baby’s birth. Head to the … Ideally bottle feeding should be opted only when breastfeeding is not possible at all. Read on to find tips for introducing bottle to a breastfed baby. If you’re establishing breastfeeding, don’t try and introduce a bottle too early, otherwise you will risk disrupting breastfeeding, wait a minimum of 2 weeks, but 6 or more weeks is best. It can be difficult to get a fully breastfed baby to accept a bottle and teat if it is not introduced by 3 months of age, so offering baby an occasional bottle feed from around 6-8 weeks of age can help. Click the Print button. More Tips for When Introducing Your Breastfed Baby to a Bottle. There are some advantages to this method: There's no chance of nipple confusion, and you won't be tempted to prop up your baby with a bottle at nap time or bedtime (which can lead to tooth decay). Choose a day that your primary support person will be available and a feeding time where baby tends to be more pleasant and patient for his feeding. The #1 app for tracking pregnancy and baby growth. Elizabeth Dougherty is a veteran parenting writer and editor who's been contributing to BabyCenter since 2015.