Bottle feeding your baby

This article offers clear information on bottle feeding, how to prepare a feed, the equipment you will need and some tips for bottle feeding.

Whilst it is widely acknowledged that breastfeeding is the best way of feeding your baby, a few women are unable to successfully breast feed. For example, after breast surgery or due to being very anaemic – and some women simply do not want to breastfeed. Also, some fathers do not want their partners to breastfeed, which can make breast feeding difficult, as it requires much support from those around you.

These women are often left feeling guilty and this can affect their experience of parenting, leaving them with negative feelings about early parenthood.

No health professional would want to make a parent feel this way – it is a fine line between promoting breastfeeding as the best option for you and your baby and making parents feel inadequate.

It is also vital that parents are given clear information on safe preparation of formula milk. We have also included an article covering the safe collection and storage of expressed breast milk (Expressing Your Milk) as a compromise for those who cannot fully breastfeed.

What equipment will I need for bottle feeding?

  • Bottles – if you are fully bottle feeding you will need around 8 bottles. Buy the large size as your baby will soon outgrow the small ones.
  • Teats can be complicated! One option is to start with standard newborn teats, which have one hole, as most babies will manage just fine with these. There are also different flow rates available, which have more holes or bigger holes, as well as different shaped teats.
  • Another option is to buy multiple flow teats which have the three speeds – new born, next stage and toddler. You can position them so that it is right for baby and then change the position when you need to change the flow, without it costing additional money.
  • Check out your options in a baby store, but remember that most babies will suck to obtain milk when they are hungry, so don’t end up with a cupboard full of every teat and bottle on the market!
  • Sterilizer – there are many option available (chemical, electric, microwave) and we have further information on these in our article Sterilizers
  • Formula milk – choose one that is suitable from birth, as these are easier for baby to absorb. For further information, see table below.
  • Scoop – the tin of formula milk will contain a scoop – use only that scoop for that particular milk.
  • Kettle or pan to boil water (continue to use boiled water for 18 months if your water supply is from a tank or bore).
  • Fridge – to store milk if you are preparing milk ahead of time
  • Method of warming milk to correct temperature, such as a jug of hot water or bottle warmer. The use of a microwave is not recommended, as it warms the milk unevenly, which could scald the baby’s mouth.
  • Bottle brushes – which should be used for baby’s bottles only and frequently cleaned and sterilised.

Formula – which one do I choose?

There are many different brands and types available on the market, which mostly come into 4 categories. You can try your baby on different brands and you can request samples from the companies- but most babies will settle on the formula that you choose. Be aware of the different types of milk that are designed for different stages of infancy:

Types of Formula for Bottle Feeding
Whey based milk / first milk Formula that is suitable from birth, easily digested. This is designed to be as close as possible to breast milk.
Casein based milk/ second milk Designed for hungrier babies, who are not yet old enough to start solid food. This takes longer to digest.
Follow on milk A milk for babies between 6 months and 2 years of age that has a higher iron content that regular cow’s milk
Soya milk For babies who have been identified as being intolerant to cow’s milk – should only be used after advice from a health professional

 

Some milk companies advertise the presence of nucleotides in their formula, which are important to the development of your infant’s growth, development and immune system. Others contain Long Chain Polyunsaturated Fatty Acids or LCPs, which are naturally present in breast milk and may be important for brain and visual development and these often are labelled as ‘gold label’ and cost a little more.

Be aware that baby milk advertising is very powerful – you should obtain individual advice from your Plunket nurse or midwife if you are unsure about which formula to choose.

There are also many other types of milk available – for example, goat’s milk or formula to prevent constipation if you baby is prone to this.

Speak with your GP or Plunket nurse if you feel your baby has special needs.

How do I prepare a formula feed?

Wash your hands!

Wash all bottles and teats in hot soapy water, squirt water through the teat holes and use a bottle brush to ensure that everything is scrupulously clean, getting into all those nooks and crannies, then rinse well. Sterilise all equipment that will come into contact with the milk – bottles, teats, lids for the first 6 months of age.

Boil the kettle and let the water cool to lukewarm – this will allow the powder to dissolve, whilst ensuring that formula can be placed straight into the fridge. It also reduces the chance of scalding, as some bottles have a narrow neck.

Pour water into the bottle before adding the powder formula, as the powder would make it impossible to measure the correct amount of fluid, possibly leading to dehydration.

Carefully add the scoops of formula powder (levelling the powder with a clean knife) to the water, place the top on the bottle and shake gently to encourage the powder to dissolve.

If you are not feeding your baby straight away, place formula in the fridge immediately (store at 4ºc – the back of the fridge is cooler) with a cap over the teat, to prevent contamination.

It can be stored for a maximum of 24 hours, but the safest option to prevent bugs growing in the milk is to prepare bottles as you need them. Once removed from the fridge it is safe to use for up to one hour.

When you take a pre-prepared bottle from the fridge, shake it gently to remix the formula, heat the milk, then shake gently again, to distribute the heat evenly.

If you are going out, keep your milk in an insulated pack or chilli bin – but this is only safe for up to 4 hours. The best option would be to carry the water ready-measured in the bottle and the formula powder separately in a sealed container – add it to the water when baby is ready to feed.

Bacteria called Enterobacter sakazakii can contaminate infant formula. To minimise the risk of this infection harming your baby:

  • keep your tin in a cool place,
  • ensure the lid fits well
  • discard any powder once the tin has been open for 4 weeks.

It is vital to be stringent about these safety guidelines – formula fed infants are at higher risk of gastro intestinal infections, so scrupulous hygiene is vital.

Giving a bottle…

  • However you choose to feed your baby, cuddle them in close and make it a special time to rest with your baby. If people are there to help you, let them run around after your toddler, while you rest and feed your baby.
  • When feeding your baby hold the bottle at an angle, so that you minimise the amount of air the baby swallows; also hold the baby semi propped rather than flat on their back to prevent the milk going into nasal and ear passages, which can make babies more prone to ear/nose/throat infections
  • Most babies will inevitably take in some air during a bottle feed, and will need winding. Pop baby upright over your shoulder, pat and rub their back soothingly after feeds. Some babies also need to be winded mid way through the feed.
  • You will know your baby is having enough if they settle well after a feed and produce 6-8 wet nappies each day.

Here are some tips for bottle feeding…

  • If you are intending to mix breast and bottle feeding, establish your breast feeding first, then introduce a bottle – the sucking mechanism is very different, so you do not want your newborn infant to be confused.
  • Do try expressing breast milk to see whether this works for you
  • If you are choosing an infant formula, read the containers carefully to ensure the milk is suitable for your baby’s age and requirements
  • Consult with your health professional about the right amount to put in a bottle for your baby and how often to feed them. Do not exceed the maximum number of feeds and quantity suggested on the formula without consulting your health professional, or your baby could become overweight.
  • Sachets of formula are available at large supermarkets – so you can try them without investing in a whole tin.
  • Talk to other parents about their experiences and products they have found suitable.
  • Some formula fed babies can have harder bowel movements and become constipated (babies can go a few days without a bowel movement, this is normal if the stool is soft). Ensure you are mixing the formula correctly – never add any extra milk powder to the bottle. Try giving your baby a bit of extra water in a bottle or cup in between feeds to correct the constipation.
  • The use of a microwave is not recommended as it warms the milk unevenly, causing hot spots and cold spots. If you choose to use this method, ensure you give the milk standing time of 3 minutes, as the milk continues to heat up after it has been removed from the microwave, then mix the milk well to ensure even heat distribution.
  • Check the temperature of the milk on the inside of your wrist, before offering it to your baby.

Take time to make your decisions about feeding your baby. Ensure you have the information that you need and try not to be influenced into a decision that you feel is not right for you. Ultimately the most important thing is to enjoy your baby and the special (although exhausting) 12 months of baby hood.

Happy parents make the best parents!

Useful Websites and Articles on Bottle Feeding

www.moh.govt.nz/moh.nsf/pagesmh/1274/$File/fnghit2.pdf

Advice from the Ministry of Health in New Zealand on healthy nutrition for babies and toddlers

For information on the advantages and disadvantages of breastfeeding and bottle feeding see our article on Breast vs Bottle

If you require information on expressing and storing breast milk click on Expressing Your Milk

For detailed information on sterilizers, visit our Kiwi Families article Sterilizers for information on options and advice in New Zealand.

Paula Skelton

Paula Skelton is a qualified NZ nurse and midwife, a midwifery & childbirth educator and the mum of three lovely girls.

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  • Babylistener

    The formula is S26 gold. It was recommended to me by my midwife and then
    when i went to buy some it was the pricer option but i was weary of a
    cheaper option and wanted my son to have the next best thing to b/milk.

  • Babylistener

    I am pro-breast feeding, but I would have to agree with what Annaliese
    says. I believe that what makes your life work is the best option. If
    you can breastfeed (or express and bottle feed) then that is great, if
    you combine feed, that is great too, and if formula works best for
    whatever reason, you know what, that is great too!

  • Babylistener

    Just on my ph and cnt click the link but my baby wasnt putting on weight
    and I was crap at expressing so i top him up with formula. I think
    there is a LOT of judgement on parents using formula but at the end of
    the day you as a mum are doing what you feel is best for baby and
    yourself. Have had no probs introducing bottle and five months later I
    am still combo feeding and have a happy healthy five month old baby boy
    and a happy me!

  • Babylistener

    For those out there who have had experience with formula, I would love
    to hear which ones you have used, why you chose it and if you have had
    great success or was it a disaster… specifically, I am after a general
    consensus as to which is NZ’s most commonly used, and why? and if there
    is any out there that seems somehow to be problematic with baby’s
    digestion…. Post away!

  • jannah21

    Hi my friend in Ireland wanted me to ask around about the following. Any suggestions welcome. Cheers.

    Please find enclosed a query from a new mum in Ireland who has read about a goats milk formula made in NZ.

    A mum of a 3-month old baby is breastfeeding her baby. However she does not always have extra milk so when her baby is going through a growth spurt mum is topping her up with a little formula. She has been looking into different formulas and has read about one based on goats milk by Nannycare.

    She is seeking any information from people who have used it; specifically has anyone used the goats milk formula for babies 3 months or older? And if so, how did you get on?

  • Normal Malay

    is goat milk is good for children constipation

  • Tae Yang

    my 5YO girl complained to me bout her tummy ache..
    i asked her and realized that she’s now having constipation
    since she told me that she did not poopoo for few days already
    i wonder why she is constipated
    since my kids eat a balance diet to keep healthy
    can anyone share some remedies to solve my girl’s constipation?

    • Normal Malay

      Dun simply trust those remedies that recommended on the net. I would suggest you take the those with proven. My sister in law was told to let children try out Rhino water.. which can cure heaty and constipation on my kid.
      Iucky i didnot try….. then i realize those remedy for adult is okie.. not for children… thanmks for I didnot try… else

    • Sally @ Kiwi Families

      Hi Tae, here are some constipation remedies used by our Facebook friends: https://www.facebook.com/kiwifamilies/posts/837776402947656- hope you find something to help your daughter.

  • Sasa Tonq

    when my child fears that having a bowel movement will hurt, so she will try to avoid it when constipation. i will encourage my child to sit on the toilet for five to ten mins within 30 mins of each meal. luckily my child just suffer in mild constipation…..
    try to give more water to drink and eat more fruits and vegetables
    go to seek for doctor if is not working…

  • Azizah Manikam

    I would think your children to take Mamil. This is my personal experience.. i been letting my kid to consume Mamil from DUmex, never heard of her have any constipation. And also so far so good.. touch wood.! as what the adv told… there is pre-biotic formula in the milk … .which is superb good for your baby

  • Tae Yang

    thanks

  • Tae Yang

    Thanks for recommended me Mamil milk powder. After my girl drink for a week, her told me that her tummy not that painful already. Also, she can poopoo easily. I rarely heard complain from my girl recently. She had drink Mamil formula milk almost 3 months, she can now eat anything she likes because Mamil solve her constipation issue.

  • SY Kang

    Really? That’s great! Although your girl no longer constipated but you also have to keep your eyes open on your kids eating habits or else they might suffer in constipation issue again ya.

  • Bernert Chim

    That’s true! Previously my son also faced with constipation, then my neighbour suggested me to try with Mamil. Once I switched to Mamil, my son doesn’t suffer with it anymore. He still still drinking Mamil now as Mamil is suitable for children from 1 to 9 years old.

  • Bernert Chim

    Also, Mamil contains zero sucrose and high DHA which good to your child. Try change to Mamil for 7 days and you’ll see the difference, perhaps it’s also a way.

  • Sandra Wong

    I know that Mamil is good. I heard a lot of good feedback from mothers but Mamil is way too expensive. I couldn’t afford it, i rather purchase the cheaper formula milk brand for my kids.

  • Gary Tan

    You dont have to rely 100% on milk formula regarding treatment for constipation babies la.. i used normal general remedies like what we did for ourselves, drink more water works perfectly fine for me and my baby what…

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