When it’s not possible or realistic to fully breastfeed, the next best option is to combine feed. When a combination of breastfeeding and expressed breast milk and/or formula are offered to a baby, they still get all the benefits of breastmilk as well as additional kilojoules.
Combined feeding, also known as mixed feeding or supplementary feeding, may be either short or long term.
We used to believe that ‘comping’ a baby with formula was the beginning of the end of breastfeeding. However, when managed carefully, and with clear reasons in mind, combined feeding can actually prolong the duration of breastfeeding, especially if the baby is more contented and calm after feeds.
Combined feeding can be a temporary solution whilst a mother is building up her supply. As a short term fix it can lead to better spacing of feeds and more opportunity for a mother to rest as her supply increases. Combined feeding with expressed breast milk and/or formula can also lead to the baby feeling more satisfied after feeds, which has a flow-on effect to the mother.
There doesn’t need to be a clearly defined reason for offering expressed breast milk and/or formula as well as breastfeeds. Some mothers feel more reassured their baby has had a ‘good’ feed if they offer formula as well.
Any formula which is commercially available will support your baby’s growth and development. Marketing claims about superior benefits are common amongst formula manufacturers. It’s important to do your own research and make your own informed decision about what’s right for you and your baby.
If you have enough expressed breast milk to offer your baby after breastfeeds, then you may not need to give any formula. Speak with your healthcare professional about what volume of expressed breast milk or formula your baby needs after they’ve breasted. It may not be as much as you think.
Always have a chat with your healthcare provider first before you start combined feeding. There are many reasons for babies to be unsettled and though hunger is one important cause, it’s not always the reason.
Check with a health practitioner first before assuming your breast milk supply may be low:
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For mums who are able to, breastfeeding is best for babies. It delivers many benefits for both mum and baby. Breastmilk contains all the nutrients your growing bub needs to thrive, especially in the first 6 months of life, plus antibodies to help them fight infections.
It’s important for pregnant and breastfeeding mums to maintain good nutrition. Deciding to use a combination of breast and bottle-feeding for an extended period may reduce your own breast milk supply, and reversing your decision may be difficult.
When using infant formula, follow the feeding guide and preparation directions carefully. Improper use or incorrect preparation of infant formula can make your baby ill.
Consult your doctor or health care professional for advice prior to using the formula to feed your baby. You should also consider the social and financial implications before deciding to use infant formula.
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