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New- please help

LovingYou

Karinna and Willow's mom
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I've been exclusively pumping and feeding karinna BM since she was born. I'm not producing enough milk to keep her satisfied so I have decided to start on formula. I would like to do half BM with half formula. But I don't know anything about formula. Can someone please give me some tips/tricks I don't want to do anything wrong.
 
Have you tried anything to up your supply first? I would try that before going on formula.

You can try Fenugreek alone, or Fenugreek with Blessed Thistle (both are herbal supplements) and then there is Domperidone.

Getting plenty of rest and drinking lots of water helps, along with high protein diet. Oatmeal is also good for increasing supply.
 
If you want to try increasing your supply, try some skin to skin with LO.

What I did when I was unable to produce enough milk, I pumped what I could, then I mixed it with formula. So if I was able to pump 2 oz of breast milk, I would mix it with 2 oz of formula to make a 4 oz bottle. Make sure that you mix up the formula first before adding the breast milk, or you may not add the right amount of formula.

Another thing you can do is have one bottle strictly formula, then the next bottle you give to LO will be strictly breast milk.

Unfortunately, domperidone didn't help increase my milk supply at all so we are now strictly formula.
 
Tips / tricks for formula feeding?

Bottles / Nipples:
Buy a few different kinds of bottles and nipples if possible. One of each kind to see what your LO likes. There are slow flow and fast flow nipples that will be sized 0 - 6 months. Try the slow flow first, that's usually the standard, if it's too slow then change to a fast flow nipple. You'll be able to tell if it doesn't work because she'll fall asleep before finishing, or get frustrated while drinking. Also, the fast flow can cause gas, or gulping, signaling it's too fast for little one.

Formula:
There's only a few choices because it's so highly regulated (here anyways, assume it's the same there?). I use nestle good start, many use similac. You can buy ready to feed, which comes in a pop can type can, pour and serve. A concentrate that comes in a soup can type can, mix half and half with water (water is previously boiled). And powder. The powder is most common because it's the cheapest really. But babies can be fussy on it to start, it can be gritty and not taste smooth, and they might not take it well. I use the concentrate, a comprimise between price and satisfaction.

Process:
Ugh, this is up for much discussion! Always scrub and sterilize the bottles by either boiling them for 5 min in a pot, or steaming them in a food steamer. Most all dishwashers have a hot wash setting that is considered sterilized once it's done. If your mixing concentrate or powder, you'll use boiled water. There is always a big conversation on if you can pre-mix bottles, how many, for how long they will stay fresh etc. Personally, I boil the water, pour it into the bottles and refrigerate. When it comes to feeding time I mix the concentrate with the water and warm in a bottle warmer. It's easy enough for me that way.

To know:
Formula will fill up baby much more than breast milk, so you don't have to feed as often. Generally feedings are done 3-4 hours between and 2 - 6 oz per feeding (VERY general numbers there). Baby will get more gassy with formula if he sucks the bottle hard and gulps air, so needs more burping time.
Poops are also very different. Formula poops STINK LIKE SIN! lol. Don't be surprised by this! Also, it's common for formula fed babies to poop once a day or even once every two days. Their poop can be dark green and thick, much different than breast fed poops. Don't let this surprise you.

Lots of info, hope it's not confusing! Let me know if you want to know anything else. I learned everything as I went and wished to heck that someone could have helped me. I fed my boy 4 oz with a giant nipple when he was four days old! I cried when he only ate 1 oz. I quickly learned they only eat 1 oz with a small nipple at that age, but who knew!! Not me!! (I breast fed for the first week, then combined with formula because of many issues with my milk, c section, infection, etc).
 
Hiya,

My lo was born on the same day as yours! I breastfed for just over a month and then due to persistent thrush, cracked nipples, bacterial infection, mastitis I finally made the decision to pump for him...

It's a difficult road to follow isn't it? I've been so tired I've wanted to fall over and just sleep... However, I do use fenugreek and blessed thistle and have recently reduced my pumpings to 3 x a day (midday, 8pm and 4pm) - I get approx 600-750mls total a day. Since reducing down to 3 x a day (10 days or so ago - did this because I was sooooooo tired - getting up in the middle of the night to pump when lo is fast asleep was ludicrous) I have started to introduce formula. I generally mix one or two oz's with 4 oz's breast milk and sometimes give a whole bottle of breast milk and occasionally a whole bottle of formula. He doesn't seem overly bothered by the formula and mixing it up in this way has been kinder to his digestive system in terms of making the full transition to formula, which I know I will be making at some point soon.

Just wanted to say well done for going as long as you have. I really understand how tiring this choice can be. Also, I do feel less stressed now because before I was constantly worried about not being able to produce enough to keep up with his demand. Now, I just feel proud to be able to produce some breast milk for him...

Would love to hear how you get on.

x
 

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