Mixed feeding of a child: feeding with a mixture and breast milk at the same time
Which is better: add the mixture or completely translate into it?
What is feeding?
How can you not overfeed?
If the child does not like the bottle
If after the bottle the baby does not take the breast
The opinion of E. Komarovsky
If the child gets milk and mother's milk simultaneously, and the mixture, such feeding is called mixed. At the given type of feeding the share of a mix in a food of the kid makes from 20% to 50%.
In the case of this type of feeding, feeding can be organized in two ways:
First give the breast, and then add the mixture.
Completely replace any feeding with a mixture.
It is recommended to choose the option, in which the mixture will be consumed less, that is, mother's milk the baby will receive more.
. Reasons for
Most often, mixed breastfeeding goes with insufficient production of breast milk. Often the lack of milk is a contrived problem caused either by the unconscious unwillingness of the mother to breastfeed, or the woman's low awareness of lactation processes. However, there are also objective reasons for hypogalactia, forcing mom to resort to supplementation.
The second reason for the combination in breastfeeding a baby breast and a bottle is the mother's exit to work or to study. Often, the mother leaves the expressed milk for the time being, but more often while the mother is working, the baby is fed a milk formula.
The doctor recommends a mixed breastfeeding type when the toddler is not gaining enough weight or was born prematurely. In this case, this type of feeding is a temporary measure - gradually breastfeeding becomes completely breastfed.
Also, a mother can start feeding a crumb from a bottle to free herself for a bit of time. In this case, the child can be left for a short time with her husband or other adults, without worrying that the baby will remain hungry.
Another important reason for feeding a baby with a mixture is that the mother has a compensated disease.
With this type of feeding, the mother can be temporarily replaced by another adult, but at the same time she will have the opportunity to maintain intimacy with a baby during breastfeeding.
The baby has all the advantages of breastfeeding.
Mom may be away from the child for a while.
Mixed feeding can help the father to establish a closer relationship with the baby.
First of all, due to lack of feeding the mother may have problems with the breast( stasis, milk flushes, chest pain and even mastitis) and with lactation. Also, a mother may psychologically suffer from the fact that the time of breastfeeding has decreased.
At the same time, it may be difficult for a child to adjust to two types of feeding at once:
He may refuse to feed from the bottle and be capricious. His appetite may decrease.
Having started with ease to receive a mix from a small bottle, the kid will not want to "work", extracting milk from mother's breast. This happens when a very early transition to mixed feeding( in the first 6 weeks of the baby's life).
Often not receiving a breast during the day, the baby starts to demand more breast milk in the evening and at night.
Which is better: feed the mixture or completely translate into it?
The digestive system of the baby is tuned to breast milk, and when a mixture enters into it, various unforeseen reactions are possible. Therefore, you need to closely monitor the reaction of the baby.
It is important to understand that the mixture, even if it is expensive and of the best quality, is not equal to breast milk. Therefore, to refuse breastfeeding is not necessary in any case. It is not easy to treat the mixture as a supplement, you should not choose a mixture without consulting a doctor. Also, the decision of the mother to supplement the crumb with goat's milk or kefir can only harm the baby's health.
If the mixture and breast milk are given in the same feeding, then first the baby is applied to the breast( even if the milk is very small), and when the baby empties it completely, give the mixture. The reason for this approach is the presence of more appetite in the baby at the beginning of feeding. If you give the mixture first, it will be difficult for the mother to calculate the right amount, and the child will not want to suckle to get milk, as the first hunger he has already satisfied.
In situations where the mother will be temporarily absent during the day, the child is transferred to a mixed-feeding regime, in which two or three times a day the baby will receive only the mixture, and the rest will be fed only by mother's milk.
If the amount of supplementary feed is small, the mixture is recommended to be given from a spoon, because due to the easier admission of the product from the nipple, there is a risk of the child refusing breast sucking. If the mixture is given in a large volume, it is important to choose an elastic pacifier that has small holes for the infant to apply efforts to get the mixture from the bottle.
The feeding regime for this type of feeding can be free, but if the mother decides to feed the baby according to the schedule, then the number of feedings can be reduced by one.
It is important to carefully monitor the sterility of the bottles and nipples.
If the mother goes to work, do not postpone the first attempts to feed the baby from the bottle for the last few days. In most cases, babies are not immediately reconciled with feeding from a bottle. It is optimal to start feeding the infant with a mixture 2-3 weeks before the moment when the mother starts to leave the house for a long time.
With a mixed feeding of a child, you can begin to breastfeed earlier for two to three weeks than a baby who receives only breast milk.
Calculating the need for
If you can provide the baby with the right amount of milk for one meal( with a cut in total), use this option and give the mixture only oneFrom feeding. In this case, you can calculate only the amount of mixture necessary for the current feeding mixture of the child.
To determine the infant's nutritional needs, account must be taken of the age of the crumbs and the type of mixture used.
First calculate the total daily requirement of the baby for food:
to a child under 10 days weighing less than 3200 g, to calculate the correct amount of food, multiply 70 by the age in days( weight over 3200 is multiplied by 80 per age in days);
a child under 2 months of age is given food in the amount of 20% of his body weight;
children from two to four months require food in the amount of 1/6 of their weight;
babies older than 4 months to 6 months of age need meals in a volume of 1/7 of their body weight;
children between the ages of six months to a year require daily food intake in the amount of 1/8 to 1/9 of their weight.
We divide the total volume by the number of feedings and find out the approximate amount of food needed by the baby in one feeding.
The amount of sucked milk can be measured by control weighing: weighed the crumb before feeding, and then after. After subtracting these values, you will know the amount of milk drunk. Now it remains only to take away the volume of baby breast milk received from the total volume - so mother will know how much crumb will need a mixture.
child to make sure that the baby missing for growth and proper development of all the nutrients you need to calculate how much a child receives daily protein, carbohydrates and fats. The calculation is based on the rates of intake of essential nutrients into the children's organism, as well as the approximate content of these substances in human milk. Age
Fats Proteins Carbohydrates
From birth to 4
2-2,5 g / kg
6-6,5 g / kg
12-14 g / kg
4 to 9
3-3.5 g / kg
5,5-6 g / kg
12-14 g / kg
9 to 12
3-3,5 g / kg
5-5,5 g / kg
The breast milk
1,3 g in 100 ml
4,2 g in 100 ml
7 g in 100 ml
first calculate how much the baby receives only breast milk a day, and then - as proteins, carbohydrates, and fats itGets with this food. Further, the amount of nutrients in the resulting volume of the milk mixture is also calculated. Calculating the needs of the baby, depending on the age, it is determined whether enough food is obtained.
It should be borne in mind that the protein requirements for moving to mixed feeding in a baby are increased. Baby less than 4 months for each kilogram of weight requires 3 grams of protein, if the supplement is carried out with the adapted mixture, and 3.5 grams, if the mixture is unadapted. A child older than 4 months needs 3.5-4 grams of protein.
What do they feed?
For complementary feeding choose the same mixtures that recommend feeding infants on artificial feeding. Preference is given to the adapted mixture.
What can not be fattened?
A baby should not be given a medical mixture, unless recommended by a pediatrician. For use mixtures with a curative effect, there are strict indications, e.g., a mixture of soya give allergy to milk protein and lactose-free use at crumbs with lactase deficiency. Kefir, cow or goat milk can significantly damage the body crumbs.
If the child does not like the bottle
Many babies do not want to switch from breastfeeding to feeding from a bottle. To make this transition more successful, mom is recommended:
Try to put on a bottle of nipples of different kinds, so that the baby could pick up "his".
The first time to feed from a bottle of expressed human milk.
Feed from a bottle at a time when you want to eat crumbs, but the baby is not too hungry yet.
Let the first bottle of the mix be offered to the baby by someone else, not by the mother.
When the crumbs are fed with the mixture, let the kid stay not in the position in which he is accustomed to receiving my mother's breast.
The liquid that is given to the baby should be warm, since the crumb is used to getting milk from the mother's breast in a warm form.
Do not expect that the baby will immediately drink the whole mixture from the bottle.
In extreme cases, mom will not have to give the baby a breast all day, so that the baby still agreed to try the mixture from the bottle.
If the kid persists and he is already 6 months old, it makes sense to plan for the time of mother's absence feeding the baby with complementary foods.
We recommend reading our article on how to teach a child to a bottle.
If after the bottle the baby does not take the breast
Unfortunately, after starting to get food from the bottle, in most cases the children do not want to suck mother's breast anymore, because "to get"Milk from the female breast to the baby is more difficult than sucking the mixture through the nipple, and the muscles when feeding from the nipple are used by others. To begin with, try to pick up a pacifier with a small hole or only with 1 hole, perhaps it will help to leave the feeding mixed.
If the mother wants to return breastfeeding, she will have to give up the bottle and give the baby a chance to get hungry. Otherwise, it is possible to help express and feed the female milk from the bottle. Either will remain reconciled with the final transition to breastfeeding.
Opinion of E. Komarovsky
A well-known pediatrician, if necessary, transferring the crumbs to mixed feeding recommends giving preference to a product that is more important for the health of the child. Komarovsky, like other pediatricians, considers mother's milk to be the most valuable food for the baby.
In cases where the mother is forced to give the baby some more food, the woman should choose a feeding regime when the baby will consume more breast milk. Mom can give each baby a breast first, and then supplement with an adapted mixture, or give only a mixture in one of the feedings.