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How to combo feed breast milk and formula?

Understanding Combo Feeding
In the world of infant nutrition, the debate between breastfeeding and formula feeding often dominates discussions. However, many new mothers discover the benefits of combination feeding, a practice that allows them to provide both breast milk and formula to their babies. This approach not only offers flexibility but also caters to the varying needs of both mother and child.
The Benefits of Combination Feeding
Combination feeding can be a revelation for new parents. It allows mothers to enjoy the advantages of breastfeeding—such as the bonding experience and the nutritional benefits of breast milk—while also incorporating formula to ensure their baby receives adequate nourishment, especially if breastfeeding alone is challenging or insufficient. This method can be particularly beneficial for mothers who return to work or have other commitments that make exclusive breastfeeding difficult.
Getting Started with Combo Feeding
If you’ve decided that combination feeding is the right choice for you and your baby, the next step is to understand how to implement it effectively. Here are some key strategies to consider:
1. Start Gradually: Introduce formula slowly to your baby’s diet. Begin by offering a bottle of expressed breast milk before introducing formula. This can help your baby adjust to the bottle and the different taste.
2. Top-Up Method: One effective approach is the top-up method. After breastfeeding, offer a bottle of formula to supplement your baby’s intake. This can help ensure they are getting enough nutrition while still enjoying the benefits of breast milk.
3. Maintain Skin-to-Skin Contact: To encourage milk production and strengthen the breastfeeding bond, hold your baby skin-to-skin as much as possible. This practice can stimulate your body to produce more milk, making it easier to balance both feeding methods.
4. Mixing in the Same Bottle: Interestingly, you can mix breast milk and formula in the same bottle if needed. However, it’s essential to ensure that the breast milk is warmed to a safe temperature before mixing, as this can help maintain the nutritional integrity of both.
5. Monitor Baby’s Response: Pay attention to how your baby reacts to the combination of breast milk and formula. Some babies may take to it easily, while others might need more time to adjust. Be patient and flexible in your approach.
Maintaining Milk Supply
One of the concerns many mothers have when transitioning to combination feeding is the potential impact on their milk supply. To maintain a healthy supply, continue to breastfeed regularly and express milk if necessary. This will signal your body to produce more milk, ensuring that you can provide both breast milk and formula as needed.
Conclusion
Combination feeding offers a practical solution for many families, allowing them to enjoy the best of both worlds. By understanding how to effectively implement this method, mothers can provide their babies with the nutrition they need while also accommodating their own lifestyles. Whether through gradual introduction, maintaining skin-to-skin contact, or monitoring their baby’s responses, parents can navigate the journey of combo feeding with confidence and care.

Why is mixed feeding not recommended?

If your mixed feeding involves exchanging some breastfeeds for baby formula, then your baby will not receive as many benefits as they normally would if they were exclusively breastfed. As such, their immune system may not be as well protected from certain infections1.

What is the best schedule for breastfeeding and formula feeding?

Baby Feeding Chart

Age What How Often
0-24 hours Formula 6-10 feedings/day
24-48 hours Breast milk 8-12 feedings/day
Formula 8-12 feedings/day
72 hours Breast milk 8-12 feedings/day

How to transition to combo feeding?

It’s best to make the transition to combo feeding from pure breastfeeding slowly if you’re able to, first introducing a formula bottle an hour or two after a breastfeeding session (when baby’s hungry, not starving) and then gradually building up to more frequent bottle feedings depending on how much formula you want to …

Can you do a combo of breast milk and formula?

It can take several weeks for you and your baby to feel happy and confident with breastfeeding. Once you’ve both got the hang of it, it’s usually possible to offer your baby bottles of expressed milk or formula alongside breastfeeding. This is sometimes called mixed or combination feeding.

How to successfully combo feed?

Combination Feeding Schedule

  1. Pump for one feed and have your partner feed overnight so you can get a longer stretch of sleep.
  2. Offer every other feeding as a bottle of formula, the others at the breast.
  3. Have your partner do the bedtime feeding while you spend time with your toddler/other kids.

Can I give formula immediately after breastfeeding?

You can start supplementing at any time. However, doctors and lactation consultants recommend waiting until your baby is at least 3 weeks old (if possible) to start supplementing with formula, so that your milk supply and breastfeeding routine has adequate time to get established.

What is the ratio of breastmilk to formula?

To transition from breastmilk to formula successfully, it’s important to do so gradually. Here are two ways you can try: Mixing: You can begin by mixing formula with breastmilk in a ratio of 25% formula and 75% breastmilk.

Can switching between breastmilk and formula upset the stomach?

Changing from breastmilk to formula side effects like gas, upset stomach, and even constipation is possible if you make the change quickly. Wait three to four weeks before supplementing or switching from breastfeeding to formula. Wean your baby off breast milk gradually to allow their bodies and yours to adjust.

Can I give my baby formula at night and breastfeed during the day?

Yes, of course it’s okay 🙂 Your body makes most of her food, it’s critical that you take care of your body too by getting the rest you need. Formula is not going to put her at higher risk at night than breast milk would.

Is 4 oz of breastmilk the same as 4 oz of formula?

Try not to compare the amount of breastmilk in a bottle to formula in a bottle because they will mostly likely be different. Breastfed babies typically eat less at a feeding because breastmilk has more nutrients per ounce, and babies digest breastmilk more fully than formula.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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