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Why is mixed feeding not recommended for babies?

Understanding Mixed Feeding and Its Implications
Mixed feeding, the practice of combining breast milk and formula feeding, has become a common choice for many parents. However, health professionals often express concerns about this method, particularly regarding its impact on breastfeeding and the overall health of infants.
The Risks to Milk Supply
One of the primary reasons mixed feeding is not recommended is its potential to disrupt a mother’s milk supply. Breastfeeding operates on a supply-and-demand basis; the more frequently a baby breastfeeds, the more milk a mother produces. When formula is introduced, it can lead to reduced breastfeeding sessions. This decrease can signal the body to produce less milk, creating a cycle that may ultimately jeopardize the mother’s ability to exclusively breastfeed. Experts emphasize that maintaining regular breastfeeding—ideally 8 to 12 times a day in the early weeks—is crucial for establishing and sustaining a healthy milk supply.
Potential Confusion for the Baby
Another concern is the possibility of nipple confusion. Babies who are accustomed to breastfeeding may struggle to adapt to a bottle, which has a different sucking mechanism. This confusion can lead to frustration for both the baby and the mother, potentially resulting in decreased breastfeeding success. The transition between breast and bottle can complicate feeding routines, making it harder for some infants to latch properly or maintain effective breastfeeding.
Nutritional Considerations
From a nutritional standpoint, breast milk is uniquely tailored to meet an infant’s needs, providing essential antibodies and nutrients that formula cannot fully replicate. While formula can be a suitable alternative, it lacks some of the immunological benefits of breast milk, which are particularly important in the early months of life when a baby’s immune system is still developing. Mixed feeding may dilute these benefits, especially if formula becomes the primary source of nutrition.
Emotional and Psychological Factors
The emotional bond formed during breastfeeding is also significant. Breastfeeding promotes skin-to-skin contact, which fosters attachment and emotional security for the baby. Mixed feeding can alter this dynamic, potentially affecting the mother-baby relationship. The act of breastfeeding is not just about nutrition; it is also a critical aspect of nurturing and bonding.
Conclusion
While mixed feeding may seem like a practical solution for some families, it carries risks that can affect both the mother’s milk supply and the baby’s feeding experience. Health professionals generally advocate for exclusive breastfeeding for the first six months, if possible, to maximize the health benefits for both mother and child. For those considering mixed feeding, it is essential to consult with healthcare providers to navigate the challenges and ensure the best outcomes for their baby.

Why mixed feeding is not allowed?

Mixed feeding of formula milk with breastfeeding is associated with feeding problems and with stopping breastfeeding, but mothers who planned to mixed feed or use formula for practical reasons were more likely to go on to have milk insufficiency and to stop breastfeeding compared to exclusive breastfeeders.

What is the 5 5 5 rule for breast milk?

Something I recommend to moms is the 5-5-5 rule. Try and use milk within five hours at room temperature, five days in the fridge, and by five months in the freezer.

Does pumped breast milk lose nutrients?

Generally, when freshly pumped, breast milk is at its peak regarding nutrients. Beyond this timeframe, vitamins, fatty acids, enzymes, antibodies, and growth factors might be a gradual loss.

Can I formula feed at night and breastfeed in the day?

Is it OK to breastfeed during the day and formula feed at night? Yes! Combo feeding is a great way to extend your breastfeeding journey. Feeding your baby can happen many different ways.

Is mix feeding bad for my baby?

Mixed feeding can increase the risk of baby when doing so before 6 months. Changing between feed types can irritate baby’s tummy while it is still developing. This irritation can increase the risk of transmission.

Is it bad to feed baby both formula and breast milk?

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.

What is the 120 pumping rule?

The first 12 weeks of your breastfeeding journey requires frequent breastmilk removal, stimulating healthy milk production. Studies show moms who exclusively pump for a minimum of 120 minutes per day can make enough to feed their babies primarily breastmilk.

What are the problems with combination feeding?

The downsides to this are that the babies will be getting a lot of bottles over 24 hours which can mean they are more likely to reject the breast. Also, it is very easy for the formula fed baby to take more milk than the breastfed baby, and formula is more difficult to digest than human milk.

Can I breastfeed during the day and formula feed at night?

At the same time, other moms may know from the get-go that they want to supplement with formula at night. There is no right or wrong, and it is okay to supplement your breastfed baby’s diet with formula!

Can I breastfeed at night and formula during the day?

Yes, your supply of breast milk depends on your baby’s demand, so the less often you nurse or pump, the less milk your breasts will produce. If you supplement with one or two bottles of formula a week, the effect on your milk supply should be minimal.

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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