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ebm formula
trying to sort it all out

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#1 José

Posted 01 February 2013 - 05:16 PM

DS has some breast refusal going on. i posted a couple of days ago about timing feeds as i wondered if that was part of the problem but it doesnt seem to be.

i am continuing to offer the breast to DS and he sometimes takes it and sometimes doesnt. so, i need a plan for when he doesnt. and an additional complication is that i will be returning to work very soon, meaning DH will be feeding him.
so, i was building up a supply of EBM in the freezer but we have been eating into that lately and if the breast refusal continues im not sure i will be able to express enough for all feeds. so, if necessary i guess we will have to introduce formula.
i am wondering how to go about this. should i have one formula feed per day at the same time each day? does it matter what time of day? are there likley to be any problems with DS accepting formula? how much EBM should we be offering to DS and how much formula? what changes will i see in DS with the introduction of formula.
DS is almost four months. i have tried a number of things to over come breast refusal like feeding in different rooms and different positions etc.

#2 lucky 2

Posted 01 February 2013 - 09:06 PM

That distractibility peaks at 4 months, it can be very challenging but it does peak and trough.
Just do what you can and give what you have, if you want to give a bottle instead of a breast feed (bc of refusal) it may or may not happen (ie bottle fed babies can fuss and refuse too).
If you give ebm give as much as is wanted and it's the same for formula, volume to appetite.
Introduction of formula will change the organisms in the gut, stools may be less loose and smell different.
I wouldn't worry about doing the same thing (ie formula) at the same time, that sounds too restrictive for you and dh, do it as easily as possible.
The link below may have some other tips re breast refusal, I think I put a similar one in your other thread.
I know I haven't responded to everything but I'm sure someone else will.
All the best.

#3 José

Posted 03 February 2013 - 07:52 AM

Isnt it possible to over feed a baby when using formula? Can u over feed with ebm?

#4 lozzylots

Posted 03 February 2013 - 11:28 AM

You can technically overfeed with both - I believe it's the bottle that causes overfeeding, not its contents. As for how much, there are mathematical formulas for working out how   much to feed by your baby's weight (google 'how much to feed baby' or   something like that), or use the guides on formula tins. It's a good starting point, then you'll work out   how much bubs takes each feed, it could be more or less but don't worry too much about overfeeding unless your healthcare provider is concerned about excessive weight gain. We've always found DD won't eat more than she needs.

When I was switching DD from EBM to formula (dwindling supply from FT expressing) I would mix formula and EBM in the same bottle each feed and gradually put more formula than EBM. I could be wrong but I figured that the EBM might help her digest the formula easier and so ease her onto it rather than going straight from easy-to-digest EBM to formula.

I know some babies don't like the taste of certain formulas, or certain ones don't agree with them. You might be lucky and he will do great on the first one you try, otherwise it's an expensive game of trial and error original.gif We tried 3 before we found one that suited DD. And the only change in her was as lucky 2 said - poos not quite as runny, not as often and lots smellier!! Watch for constipation, DD didn't have a problem but I believe it's quite common on formula.

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