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Baby Resources

Switching from breast- to bottle-feeding? Here are baby formula resources

Infants should receive only breast milk or baby formula for the first 4 to 6 months of life, followed by the introduction of complementary foods, recommends the American Academy of Pediatrics, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and the World Health Organization.

The American Academy of Pediatrics recommends that breast milk or an iron-fortified formula should be the primary source of nutrition for baby's entire first year. Whole cow's milk and low-iron infant formula should NOT be fed during a baby's first year.

Origin of formula

Baby formula was invented by Henri Nestlé in 1867. Nestlé visited a mother who could not breastfeed. The chemist went home to develop a mixture that saved the mother's premature infant and later became known as the first baby formula. The new product, Farine Lactée Nestlé, was introduced to the Swiss market later that year.

Nestlé offers a variety of iron-fortified baby formulas. The company recommends iron-fortified formula because it helps the baby's development. "Your baby was born with a good supply of iron, provided by you during a healthy pregnancy. Those initial iron reserves are depleted by the time your baby is around 4 to 6 months old if not maintained by an iron-rich diet.

The switch

Please consult with your doctor before switching your baby from breast-feeding to baby formula. The transition should take place gradually, by mixing breast milk and formula. When changing formula, the transition should also be gradual, and in consultation with your doctor. During the transition, your baby's stool may change to soft and yellowish or greenish in color. Other normal reactions are fussiness, a little spit-up or occasional rashes. If your baby is very fussy (especially after feeding), gassy or spits up all or most of what he ate, talk to your baby's doctor. Your baby's health care professional is the best person to advise you about your baby's nutrition.


Sources:

Home and Videotape Intervention Delays Early Complementary Feeding Among Adolescent Mothers," by Maureen M. Black, Emily H. Siegel, Yolanda Abel, and Margaret E. Bentley. http://www.aap.org/mrt/hvid.htm Accessed 4/21/03.

"Fascinating facts about the invention of Baby Formula by Henri Nestle in 1867" http://www.ideafinder.com/history/inventions/story050.htm Accessed 4/21/03.

Also found on www.verybestbaby.com. Accessed 4/17/03.

From http://www.verybestbaby.com/content/article.asp?section=
bf&id=20019281542581575717469&contentType=P Accessed 4/20/03


Buying Baby Formula

* Check the can or carton carefully when you buy infant formula. Buy and use the formula by the date shown. Do not buy dented or otherwise damaged cans.
* Buy formula with iron, unless advised otherwise by your health care professional.
* Store unopened cans of infant formula at room temperature. Do not use formula that has been frozen or stored at a high temperature.
* When opening cans with a can opener, be sure it is clean, sharp and free of rust and food deposits.


The above bullets are directly from http://www.welcomeaddition.com/display.cfm?id=91&sub=95. Accessed 4/21/03


Preparation:

During the first week, prepare and offer a bottle with 2 to 3 ounces of formula every three to four hours. When your baby doesn't finish the bottle, he or she is telling you she's full. When it regularly finishes the bottle, you should increase the amount you feed him or her.

Always wash your hands before preparing formula and also wash the top of the formula can before opening it. Powder can lids may be sharp when opening, so be cautious. Read the directions carefully when you prepare infant formula. Concentrated Liquid formula must be mixed with water. Ready To Feed formula needs no mixing. Use water from the cold water faucet and let it run a few minutes to prevent lead or other mineral contamination. Check with your water purification system manufacturer to understand what effects this might have on the mineral content of your water supply.

If you are advised to boil your water by your local doctor, bring the water to a rolling boil. Excessive boiling can increase the concentration of impurities. To warm a bottle of formula, loosen the cap and put the bottle in hot - not boiling - water for a short time. Or run hot tap water over the bottle. Shake the bottle well. Shake a few drops on the inside of your wrist to test the bottle's temperature. The formula should feel warm, not hot.

NEVER use a microwave oven to warm formula. The formula could heat unevenly and burn your baby's mouth. It can also break down the nutrients.

Freshly prepared concentrate or powdered formula must be used immediately, or refrigerated and fed to your baby within 24 hours. Ready-to-feed or prepared concentrate formula should not be left at room temperature for longer than necessary. Prepared formula should be refrigerated within two hours. After feeding, any leftover formula should be discarded. Bacteria from your baby's mouth have mixed with the formula during feeding.

Rinse the bottle and nipple in hot water right away. Scrub bottles, nipples, caps and rings with a bottle brush, soap and hot water. Or put them in the top rack or basket of a dishwasher. Squeeze water through the nipple holes during washing and rinsing.

The nipple

Your baby will have preferences regarding nipple shape, so try a few different kinds to determine your baby's favorite. The nipple hole should be large enough that the infant doesn't have to strain for food, but small enough that it doesn't choke. Periodically check the nipple hole to ensure that wear and tear hasn't expanded it.

Feeding basics

Create a calm atmosphere for you and your baby by feeding in a calm and relaxed setting. Hold your baby close to your body in an upright position (head higher than the body). Tilt the bottle so the formula fills the nipple to keep air out of your infant's stomach. You can prop your feeding arm on a pillow, but do not prop the bottle at any time. If you hear a lot of noisy sucking sounds while he or she drinks, your baby may be taking in too much air. To help your baby swallow less air, hold her at a 45-degree angle.

Give your baby time to pause the feeding. Let him or her look around or play with the nipple.

Burping Your Baby

Try burping your baby halfway through a feeding. Hold your baby upright against your shoulder or lay her across your lap, on her stomach, face down. You can also sit your baby on your lap, leaning her forward against your hand. Support her chin. Pat or rub your baby's back gently. Your baby may not need to burp after every feeding. Your baby may spit up, but this is no cause for alarm.

Storing baby formula

Unopened cans of baby formula can be stored in a dry place at room temperature until the expiration date indicated on the package.

An open can of baby formula must be covered and stored in a cool dry place. Formula powder must be used within one month, and an open can of formula concentrate or ready-to-feed formula must be covered stored in the refrigerator, and used within 48 hours.

Packaging and serving sizes:

Powder:
12 ounces net weight makes approximately 2.7 quarts of prepared formula
24 ounces net weight makes approximately 5.4 quarts of prepared formula
32 ounces net weight makes approximately 7.3 quarts of prepared formula
 

Liquid concentrate:
13 fluid ounces makes approximately 26 ounces prepared formula

Ready-to-feed:
32 fluid ounces makes approximately 1 quart

Brands

Wondering what brands of baby formula to buy? Here you can compare store brands of baby formula and branded formulas.

Here you can find recipes for home-made baby formula

Financial help

Assistance for Women, Infants and Children is provided to low-income, nutritionally at risk:
* Pregnant women (through pregnancy and up to 6 weeks after birth or after pregnancy ends).
* Breastfeeding women (up to infant's 1st birthday)
* Nonbreastfeeding postpartum women (up to 6 months after the birth of an infant or after pregnancy ends)
* Infants (up to 1st birthday). WIC serves 45 percent of all infants born in the United States.
* Children up to their 5th birthday.

WIC is a Federal grant program for which Congress authorizes a specific amount of funds each year for the program to offer:
* Supplemental nutritious foods
* Nutrition education and counseling at WIC clinics
* Screening and referrals to other health, welfare and social services.

Additional Information: "What is the best Nutrition for your baby?" Kids' Health supplement in the October 18-20, 2002 weekend edition of USA Today. http://www.aap.org/advocacy/releases/infantnutrition.htm Accessed 4/21/03.

******* DISCLAIMER: The information on this Web site is for reference only and is not intended nor implied to be a substitute for professional medical advice. Although the site's creators and contributors aim to provide the most accurate information, it is your responsibility to verify the validity of any information contained herein. Please check with your infant's pediatrician if you suspect a health problem or medical condition.

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