Mixed Feedings: Supplementing Your Breastfed/Chestfed Baby

A newborn baby in a white hat and blanket is fed milk from a small measuring cup by an adult

If you are worried about your milk supply talk to a lactation consultant, public health nurse or your health care provider. Sometimes babies need more calories, so you will need to give your baby a supplement. This can be done with expressed breastmilk/chestmilk by hand or with a pump. 

If you are thinking of giving formula to your breastfed/chestfed baby it can further decrease your breastmilk/chest milk supply and could cause you to stop breastfeeding/chestfeeding before you planned. 

It is recommended to breastfeed/chestfeed your baby first, then if extra calories are still needed, to give a top up. If you are supplementing your baby (topping up), it is recommended to try this order of supplementation: 

  1. Your own fresh expressed breastmilk/chestmilk. 
  2. Your own expressed breastmilk/chestmilk that was frozen and has been thawed. 
  3. Baby formula that is cow’s milk based, and iron fortified. 
  4. If you are planning to exclusively breastfeed/chestfeed and you only want to supplement with formula once in a while (not every day), talk to your care provider about types of baby formula that can reduce the risk of cow’s milk allergy. 

Note: Specialized formula should only be used if your health-care provider has recommended it. 

Ways to Feed Your Baby a Supplement

Use an open cup

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baby wearing a hat, feeding from an open cup which is held to baby’s mouth by an adult hand

Finger feed your baby

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thin tube from a bottle of milk attached to adult finger; finger in baby’s mouth)

Use a lactation aid which uses a tube at your breast/chest (also known as supplemental nursing system-SNS). Breastmilk/chestmilk or formula flows from a bottle through a tube that is attached to your nipple so baby can continue to breastfeed/chestfeed.  The baby gets the extra calories they need and the parent’s nipples get stimulated which promotes milk production. 

Formula feeding baby skin-to-skin. For information on skin-to-skin, see Amazing Benefits of Skin-to-Skin

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bare adult torso holding a baby drinking from a bottle

Important information for keeping equipment clean:

Reference:

Infant Formula: What you need to know- A Best Start Ontario Resource