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:
- Your own fresh expressed breastmilk/chestmilk.
- Your own expressed breastmilk/chestmilk that was frozen and has been thawed.
- Baby formula that is cow’s milk based, and iron fortified.
- 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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Finger feed your baby
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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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Important information for keeping equipment clean:
- How to sterilize your breast/chest pumping equipment
- Is your tap water safe for making infant formula
- How to sterilize your formula feeding equipment
Reference:
Infant Formula: What you need to know- A Best Start Ontario Resource