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BREAST OR BOTTLE?
It’s all about making the right choice for you

Feeding your baby should be a healthy and happy experience, so it’s best to choose the method you feel most comfortable with. One thing to consider before deciding is that you can start breastfeeding and change to bottle, but it’s not quite so easy the other way round.

Breastfeeding benefits
The perfect baby food available on demand, in the right quantity and at the right temperature, breast milk provides so many natural health benefits for you and your baby. Reasons to breastfeed include:

  • Breast milk provides all essential nutrients, is easily digested and prevents constipation
  • It has antibodies to boost your baby’s immune system
  • It also lowers the risk of eczema and diabetes
  • Longer term breastfeeding may help women to lose excess weight gained during pregnancy
  • Some research suggests that breastfeeding may actually reduce the risk of breast cancer

     

Starting out on breast milk

By putting your baby to your breast as soon as possible after delivery, the sucking will start to send signals to your body, encouraging milk production. Colostrum is produced before the breast milk comes and is your baby’s food for 3 or 4 days – great news, as it’s packed with protein, contains a natural immunity and protection against infection – just what your newborn needs! This is then replaced by breast milk around days 4 to 5.

Positioning your baby on the breast

it is important to position your baby correctly on the breast. Make sure that your back is well supported and you are sitting comfortably before you begin. Make sure your baby's head and shoulders face towards the breast with his or her tummy against your tummy. Draw your baby towards you or you might put a strain on your back and neck. (For ease of reading we have used she during the copy below).
 
 
Your baby's bottom lip is curled down and her tongue is coming out ready to draw as much areola as possible into her mouth. Your nipple is near to her top lip and point towards the roof of her mouth. When you see a wide open mouth draw your baby that little bit closer to the breast. When your baby is properly latched on she will draw much of your areola into her mouth with her tongue as this does most of the work, sucking milk from your breast. You should feel comfortable. Your's baby chin will be touching your breast. Your baby's whole body is in a straight line so she does not have to turn to drink. Once your baby has had enough she will probably let the nipple fall out and may well be sleepy. If you have to take the baby off the breast to reposition, place your little finger in the corner of your baby's mouth to break the sucking.

COMFORT NOTE: Once your breasts start to produce milk rather than colostrum, you may experience a little tenderness and discomfort. Don’t worry, it will pass after a few days, but to help minimise the effect, wear a well-fitted nursing bra and gently express a little milk before feeding to relieve any fullness.

Useful products for breastfeeding

  • Nursing bras (2 to 3)
  • Sleep bra (2)
  • Breast pads
  • Muslin square


How often and how much?
The old days of strictly regimented “discipline” have gone, and most people now accept that breastfeeding “on demand” is the best way to ensure that babies are getting what they need, when they need it, so that they don’t either go hungry or overfeed. Don’t assume that being “on demand” makes life more difficult for you – it can actually make things easier and less stressful if you, literally, “go with the flow”. By sucking, your baby makes its own contact directly with your body, so don’t be surprised or worried if your feeding patterns are quite a bit different from those of fellow-mums. You will know your baby is getting enough if she is gaining weight and is contented after most feeds.

Don’t forget your own needs. A diet containing a wide variety of foods will help your body cope with the new demand put on it – your midwife and health visitor can advise you. You may find you’re thirstier than usual. Drink as much as you want to.

Night moves
Everyone knows someone who knows someone whose baby “slept right through the night from the very beginning”. But, unless you get one of these mythical babies yourself, you’ll have to accept that you’ll be drowsily feeding your little one in the wee small hours for some time to come. Breastfeeding is obviously the most convenient way to do this. Make sure baby is secure and will not fall if you nod off. Try lying on one side to feed, with baby away from the edge of the bed. Dad can play his part by winding, changing and settling baby back to sleep when breastfeeding has finished.

The art of self-expressing
If you are going back to work or plan to spend time away from your baby, expressing is a way of ensuring that your baby still receives breast milk.

  • If expressing doesn’t work for you at first, do persist. It gets easier with time.
     
  • You can do it by hand or by using an electric/battery pump or a hand-held pump.
    It is not advisable to express in the first few weeks, because none of these methods are as effective as baby sucking.
     
  • If your baby is still tiny, you are unlikely to get much milk out at each expressing session. More than one session may be needed to obtain enough milk to freeze.
     
  • After expressing. Place breast milk in the fridge or freezer immediately. Breast milk can be kept in the fridge for 48 hours (24 hours if it has been defrosted). You can freeze it in any sterile container for three months – remember to label it with the date. Store milk in the body of the fridge, not in the door where temperatures can fluctuate when fridge is opened. Bottles should be capped, with teats stored in a sterilized container.
     

If you are going to express you may need the following:

  • Breast pump
  • Expressed milk storage bottles or bags
  • Sterilising equipment

 

Tips to help you
If you experience difficulty, encourage milk flow by:  

  • Taking a hot bath or shower
  • Sitting quietly and relaxing
  • Having baby nearby (or a photo of your baby)
  • Expressing straight after a feed – early morning is
    often a good time, as your breasts are full

All about the bottle feed
Feeding your baby can be immensely gratifying, be it by breast or bottle, as it’s a special time when you can cuddle and get really close to your little one, who’ll be soothed by your undivided attention. And although formula milk cannot supply the breast milk antibodies, it does contain essential ingredients for growth. One benefit of feeding by bottle is that dad and other relatives can be more involved. If you do choose to bottle feed, please remember:

  • Only use formula milk or breast milk
  • Do not use cows milk as it is unsuitable for babies under the age of 12 months,
    as it can cause an allergic reaction and is very hard to digest
  • When using powdered formula milk always follow the manufacturer’s instructions
  • Sterilise all your equipment to reduce risk of infection
  • If a youngster is keen to try to bottle feed your baby, there must be adult supervision at all times
  Type of
steriliser
Sterilising
time
Capacity Safety Tips Advantages How germs
are killed
Steriliser
Feeding
Bottle
1.5 mins single(plus cooling time)when microwaved Up to 6 bottles at a time, depending on size of microwave Instructions should be followed correctly. Failure to do so could cause pressure to build up in the bottle during sterilising. Fast and easy method of sterilising. The bottle can also be sterilised using cold water method. Heat
(steam)
Electric
Steam
8 - 9 mins(plus cooling time) Up to 6 standard neck or 4 wide neck bottles plus components. Only use steam steriliser equipment that's safe to boil. Place items upside down to ensure all surfaces are sterilised. Fast. No need to rinse. Items stay sterile for up to 3 hours with lid on. Heat
(steam)
Microwave
Steam
4+ mins(plus cooling time) Up to 6 standard neck or 4 wide neck bottles plus components. Check items can be steam sterilised and are suitable for microwave use. Do not place metal items in the microwave. Fast. Can be used abroad. Items stay sterile for up to 3 hours with lid on. Heat
(steam)
Cold
Water
Chemical
30 mins Up to 6 standard neck or 4 wide neck bottles plus components. Completely immerse washed items to avoid air bubbles. Always rinse items in recently boiled water after sterilising No boiling or steaming required. A single solution can be used for up to 24 hours. Chemical
 
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