Transitioning from Breast Milk to Formula: Guidelines for Parents - Pediatrics

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Milk consumption issues?


My baby was born on June 6, 2016, and has been exclusively breastfed until now.
Currently, he/she drinks 60-90cc of breast milk every 2-3 hours.
I would like to introduce formula milk (Meiji Gold Selection for 0-1 year old).
How long should I wait to give formula milk after breastfeeding, and how much formula should I give?

Bin Mami, 20~29 year old female. Ask Date: 2016/06/17

Dr. Lin Yishou reply Pediatrics


Hello, thank you for your message.
There is no need to wait between breastfeeding and formula feeding.
Start with breast milk, and if there is an insufficient amount, then supplement with formula.
Therefore, if the amount of breast milk is adequate, there is no need to use formula.
In cases where formula is absolutely necessary to replace breast milk, the amount of formula should be the same as the amount of breast milk consumed.
Dr.
Lin recommends that breast milk is the best source of energy and nutrition for your baby.
It is advised to start with breast milk and then supplement with formula if needed.
Thank you again for your message.

Reply Date: 2016/06/17

More Info


Transitioning from breast milk to formula is an important step in your baby's nutritional journey, and it's great that you're considering this transition. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life, followed by the introduction of complementary foods while continuing breastfeeding up to two years or beyond. In your case, since your baby is already over six months old, you can start introducing formula alongside breast milk.

When it comes to the timing of feeding breast milk and formula, there is no strict rule, but a common practice is to allow a gap of about 30 minutes to an hour between the two. This helps ensure that your baby can digest each type of milk without feeling overly full or uncomfortable. For example, if your baby has just finished breastfeeding, you can wait for about 30 minutes before offering formula. This allows your baby's stomach to settle and prepares them for the new taste and texture of formula.

As for the amount of formula, it can vary based on your baby's age, weight, and appetite. Generally, infants aged 6-12 months require about 24-32 ounces of formula per day, divided into several feedings. Since your baby is already accustomed to breast milk, you might want to start with smaller amounts of formula, such as 2-4 ounces per feeding, and gradually increase it as your baby gets used to the new formula. It's essential to observe your baby's cues; they will let you know when they are hungry or full.

In terms of the specific formula you mentioned, "金選明治0~1歲樂Q貝," it is designed to meet the nutritional needs of infants in that age range. Ensure that you follow the preparation instructions on the packaging carefully to provide the right concentration of nutrients.
It's also important to note that while transitioning to formula, you should continue to breastfeed if you can, as breast milk provides unique antibodies and nutrients that are beneficial for your baby's immune system and overall health. You can gradually increase the amount of formula while decreasing breastfeeding sessions, allowing your baby to adjust to the new feeding routine.

Lastly, keep an eye on your baby's reactions to the formula. Some babies may experience mild digestive changes, such as gas or changes in stool patterns, as they adapt to the new formula. If you notice any significant discomfort or adverse reactions, consult your pediatrician for guidance.

In summary, transitioning from breast milk to formula can be a smooth process if approached gradually. Allow a gap between breastfeeding and formula feeding, start with small amounts of formula, and continue to monitor your baby's responses. This way, you can ensure that your baby receives the necessary nutrients while making the transition comfortable for both of you.

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