D.D. asks from Aliso Viejo, CA on November 05, 2008
Need Help with Formula Preparation
We are about to begin giving our preemie baby formula. She is 5 months old now, however, her corrected age is 1.5 months old. We still have some breastmilk to give but we'd like to transition to formula while we still have breastmilk. We've heard that it would be best to start slowly and make a bottle per day of half breastmilk and half formula. We purchased the Costco Kirkland formula and the instructions are more than we thought. Are we to just simply mix the formula with water, shake it up, then warm it to the appropriate temperature for feeding. Or are we to warm up the water first, then add the formula to mix. Or, since we still have breastmilk should we be mixing the formula with the breastmilk only (using no water at all). Thanks for any light you can shed to this inquiry!
M.Z. answers from Reno on November 06, 2008
It works better to warm the water first. Trying to dissolve formula in cold water leaves it lumpy. You still need to use water otherwise the formula will be to strong for the babies stomach.
J.D. answers from Reno on November 06, 2008
Always put the water in first so you'll have the proper amount. Use warm tap water, add the correct amount of scoops (of formula) and shake it up, it's that simple. If you're mixing it with breastmilk, just adjust the amount of formula to the amount of breastmilk you'll be adding.
S.H. answers from Honolulu on November 05, 2008
First, put the water in the bottle up the the "line" indicating how many ounces you want to make.
Next, add in the formula...using the scooper that comes in the can. It is usually 1 scoop for every 2 ounces of water. 2 scoops for 4 ounces etc.
Next, shake up the bottle gently, to mix it all together. Then feed to baby.
It does not "have to" be warmed up. With my son, after he weaned from breast, I have always used it room temp. Using bottled water, for the water. He always just took it that way.
If you want to serve it "warm"... then I would gently warm the water first (you can do it in a microwave, just for a few seconds and shake it well so that no "hot-spots" are in the water from the microwave)... THEN, put it in the bottle and per how many ounces you want to make. THEN, add the formula powder to this. Then of course, test the temperature, and drip a little on your wrist to test it before giving baby.
To me, there is no "right" temperature for feeding... every baby is different. Some will even take it cold, or warmed or just at room temperature, like my son. My son would even take it cold... with iced water that I had chilled in the fridge. He likes cold things.
But with formula...ALWAYS ALWAYS put the water FIRST... then add the formula powder. If not, it will be too "concentrated" a mixture and it will be too much for their kidneys to handle.
IF you mix it with breastmilk... just make the formula first (separately) as usual...then, add it to the breastmilk in another bottle, then shake it all together.
You must always prepare the formula as it must be... then add it to other things like breastmilk. NEVER, just add the formula powder straight to the breastmilk without preparing it first, with water in proper proportions.
Lots of Moms mix breastmilk with formula. It's perfectly fine.
Hope this helps, if it's still confusing, just message me.
2 moms found this helpful
J.B. answers from Los Angeles on November 06, 2008
what i did with my daughter was mixed the formula 1/2 and 1/2 with the breast milk. the formula may make your baby very gassy and constipated. for mixing formula you use the needed amount of water then add the powder. to heat whats best is to get a coffee cup and heat water in the mirowave for one minute and then set the formula made bottle in the heated water for about a minute oor two it will heat evenly this way. if your baby seems to get overly gassy move her legs in a bicycle motion and put light but firm pressure on her tummy (putting them over a knee is great!) also burp a lot if she has never used a bottle before. if she doesnt take to that formula then try goodstart its super gentle and is like the only formula ill use. good luck!
T.K. answers from Las Vegas on November 06, 2008
Since your little one is a preemie, I think you should talk to your doctor. If your child's immune system and digestive system is at a 1.5 maturation level, you may need to be extra careful. You should consider the formula contents. My kids were highly sensitive to the iron some formulas contain. Some formulas have protiens that are more easily digested than others. Do your research and consult your physician.
A.H. answers from San Diego on November 06, 2008
Mix the formula with warm water first then add breast milk. I did this for all four of my children.
C.D. answers from San Diego on November 08, 2008
I think you should talk to the dr about your baby's special needs...I've had two preemies, and although I breastfed exclusively I was told and given neosure formula for them (if I decided to formula feed) because it has extra nutrients and calories that preemies need for their development. Congratulations.
M.S. answers from Los Angeles on November 06, 2008
first, i would consult your pediatrician. each dr. has different opinions and ways and since you have preemies it might be more important that you do.
this is what i do and it's in accord with my LO's physician. i take filtered water and boil it in a non teflon/aluminum pan for 10 minutes. i use an all clad but they aren't cheap i've seen good stainless at target and ikea. then cool the boiled water in the pan or in a glass container. once the water is cooled to room temp you can use the water. i measure the water first in each bottle THEN, add the formula powder in. i stir it first since formula can get chunky. then i close each bottle and shake. some people like to make a big batch but i like to make each serving in a bottle and keep them in the fridge. i warm them to room temp when ready to feed in a bottle warmer or under running hot water.
you can mix the breast milk into the formula but my LC and DR said to feed it in a different bottle first. this is incase they don't finish the bottle which happens quite a bit you know exactly what they've consumed.
S.B. answers from Los Angeles on November 06, 2008
We didn't warm up the bottle - just room temperature and cold. I recommend you not warm it up as you'll be in situations where it is a pain to find a place and method to warm up the bottles. There's no medical reason to warm bottles. That way too you can make a pitcher of formula and put it in the fridge - much easier than making bottle by bottle. Babies R Us has a really cheap pitcher that's nice. Also, please read the label on your formula. Almost every formula these days has some form of sugar. The ONLY formula we found that doesn't is Earth's Best Organic. It's a wonderful formula. You can usually get it at Whole Foods or Babies R Us. It's a crime that these manufacturers put sugar in formula - it can cause gas and discomfort and basically get your child addicted right from the beginning to sugar. Congrats on your beautiful daughter!!
J.M. answers from San Luis Obispo on November 06, 2008
Is there any way you can continue to nurse and/or pump? I had 26 week preemies weighing in at 1# 12 oz and 1# 13oz and I pumped and nursed for a year and my children are super healthy, never get sick. I think it was the breast milk. Anyway, if you can't we supplemented with neosure which is designed w/ extra fat for preemies. Mix the water w/ the formula, shake it up, get a coffee cup and fill 1/3 of the way with water and warm that up in the micro then stick the bottle in the cup w/ the warm water. Always shake and test before feeding. It doesn't have to be super warm. Good Luck