Breast Milk & Formula

Updated on December 13, 2010
M.P. asks from Lakewood, CA
11 answers

Grand Baby is having a hard time with supplemental formula. Gentle Ease Enfamil is the latest tried with no luck. She spits it up. She is fitful while sleeping. Originally she was fed Enfamil in the NICU cause Mom's milk hadn't come in yet. Breast fed exclusively after 5 days in NICU. The baby is very hard pressed to accept the breast and it's usually awhile to get her to latch on. Mom is also pumping to keep a small supply on hand. I've had 4 children and due to inverted nipples and acquiring mastitis within the first few weeks after delivery, I opted for pumping manually to breast feed my children. It was hard but I managed.

Please give any suggestions/advice ... on any and all things pertinent. My grandbaby is extremely fitful if the breast is introduced first. Her Mommy is very adamant on breast feeding as much as possible. No pacifier, no rocking her for hrs. to sleep. and she places her on the rug for play time which the baby seems to LOVE ... she is an amazing mother. My grand daughter is up 5-6 hrs. at a time, trying to turn over, very active and alert. She was thinking to supplement 4 oz. per day with formula (for reasons that are valid to her and I support her). With all the opinions on breastfeeding vs. formula, I would invite you all to just comment on what formula you feel would work best. She has been made to feel guilty about this decision to supplement and for the life of me, can't understand anybody who would do that to a new mother. It's her baby, her decision. So I am asking, what worked for you if this was the case for your newborn?

She is 3 wks old. She has given her formula twice. Both times she threw up (3 oz. or so). She was born with a different blood type than her mother so she stayed in the NICU for 5 days, bottle fed with some breast feeding. She didn't seem to spit up the Enfamil given in the NICU. She originally tried the same Enfamil they gave her in the NICU but she vomitted, she bought Gentle Ease and same thing. On breastmilk, she wakes up every 2 hrs (which is very normal), the same when she is fed formula, but when she awakes, she throws up and the crying starts and trying to get her to latch on while in a crying jag has become a testament of wills. Supplementing just 2 oz's to ease her frustration and then have her breast feed is the goal for my daughter.

Please reply with your experience with this same scenario and what worked for you. Also, any body ever used Breast Milk Banks?

So, with all this ... again I ask you to keep your responses on formulas that worked for you with supplementing. Or what do you feel about breast milk banks?

Also ... my daughter has wonderful medical insuance and it would cover any prescribed formula if there is such a thing. Again, I invite all suggestions/comments regarding specific formula given for very sensitive newborn systems.

I also know that even though babys spit up, if they are gaining weight, pooping and peeing ... it's ok ... but the crying fits and gassy pooping seems to be brought on by the formula. That's the problem. The latest response from her is that she will breast feed exclusively but she has to return to work full time and if she can find a formula to supplement if need be now ... it would be great to know just in case it's needed.

Thank you all for reading this lengthy question. I am just a Mom trying to help, and this site is just the best for information from caring mothers/grandmothers and others.

Happy Holidays to you and your familes .. and may God continue to Bless us All.

:) A Happy Nana in Southern CA. (First grand baby .. excited beyond measure!)

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So What Happened?

Thanks for the quick replies. I love the pump one side while feeding on the other. Also, the Alimentum seems like a good idea, will look into it. I will also look into the other websites and suggestions offered. Thank you so much .... I am still inviting comments/suggestions. I didn't see a reply button to hit to directly reply to each of the responses. So I used this area to express my thoughts and thanks.

Featured Answers

K.A.

answers from San Diego on

Kellymom has some wonderful information on helping get baby back to the breast here http://www.kellymom.com/bf/concerns/baby/back-to-breast.html
My niece was born 2 months early and in the NICU. It took my SIL some work but she's been able to get her off all supplemental formula and on the breast a good portion of the day. She does still pump and give bottles of expressed milk. She used information from the page I posted above.
La Leche League http://www.llli.org/ has some wonderful information on their webpage. You can also find a local chapter and the ladies are amazing and can help get the baby back to the breast.
I can't offer any suggestions on formulas. I never used any with my 3. La Leche League and Kellymom have always been my "go to" places when I have any problems. LLLI's book "The Womanly Art of Breastfeeding" and Dr Sears' "The Breastfeeding Book" are my favorite 2 books. My copies are so beaten up form lots of love :)
Best of luck! Congratulations on the new grand baby!

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J.P.

answers from Boise on

I don't have any formula information, but have had experience with difficulty latching and increasing supply.

As far as milk banks, most are used for NICU babies, or others with medical conditions. Most everyday people can't buy from them. There are sites that allow those with a surplus of milk to donate to those that need it. (I have donated to a mother adopting a baby.) If she goes this route, make sure that the donating mother is willing to get a letter from her doctor attesting to her health, and that she isn't doing it for profit. Typically milk bags and shipping (if necessary) are plenty of payment for those of us doing this to help others. Let me know if you need any further information.

2 moms found this helpful
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P.B.

answers from Grand Junction on

I havn't had an issue with formula before only used once with my first. Breastfeeding I did do and I would nurse baby on one side while I pumped the other. Then when baby woke again feed baby on the pumped side at that feeding and pump the other side. I mananged to get plenty of milk this way and still work my 40 hours a week. I did most of this pumping at night and one or two during the day when I was at work. Not sure how busy you are, but my partner and oldest child (6) was lots of help. Good luck!

1 mom found this helpful
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J.B.

answers from Los Angeles on

one word nutrimagen. It worked wonders for my son. It's by enfamil and is exspensive but worth it for a baby in need.

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N.D.

answers from Los Angeles on

Is she using powder or liquid formula. I tried formula on my son when he was 3 months just to have something as a backup for my husband in case of emergency - like an earthquake. He threw up 5 different formulas all powder until I tried the liquid. He never threw up the liquid. I don't know why it was that way but it may be something for her to try if she is using the powder.

T.N.

answers from Albany on

Hi M., my experience is from a long time ago, my kids are 18, 16, 13. But all three of my breastfed babies had some formula. For 2 I used plain old Similac. I started by mixing the formula with BM, just a little bit of formula, like 1 oz formula to 3 oz BM, you know? My middle child was a 1 lb 11 oz preemie. He was fed BM from a feed tube at first. The hospital suplemented my pumped BM with Alimentum. He eventually took to bottle and breast same as the other two. The Alimentum has proteins already broken down is very expensive and difficult to find.

Anyway, this worked beautifully for all three. They were primarily nursed, but anyone else (especially dad and grandma) could feed them as well without my pumping like a crazy person all the time.

I stored any extra BM in the freezer in bottles with caps.

I wonder what her pediatritian says about the vomitting of formula?

Hope this helps! (Can't give any ideas about BM banking)

Congratulations!! Enjoy!
:)

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K.M.

answers from Los Angeles on

I breastfed exclusivity so can't provide formula advice but perhaps I can help with the fussiness that may be contributing.
I did notice you said she's 3 weeks old and awake for 5-6 hours at a time. My experience is babies that young can't stay awake that long and really need to be put down to sleep much, much earlier. We had problems with my daughter not sleeping well and being a fussy nurser at times, falling asleep during marathon nursing sessions and finally my sister told me to help her sleep. She said a newborn can handle about 1.5 hours then needs to go back down and we were in essence keeping her up and overtiring her without realizing it. As she grew, the periods of awake time did too, but to things like 3 hours, then sleep, up three hours, then sleep, even at 4-5 months old.
Giving her the sleep she needed changed everything for us and then it was just dietary changes for me, stopping foods or drinks that seemed to cause gas and fussiness.
Good luck to you all!

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R.P.

answers from Los Angeles on

This may or may not help, as we don't do formula, but my son does the same thing... Cry waking up and a real hard time getting him to latch on... I have found that swaddling him and then feeding him works a lot of the time... can't advise on the formula, though.
Good luck!
R.

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E.H.

answers from Washington DC on

i'm so sorry that she is going thru this. nursing problems are so frustrating. i don't have any info on formula, but i have had latch issues with all 3 of mine and have found that things tend to get easier sometime in the 2nd month. my 3rd LO wouldn't latch for the 1st 6 weeks. so i just pumped and tried to get him to latch everyday. then at 6 weeks he just latched as if he'd been nursing the whole time. he's almost 2 now and we're still nursing:) also, i donated milk to milkshare.birthingforlife.com
i had a very good experience and think it's worth researching if need be. mostly i just remember appreciating all the support i received from my family, lactation consultants and la leche league. and it sounds like you are doing a wonderful job of that:) keep it up and enjoy your 1st grandbaby.

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N.T.

answers from Los Angeles on

I have heard that liquid formula stays down better than powdered. Have your daughter ask her pediatrician for some samples -- most have them. It will allow her to experiment with brands, liquid vs. powder without wasting a ton of money (formula is expensive!!) I hate that anyone would try to make her feel badly about not exclusively nursing. I have 2 kids - one formula fed, one (mostly) breast fed. They are BOTH thriving. Wonderful that she has a mother there to support her.

Best of luck!

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A.V.

answers from Los Angeles on

Hi!
I wondered, if the new formula doesn't work out, could it actually be the bottle nipple? My daughter & I had a difficult time with breast feeding so eventually I had to resort to formula. That was a while ago (she's just 11 yrs), so I don't know about the latest information but you can always try different ones to see what works. That's what we had to do.
Hope it all gets easier very soon.

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