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For some new mothers, breast feeding is a challenge and in some cases, it can seem to be almost impossible. Stress, illness and previous surgeries are just a few of the reasons that a new mother may under-produce breast milk. If you have recently given birth and discover that, in spite of your best efforts, you are not producing enough breast milk, you should talk to your pediatrician about supplementing your breastfeeding with baby formula. It can be a bitter pill but if, like me, you find that your baby is still hungry at the end of a feeding, deciding to supplement is actually a complete no-brainer.
If your baby is not showing any obvious signs of allergies or sensitivities (gas, diarrhea and the like) you can start with any cow's milk based brand that appeals to you. Remember that all formulas sold in the US are governed by the FDA so you can be sure the nutrition guidelines are similar from brand to brand. Similac, Enfamil, Nestle or (and I wish this had been available when I was supplementing my baby) organic brands like Horizon are all fine places to start. We used powdered formula and bottles with disposable inserts for mixing but you can also buy formula in super convenient ready to use bottles and concentrated liquid formulas that you can mix quickly with water. Obviously, work within your economics and hectic schedule but once your baby is established on formula, you can switch between these different types as you need to.
Once you pick a formula, it won't take long to see if your baby doesn't like it or if it doesn't agree with her system. She will tell you unequivocally with fussing, crying, turning her head away from the bottle, spitting up, vomiting or with some truly awful diapers and gas. Definitely consult your doctor on this but you may need to switch to a formula with low or no lactose or one made with soy milk. In any case, never, ever attempt to feed your baby regular cow's milk or soy milk... they are simply not nutritionally complete enough for a developing baby.
If you can, you should definitely continue to let your baby breastfeed before offering a bottle. For me, it worked something like this: I would make up a bottle first, then sit down with my baby to breast feed. When he lost interest in breastfeeding, I would offer him the bottle and, if he took it right away, I would let him drink as much of that bottle as he wanted. Be aware that sucking formula from a bottle is so much easier than getting it from your breast that your baby might become "lazy" about breastfeeding so always breastfeed first and be absolutely sure they are making an effort before you offer the bottle.
Finally, how do you know if your baby is getting enough formula? Not surprisingly, you will know if you are feeding your baby enough formula by looking for the same signs of satiation that you do with breast feeding: sleepiness, falling off the bottle and what every mother might call slight "intoxication."
In the end, the very best thing you can do is trust your instincts and not worry too much, anyway. After all, we're talking about our babies!
Similac NeoSure Selecting the correct baby formula for a premature baby is vital to its growth and development. Similac NeoSure is baby formula which is designed specially to meet the nutritional needs of premature and low-birth weight babies after they are discharged from the hospital. This is a Similac formula which provides more protein, vitamins and minerals than other baby formula designed for full-term babies. NeoSure from Similac helps support the rapid growht of a premature baby throughout the important first year of life. A study done by doctors and published in Pediatrics 2001 found that Similac NeoSure has improved the growth of premature babies when compared to babies fed term formula. Babies born premature miss out on the transfer of many important nutrients from mom. NeoSure from Similac helps replace those nutrients. Consult with a doctor before selecting any Similac formula.
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You will probably have an appointment for a checkup 4 to 6 weeks after delivery to make sure your body is healing without problems. If you had a cesarean birth, you may need to have your checkup sooner.
General Physical Examination
This part of the checkup includes:
Measuring your weight. A woman usually returns to her prepregnancy weight about 6 months after delivery. The postpartum period is not a good time to diet. Eat a healthy, well-balanced diet low in fat. For more information on weight loss after having a baby, talk to your health care professional, who can advise you on the best way to lose weight.
Taking your blood pressure. During pregnancy, your blood pressure may increase. By the end of the sixth week after delivery, your blood pressure usually returns to its prepregnancy level.
Examining your breasts. It is important to have your breasts checked for lumps and nipple problems. Your health care professional can show you how to check your breasts. Breast self-examination is important to do every month. If you are bottle-feeding, your breasts will usually return to their normal shape and size in 4 to 6 weeks. You still need to check your breasts regularly for any changes. If you are breastfeeding, your breasts still may be full and feel firm by the sixth week. Checking your breasts daily for lumps or plugged ducts can help prevent problems with discomfort or infection.
Examining your abdominal incision. If you had a cesarean birth or your tubes were cut or tied, you have an incision. Your health care professional will check your incision to make sure healing is complete.
Pelvic Examination
This part of the checkup is an internal examination to check the health of your ovaries, uterus (womb), cervix (opening into the womb) and vagina (birth canal). Your health care professional also will check your perineum (area around the birth canal) for healing. The first part is checking your perineum. Your health care professional will examine the areas around the vagina, urethra (opening of the bladder) and rectum for healing. The second part of the internal examination is checking your vagina and cervix. Your health care professional will use a speculum to allow a visual inspection of the vagina and cervix. The last part of the examination is checking your uterus and ovaries. Your health care professional will feel the shape and size of both. Vaginal bleeding, or lochia, usually stops in the first 4 to 6 weeks postpartum. Bleeding that begins one month after delivery is usually your period.
Questions and Answers
After the examinations, your health care professional will tell you if your body is healing properly after childbirth. This is a good time to ask questions. You may be wondering about returning to work, exercising, birth-control methods or general health concerns. Write your questions on paper and take them with you to your appointment. Review them with your health care professional.
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