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Writer's pictureDanielle Facey

How to Introduce a Bottle to Your Breastfed Baby


Important note: I write this post by popular request, not because any nursing mother should feel that she must introduce a bottle to her breastfed baby. If you do not want or need to be away from your baby for prolonged periods of time, or if your baby is over six months old, then you need not ever introduce them to a bottle. For as long as you can, nurse-on, mama! If, however, you want ot need to introduce a bottle to your baby, this article is for you.


Introducing a bottle to your breastfed baby can feel like an urgent and stressful event - it certainly was for us. While breastfeeding was wonderful way to bond with and nourish my baby, there came a time when introducing a bottle felt necessary for us.


My son was 5 months old when I did my first keep-in-touch day at work. As I left my baby that day, I fretted that he would be starving and dehydrated in my absence. We had introduced a bottle briefly when my boy was 6 weeks old, but I had not pumped consistently and fell out of the habit of offering him a bottle on a daily basis. Consequently, when it was time for me to be away from him for 6 hours, my fiancé and I hoped and prayed that he would accept a bottle once more.


On that particular day my son did drink a couple of ounces of milk in my absence, but he nursed enthusiastically upon our reunion! Whether you're returning to work, sharing feeding responsibilities, or simply wanting some flexibility, here are some tips to ensure that this transition is as seamless as possible.


Timing is Everything


Introducing a bottle too early can lead to nipple confusion (or nipple preference), where your baby might struggle to switch between the breast and the bottle. It’s generally recommended to wait until breastfeeding is well-established—usually around 6 weeks—before introducing a bottle. This timing helps ensure that your baby is comfortable with breastfeeding and has developed a strong latch.


Start Slow and Be Patient


The first few bottle-feeding attempts might not go as planned, and that’s okay. Babies are creatures of habit, and it might take some time for them to adjust. Start with a small amount of breast milk in the bottle and offer it when your baby is calm and slightly hungry, but not ravenous. This way, they’re more likely to be open to trying something new without the stress of hunger.


Use Paced Bottle Feeding


Paced bottle feeding is a method that mimics the natural rhythm of breastfeeding, allowing your baby to control the flow of milk. This method not only helps prevent overfeeding but also supports a smoother transition between breast and bottle. Here’s how to do it:


1. Hold the Bottle Horizontally: This slows down the flow of milk, giving your baby control.


2. Watch for Cues: Allow your baby to suck and swallow at their own pace. Look for signs of readiness, like rooting or sucking on their hands.


3. Pause Frequently: Just as with breastfeeding, give your baby frequent breaks during bottle feeding to burp and rest. This prevents them from gulping too much air and helps them recognize their fullness cues.


Choose the Right Bottle and Teat


Selecting the right bottle and teat can make a significant difference in how your baby takes to bottle feeding. The default advice is to look for a newborn teat with a slow flow rate that closely mimics the natural flow of breastfeeding. However, if the flow of your milk is fast and you have a powerful let down, your baby may prefer a faster-flowing teat which is marketed as being for babies aged 3-6 months or older.


Some babies may prefer nipples that are similar in shape and feel to the breast. This typically means teats with a more flexible teat, rather than bottles that look breast-like in shape. You might need to experiment with different types to find what works best for your baby.


Alternatives to Bottles


While bottles are a convenient option, they’re not the only method for feeding your baby expressed breast milk. As your baby grows, you might want to consider alternatives that can be gentler on their developing teeth and jaw. Bottles are not recommended beyond 12-15 months of age, as prolonged use can negatively impact oral development. Here are a few alternatives:


1. Free-Flow Sippy Cups: These cups allow your baby to sip without sucking too hard, which is better for their dental health.


2. Open Cups: Start with a small amount of liquid and help your baby learn to sip from an open cup. This can be messy at first, but it’s a great skill for your baby to develop.


3. Teaspoons or Syringes for Newborns: For very young babies, offering small amounts of milk using a teaspoon or syringe can be a gentle and effective way to avoid nipple confusion while ensuring they get the nourishment they need.


Make it a Positive Experience


Your baby can sense your emotions, so try to stay calm and positive when introducing the bottle. Hold your baby close, make eye contact, and speak soothingly to create a comforting environment. If your baby refuses the bottle, don’t force it. Instead, take a break and try again later. Sometimes, having someone else offer the bottle can help, as your baby might associate you with breastfeeding and be more resistant to the bottle when you’re the one offering it.


Wean from the Bottle at the Right Time


As your baby approaches their first birthday, it’s important to start thinking about weaning from the bottle. As aforementioned, prolonged bottle use, especially beyond 12-15 months, can have a negative impact on teeth and jaw development, leading to dental issues down the line. Gradually transitioning to a cup, whether it’s a free-flow sippy cup or an open cup, can help protect your baby’s oral health while still ensuring they get the nutrition they need.


Introducing a bottle to your breastfed baby doesn’t have to be stressful. With patience, the right tools, and a gentle approach, you can make the transition a positive experience for both you and your baby. Remember to keep an eye on your baby’s development and make adjustments as needed. You've got this!


With love,

Danielle

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