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You may hear that you should keep the teat full of milk to avoid swallowing air. However where the milk flow is too fast and not in your baby's control, it is more likely to cause indigestion or gas (Kellymom, 2020). Anecdotally, babies whose parents use paced feeding suffer less from gas (Herman, 2021). You might find attending one of our NCT New Baby groups helpful as they give you the opportunity to explore different approaches to important parenting issues with a qualified group leader and other new parents in your area.
NHS (2021) Bottle feeding Advice. Available at https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/bottle-feeding/advice/ [Accessed 6 December 2021] Kellymom (2020) How to bottle feed the breastfed baby. Available at https://kellymom.com/bf/pumpingmoms/feeding-tools/bottle-feeding/ [Accessed 6 December 2021] If you are mixed feeding (feeding from both bottle and breast) it may help to choose a teat that will encourage your baby to open their mouth wide and take in the whole teat rather than just the tip. Those with a medium wide base and a short to medium nipple length encourage babies to open their mouth wide and cup their tongue around the teat (Pearson-Glaze 2019, Bahr 2010). This article describes it well. When should I change bottle teat size? Slow flow is generally preferable for newborns, while you’re both learning how to feed. If the flow rate is too fast it makes paced feeding more difficult. In which case babies would have very little control over how they feed: milk would flow into their mouth faster than they can swallow it. This might make your baby cough or splutter, or struggle to keep up with the flow of milk so it dribbles to the side of their mouth. This could also mean they feel upset, get indigestion and bring up lots of milk.Knowing when to move to the next teat level is an important – and sometimes confusing – part of a comfortable and happy feeding experience for you and your baby. As a baby’s feeding develops and they are taking a longer time feeding from a Level 3 teat, many parents choose to move up to a Level 4 teat. Step 1: Assemble clean bottle parts as follows: base with silicone valve, teat with screw ring, bottle body and protective cap. Ready-to-feed bottles can be a convenient short-term solution if parents have been advised to give their baby formula on medical advice. They’re more expensive and not great for the environment though (NHS, 2018; Unicef, 2019).
NHS (2019a) How to make up baby formula, Available at https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/bottle-feeding/making-up-baby-formula/ [Accessed 3 December 2021] A Level 1 or newborn teat generally comes on every bottle and is a great starting point for many babies. Perfect for travelling babies and parents, the MAM Self-Sterilising baby bottles can be sterilised in just three minutes using a microwave. Pour 20ml water in the base of the container, arrange the components on the top (don't screw!) and in minutes your baby's bottles are safe to use.
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Pearson-Glaze (2019) Best bottle for a breastfed baby, Available at https://breastfeeding.support/best-bottle-breastfed-baby/ [Accessed 4 December 2021]
If you’re planning to breastfeed it isn't necessary to buy bottles ‘just in case’. Over 90% of maternity units in the UK are now Baby Friendly Accredited, which means a midwife on the infant feeding team should be able to support you if you do have any difficulties with breastfeeding straight after birth (UNICEF 2017). They’ll help you with hand-expressing your colostrum and feeding it to your baby using a spoon, syringe or feeding cup (Unicef 2017). Find out whether your maternity unit is accredited here. Scheel, C. E., Schanler, R. J., & Lau, C. (2005). Does the choice of bottle nipple affect the oral feeding performance of very-low-birthweight (VLBW) infants?. Acta paediatrica (Oslo, Norway : 1992), 94(9), 1266–1272. Available at https://doi.org/10.1111/j.1651-2227.2005.tb02087.xEuropean Commission (2011) Bisphenol A: EU ban on baby bottles to enter into force tomorrow. Available at https://ec.europa.eu/commission/presscorner/detail/en/IP_11_664 [Accessed 3 December 2021] Once they’re older and used to bottle-feeding, you could move to a medium flow. Just follow your baby’s lead to see what teat is right for them. Some babies prefer to stay on the slow flow teats for many months. You can also buy variflow teats where the flow rate can be varied by changing the angle of the teat (Which? 2019). If your maternity unit is not yet on this list, you can speak to their infant feeding lead or call the NCT infant feeding support line on 0300 330 0700. What size bottle will my baby need? Step 3: Place the screw ring with teat in the bottle base. Place the bottle body on it (optionally screw in slightly to avoid pouring out hot water by removing the bottle from microwave). Place the protective cap on top.
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