We’ve all heard that “breast is best” as the standard in feeding your baby. The American Academy of Pediatrics recommends breastfeeding exclusively for the first 6 months whenever possible. While this is a wonderful recommendation, not all families can make this happen. Moms may need to return to work or they want to include others in the feeding of baby – dad, caregivers, family or friends. There are also other circumstances that can prevent breastfeeding. Perhaps not enough breast milk is produced or baby isn’t gaining weight or it’s a two-dad household or any number of other valid reasons. Feeding with formula then becomes the only option.

If you need to or want to choose formula you can rest assured that formula is nutritionally sound. The US Food and Drug Administration regulates and reviews ingredients that go into all formula. They make sure that each meets certain nutritional requirements. This ensures that formula contains the same three critical macronutrients as breast milk to support growth and development – carbohydrate, protein, and fat. Some formulas contain other additives and can be iron-fortified. Your physician can help you find the best formula for your situation and your baby.

Feeding baby either breast milk or formula by bottle allows other family, caregivers, and friends to participate in this connection with the baby. There are some best practices for bottle feeding you should keep in mind.

• Don’t microwave formula. Even the best microwave has hot spots which mean the heating will be uneven. Instead, use a warm water bath to heat the bottle.
• Check the flow. Bottle nipples come in various types and flow, so take a moment to consider what will work best for your baby.
• Prop baby up at an angle to allow baby to swallow while avoiding choking or excessive air bubbles.
• Burping breaks are good. In general, bottle-fed babies may eat more quickly and often swallow air bubbles. Take a burp break midway during feeding and then burp at the end of the feeding.
• Most babies will give cues when they are full and done. Don’t push them to finish the bottle.
• Spit ups happen. Whether they have overeaten or part of burping air there will probably be some spit up. Be ready with a burp cloth.

Feeding by bottle or breast is a special and nurturing time. Take the time to enjoy the experience and closeness with your baby.