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Topic: Combination Feeding  (Read 1081 times)

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  • Jewlz
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Combination Feeding
« on: May 24, 2012, 12:19:12 PM »
Did / does anyone else combine formula with breastfeeding? How did it work out for you? Did you experience issues with nipple confusion if you started prior to 6 weeks of age? Did you use formula at certain times of day or night or just top up after every breast feed or every other breast feed?

DD is 2 weeks old and from Day 2 in hospital, I have had to supplement with formula because I can only feed on one side after a surgery on the other side. My milk didn't come in until 5 days later anyway, at which time she was already used to the formula. Yes, I do know it's possible to feed from only one side, but until you've tried it with a really hungry baby, you have no idea how hard it is! She starts cluster feeding and I can't move her to another side so she just gets frustrated and starts crying from hunger. No way could I ever deny her food when she is still hungry!

I am breast feeding her about 8 times per day, plus expressing milk in between with an electric pump the hospital loaned me, so she gets about 3 or 4 oz of breast milk by bottle per day as well. She also gets 3 or 4 bottles of formula per day, sometimes she only has an ounce and sometimes she finishes the full 3 oz. We tend to give her more formula in the evening leading up to bed time so that she sleeps a bit better at night. She still wakes up twice through the night and I normally breastfeed her during those times and if she is awake enough during one of those times and still seems hungry, I offer her a bottle of formula and she usually has about an ounce or an ounce and a half of that unless she is too sleepy. Sometimes I have offered the breast milk by bottle through the night, but she usually wakes up an hour or two later, even if she has a full 3 oz bottle of breast milk whereas the formula (if she takes it) keeps her going for a 3 or 4 hour stretch. We haven't had any issues so far, though occasionally she does get a little fussy at the breast - keeps pulling away, etc.


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Re: Combination Feeding
« Reply #1 on: May 24, 2012, 01:30:48 PM »
I gave both my DD's formula when they were about 2 weeks old and then supplemented with a bottle of formula every 2-3 days.  Neither seemed to have nipple confusion and was happy nursing or bottle feeding.  As I didn't supplement on a regular basis, I don't have any advice on that front. 

What I can say is that cluster feeding (especially in the evenings) is totally normal.  My oldest would nurse every 2 hours from about 3pm until 8-9, until she was about 6 months.  She was/still is a snacker.  It took MONTHS to get her to go 4 hours between feeds (probably 6 months). 

Your baby is still very young and waking up 1-3 hours after a feeding in the middle of the night is also normal, unfortunately.  You may not necessarily have to offer formula.  As the weeks go on, she'll get much better at getting what she wants from you. 

If Breastfeedinging is something you want to keep doing, then just let her eat whenever she seems hungry and don't worry about schedules right now.  Good luck!


  • Jewlz
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Re: Combination Feeding
« Reply #2 on: May 24, 2012, 03:47:53 PM »
I know cluster feeding is normal but when you only have one breast to offer, it's much more challenging. She finishes that side and then cries because she needs more. If I could tell her to wait 20 minutes and try again, I would! On day 2, she was latched on from 9pm until 3:30am with no break except to cry. The breastfeeding consultant even advised me to do the top ups with formula.


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Re: Combination Feeding
« Reply #3 on: May 24, 2012, 03:55:08 PM »
Remember that it's supply and demand - if she keeps nursing, your body will respond and produce more for her.  And keep yourself very hydrated.  I think you will have to go with the flow and supplement when you feel you need to.  Feeding non-stop is normal, even for babies who are nursing from both breasts.  It's super early, so any idea of a schedule is really not useful. If she's only waking up two times at night, consider that a big victory.


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Re: Combination Feeding
« Reply #4 on: May 24, 2012, 04:29:16 PM »
My midwife recommended Mackeson's stout!!  ;) A glass (for me) with the bedtime feed seemed to help!
>^.^<
Married and moved to UK 1974
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Re: Combination Feeding
« Reply #5 on: May 24, 2012, 04:47:17 PM »
We were given the advice not to change sides when he cluster fed anyway, in Sheffield. And clusterfeed he did--he literally nursed for upwards of 11 hours some days in the beginning. But yeah, do what you have to do! Can't really help with combi feeding, but wanted to say that what you are going through is normal! Good luck!


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