Babies: 0 - 3 Months

Formula with breast milk at night

The nurse from the hospital told me I can mix formula with breast milk at times to ensure LO is getting enough.  She has been getting plenty of breast milk so far (doctor had us test by offering a bottle of either formula or pumped milk after feeding, and she would not take it).  However, now it appears she is going through a growth spurt, and for 5-6 hours a night she seems to want to nurse EVERY HOUR!  I am now concerned she is not getting enough, as wanting to eat more frequently has to be drying me out some.  So tonight I made a bottle of 3oz breast milk and 1 oz formula (this will also allow DH to do a late night feeding, so maybe I can sleep a little).  My question is about storage.  The formula is the pre-made similac (from sample bottles).  It has already been mixed and was in the fridge before the hour cut-off time for room temp.  If LO does not take all of it in 1 sitting (I doubt she will take the entire 4 oz, but I'd rather have too much than not enough), can it go back in the fridge until the next feeding?  The similac says it does not have to be refridgerated before opening, but the sample bottles do not address storing after this.  Thanks!
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Re: Formula with breast milk at night

  • You cannot reuse formula.  It is pretty normal for your LO to want to nurse every hour at this age.  She is actually going to help your supply increase which will ensure a successful BFing experience.  

    If I were you I'd just nurse her. 

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  • Unless this is all about the extra sleep...  you should not supplement!  The baby is cluster feeding to tell your body to make more milk & it's a good thing that she's eating so frequently.  If you start to supplement now your body isn't going to know how much your LO really needs and may not ever make enough. 

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  • It's not "all about the extra sleep."  That was just a possible bonus, since DH is wanting to help.  Originally the doctor and nurses discussed fortifying LO's breast milk with formula (mixing) at times due to her losing weight (she lost 8 oz in the hospital), but she has been gaining some back with just breast milk and me being able to keep her on a better schedule at home (not having to rely on the hospital nursery to bring her at the right times since she had to eat more frequently for awhile).  Now the doctor said it would be my choice but that some mixing formula was okay and that it may keep her full a bit longer.  I'm not talking about doing it all the time.  Just 1 middle of the night feeding to make sure she has plenty and hopefully feels satisfied.  After 3 feedings less than an hour apart each (from ending of 1 to beginning of the next) last night, she seemed a bit frustrated while nursing, so I'm sure she wasn't getting as much.
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  • If you really want to give a bottle, then I would just give her straight breast milk.  If you mix formula in, then you cannot reuse it.  If you give her straight breast milk, then you can reuse the same bottle within 4 hours of the time you start to give it to her.  If she's really hungry, then formula will not make her full for longer so you might as well just do breast milk.

    Also, just a side note, losing 8 oz in the hospital is not a crazy amount unless she was like 3 lbs at birth.  My DS lost almost an entire pound in the first week of life.  I hate the fact that more nurses and pediatricians are not supporting breast feeding and telling mothers they need to supplement because their LO is not gaining enough.  Don't they realize it makes mothers feel like sh*t because you are new at this and hormonal and they are basically telling you that you suck as a mother?  Ugh!  This has become one of my pet peeves.  Keep breast feeding and your LO WILL gain weight.  And PP are correct, her nursing very often will increase your supply.  I understand it can be frustrating, though.  Keep up the good work!  I promise it will get better!

  • Thank you for the encouragement, ladies!  I really appreciate it!  I can't help but worry about everything right now, as this is our first baby!  We did try a bottle last night.  She drank 2 oz (still had a couple left) then refused it and wanted to be at the breast anyway!  LOL  So I guess I will keep pumping (had an engorgement issue, which she has temporarily fixed with the cluster feeding actually depleting me at night) and have it on hand for emergencies, as she clearly prefers being at the breast anyway.  She did give me longer between feedings last night (about 2.5 hours each), so maybe the cluster feeding around the growth spurt is finishing up! :) 
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