May 2016 Moms

Paced Bottle Feeding

Spin off of the bottle post from earlier, I thought I'd give more info about how and why to do paced bottle feeds, which as I mentioned in the Bottles thread is really important for protecting the breastfeeding relationship if you choose to nurse your baby and also need baby to take bottles regularly. Or if you plan to exclusively bottle feed and just prefer a more baby-led approach to feeding rather than the more traditional caregiver-led approach. @kbrands7 mentioned the paced bottle feed fact sheet from kellymom.com (KellyMom is wealth of researched, evidence based breastfeeding knowledge if you haven't discovered it yet!), it's an awesome resource to print off and give to your caregivers so they're on board with how/why you'd like your little one pace fed.

What is paced bottle feeding? In short, a stretched out bottle feed that mimics nursing at the breast. It should take about 10-20 minutes for a baby to finish a 2-4 ounce bottle using the paced feeding method.

How does paced bottle feeding protect the nursing relationship? When you breastfeed, your milk doesn't come out in a constant flow for the entire feeding. At the very beginning, at the 2-5 minute mark, and again at the 10-20 minute mark, your milk flow will be relatively fast for about 30 seconds. Between those 30 second bursts (called a "letdown"), your milk flow is much slower, and your baby has to work harder to get milk. Contrast this with when you bottle feed, milk comes out quicker than at the breast and with no work required; all baby has to do is gulp. So when we do a paced feeding, we hold baby upright and hold the bottle horizontally so baby DOES have to suckle in order to get milk. Versus the traditional method of bottle feeding when little one lies flat in caregiver's arms, and the nipple is upright and completely filled with milk, baby has very little control over the feeding and satiety and tends to gulp a large amount of milk in a short amount of time, which often leads to unintentionally overfeeding. Paced feeding also encourages several pauses in baby's feeding pattern (suck, gulp, pause), similar to the slower rhythm of breastfeeding. 

This video by IBCLC (internationally board certified lactation consultant--the highest qualification of LC) Jessica Barton demonstrates the technique really well and gives really good info about the importance of paced feeds.

This video shows a variation of the paced bottle feed technique, also done by an IBCLC, and pictures an actual baby being fed rather than a doll like in the above video.

If you've used this method, did I forget anything important? Share your experience! Clarify my thoughts if needed. I was distracted with laundry and cleaning up cat puke while I was typing this up...

Re: Paced Bottle Feeding

  • Thank you for posting this! 
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  • It helps to alternate sides too so that baby doesn't start to favor being held one direction over the other! I learned that lesson the hard way.
  • This is a great reminder for me as a STM.  Thanks for posting!
  • araecaseyaraecasey member
    edited February 2016
    @Pascal86 I plan to keep the info rolling at slow enough pace that it can be digested. *BA-DUM-CHHHHH*

    I agree with you. Breastfeeding is natural and wonderful, but it's not necessarily intuitive. Mammals actually learn how to nurse their young from others in their species, it's not hardwired into us. From what I can tell so far, we have some very knowledgeable nursing mamas in our BMB who are here to walk this journey with you. Myself included. But it's also really important to get connected with other breastfeeding mamas locally to you if you can.

    Edit: Ack, not trying to brag about my bfing knowledge^^ was saying I'd love to help fellow moms reach their nursing goals. Came off boasty, not was I was going for.
  • Thank you! I never knew any of this, but it seams very intuitive. I will be sharing the videos with those who will be caring for my LO. Please share any other tips you have for BFing pumping and bottle feeding! 
  • Pascal86 said:
    This sounds smart, but holy crap - how much random stuff is there like this that I need to magically find out about without knowing it's a thing? I guess that's why I follow this forum!

    But really, thanks for the explanation!
    This. It's scary how much I DON'T KNOW. 
    Me: 38; DH: 41
    DS: Born 5-17-16 

  • @vinerie Stick around here, and nursing mamas will show you the ropes. Or get plugged into your local la Leche league or other bfing support group and they'll hold your hand too. We've got your back :-)
  • ^^ I've thought about la leche league. I'm going to a BF class, too. So between you all and the class and perhaps LLL I should be all set on B/F...just have to hope the LO gets on board! 
    Me: 38; DH: 41
    DS: Born 5-17-16 

  • vinerie said:
    ^^ I've thought about la leche league. I'm going to a BF class, too. So between you all and the class and perhaps LLL I should be all set on B/F...just have to hope the LO gets on board! 

    Qbf.... even if your little one throws you for a loop or two (or is ornery and throws you for LOTS of loops), you'll do just fine with a healthy support system. You can do it! 

    Also good to know since you brought it up, not all bfing classes are made equally. Some will tell you how to pump and some very basic basics. Getting to know other nursing moms before your baby is born gives you instant help if you're discharged with an order to supplement, or your baby won't latch in the middle of the night, or your nipples hurt like crazy. A class is unlikely to help you in that moment of survival, but moms who have walked that walk will absolutely be there for you when you need help. 
  • All of this info is awesome thanks!!! I too am scheduled for a breast feeding class, since I know next to nothing im sure I will learn something or at least figure out what questions to ask
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