April 2019 Moms

Product Spotlight: Formulas

Breastfeeding isn’t for everyone and science does a damn good job of nourishment too. Let’s talk formula.

What have you used and what are you planning to use? Are there particular brands better for allergies (soy, dairy, other), that are organic, that have other bonus qualities? Have you found formula easier to acquire or cheaper online or in stores? Give us the pros and cons of what you have, or ask about what you want. Is there other relevant info?

FTMs: when you look at formulas, what’s overwhelming or confusing? Ask away!

Want to discuss something else? Recommend it here, or second some recs by loving someone’s post (I’ll try to prioritize): https://forums.thebump.com/discussion/12734953/product-spotlights-upcoming-or-requests

All product spotlights can be resurrected at any time for further discussion - type “Product Spotlight” into the search bar at the bottom of the page to find previous threads.

Re: Product Spotlight: Formulas

  • lyse01lyse01 member
    edited March 2019
    We had to supplement because DD didn’t get enough calcium and phosphorus through the placenta in the third trimester (which she missed entirely), and was severely deficient.

    First, we used Human Milk Fortifier (HMF) which is prescription only, available through the hospital and pediatrician, and is a liquid mixed with breastmilk in small quantities. Since it is actually made of human milk, no issues with cow’s milk proteins or anything else.

    subsequently, we used Similac Neosure at prescribed dosages to boost her calcium and phosphate levels (it also helped her weight gain). I think it’s slightly more expensive than the average formula, and not widely available in grocery stores, but we were able to find it at our local CVS and Target (Target cheaper). Not organic, cow proteins, so perhaps an issue for those with dairy allergies. We mixed with breastmilk or water, depending on if there was any pumped milk available.

    DD was not much of a spitter-upper, except perhaps when she was just overfull, so we never experimented.

    We have no experience with goat milk, organic, or any other formulas. 
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  • Thanks for getting this thread started! 
    I've preemptively got a few containers of the Nestle + DHA formula, just where I'm not sure if I'm going to able to express / produce. Did anyone else use Nestle before? What were your experiences? 

    I also have to say I really appreciate this thread. I sometimes feel like when I ask questions about formula preferences, that I'm immediately demonized for having a plan B over and above breastfeeding.
  • We supplemented with formula. 
    We struggled with so many issues that I’m not sure what caused my low production. (Retained placenta, tongue tie and a previous breast reduction)

    We started with enfamil and then went to gentlease. DS was very gassy and lots of spit up. Gentlease was decent and we used it for a couple of months. And then the honest company came out with a formula so we switched. And it worked really well. 

    The honest company formula required a little more work as it used to need additional dha (came with it if you signed up for delivery bundle). And the smell of it was not pleasant. But it worked really well for us. 

    Ask for samples every time you go to a ped appointment!  And when switching formulas try to mix them both so it’s more gradual. 
    And I totally recommend a pitcher to mix formula once a day. So much easier and cleaner (if you use powder)
  • Because DD was so tiny and my milk had issues, we had to supplement in the beginning. My milk ended up never fully coming in and she went to formula full time. 

    We used just the regular yellow box enfamil. She had no allergies or special circumstances. It was what we had a sample of and she didn’t have any issues when we tried so we just went with it. I actually found ordering a case off Amazon to be the best deal at the time, though I might try Costco this time around. We also didn’t heat up the water/formula, she would drink it at any temp and it made having to do it on the go easier. 

    I don’t know if I’ll have issues again but if so we’ll probably try the same formula (or whatever is basically the same since it’s been almost 5 years) and go from there unless this kid has any special circumstances. 
    this is my backup acct.
    prevously helloblueeyes

    Me:32 DH:33 Married:04/2012 DD:07/2014 
     BFP 8/14/2018 #2 due 4/18/2019
    Lilypie Pregnancy tickers
  • We had to supplement from the beginning as well. We used Enfamil for the first three months and then switched to Target brand (same thing as Enfamil) until she turned 1 year old. We started incorporating cow milk at month 11ish to help with the transition. 

    DD doesn't have any allergies so that wasn't something we had to really pay attention to. 

    @kate_e_nb fwiw, I tried my hardest to pump and supply DD with enough breast milk and I just couldn't. I could barely give her two bottles of exclusive breast milk per day. At 3 months, I got a really bad GI bug and literally couldn't pump (or get out of bed) for 2 days and my supply dried up. Right away, I knew I was done and even though I was sad, I was happy to not constantly be stressing out over it any more. This time around, if it works, great, if not, I'll pack up my pump and call it good. (I say all this knowing that DD had a heart condition and with her medication, we couldn't feed her milk products an hour before or after the meds or it wouldn't be effective. That's a completely different scenario from this time around and I will be able to focus a little more on trying to build and maintain a supply). Wordy but I hope you know that you should not be judged for deciding HOW to feed your baby.
  • I had to supplement with formula for my first two because of low supply.  I had much better luck breastfeeding right away with my second, but still needed to supplement with formula because he wasn’t clearing his jaundice fast enough. We started out using a supplemental nursing system (just a feeding tube going from a bottle and inserted as he nursed) for the first couple months then switched to bottles, but kept breastfeeding as well. I really liked being able to nurse still even though they had to have formula. It helped my mood and helped calm them when they were fussy.  We started out with regular enfamil liquid, switched to the powder and finally switched to parents choice/Costco brand for the lower price. Never had any issues with them!  
  • edited March 2019
    @lovemaddox I had a breast reduction too! My last BMB there were so many “breast is best not fed is best” moms that I have some serious personal guilt for getting the surgery before I was done having kids. 

    @lyse01 thank you for setting up this thread. Even though all the little ones I’ve nannied have been formula fed, I have no clue how to go about picking one especially since there are so many on the market. 
  • @harveyisaboysname I have so much guilt too. I did it 15 years ago and was pressured to do it before my insurance stopped covering it. Which really sucks. But I still was able to comfort nurse and we had lots of bonding 
  • I’m a FTM, and I would honestly like to breastfeed and supplement with formula, but I too feel guilty about that based on the opinions of others. Is it a good idea to have formula on hand at home since I want to take this approach or should I ease into formula after my milk supply comes in? For those that have done both, how soon did you gI’ve your baby formula?
  • @photolover0522 there’s a lot out there about nipple confusion - and therefore waiting six weeks or so before introducing the bottle - but I don’t really buy into it. DD got both starting at the same time and she never had an issue switching back and forth. I’d just be cautious about nipple flow rates. As for timing it with your supply, you definitely don’t need formula in place of colostrum the first few days (unless of course baby is dehydrated, in which case don’t be stupid and get some formula into the kid). I would say as long as you’re replacing nursing sessions with pumping sessions for the first month or so, your supply will regulate where it needs to be, and you don’t need to worry about replacing the nursing with a bottle of formula...but I’m not a lactation consultant, and I’d recommend speaking directly with one to plan out how to accomplish your breastfeeding/supply goals.
  • edited March 2019
    We EBF until DS was around 7 months.  He started getting really distracted nursing so he would get BM bottles during the day and I pumped and a formula bottle before bed.  He was completely off BM at 10 months because he was walking and I couldn't pump and chase him.  But we used Similac ProSensitive.  He never had issues with it and transitioned to WCM at a year without issue. 

    I plan to EBF but if we have to supplement, we will.  I have no guilt or shame feeding my child so that he thrived and grew.  I have a lot of mom friends that EBF for a year (and some that still are at 20+ months) who side eyed when DS weaned before a year.  Sometimes, we also have to take into consideration what's best for mom (or family).  You never know what struggle or decision was made for breast vs formula, and it's not our place to judge.  I'll get off my soapbox now.😉
    ME: 34 | DH: 36
    Married: 6/2016
    TTC:6/2016
    BFP: 11/22/2016 | EDD: 7/29/2017






  • I got some similac samples in the mail yesterday. I signed up for enfamil as well but haven’t received anything yet. I feel like when I was pregnant with DD my OB and the hospital threw a bunch of samples in my face all the time and this time around I haven’t been given anything even though I’ve discussed my breast reduction multiple times with my dr. 

  • @lovemaddux @harveyisaboysname +1 for the breast reduction stress. It was totally the right decision for me at the time, I was constantly in pain and afterward I was able to you know, function! But when people ask you questions about BFing and I mention that formula is my plan B, people get really weird about it and I almost feel like I have to justify that I had surgery before, which is really no ones business... my husband says I should start asking people if they want to feel how hard I can punch... maybe he's on to something haha?

    @lovemaddux I love the pitcher idea, I would have not thought of that!

    @harveyisaboysname I'm hoping that I can definitely get some samples from Dr's office. The hospital has a strict "no formula samples" policy (which is dumb, because it definitely includes several low income areas in its district, and women who face poverty and food insecurity are at the highest risk for not being able to BF... but I digress), but my Doc is awesome and very much of the "just feed your baby and keep them healthy" mindset.

    @lyse01 Oh god, yes, I keep hearing so much about this dreaded nipple confusion! I've literally had people (including clinical staff) tell me to not let DH do ANY feeding for the 1st 6 weeks (minimum) to keep the baby from getting nipple confusion. That's crazy! I'm only taking 8 weeks off in the first place, I don't want to be the sole feeder for the majority of it! AND, on the topic of nipple confusion, it can go the other way (I.E.: develop preference for breast over a bottle). Personally, I'd rather the baby develop a preference for a bottle, which may be more inconvenient but at least I could still go to work, rather than the baby develop exclusive preference for breast, in which case I probably wouldn't be able to go back to work AND I would be the sole feeder of my kid. 

    Jeez guys, I guess I'm feeling chatty today! Sorry for the super long post!
  • @harveyisaboysname The ped office might have enfamil samples - mine does at least. 

    @kate_e_nb that hospital policy is stupid and also a direct result of baby friendly certification criteria overriding common sense. 
  • As for nipple confusion-  my experience was it didn’t matter. DS had boob and bottles (dr browns) from the start. He never cared either way. Even if my supply was low he was always content attached. 
  • @lyse01 Hell to the yes! Baby friendly to me means supporting all babies, not just ones who's mothers are able to BF. But what the hell do I know? 
  • I tried and tried to breast feed but never was able to get my supply up. It was extremely stressful and truly made me not enjoy the first few months. So this time I am going to start off supplementing with formula. I will still try and breastfeed but I think I am just one of those women that can't. I am going to pump what I can for 3 months but let go of the guilt and stress. 

    I use whatever kind of formula they have at the hospital. I think it was Enfamil last time but  from one of my friends recently I think it is Similac this time. I have purchased some of the newborn bottles to have on hand at the beginning but I am not stocking up just in case baby does not do well with the specific brand. 
  • My milk didnt come in for 5 or 6 days and DD was losing weight. The pedi had me feed her with weigh-ins before and after; we measured that she was only getting 1.5 oz.  Pedi had me supplement 0.5 to 1 oz per feed with 'similac for breastfeeding' and i would pump about 30 min after each feed to up my supply.  I struggled on and off for a year, but having the similac for  top ups and cereal was a big relief. 

    With this one, I've already gotten samples from buybuybaby registry and my OB. I also went online and signed up for enfimil and similac so i could get samples of different kinds.  It makes me feel better to have options.
  • With both of my babies, I had to supplement within the first week of having them. Their weight dropped and the pediatrician recommended it. 
    Neither of my children had nipple confusion, I mostly used avent bottles. I did breastfeed as much as I could for the first 3-4 months but it just got too hard with going back to work and planning pumping sessions. 
    My mother who breastfed me and my siblings until we were about 1yr never side eyed me and my sister for using formula. However, my MIL thinks breastfeeding is for poor people!!! She told me it makes your boobs deflate and sag! Anyone else know someone who is against breastfeeding?
  • @snowhite12 lol I feel like the older generation is more against breastfeeding where as the current generation of parents shame those who don’t. I can’t even count how many times my parents or other members of my family were offended when I nursed DD. It seems my family is super supportive now that they know I will likely have to supplement. I just don’t understand why people care so much about how I feed MY kid. 
  • @harveyisaboysname right? My MIL is very much pro-formula, whereas my mom is exclusive BF all the way! My grandmother, who used to be a L&D nurse, says that back in the day none of the nurses wanted to take on the "boob babies." I know pretty much every older woman wants to know all my feeding plans and I'm like, "Why? What are you doing with your nipples tonight? Weird question, right?" I have to say though, all my friends my age just DO NOT care. The most probing thing I've gotten was from my BIL who said, "I won't ask you if you're BFing or not because frankly its none of my damn business, but if you do decide to, I wouldn't recommend this pump, my wife had a lot of issues with it." Why can't everyone be this non-invasive??
  • @kate_e_nb ❤️❤️❤️❤️ to your BIL
  • @kate_e_nb awesome BIL. 

    I think the older generations had formula pushed on them by the formula companies and doctors. Plus if they went back to work pumping wasnt an option like it is today. I was told multiple times DD would sleep better/more if i used formula at night.

    Thank u, but no.  I set a goal, struggled for a year, but was happy with my decision to BF.
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