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and now a formula shortage?

5/24/2022

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Just when we thought we were coming out of the crazy world of 2020 and 2021, 2022 hits us with a formula shortage. I’m here to answer the most common questions that I am hearing about the formula shortage. 

Why? “Current shortages have been largely caused by supply chain issues and the recent recall of several baby formula products over concerns about contamination.” Basically, there are only a few companies that make baby formula for the big brand names as well as store brand formulas. Unfortunately, if one of these companies has problems, it can lead to massive disruption in production for lots of different brands. In this case, it’s Abbott, and they’re sorry .

What are families supposed to do? 
Well that depends. If you’re already breastfeeding or pumping, continue to do so to the extent that you’re able. If you are having difficulty breastfeeding or pumping, please contact a certified lactation consultant asap to make a plan to get things on the right track. Issues such as painful breastfeeding, painful pumping, low supply, and others, can be solved by working with an expert who knows how to solve them! 


If you’ve been buying retail formula, I know it’s tempting to stock up on formula when you see it in stock, but I recommend that you buy only what you need for 10 to 14 days. Stocking up on formula only adds to the shortage on the shelves for other families. 
If you have been using WIC to obtain formula, North Carolina is now allowing WIC families to use their waivers for different brands of formula according to what they are able to find on the shelves.
You can try to find your formula at smaller local retailers or online. 
Importantly, you can use a different brand of formula than what you have been using. Most babies tolerate a change in formula without difficulty, if the formula is the same type that they have been taking. I also recommend that you make only the amount that the baby needs at that time, to minimize waste.
 
 
It is very important that parents avoid trying to make the can of formula last longer by diluting the formula with extra water when they mix it. Mixing the formula in any way other than what the directions on the can say can be very dangerous to the baby. If the baby is on a specialized formula, or you just can’t find any formula at all, please contact the baby’s medical provider asap.
 

What about donor milk?
There is one certified milk bank in North Carolina, and obtaining milk through the bank is difficult and expensive. The milk is primarily used for babies in the NICU or medically fragile babies, and a prescription is required. 
Another option is casual milk sharing.
 
But is it safe to feed my baby someone else’s breast milk? 
Mothers have been sharing breast milk since the beginning of babies. The better you know the donor, the more likely the donated milk will meet your standards. Start with close friends and family to see if there is anyone who has extra milk that they can share with you. To be sure the donated milk is free from bacteria and viruses, you can pasteurize the milk at home. Please click here for detailed instructions for how to safely prepare donated breast milk. 

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bottle feeding your breastfed baby

10/2/2017

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Breastfeeding mom, are you ready for a break? Are you dreaming of a night out without your baby, or a night of sleep? Are you returning to work soon?

First of all, congratulations on exclusively breastfeeding your baby! That is a huge accomplishment and you deserve a medal! But now, you may have some questions about introducing a bottle to your breastfed baby.

These tips are not meant to be rules, or make you feel guilty if you do bottle feeding a different way. They are just meant for you to pick what works for you to make bottle feeding easy and pleasant for you and your baby.

Getting Started
  • Introduce a bottle when your baby is between 4 and 6 weeks of life. This allows time for your baby to get really good at breastfeeding, and it allows your milk supply to be established.
  • Try to make bottle feeding feel sort of like breastfeeding to your baby:
  • Use breast milk in the bottle instead of formula if possible
  • Use a silicone  (not rubber) nipple, with a large base, and encourage a wide open mouth
  • Switch sides during the feeding
  • Use skin to skin when possible
  • Cuddle your baby after feeding
  • Hold your baby in a slightly upright position, so that the head is above the stomach
  • Touch your baby’s upper lip with the bottle nipple and allow your baby to root and pull the nipple into his mouth

Keeping it Safe
  • Hold the bottle horizontally so that the milk doesn’t flow too fast
  • Feeding should take 15 to 20 minutes, just like in breastfeeding
  • Gulping can be a sign that the milk is flowing too fast; the baby is gulping in order to catch a breath. If your baby is gulping, remove the bottle from your baby’s mouth after 3 to 5 sucks to slow the feeding and allow your baby to get into a suck-swallow-breathe pattern.
  • If your baby is clamping down on the nipple, the flow may be too fast and your baby is trying to slow it down to breathe.
  • Observe for signs of stress: furrowed brow, tense shoulders, arms, hands, yawning, sneezing, crying. If your baby is stressed, pause the feed and allow your baby to regroup.
​

For Babies who are Like, Nah, I Only Eat from the Breast!
If your baby is not taking a bottle, try these tips:
  • Touch the corner of your baby’s mouth to stimulate sucking
  • Have someone else offer the bottle to your baby when your baby is against the caregiver’s chest, facing outward.
  • Move around – sway, walk,or rock
  • Offer the bottle when your baby is sleepy- just waking up but not fully awake yet, and when your baby is not very hungry
  • Wrap the mom’s shirt or something that smells like mom around the bottle

Keep it Fun!
  • Make sure you make the feeding experience pleasant by singing or cooing to your baby, smile and make eye contact with your baby
  • If you or your baby get stressed, pause the feeding, and don’t try for more than 10 minutes
  • Most babies will accept a bottle with time and persistence. In the meantime, see if your baby can be fed with a cup; a sippy cup can be used at around 4 months.

Get Help!
  • If you have questions or concerns about bottle feeding, contact your baby’s pediatrician or an IBCLC for help! ​
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    Author

    Beth Sanders, BSN, RN, IBCLC

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