Paced Bottle Feeding For The Breastfed Baby
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- Опубликовано: 26 июн 2012
- Paced bottle feeding is a method of bottle feeding that is designed to mimic breastfeeding. There are many reasons families might decide to try it.
Some mothers find that when they return to work and their babies are receiving breastmilk or formula from a bottle in childcare, their babies become less interested in breastfeeding at home and some may even refuse the breast.
Many mothers also find that childcare providers are quickly going through the pumped milk they bring to childcare and end up supplementing with formula because their babies seem to want to take more milk at daycare than they can pump at work. Increasing the effectiveness of pumping sessions using hands-on pumping may help. Asking the childcare provider to use paced bottle feeding, and to offer at most 3 ounces every 2-3 hours may help as well.
A 2012 study showed that babies who are exclusively bottle fed, regardless of whether they are fed formula, breastmilk or some of each, tend to gain more weight during the first year than their exclusively at-breast fed peers. It is often easy to encourage a baby to take more milk at a feeding with a bottle than it is at the breast, and bottle feeding babies may be learning to interpret the slightly over-full feeding they get from bottle feeding as normal fullness. Paced bottle feeding may help prevent this for babies who receive many, most or all of their feedings from a bottle.
I learned this technique in a workshop session given by Leanna Moore Watson, IBCLC.
- By SantaBarbaraLactation.com
You saved our life. Thank you. My wife is epileptic and this video is very helpful for bottlefeeding. THANK YOU!
This is wonderful! Finally a video to share with caregivers who insist baby needs 4-6oz of breastmilk instead of the correct smaller amounts. I think your video can help many working Moms who pump and are always being told they aren't making enough, when in general, they are!
So, this is the best tutorial and explanation I have seen yet! My mom actually did this with my daughter and she's never taken more than 4 ounces in a bottle at one time yet she has always been satisfied. I'm going to share this with my breastfeeding group!
Hi Madam where are you from?Means what's the name of your country?
Yes! I find that one of my infants' takes no more than 2.5 oz and he's all smiles and giggles as he's paced bottle fed in my class! It's truly a bonding moment and getting familiar with the bottle nipple, than actually getting him fed! And even with my other infants' we actually try to bottle feed in sessions rather than in one sitting. For example, if an infant has a 9 oz bottle, I make sure that they take at least 4.5 oz, burp them and then follow their cues as if they want more. A lot of times there's is storytime going on and our infants' are exploring the room around that they just want to get down on the floor and play with friends! So we keep the bottle warm for 30 mins from the 1st offering and offer again within that time frame, bt no longer than 1 hour. That gives us time to diaper and feed other infants' and back to the 2nd offering, in which by that time, they eventually go down for a nap thereafter. Of course we hold them upright and pat their back to let them burp before we put them down for Naptime.
I'm going to start babysitting my nephew soon and this is super helpful. I was getting nervous about feeding him because he's never been bottle fed before.
Thank you this is great for Dad's. My husband gives the baby milk in the early morning hours. It is painful to hear the grunts, along with seeing the waste of pumped milk. (all over the baby)
This really makes a lot of sense. My baby eats more than she needs and usually spits up a lot. I have found her perfering the bottle over nursing at 2 1/2 months and I bet this is exactly why. I hope attempting the pace bottle feeding now will help get her back to where she should be. Thank you so much for sharing. It was very clear and easy to understand.
LOVE this! Such a clever way to mimic breastfeeding and keep babies at a healthy weight!
Thank you, my wife is starting to pump and I needed to learn this.
I'm a first time breastfeeding mom. But I also wanted to supplement formula milk through bottle. I'm new to this technique paced bottle feeding. It is really witty, I'm happy now because now my daughter do not reject my breast after bottle feeding.
Love this technique .. have to make it learn my other family members also. ❤️
Thank you for the great video. I'm going back to work soon and I'm giving this video to our nanny, so she can feed our daughter correctly :)
Thank you, thank you, thank you!!! I have mom's that struggle with taking their babies to childcare because they over feed them!
I wish I knew about this in the hospital. I had planned, plus still do, breast feeding, but I couldn't do it in the hospital, she wouldn't latch to one side and the other side got so sore I had to stop for days. The nurses acted like either I had to breast feed or pump there or not do it at all. She latched really well at home, but had I known about pace feeding that would've been easier.
I'm a childcare infant teacher assistant and this video just confirmed that I'm actually doing something right! Luckily one of my infants' mommy works there so she's able to come in and feed directly, but we still offer the paced bottle feeding and he's super content until mommy is able to come feed! Ty for posting this informative video and will share this with my fellow co-workers! Stay blessed and Happy Friday!!!! 🌈❤️🙏🏼
Glad it's helping!
I have not heard of paced bottle feeding until this video. It is a very interesting concept.
Best explanation I’ve seen this far. Thanks
Thanks very much.. Great video.. My positioning was bad and my baby cried.. I will try your method when next we express.
Finally! This is wonderful! I've been looking for a video describing this for ages. I do have one comment, though. I think that the babies do not "enjoy" the overfeeding from the bottle and the shorter feeding, I have seen that they become overwhelmed and stressed at feedings and because they cannot be force-fed from the breast, they are able to reject those feedings, but will continue to take the bottle because they have no choice. I've just seen a slightly different reason for that phenomenon.
please teach this to all of your caregivers!
Thank you so much this has been super informative for me as new father
Just had a baby and this really helped thank you
Very informative, thank you so much!! I hear about pace feeding a lot in online mommy groups but no one really explains it well. Glad I found this!
Yes Madam I am glad to received the video.WOW also very good.Hey,I am very interested or like to hear and watch about this matter,Which is presented with discussion here.Very informative and interesting way of this video,To know about this matter.
Hi dear Madam where are you from?Means what's the name of your country?Madam where do you live?
A wonderful demo.....will definitely share with clients ☺
Still relevant. Thank you.
thank you so much for making this video!
Nice video with good explanations. I'll add this to my resources for clients.
Thank you, great explanation!
Great video it helped me and my mom on my baby sister great video thank you
I was wondering what my baby was doing when I did express milk into a bottle... I had to buy preemie nipples because slow was even too fast for her, Thank you for helping me understand. 😁
Great job with this video, Jessica!
Thank you
Wonderful! Thank you. I've been looking for a great video on paced feeding to show clients.
love this.
Extremely helpful.
thank you... my childcare provider wants me to bring in 8oz of breastmilk per bottle... No way!
Thank you so much for this❤️
Thank you for this video it's been helpful for me. I'm a breastfeeding mom who is tandem feeding, and I have a very strong let down. My baby who is 2 months old gasps, chokes and pulls away from my breast at this time, and I have a lot of let downs during the feeding. I'm in a position of needing her to take a bottle at the moment since I had surgery and will be medicated and doing pt. she is really struggling with the bottle.. My son on the other hand experienced the same thing at my breast as an infant and was happy for my strong let down and could take a low flow bottle at 4 months when needed during a road trip or a pcs move. I expected the same from baby number two.. But it's so difficult and requiring much more time and patience to get her latched onto a bottle. With that being said your insight is very helpful and true! Obviously every baby is different and I don't think a mom who hasn't experienced both of these situations would understand this. So I'm sorry your getting so much criticism & quite frankly I would have thought the same. Now that I have another breastfed infant I know your tutorial is very real and valid for some moms so thank you for pushing through and keeping this video up. I managed to get through a few ounces in 45 mins with my daughter.. I'm so glad that I don't typically have to depend on a bottle.
thank you so much for this video
Absolutely wonderful video! Great info and presentation. I will be pacing this along to many professional and patients. Thank you!
Wonderful!!!! Thanks!
I breastfed my 2nd son for 8 months and never new about pase feeding. 😥 I wish I had BC he got fed like a normal bottle when he was with others.
Thank you for this video! :)
great video thanks
good technique
Interesting.
Superb. Thank you very much.
I'm currently pregnant with my forth baby, and I'm planning on breastfeeding. I would like to bottle feed to. I've only ever breastfed though so this is all new to me. my question is when should I introduce the bottle to baby, what types of bottles should I try to use and lastly when should or can I start pumping without risking myself of clogged ducts.
I'm a bit confused as to how this works. The usual issue is the flow of milk from the bottle, which does not change with tipping the bottle down. As soon as you lift the bottle, the quicker flow continues.
I am returning to work coming Monday and i am trying to introduce bottles with expressed milk.
My baby bites the nipple and doesn't try to suck.. This is happening since 3 days i am trying to introduce bottle.
I tried with pegion small and medium nipple and trumom nipple.
She bites all and does not latch.
She s 5.5 months old noe
Does this work with a 5 mo? My son has no nipple confusion but he feeds from me only when my breasts are full (5 hrs gap). He has been bottle fed since 4 months. I use both fm and pump bm
Спасибо за видео
My week old daughter is having trouble nursing b/c she can't stay awake. I was told to use this method to get milk in her to flush out the billi rubin and it should take about 10-15 minutes to drink 1.5oz. But what if she too sleepy for even the bottle. And at what point should you throw in the towel? I sat with her for an hour and she only drank about .75 oz.
You are so good omg
Hi, this clip is very helpful and I would like to share it my Taiwanese breastfeeding support group. Would you mind if I edit the clip to add the chinese subtitle and redistribute it?
do you use a certain flow of nipple for the bottle?
I'm soo happy I bumped into this video as I am going back to work soon, nd I will express for my lg.
Zanele Yengwa don't buy into PBF. it's BS
terrible reasons she gives, too.
So the air is ok???
Has this helped any moms get their baby to take a bottle? My dd is 6 weeks and was taking a bottle a couple times a week, but now she refuses. I go back to work in May and I’m getting stressed out, my 1st born went 3 days at daycare without taking a bottle. I’m just worried. I’ll try this method.
Thanks! watch out for it!!!
Hi,I have 3 month old baby since starting I had sore nipples and my new born was not satisfied with my feeding now she doesn't want to breast feed ,what should I do
Awesome
great video thank you! I felt like our daughter was drinking so fast out the bottle that she would 1. over feed and 2. throw up
hopefully this solves that 👍
I pray my husband has the patience to do this. I'm returning to work next week, baby will be 6 weeks and I'm so crazy worried.
I hope you made out well! I'm going to share this with my daycare. I'm also concerned, I want her to maintain a good latch because it was poor in the beginning and even on and off since then.
How did it go??
It's very sad that you are married to someone you clearly don't trust.
@@7beers oh shut up! She never stated she doesn’t trust her husband 🙄 I fully trust my husband and still worry when I’m away from my babies it’s what mothers do
@@santeriacharles3736 Anger management classes do wonders.
Great video Jessica. Seems how the bottle is no longer upside down how do you suggest the baby drinks the milk beyond the halfway point? Would you need to tip his/her head back?
Wolf Larson PBF IS BS
terrible reasons she gives, too
Hi, where can I find the study you mention? Great video.
The study is here: archpedi.jamanetwork.com/article.aspx?articleid=1151630 Hope that helps!
I was wondering why my baby was choking, its because i was holding the bottle wrong
How does this work with babies who have silent refulx or Colic please? If they struggle to burp, wouldn't this be harder for them, as they will be struggling to burp.
From what I've read recently, this actually should help with colicky babies because it's easier for them to burp when sitting/leaning upright. Although the baby can end up swallowing more air during paced bottle-feeding, this can even help some babies burp more easily and without the nasty reflux bits (vomiting, acid hurting the baby, etc.).
Thanks for the great video! Question...What type of nipple should be used, slow flow or regular?
You're welcome! I would suggest a fairly slow flow nipple. Dr Brown's premie is slow enough that you don't even really need to do the pacing with it. It just depends on what works for your baby. Hope that helps!
thank u such a nice imformation #trishikaagarwal
but as they get older there milk intake goes up right.. or does it stay the same.
It stays more or less the same...calorie content of breast milk increases with time, not volume. santabarbaralactation.com/blog/how-much-milk-does-my-breastfed-baby-need
in 20 or 30 seconds my baby damn near finishes the whole bottle lol
Use 10 or 15 second flow cycles and 30 second ebb (no milk, bottle nipple bent) cycles. Always start with the milk *not* flowing and the bottle nipple bent. Make sure the baby is in a sitting position. You need to control the milk so he doesn't over feed or eat too fast.
MBJ-IBCLC, RLC
Lol right
Where do you buy this specially shaped bottle? It seems to be easier to handle. Thank you!
Medela 80ml (2.7oz) bottles are basically this shape. A narrow 4 oz bottle (enfamil) also has a similar shape.
Seems like baby will swallow a ton of air.
Is there any way to get a baby who has been bottle fed the "regular" way to be weaned back to this method. I have a 8mo old and he has been primarily breastfed but I got sick and was out of commission for a while and pumped. Now he wants 3-4 oz per feeding or more (5 at night) and I only make 2-3 so he is not happy with that. He also is unhappy with my let down. I really don't want to give up on breastfeeding, but he only sucks for 10 seconds before giving up and crying.
That sounds like a tough situation. I would suggest trying to offer him the breast before he is very hungry, and to offer it more frequently if you can. If he takes solids you could try making them foods that will help fill him up more like avocado and other higher fat foods. You might try a slower bottle nipple for a while as well. Have you tried contacting your local La Leche League?
Why not use an Air-Free bottle that allows you to feed upright so that baby doesn't swallow so much air! Check out the Bare Air Free Bottle by Bitty Lab.
We have a 8 month old that is EBF and gets bottles of breast milk throughout the day by our nanny. I pump anywhere from 5-7 oz of milk and stressing because our nanny if going though my supply so fast and I can't keep up. How many oz of breast milk should our son be getting at each feeding? He feeds about 6-7 times a day. Each bottle has about 7 oz of milk in it and he cries after its done. He also finishes the bottle in about 3 minutes. We have to slow this down. Any help would be great!
A breastfed baby typically takes somewhere between 25 and 35 oz of breastmilk in 24 hours. Without more information about your situation I would suggest pacing the feedings, a slower bottle nipple, trying to do more frequent but smaller feedings, 5oz max at a time. If you aren't already, I would also suggest breastfeeding or pumping at least once or twice during the night. Nancy Mohrbacher's articles on the Magic Number may also be useful: www.nancymohrbacher.com/blog/2010/8/13/the-magic-number-and-long-term-milk-production-part-1.html and www.nancymohrbacher.com/blog/2010/8/21/more-on-the-magic-number-part-2.html. You may also want to reach out to a lactation consultant or breastfeeding support group in your area. I hope that helps!
Jessica Barton Hi! Do you have a transcript of what you said in the video?
Shaun Urista Babies drink on average between 27 and 32 oz a day from about 1 month on. No baby will eat 7 oz at breast, in one sitting. He eats too fast and is not done sucking; also, with food getting into the belly that fast he likely wants to continue to suckle to help digest that food and to help with discomfort.
He should get between 4.5 and 5 oz given that he feeds 6 to 7 times a day, and it should be fed SLOWLY, with pauses that whoever is feeding him is initiating by tilting the bottle away after every few sips.Not to take the nipple out, just tilt it so that no milk is in it. Half way though he should be burped and switched over to the other side to mimic breastfeeding even more. The idea is not to feed less, but to feed slowly, so that his belly can signal his brain when he is done.
Shaun Urista kellymom.com/bf/pumpingmoms/pumping/milkcalc/
+Shaun Urista A breastfed baby does not need as much human milk as a formula fed baby needs. The average amount of milk in a 24 hour period is between 22 ounces and a *very* high guess of 30 ounces, with most babies taking 24 ounces of human milk in a 24 hour period.
When using bottles, this translates to 1 to 1.5 oz of milk for every hour the mom is away from her baby.
Human milk is different than formula and babies usually need less and the amount is not increased as the baby gets older, as happens with formula. Newborns usually don't need bottles (n fact they shouldn't be offered until after 6-8 weeks to help prevent Nipple Confusion and Flow Preference) but if necessary, an ounce or so at a feeding is all they need, even less if the mom is still making colostrum.
Mary IBCLC, RLC
Quick question: will this cause any problems with wind and baby being too gassy and uncomfortable?
+Leena Adesara Babies usually get gassy from something in their milk or formula that doesn't agree with them. The little bit of air this method may cause does not cause any discomfort in any of the babies I've used this method with.
Mary IBCLC, RLC
Yes! It caused my baby so much gas! Poor girl! I felt awful for trying this on her!!
Im trying this out, but when I pull the bottle down there is no pause in her sucking, so it's not becoming paced at all. Advice?
Stephen Bonnett babies know when to stop eating. PBF is a stupid idea
Is there any reason why a baby would eat from the bottle, reject the bottle after a few ounces (2ish ounces), but still seem hungry and take to the breast for a while longer (probably an ounce or 2)?
Without more details it's hard to say, but my guess would be that baby wants some mom-time :) Nursing is about food but it's also about so much more...
If a mother can breastfeed, particularly early on, then she should. Infant bottle-feeding has the potential to malform the oral cavity, where the implosion effect on soft, malleable bone can lead to a high-arched palate and narrowed dental arch. Further, with the natural descent of the epiglottis after the first few months of life, bottle-feeding can narrow the pharyngeal space in pulling the epiglottis closer to the posterior wall of the pharynx; it can also have it that the epiglottis settles into too low a position, whereby it cannot efficiently brace the back of the tongue during sleep.
With bottle-feeding, there are three elements leading to the risks I have outlined. They are intensity, frequency and duration (of bottle-feeding). And with these elements, come the inherent risks of sleep disordered breathing, SIDS, and, later, a multitude of orthodontic problems.
As breastfeeding incorporates a peristaltic action of suck, there is no risk of malformation. So, if mothers are able to breastfeed, and they understand the risks of not doing it, then they are willingly exposing the child to the possibility of some very concerning outcomes.
David J. White
Meshwork123 i
Hello, we have a one month old with a tongue tie who gets frustrated with breastfeeding and bottle feeding because he has a poor latch with both. We've had trouble with paced feeds because I feel like his latch and tongue motion is already compromised. He only takes a few sucks without milk and he unlatches and screams bloody murder (both when on the breast and the bottle). Is there a particular method of paced bottle feeding for a tongue tied baby?
Wow, that sounds like a tough situation. If he's not doing well with either then I would recommend looking into getting his tongue revised and then some good after care, physical therapy, CST something like that from someone very experienced with feeding issues. I'm sorry that doesn't help much! I'm sure you've already experimented with different bottle nipples... Often TT babies are gaggy and want one that doesn't go far back in their mouth...
@@nyakanyasko - thank you for your response! Yes. We saw an ENT for evaluation but she said his tongue movement was adequate (though my wife's nipples suggest otherwise). We are getting a second opinion this week.
Hey Omar Jaber , what kind of second opinion did they give you ? Kinda in a similar boat as you were , has anything helped your situation ?
i try to change breast milk to bottle but my 4 mon old son reject every time i offer him i change bootle milk and try breast milk in bottle he does not like bottle at all please advice me what should i do...
This book has a good section with ideas on how to get babies to accept a bottle. www.amazon.com/The-Womanly-Breastfeeding-Diane-Wiessinger/dp/0345518446 I hope that helps!
Can you paced bottle feed to get baby back on the breast? What the many reasons why you paced bottle feed?
Paced bottle feeding is mainly to keep baby working as hard to feed at the bottle as at the breast so that they don't eat too quickly, or decide that bottles are fast and easy and the breast is too much work. This would only be part of the many things I would try to get baby back to breast. For a baby who won't go to the breast, my main advice is normally to make sure the breast is a happy and low-pressure place for baby to be. Spend time skin-to-skin when baby is not very hungry and especially when baby is sleepy. Try taking a bath with baby (you'll want another adult to help you get in and out) and that warm, wet skin-to-skin can often get a reluctant baby to try the breast. I hope that helps!!
Doesn’t work !
Never left half a sandwich lol
No it's not work.
Something doesn't look right about that baby
.
My baby is fat af and hes about to be pissed
I don't know who she thinks she's fooling, but that is so obviously not a real baby.
Working in a daycare setting myself and having kids of my own, this is stupid. I breastfed one of my kids and bottle fed the other two kids. My kids are not in anyway obese from being bottle fed. Nor did I pace fed them while on the bottle. If a child is obese it's more than likely because the bottle is being used for a pacifier. So parents feed your baby the way you want to, your baby will tell you when they are done.
This is awful! Caused my little two month old so much gas, the poor girl couldn’t sleep! Cried so much!
I'm sorry to hear that! I wonder if in your case a very slow flow bottle might work better...
This method works incredibly well... if you have a fake baby like this lady does. I tried this on my real baby though and it made her choke like three times in a row before I said never again. This is the stupid crap I’ve ever heard of
This shit doesnt work
26trickz thank you!!!!
This is fine for mothers who stay home with their babies. If you have a baby in daycare you can't expect a provider to do this. May I just add that I think the worry of obesity in BABIES and TODDLERS has gone way over board. I think we are making too big of a deal about food with children at such a young age. If you start denying an infant food or a toddler food they are going to become obsessed with food and eat MORE when they get the chance. I personally believe a lot of obesity is pre-determined by genes. If two parents are of normal weight and size and have never had issues with weight chances are their infant/baby/toddler is not going to have issues. If you make it an issue it will become an issue. I have raised two boys and have been a childcare provider for 20+ years, I thought I had seen it all until I saw this. Many women have a difficult time with breast feeding and if you are telling them to take the baby off once they've worked so hard to latch on that is ridiculous! Every baby is different and not one process works for every baby. I have to say I would never recommend this process of breast feeding/bottle feeding to any moms. It really seems like it could be very counter productive. My opinion from my experience. Some babies NEED to eat more than others, especially bigger babies and by that I mean taller babies who have very tall parents, or babies who are more active, common sense comes in to play here.
+Julie Frey This is actually a technique more or so for childcare providers and/or babysitters. This has nothing to do with obesity but the fact that when using a bottle (that does not have a slow-flow nipple), you can overfeed a breastfed baby in one sitting.
This is not suggesting someone does this while breastfeeding. This is supposed to mimic breastfeeding when the baby is being cared for by someone other than their mother and needs to take a bottle. Also, if you are paying someone to care for your child then they should feed them the way you ask them to.
Sure you can. It's your baby and *you* tell your child care provider what you want for your baby. All my client's babies day care providers use this method or they change day care providers. It *isn't* that difficult. I've done this method with hundreds of babies.
When Paced Feeding is done properly, no baby is "denied food." Just that breastfed babies tend to take bottles too quickly and this method slows the feeding and tries to approximate the ebb and flow of human milk from the human breast. It slows the feeding down so the baby doesn't overfeed. It takes 20 minutes for a person, baby or otherwise, to know they are full in most cases. A 4 oz bottle should take close to 20 minutes or more to feed to a baby, ideally.
MBJ-IBCLC, RLC
This isn't not feeding babies. This is a way not to forcefeed babies by pushing milk/formula down their throats, but giving them a right to say "I'm full and I don't want to eat more right now" when they are full.
Julie Frey I was asked to do this as a nanny and refuse. It doesn’t feel right and I trust my instinct more than I trust this fad. Based on a theory! Babies need sleep for brain development and all moms know if they don’t get enough liquids during the day they will be up all night making up for it. I agree with you, can’t even imagine treating a baby this way so they don’t get fat. This is child abuse caused by vain parents projecting their own eating disorders on their babies!