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KiwiL View Drop Down
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    Posted: 10 January 2009 at 2:32pm
I need to face facts that Jackson is too unhappy breast feeding, and not drinking enough and therefore not gaining weight.

Pushing the issue is making us both terribly, terribly upset. Any time I have offered EBM in a bottle he is a different baby.

Yes I am defending myself over giving up breast feeding! I feel awfully selfish and emotionally I kind of feel like I have a broken heart.... Sounds dramatic, but whenever I think about all the issues I cry and the pain in my chest is intense.

My next step is to pump exclusively and give Jackson as much breast milk as I can for as long as I can handle doing so and produce milk. I figure over time my supply will begin to drop off.

I am very sad but I feel this is a good start.

My question is around the transition to formula.

Is it possible to mix formula and breast milk to get Jackson used to the taste and slowly increase the ratio of formula to breast milk? By this I don't mean making up formula WITH breastmilk, but having 100ml of breastmilk and 50ml of formula (correctly mixed) added together. Hope that makes sense.

Has anyone done anything like this? I am going to ring formula companies to check, but just wanted to know if anyone has had experience. On the couple of occassions I have tried to give formula, Jackson won't have a bar of it.
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fire_engine View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 2:43pm
I *think* you can so long as they are the same temperature, but I'm sure someone else will know for sure. I know that when Daniel was first born we would top him up with formula, which was mix of formula and EBM.
Mum to two wee boys
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 2:45pm
Ooops, posted before I meant to ...

Don't feel you have to defend yourself here. You have been through an incredibly trying time and no one can doubt that you have been really wanting BF to work, and it certainly seems like you have done everything that you can.

My one comment - be kind on yourself about the pumping. I hear where you are coming from, but it is time intensive, by the time you feed him via bottle, then pump ..... You are not a bad mother for giving formula. Just do what you can and keep remembering - happy mum makes for a happier baby.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weegee Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 2:54pm
I'm afraid I don't know about the mixing either, but I'm considering switching JJ to formula at daycare, that's if they can get him to take a bottle at all Anyway I asked in our July thread about introducing formula to bf babies and thought Emma's answer might be useful to you as well:

Originally posted by Maya Maya wrote:

...goats milk has the closest composition to breast milk. It's reasonably pricey tho. If you want to go with a cows milk based one, any of the standard starter formulas are OK. The Gold ones have a different protein, as do the Follow Ons, so the 0-6 basic ones are the closest match.

Mum to JJ, 4 July 2008 & Addie, 28 July 2010
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kebakat Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 3:24pm
I never did the mixing. He didn't seem to be fussy about the taste being different. I've heard by a few people that S26 is the closest standard formula to breast milk. Funny that this is the only formula we didn't have an issue with.

But I agree with Emmas comments there the basic ones are the best to try, not the gold ones.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 11111 Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 3:38pm
Originally posted by kiwilaurie kiwilaurie wrote:



Is it possible to mix formula and breast milk to get Jackson used to the taste and slowly increase the ratio of formula to breast milk? By this I don't mean making up formula WITH breastmilk, but having 100ml of breastmilk and 50ml of formula (correctly mixed) added together. Hope that makes sense.

Has anyone done anything like this? I am going to ring formula companies to check, but just wanted to know if anyone has had experience. On the couple of occassions I have tried to give formula, Jackson won't have a bar of it.


ya finally someone asked the question I was wonder the same thing I nee to wean emily to the bottle and she not keen on hte taste either.
Deborah Mum to:

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Redbedrock Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 4:03pm
We did, if I didn't have enough EBM in the fridge i just made up the required amount of formula and warmed them both separately in a bowl of warm water and mixed together when they were both the same temp. Never had an issue and Fay was on 70:30 EBM;formula for 6 months.
Never justify your decision to anyone else but your self. do what is right for you and Jackson. Belive me I learnt the hard way the knots it gets you in
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Post Options Post Options   Thanks (0) Thanks(0)   Quote FionaO Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 4:10pm

Huge hugs - I have never ever met anyone as determined as you, Jackson is a lucky wee boy.

 

yes you can mix, make up formula to the exact quantity and then add whatever breast milk you like and follow the same rule of only heating it once etc etc..... We used to do that no issue until all my milk went away.

 

i really would recommend s26, seems so be kinder on the stomach and mixes better too than some others i have looked at.

 

It sounds like Jackson will need a tiny bit and then increased each day he will get used to it. If you are trying him on baby rice soon too, you could try mixing that with formula rather than ebm, see if he gets used to it that way as well.

 

Finally - more hugs.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Shezamumof3 Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 4:18pm
Ummmm Im not sure if you can mix it....personally I wouldnt.
Caden never had any problems changing to formula, and formula has to be made up to what it says on the tin.

I would just gradually put him onto it, Caden had 3 bottles aday to start with and 3 breast feeds, and then we eventually over a week went formula full time.

ETA- Definitly use the basic formulas, the gold ones give most babies sore tummys. We use S26 Newborn on Caden and he has been great on it.


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busymum View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote busymum Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 4:31pm
I wouldn't bother mixing - it will still taste different and I'm just not sure that it will mix properly anyway. Hope that's not too negative!

Have you thought of exclusive EBM and introducing solids? Some babies are ready for solids at 4mos and a lot are introduced to solids at that stage due to poor weight gain.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiL Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 6:11pm
Nope, not too negative. I am interested in what people are doing and what can be done!!

I am planning on expressing and feeding EBM as long as humanly possible. We're going to introduce Farex once he hits 4 months too.

Hopefully it helps!

Thanks for the tips about basic formulas. When the time comes we're gonna try S26 first as it seems to be a common recommendation. Though we may need an AR formula.
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KiwiL View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiL Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 6:48pm
Oh, and as for defending myself - I guess I am more trying to convince myself.

I know Jackson will be fine. Hopefully the EBM can happen for a while, but if not formula doesn't kill! But I am also selfishly mourning the loss of breast feeding. Gosh it is special when it works well.

Jackson's been on a bottle most of the day, and I just tried him on the breast and it was a bit of chaos again. Sigh. He's also got much better wet nappies today which is reinforcing my feeling he is not getting as much from me.

But I am still sad, sad, sad.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kakapo Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 6:50pm

Firstly I just wanted to say you should feel exceedingly proud of yourself for BFing for this long, you've done an AMAZING job! What you are going through is heartbreaking and it's only natural for you to feel this way, but those feelings will fade in time and the main thing is that you and your son are both happy and healthy. And its awesome that you want to express EBM for him ...I always told myself that although it would have been lovely to have the bonding experience of BFing, what really mattered to me was ensuring the BM got into DS, one way or another lol  (because I wanted him to have the health benefits of the milk for as long as possible).

We occassionally mixed EBM with formula, but DS didn't seem to mind the taste of formula since he had both from birth until 12 weeks of age. As far as I recall, the reason the midwife and LC advised not to mix the two was to ensure any precious EBM wasn't wasted ... especially in those early days when bubs often won't finish a whole bottle. They thought it was better to use up the EBM first and then offer formula if he was still hungry. But I did mix them on the odd occassion when I was confident he'd drink the whole bottle and EBM supplies were low. Didn't seem to do him any harm whatsoever, but I'm no expert. Could you ask an LC if there is any *medical/health* reason why they don't recommend mixing the two?

With expressing, if you've got a good supply, you may be able to increase the amounts you express at certain times of the day that work for you (eg times Jackson is sleeping?) - ie pump more at those times but cut down the number of times per day you need to pump? That way, you might be able to only express enough EBM during the day and not have to express during the night, so you can get more sleep. Sorry, don't know if that makes sense!  Pumping and bottle feeding is exhausting though, so take care of yourself. I found supplements like fenugreek great for increasing supply - you only need to take them for a day or two, not on an ongoing basis like some others. 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote kakapo Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 6:55pm

Aww, hugs ... try not to feel sad hun.  Formula is perfectly fine to use as you say.

I forgot to mention also, an *unexpected* benefit of DS being bottle fed was the close bond he's developed with his Dad ...I think my DH is secretely a little bit pleased with that aspect . Every cloud has a silver lining as they say.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Shezamumof3 Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 6:58pm
Lauire S26 do a AR one Does he have reflux quite bad or is it fairly mild? You may get away with the normal S26 and just use his reflux stuff(losec?)

Expressing all the time Ive heard is quite hard on the boobies, as its a lot more rough than babys suckling, so Id be careful there.

You really have done a great job laurie I wish I could have lasted as long as you have, but I couldnt as Caden just couldnt stay latched and my nipples were very very damaged and sore

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Redbedrock Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 7:15pm
Expressing all the time was definitely more gentle on me than Fay mashing them around tryiong to latch, i can tell ya
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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiL Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 9:03pm
Thanks guys. I know in my heart that I have done all that I can, but there's still the devil on my shoulder asking "are you SURE you're not giving up too easily?" I feel as though I have failed, even though the rational side of me says not to be so silly.

And I'll really miss BFing Jackson. Plus, part of me enjoyed being the only person who could give him his milk.

I have so much respect for people who have struggled on longer than me when things were not going well. And I respect people who endure all the physical pain to establish, or try to establish breastfeeding. I was lucky that it never hurt (until he started biting in frustration).

Sheena, we are going to start on a basic formula when the time comes. The Losec helps the burning, but not the spilling so will just monitor how that goes. I'd like to avoid AR if possible as J got constipated on a thickener before.

Being a mum is hard sometimes!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote busyissy Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 9:30pm
When I was weaning my son Dominic on to formula I was told by the Karicare nutritionist to use mostly breast milk and a little bit of formula and then slowly over a week or two to change the quantities around so that you have mostly formula and a little breast milk and then finally just formula. The example that she gave was if you make 200mls then initially use 150mls bm and 50mls formula. You need to make the formula first and then add the bm and heat by placing the bottle in a jug of boiled water. You can keep the jug close to you as you feed and place the bottle back in the water to stay warm when your baby comes up to burp etc. I was told it is ok to reheat the milk like that during the feed but to never stop the feed and reheat the milk later.
I felt the same as you when I had to wean as everyone says breast is best and you can't help getting the mummy guilts but if your baby won't breast feed then changing to formula is doing the best for your bubs. And recognising your baby's needs makes you a good mum! Good luck
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 11111 Quote  Post ReplyReply Direct Link To This Post Posted: 10 January 2009 at 9:43pm
I have to say I never had half the problem's you have and I still gave up feeding my boy's. Purely cause I did not like it I did have some mummy guilt, but the reality is by the time Jackson is 4 no one will even care how he was feed as long as he was feed. So honestly You don't need to justify your desion's.    You have done way better then most.
Deborah Mum to:

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