What is the correct method for mixed feeding?

Apr 21, 2023 Source: Cainiu Health

Dr. Wang Lei

Introduction

In general, mixed feeding involves feeding the baby both breast milk and formula. The correct methods for mixed feeding include the supplementary method and the replacement method. Breast milk is digested and absorbed more quickly, while formula is digested more slowly. When used together, they allow the infant to absorb sufficient nutrients while reducing the burden on the gastrointestinal tract. In mixed feeding, it is important to determine the appropriate feeding method primarily based on the amount of available breast milk.

In general, mixed feeding involves feeding the baby both breast milk and formula. There are two proper methods for mixed feeding: the supplementary method and the replacement method. The details are as follows:

1. Supplementary Method

The supplementary method usually refers to feeding with breast milk first, followed by infant formula. This approach is more suitable when the baby is newborn and the mother's milk supply is relatively low. In this case, allow the baby to fully breastfeed from both breasts first, then supplement with an appropriate amount of formula. Gradually increase the formula volume according to the baby's appetite to avoid indigestion.

2. Replacement Method

The replacement method involves alternating between breast milk and formula feeds. This method is ideal for mothers who need to go out and cannot breastfeed at regular intervals. Since infants typically require frequent feedings throughout the day, mothers can alternate between a breastfeeding session and a formula-feeding session. This also helps better control the amount of food consumed per feeding. Breast milk is digested and absorbed quickly, while formula takes longer. By combining both, the baby receives adequate nutrition while reducing the burden on the gastrointestinal tract.

When using mixed feeding, it's important to note that each method has its own advantages. The choice of method should primarily depend on the mother's breast milk supply.

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How to Properly Combine Breastfeeding and Formula Feeding

In general, mixed feeding can be properly conducted by first giving breast milk followed by formula, or by alternating between breast milk and formula. Typically, you may feed the baby a full feeding of breast milk at one session, then a full feeding of formula at the next, alternating between breast milk and formula to meet the baby's daily milk intake requirement. It is important to note that when conducting mixed feeding, the principle of prioritizing breast milk should be maintained.

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What should be done for intestinal gas in newborns receiving mixed feeding?

Intestinal gas in newborns who are on mixed feeding may result from improper feeding, leading to excessive air intake. The newborn can be held upright and gently patted on the back to help release gas from the stomach. Additionally, after warming the hands by rubbing them together, a clockwise massage around the baby's navel can be performed to facilitate faster gas expulsion. If symptoms are more severe, probiotics that regulate the gastrointestinal tract may be used to improve intestinal flora.