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Formula Feeding: What You Need to Know
Formula Feeding: What You Need to Know Leeds, Grenville & Lanark District HEALTH UNIT Make an informed decision about feeding your baby TRPDNHDQLQIRUPHGGHFLVLRQDERXWIHHGLQJ\RXUEDE\\RXQHHGWRNQRZDERXWWKH KHDOWKLPSDFWVRIERWKEUHDVWIHHGLQJDQGIRUPXODIHHGLQJRQPRWKHUDQGEDE\ Breastfeeding matters to your baby’s health because it: VXSSRUWVDKHDOWK\GLJHVWLYHV\VWHP SURPRWHVQRUPDOMDZDQGWRRWKGHYHORSPHQW SURPRWHVKHDOWK\EUDLQGHYHORSPHQW SURYLGHVUHVLVWDQFHWRLOOQHVVDQGGLVHDVHLQFOXGLQJ IRRGDOOHUJLHVDQGGLJHVWLYHGLVHDVH Risks of formula feeding Formula fed infants are at greater risk of: HDUFKHVWDQGXULQDU\WUDFWLQIHFWLRQV GLJHVWLYHGLVWUHVVLQÀDPPDWLRQRIWKHGLJHVWLYHWUDFW &URKQ¶VGLVHDVHFROLWLVGLDUUKHD IRRGDOOHUJLHV 6,'6±VXGGHQLQIDQWGHDWKV\QGURPH WRRWKGHFD\ FKLOGKRRGLOOQHVVHVDQGKHDOWKSUREOHPV Breastfeeding matters to mom’s health because it: FRQWUROVSRVWSDUWXPEOHHGLQJ SURPRWHVERQHKHDOWK SURPRWHVUHVLVWDQFHWREUHDVWRYDULDQDQGXWHULQH FDQFHUV VXSSRUWVWKHQDWXUDOKHDOWKRIPRP¶VERG\ Mothers who do not breastfed are at greater risk of: SRVWSDUWXPEOHHGLQJ FDQFHURIWKHEUHDVWRYDULHVDQGXWHUXV EULWWOHERQHV ȱȱȱȱȱęȱȱ ǻȱȱȱȱĴǼȱȱȱǰȱȱȱȱ Ĝȱȱȱȱǯ ,IIRUPXODLVWKHFKRLFHIRUIHHGLQJWKLVERRNOHWZLOOSURYLGHDFFXUDWHDQG UHOLDEOHLQIRUPDWLRQRQIHHGLQJIRUPXODWR\RXUEDE\LQDVDIHZD\ Formula Feeding: What You Need to Know ȱȱȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ Ř Ĵȱ¢ȱȱȱȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ 4 ȱȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ Ŝ Water for formula ȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŗŗ ȱȱ ȱ¢ȱǵȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŗŘ ȱȱȱȱȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŗŜ ȱ¢ȂȱĴȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŗŝ How to feed formula ȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŗŞ Vitamin & mineral supplements ȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŘŘ ¢ȱȱǻǼȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŘŚ ȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŘŜ Ĵȱȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ Řŝ ȱȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ ŘŞ ȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ 30 Frequently asked questions ȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ řŗ ȱȱȱȱȱȱǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯǯ řŞ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ If a baby is not breastfed, infant formula should be ěȱȱ¢ȱȱşȬŗŘȱȱȱǯ ȱ¢ȱ¢ȱȱȱǰȱȱ ȱȱȱ ȱȱȱęȱŜȱȱȱǯȱȱȱȱȱ ȱȱȱȱǰȱȱȱǰȱȱȱ ȱȱ¢ȱȱȱŜȱȱȱǯ For updated information on infant formula recalls ȱǰȱȱDZȱ ¢ȱȱȱ ĴDZȦȦ¢ǯǯȦȬȬȬ Ȧ¡Ȭǯǵƽŗ Formula Feeding: What You Need to Know 1 Choosing a formula ȱȱ¢ȱěȱȱȱ¢ȱȱȱ ȱȱȱ¢ȱǯȱ ȱ¢ȱȱȱǰȱ¢ȱȱȱ ȱȱȱȱȱȱ¢Ȃȱǯ Regular formula ȱ ȱȱ Ȃȱȱǯȱȱȱȱ ȱȱȱ ȱȱǻ¢ȱȱǼȱ ȱ Ȃȱȱǻ¢ȱȱǼǯȱȱȱ ȱŗŘȱȱȱȱ ȱȱȱȱ ȱȱȱȱ Ȃȱȱȱǯ 2 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Specialty formulas ¢ȱȱ ȱȱ¢ȱȱȱȱ ȱ Ȃȱȱȱǯ ¢ȱȱȱȱ ȱ¢ȱȱȱȱȱ ǯȱ¢ȱȱȱȱ ȱȱȱȱȱȱ ȱǯȱ ȱȱȱȱȱȱȱȱȱ ȱ¢¢ȱǰȱ ȱȱ¢ȱȱȱȱ ȱ ȱǯȱȱ¢ȱȱȱ¢ȱ¢ȱȱȱ ǰȱ¢ȱ¢ȱ¢ȱȱȱ¢ȱȱ ¢ȱ¢ȱěȱ ȱȱ¢ȱȱȱȱȱ¢ȱȱ ȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱȱȱ ȱȱȱȱ ȱ Ȃȱȱǯȱȱȱȱ¢ȱȱ ȱȱȱǰȱȱȱȱȱ¢ȱ ȱǯ ȱȱȱ¢ȱȱǰȱ ȱȱ ȱȱȱȱȱȱ ȱĚ¡ǯȱȱ£ȱ ȱȱȱȱȱȱǯ What about iron? ȱȱ ȱ¢ȱȱȱȮȱȱȱȬ ęǯȱȱȱȱȱȱȱȃȬęȄȱ ȱȱǰȱȱȱȱȱȱȱ¢ȱȱȱ ȱȃȬęȄȱȱȃȱǯȄȱȱȱȱǰȱ ȱȱȱȱȱ ȱȱȱȱ ȱȱȬęȱǯȱȱȱȱ¢ȱȱȱ ȱȱ¢ȱȱ¢ȱ¢ȱȱȱȱȱȬ ęȱǯ Formula Feeding: What You Need to Know 3 Ĵȱ¢ȱȱȱ ȱȱȱěȱ¢ȱȱǯȱȱȱȱěȱȱȱǰȱȱǭȱǯ Ȋȱ ȱȱǻȱȱ¡ȱ ȱȱ Ǽȱ ȱȱ¢ȱȱ¢ȱȱȱȱǷȱȱȱ ȱȱȱȱȱȱȱ ȱȱȱȱȱǯȱ Ȋȱ ¢ȬȬȱǻȱȱǼ Ȋȱ ȱǻȱȱ¡ȱ ȱȱ Ǽȱȱ Powdered formula IS NOT STERILEǯȱȱȱ ȱȱȱǻȱȱŘȱȱȱǼǰȱ ȱ ȱǻȱȱŘȱȱȱǼǰȱȱȱȱȱȱȱȱĴȱȱȱȬ ȱ ȱǯȱȱȱȱȱȱȱȱ ȱȱȱę¢ȱȱ ¢ȱ¢ȱ¢ǯ ȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ 4 Ĵ Nipples ȱǻȱȱȱǼ ȱȱ ȱȱȱȱ ȱȱ ȱ ĴȱǭȱȱȱǻȱǼ Ĵȱȱǻȱȱ¢ȱȱĴȱǼ ȱȱȱȱ Formula Feeding: What You Need to Know £ȱȱĴǰȱǰȱǰȱȱȱ in boiling water for at least 5 minutes.ȱȱȱȱ ȱȱȱȱȱ ȱȱȱȱȱȱ ȱǯȱȱǰȱȱȱȱȱ ȱȱȱȱȱȱǯȱȱȱȱȱȱ ¢ǰȱȱȱȱȱȱȱȱȱ ȱȱȱȱȱȱȱǯȱ ȱĴȱȱȱȱȱȱȱȱȱ ȱȱȱǯȱȱȱȱȱ £ǰȱ ȱȂȱǯȱȱ ȱ ȱ¢ȱȱ£ȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱǭȱȱ ȱȱȱȱȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 5 Preparing formula Ȋȱ ȱȱȱȱȱȱȱȱȱȱ ȱȱȱȱ¢ȱȱȱȱȱȱȱ¡ȱ ȱ ȱȱȱȱ ȱȱȱȱǯ Ȋȱ ȱȱ¡¢ȱȱǻȱȱĴȱȱȱǼǯ Ȋȱ ȱȱȱȱȱȱȱȱǯȱȱ¢ȱȱ Ĵȱȱȱ ȱȱȱ ǯ¢ȱ ȱȱȱȱǯ Ȋȱ ȱȱȱȱ ȱǰȱȱȱȱ ȱ¢ȱ ȱȱȱǯ Ȋȱ ȱ¢ǯ Ȋȱ ¢ȱȱȱȱȱ ȱȱȱȱ ȱȱȱȱǻȱ£ȱȱ¢ȱ ȱȱȱǼǯ Ȋȱ Boil water for at least 2 minutes after it reaches a “rolling” boil.ȱȱȱ ȱsterilizeȱȱ ǯ 6 Formula Feeding: What You Need to Know For Infants Who Are Full Term X Formulas to use Ƞ ¢ȬȬǰȱ Ƞ ȱǰȱor Ƞ ȱȱǯȱȱ DZ ȱ ȱȱȱȱȱȱȱȱ ¢ȱȱȱȱȱȱȱȱ ȱȱ ȱȱǯȱ It is best to use formula immediately after ǯȱȱȱȱȱȱȱȱ ǰȱȱȱȱȱȱŘŚȱǯȱȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ For Infants Who Are: ȊȱȬȱǭȱȱŘȱȱȱȱȊȱ ȱȬ ȱǭȱȱŘȱȱȱȱȊȱȱ X Formulas to use: Ƞ ¢ȬȬȱor Ƞ ȱ ȱ ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱǯ ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ¢ȱȱǯ If the use of powdered infant formula is the onlyȱDZȱȱ Ȋȱ ȱȱ ȱřŖȱȱȱȱȱ ǯȱȱ Ȋȱ ȱȱȱ¢ȱȱȱ ȱȱȱȱȱȱȱȱȱ¢ȱ ǯȱȱ Ȋȱ ȱȱȱȱȱȱǰȱȱȱȱȱȱȱ ¢ȱȱȱȱȱȱȱŘŚȱ ȱ ȱȱȱȱȱȱȱȱȱȱȬȱǰȱȱȱȱ ȱęȱȱȱȱȱȱǯȱȱ¢ȱȱȱǯȱ ȱ¢ȱȱȱ ȱ ȱ¢ȱȱŘȱȱȱǰȱȱ¢ȱȱȱȱ about which formula to use. ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 7 ȱǭȱȱ ȱȱȱȱȱ 8 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱǭȱȱ ȱȱȱȱȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 9 ȱǭȱȱ ȱȱȱȱȱ 10 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Water for formula Water that is OK to use for making formula: Ȋȱ Municipal tap water Ȋȱ Well water ȱȱ ȱ ȱȱȱ¢ȱǰȱȱ ȱȱȱȱȱǰȱǰȱȱĚȱȱ ȱŘȱȱȱ¢ǯ Ȋȱ Ĵȱ ȱȬ ȱȱȱȱȱȱȱȱȱȱ ȱȱȱȱȱȱŘŖȱȦǯ ȱȱȱ¢ȱȱ ȱȱǯȱȱȱȱ ȱȱȱȱȱȱ ȱȱȱȱȱ ȱȱ ȱȱȱȱǯȱȱ ǰȱ ȱȱȱ£ȱȱȱȱȱȱȱ ȱȱȱǰȱȱĴȱ ȱȱȱȱȱ ¢ǯ ȱȱȱ£ȱȱȱȱȱȱ ȱŘŚȱȱȱȱȱȱȱǰȱȱȱŘȬřȱ ¢ȱȱȱȱȱȱȱȱǯȱȱȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱ ȱ¢ȱȱ ȱ¢ȱȱ ȱǯȱȱȱ¢ȱȱȱȱ waters for making formula is not known. Ȋȱ Distilled Ȋȱ £ Ȋȱ Demineralised Ȋȱ ę Ȋȱ ȱȱ Ȋȱ Softened Formula Feeding: What You Need to Know 11 How much will baby eat? ȱ ȱ¢ȱ¢ȱȱĴȱȱȱ¢ȱȱȱ ȱǰȱ ȱǰȱȱȱ¢ȱȱȱ ǯȱ ȱȱȱȱȱȱȱǻ¢ȱŗȬŘȱ¢ǼǯȱȱȱȱȱȱȱŜȱ¢ȱǭȱ ȱȱȱ ȱȱ¢ȱǻȱȱŜthȱ¢ȱȱǼǰȱȱȱȱȱȱȱ¢ ȱȱǯ Signs your baby is hungry Signs your baby is full Ȋȱ ǰȱȱ Ȋȱ ȱǰȱ¢ ǰȱȱ Ȋȱ ȱȱȱȱǻǯǯǰȱ ȱȱȱęȱȱęǼ Ȋȱ ȱȱȱȱǰȱ Ȋȱ ǰȱǰȱȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ ¢ȱ¢ȱȱȱȱȱȱȱȱ ¢ȱ¢ȱȱ¢ǯ Crying, biting the nipple, kicking, or becoming fussy are later signs of being full. 12 Formula Feeding: What You Need to Know ȱ ȱ ȱȱ ȱȱȱĴ ȱȱȱ ¢ Seals his lips Falls asleep Pulls away from nipple ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Size of Baby’s Stomach From about řȱ¢ȱȱŝȱ¢ȱȱ, ¢ȱ¢Ȃȱȱ ȱȱȱ £ȱȱȱ ȱȱȱȱ ŘŘȬŘŝȱȱǻśȱǼǯȱȱ ȱȱ1 week old, ¢ȱ¢Ȃȱȱ ȱȱȱ£ȱȱȱ ȱȱȱȱȱ ŜŖȱȱǻŗŘȱǼǯ ȱȱŗȬřȱ¢ȱȱ, ¢ȱ¢Ȃȱȱȱ ¢ȱȱ£ȱȱ¢ȱ and holds about śȬŝȱȱǻŗȱǼǯ Actual sizes ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 13 ȱȱ¢ȱȱȬȱ ¡ȱ¢ȱ¢ȱDZ Ȋȱ Feed very often Ȋȱ ȱȱȱȱȱȮȱ ƙȱȱŘȱ£ȱȱȱ Ȋȱ ȱȱȱȱ¢ ¢ȱȱȱȱȱȬȱ ¡ȱ¢ȱ¢ȱDZ Ȋȱ ȱŜȬŗŖȱȱ¢ȱŘŚȱ Ȋȱ ¢ȱȱŗȬřȱ£ǯȱȱȱ Ȋȱ ȱȱȱȱȱȱ ȱ¢ȱȱ Ȋȱ ȱ¢ȱ ȱ¢ȱȱ¢ȱȱ Ȋȱ ȱ ȱ 14 Formula Feeding: What You Need to Know ȱȱęȱȱȬȱ ¡ȱ¢ȱ¢ȱDZ Ȋȱ ȱ¢ȱřȬŚȱ ȱ¢ȱȱęȱȱȱȱ ȱȱ¢ȱ¢ȱȱ Ĵȱȱǰȱȱȱȱȱȱȱ ȱȱȱȱ ȱǰȱȃȱȱȱ ȱȱȱ¢Ȅǯȱȱȱȱȱȱȱȱ ȱ ȱ¢ȱ¢ȱȱȱȱȱȱȱȱ ȱǯȱ ȱȱȱĴȱȱȱȱȱȱ¢ǯȱȱ Use any formula you make within 24 hours. ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ How Much Infant Formula To Prepare Age ǛȱȱȱȱŘŚȱ ¡ȱȱȱȱȱĴ Birth ȱȱŜȱȬȱŗŖ ȱȱ¢ȱřȱȬȱ¢ȱ ȱDZ ȱȱ ƙȱȱŘȱ£ȱȱȱȱ ȱȱȱȱ¢ Řȱ ȱȮȱŗȱ ȱȱŜȱȬȱŗŖ ŘȬŚȱ£ȱǻŜŖȬŗŘŖȱǼ ŗȬŘȱȱ ŜȱȬȱŞ ŘȬŚȱ£ȱǻŜŖȬŗŘŖȱǼ řȬśȱ śȱȬȱŝ śȬŜȱ£ȱǻŗśŖȬŗŞŖȱǼ ŜȬŞȱ ŚȱȬȱś ŜȬŞȱ£ȱǻŗŞŖȬŘŚŖȱǼ şȬŗŗȱ řȱȬȱŚ ŜȬŞȱ£ȱǻŗŞŖȬŘŚŖȱǼȘ ŗŘȱƸ ŖȱȬȱř Ŝȱ£ȱǻŗŞŖȱǼȘ ȘȱȱȱȱȱȱȱȱǻřǯŘśƖȱȱǼȱȱȱ¢ȱ¢ȱȱȱȱȱȱȱȱ¢ǯ ȱ¢ȱ¢Ȃȱȱȱȱ ȱȱȱ¢ȱěǯȱȱ ȱ ȱȱȱǯȱȱ¢ȱ¢ȱ ȱȱ ȱȱȱȱȱȱǯȱȱȱȱȱȱȱȱȱǯȱȱȱ¢ǰȱ¢ȱ¢ȱ ¢ȱȱȱ¢ǯȱȱȱȱ¢ȱ¢ȱȱęȱȱĴǯȱȱȱ ȱȱȱ¢ȱȱȱ ȱ ȱ¢ȱȱȱ¢ȱ¢Ȃȱȱȱȱǯȱ ȱȱȱȱȱ ȱȱȱŘȬřȱ ǰȱŜȱ ǰȱřȱǰȱȱŜȱȱȱǯȱȱȱȱ¢ȱȱ ȱȱȱ ȱǯȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ ȱ. ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 15 ȱȱȱȱȱ Ȋȱ ȱȱĴȱ ȱŘŚȱǯ Ȋȱ ȱȱȱȱȱȱȱȱ Ȋȱ Ȋȱ Ȋȱ Ȋȱ refrigerator for more than 2 hours.ȱȱȱ¢Ȃȱ ȱȱ¢ȱǰȱȱĴȱȱȱ ȱ ȱŘȱǯȱ ȱȱ¢ȱǯ ȱȱȱ ȱ should be kept ȱ ȱȱȱȱȱ ȱȱǯ ȱȱȱȱ¢ȬȬ or ȱ ȱǰȱ¢ȱȱȱȱȱȱ ȱȱȱȱȱȱȱȱȱ ǰȱȱȱȱȱȱȱ¢ȱ ȱȱȱȱȱǯȱȱȱȱ ȱȱȱȱȱȱȱȱȱ ȱŘŚȱȱȱȱȱȱǯ Do not freezeȱ¢ȱȱȱȱǯȱ£ȱ ěȱȱ¢ȱȱȱǰȱȱȱ ȱ ¢ȱȱȱ ǯ ȱȱĴȱȱȱȱȱȱȱ ȱȱȱǻȱȱȱȱǼǯȱȱȱȱ ȱȱȱȱȱȱǯ 16 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱ¢ȂȱĴ ȱȱȱȱȱȱĴȱ ȱȱ¢ȱȱȱ Ĵȱȱȱȱȱ ȱ ȱfor no more than 15 minutes. ǻȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ǯǼȱ ȱ ȱȱȱ ȱȱȱȱǯȱȱȱȱ ȱȱ ȱȱȱȱȱȬǰȱȱȱȱȱȱȱȱ ¢ȱȱǯ ȱ ȱ ȱ ¢ȱ Ĵȱ ȱ ȱ ȱ ȱ ¢ȱ ǯȱ ȱ formula should feel a bit warm, notȱǯ Do notȱȱȱ ȱȱȱǯȱȱ ȱ ȱ ȱ ȱ ȱ ¢ǰȱ ȱ ȱ ȱ ȱ Ĵȱ ȱȱȱ¢ȱȃȄȱǰȱȱ¢ȱȱȱȃȱȄȱȱȱ ȱȱȱȱ¢ȂȱǯȱȱȱĴȱȱĴȱȱ ȱ ȱȱȱȱȱ ǰȱȱȱȱȱ ȱȱǯȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 17 ȱȱȱȱ Ȋȱ ¢ȱȱ¢ȱ¢ȱ ȱȱǯȱȱ ȱȱĴȱ ȱ¢ȱǯȱȱȱȱȱ ȱĴȱ ȱȱȱȱȱǯȱȱ Ȋȱ ȱȱ¢ȱ ȱȱȱȱȱȱȱ ȱȱȱȱ¢ǯ Ȋȱ ȱȱ¢ȱȱ¢ȱ ȱ ȱȱȱ Ĵǯȱȱȱȱȱ¢ȱȱȱ¢ȱ ¢Ȃȱ ¢ȱȱȱȱǯȱȱ Ȋȱ ȱȱȱȱȱȱȱȱȱȱ£ȱȮȱ ȱ¢ȱȱȱĴȱȱ ǰȱȱ ȱȱȱȱȱȱǯ Continued on page 19 18 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Ȋȱ ȱȱĴȱȱȱȱȱȱȱȱȱȱ ¢ȱȱȱǯȱȱ Ȋȱ ȱȱ¢ȱ¢ȱȱȱȱǰȱ¢ȱ¢ȱ ȱȱȱȱȱȱ ȱ¢ȱęǯȱȱȱ ȱȱȱȱȱȱ¢Ȃȱǯ Ȋȱ ȱȱȱȱǯȱȱ¢ȱ ¢ȱ¢ȱȱ ¢ȱȱȱȱȱȱ ȱǯȱȱ Ȋȱ ȱ¢ȱȱȱȱȱ ȱȱ ȱ ȱ ǰȱȱȱȱȱ ¢ǰȱȱȱ ȱǯȱȱȱ¢ȱ¢ȱȱǰȱȱȱȱ ȱȱȱȱȱȱȱȱȱĴǯȱȱȱ ¢ȱ¢ȱȱ ȱȱ¢ȱ ȱȱǯ Continued on page 20 ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 19 ȱȱȱȱcontinued from page 19 Ȋȱ ȱ¢ȱ¢ȱȱȱ ȱęȱȱĴǰȱ ȱȱȱȱ¢ȱȱȱȱ¢ȱ ȱȱȱȱŗŖȱǯȱȱȱ ȱ¢ȱȱ ȱȱȱȱȱȱȱȱ¢ȱȱȱ ǯ Ȋȱ ȱ ¢ȱȱȱȱȱȱȱȱĴǯȱ ȱ¢Ȃȱȱ ȱȱȱȱȱȱȱ Ĵǰȱȱȱȱȱȱȱ ȱȱ ȱȱ ȱȱȱ ȱȱȱȱȱȱȱ ǯȱȱ ȱ ¢ȱȱȱȱȱȱȱ ȱȱȱ ȱǯ Ȋȱ ȱ ¢ȱȱȱ¢ȱȱȱȱ within two hoursǯȱȱȱȱȱȬ ȱȱȱǯ Ȋȱ ȱȱ¢ȱ¢ȱȱȱ ȱȱĴǯȱȱȱ ȱȱȱȱ¢ȱ¢Ȃȱȱȱȱ ȱ¢Ȃȱȱȱ¢ǯȱ 20 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱǭȱȱ ȱȱȱȱȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 21 ȱǭȱȱȱ ¢ȱȬȱȱ ȱȱȱ¢ȱȬęȱ ȱȱ¢ȱȱȱȱȱȱȱ ȱǯ ȱ¢ȱȱ¢ȱȱǰȱȱȱȱ¢ȱ ȱ ȱȱǯȱ¢ȱ ȱȱȱ ȱȱǯȱȱȱȱ¢ȱȱȱȱ ȱȱȱȱȱ¢ȱ¢Ȃȱǯ Iron If your baby was full term and is healthy, they likely ȱȱȱȱȱȱȱǯȱȱȱȱ¢ȱ ȱęǯȱȱȱȱȱ¢ȱȱȱ ȱȱȱǯȱ ȱ ȱȱȱȱȱ ȱȱȱ¢ȱ ȱ ȱȱ ȱ ȱȱȱ ȱȱȱ Ěȱǯ ȱȱȱȱȱĚȱȱȱ ǰȱȱȱ¢ȱȱȱǯȱȱȱȱ ȱ ȱȱȱǯ 22 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Vitamin D ¢ȱ¢ȱȱŚŖŖȱȱȱȱȱȱ¢ǯȱ ȱȱȱȱ ȱȬȱ¢ȱȱȱȱ ȱȱȱ¢ȱǯ ȱȱȱǯǯǯ ȱȱȱȱȱ¢ ȱȱśŖŖȱȱǻŗŜȱ£Ǽȱ 400 IU ȱśŖŖȬŗŖŖŖȱȱǻŗŜȬřŘȱ£Ǽȱ ŘŖŖȱȱǻȱŚŖŖȱȱ¢ȱŘȱ¢Ǽ ŗŖŖŖȱȱȱȱǻřŘȱ£Ǽȱ No additional vitamin D needed ȱȱȱȱ ȱȱ ȱȱȱ ȱ ŗȱȱǻŞȱ£Ǽ ŗŖŖȱ ¢ȱȱǻęǼ ŗȱȱǻŞȱ£Ǽ ŗŖŖȱ ȱǻǼ ƙȱȱǻřŝȱǼ 304 IU ȱǻǰȱǼ ƙȱȱǻřŝȱǼ ŘŖȱ ȱ¢ ȱŗȱ Řśȱ ȱȱǻęǼ ƙȱȱǻŚȱ£Ǽ ŘŘȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱȱȱȱ ȱŗȱ¢ȱȱȱȱȱ ȱĴȱȱȱȱȱ £ȱ Ȃȱȱȱȱǯȱ ȱȱȱȱȱȱȱ ȱȱȱȱŚŖȱȱȱ ȱȱŗŖŖȱȱȱ ǻȱŜŖȱȱȱŗŖŖȱ Ǽǯȱȱ¢ȱ¢Ȃȱ ȱȱȱ ȱȱ of vitamin D than this, speak to a ȱȱ about vitamin D ǯȱ Babies should not ȱȱŗŖŖŖȱȱȱȱȱȱ¢ȱ ȱȱȱȱǯ Formula Feeding: What You Need to Know 23 Fussy Babies (colic) ȱȱȱ¢ȱǰȱȱȱȱ¢ǰȱ ǰȱȱǯȱȱȃ¢Ȅȱ¢ȱȱȱȱȱ ȱ¢ȱ¢ǯȱ ¡ȱȱȱȱȱȱȱȱǯȱȱȱ ¢ȱȱȱ¢ǯȱȱ¢ȱȱȱȱ ¢ȱ¢Ȃȱ¢ǰȱȱȱ¢ȱȱȱȱȱȱ ǯȱ¢ȱȱȱȱȱȱȱ ȱȱ ¢ȱ¢ǯȱ 24 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱ ȱȱȱ¢ȱ¢ȱ ȱȱ¢DZȱ Ȋȱ ȱȱȱȱȱ ȱ¢ȱ¢ȱȱ Ȋȱ ȱ¢ȱ¢ȱȱ ȱǯȱȱ¢ȱȱ ȱ¢ȱȱǯȱ Ȋȱ ¢ȱȱȬȱȱȱ ȱȱ ȱȱ¢ǯȱȱȱȱȱȱȱ ěȱ¢ȱȱǰȱȱȱȱǯȱȱ ȱȱ¢ȱǰȱ ȱȱ ȱȱȱȱȱǯȱȱȱ ¢ȱȱȱȱ¢ȱ¢ȱȱǯȱ ȱ ȱȱȱȱ¢ȱ¢ȱȱȦ ǯȱ Ȋȱ ȱ¢ȱ¢ȱȱȱȱȱȱȦȱȱ ǯȱǰȱȱȱȱȱȱȱȱ ȱǯȱ ȱȱ ȱȱ ȱȱȱȱȱȱ ǰȱȱȱȱȱȱȱȱȱ ¢ȱǯȱ Ȋȱ ȱ ȱȱǰȱȱĴȱ ȱ ȱ¢ȱǯȱȱȱȱȱ ȱȱ¢ȱȱǯȱȱȱ¢ȱȱȱ ȱ¢ȱȱ¢ȱȱǯȱ Ȋȱ ȱ¢ȱȱȱȱȱȬȬ ȱȱȱȱȱȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 25 Burping ȱȱȱ¢ǰȱȱȱǯȱ¢ȱȱȱ ¢ȱ¢ȱȱȱȱȱȱȱȱȱ ȱȱȱȱǯȱǰȱȱ¢ȱ¢ȱ ȱȦ ȱȱȱȱȱȦȱȱȱ ȱǯȱȱȱ¢ȱ¢Ȃȱȱȱȱǯȱ ȱ¢ȱ¢ȱȱĜ¢ȱǰȱ¢ȱȱ ȱ¢ȂȱȱȱȱȱȱȱȱȦȱ ǯ ȱȱȱ ¢ȱȱȱDZȱ ŗǯȱ ȱ¢ȱȱ¢ȱȱȱ¢ȱȱȱȱ ȱȱȱȱǯȱ Řǯȱ ȱ ȱ¢ȱȱȱĴȱȱȱ¢ȱǯȱȱ ȱȱȱȱȱȱȱȱȱȱ Dzȱ¢ȱȱȱǯȱ řǯȱ ȱ¢ȱ¢ȱȱȱ¢ȱȱ¢ȱȱȱȱ ȱǰȱȱȱȱȱ¢ȱȱȱ ¢ȱȱȱǯȱ 26 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Ĵȱȱ ȱȱȱȱȱȱȱȱȱȱ ęȱŚȬŜȱǰȱ¢ȱ ȱǯȱȱ¢ȱ¢ȱ ȱȱȱǰȱȱ¢ȱȱȱ¢ȱ¢ȱȱȱ ȱȱȱȱǰȱ ȱȱ ȱȱȱ ȱȱȱ¢ȱȱǯȱ ȱ¢ȱȱȱŗŖȱȱȱȱȱ ȱȱȱȱĴȱǯ ȱ¢ȱȱ ǰȱȱȱ¢ȱȱȱȱȱȱ ǯȱ ȱ¢ȱ¢ȱȱ¢ȱȱȱȱȱ ȱ ¢ȱǰȱȱȱ¢ȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 27 ȱȱ(not sleeping through the night) ȱȱȱȱ¢ȱȱ¢ȱȱȱ ȱ ȱȱȱȱȱȱȱȱǰȱȱ ¢ȱǯȱȱȱȱȱȱ ȱȱȱȱȱȱȱȱ¢ȱ ȱ¢ǯȱ ȱȱȱȱȱȱȱ ȱȱȱ¢ȱǻǼǯȱȱ ¢ȱ ȱȱȱȱ ȱ¢ȱ ȱȱȱȱǯȱ¢ȱ¢ȱȱ ěǯȱ 28 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Usually, when baby is several months old, they ȱȱȱȱ ȱȱȱȱśȱȱŜȱȱȱ ǯȱȱȱȱ¡ȱ ȱ¢ȱ¢ȱȱȱ ȱȱ ȱȱȱȱǯȱ ȱ¢ȱ¢ȱȱȱȱȱ ȱǰȱ¢ȱ may wake up more often, even if they have been ȱ ȱȱȱǯȱȱȱȱȱ ěȱȱȱȱȱǯȱȱȱȱȱ baby needs more formula, not that they need to ȱȱȱȱǯȱ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱ¢ȱ¢ȱȱ¢ǰȱ¢ȱ ȱȱȱȱ ȱǯȱ¢ȱ¢ȱȱȱȱȱěȱǯȱ ěȱȱȱȱȱȱȱȱȱ ȱȱȱȱĴȱ¡ȱ ȱȱȱnot the solution to get baby to sleep through the night. ȱ¢ȱ¢ȱȱȱȱȱ ȱȱ¢ȱȱȱ¢ȱȱȱǯȱȱ¢ȱȱ ȱȱ¢ȱȱȱȱȱȱǰȱȱ ȱǯȱȱ ȱȱȱȱȱ ȱ¢ȱȱ¢ȱ¢ǯȱ Formula Feeding: What You Need to Know 29 Teething ȱȱȱǯȱ ȱǰȱȱ and irritability are all normal symptoms of ǯ ȱȱȱ¢ȱȱȱȱ ȱǰȱ ȱȱȱǰȱȱȱȱȱȱȱ ¢ȱȱǯȱȱȱ¢ȱȱȱǯ ȱȱęȱǰȱȱǰȱȱǰȱȱǰȱȱȱ ǰȱǰȱȱ ȱȱ¢ȱȱȱ ȱȱ ȱǯȱȱȱȱȱȱȱ ǯ ȱȱȱȱȱȱ¢ȱ¢ȱȱ ȱ¢ȱȱǰȱȱ ȱȱȱȱ ȱȱȱȱǯȱȱȱȱ ¢ȱȱȱȱȱȱȱȱȱȱ ȱȱ¢ȱ¢ȂȱȱĚ¡ȱȱ ǯ 30 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ¢ȱȱ How much will formula feeding cost? ȱȱȱ¡ǯȱȱ ȱȱȱȱȱ¢ȱ¢ȱ ȱȱȱȱ ȱȱ¢ȱȱȱȱ¢ȱ¢ȱǯȱȱ ȱȱ¢ȱ¢ȱȱǻȱȱ ȱ Ǽȱ ȱȱȱȱǞŗŖŖȱȱȱȱȱ ǰȱ Ȃȱȱȱȱǻ¢ȬȬȱȱ ȱȱřȱȱȱǼǯȱȱȱȱ¢ȱȱȱ ȱȱ ȂȱȬȱ Ȭȱȱȱȱ ¢ȱȱȱȱǻ¢ǰȱȬǰȱ¢Ȭ Ǽǰȱȱȱȱ ȱȱȱȱǯ ȱȱȱȱȱȱȱȱ¢ȱȱȱ ȱęȱŜȱȱȱȱȱ ȱȱȱȱǞŜŖŖǯȱȱ ȱȱȱȱȱȱȱĴǰȱǰȱȱ ȱȱȱȱȱȱǰȱ ȱ ȱȱȱȱȱȱ¢ȱ ȱȱȱ ȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ What are some signs that a feeding might not be going well? ȱ ȱĴȱ may be shown by some of ȱȱȮȱ¢ȱȱȱȱȱȱǰȱ ȱȱȱȱȱǯ Ȋȱ ȱ¢ȱ ȱȱȱȱȱ ȱ Ȋȱ ȱȱ Ȋȱ ǰȱ Ȋȱ ȱȱ ȱĴȱ ȱȱȱȱ ę Ȋȱ ȱȱȱ ȱȱȱȱȱ Ȋȱ ȱȱȱȱȱȱȱ Ȋȱ ȱȱȱȱȱ Ȋȱ ȱȱȱȱȱȱ Ȋȱ ȱ¢ȱ ¢ȱȱȱ¢ȱȱ Ȋȱ ȱȱ¢ Formula Feeding: What You Need to Know 31 ȱ¢ȱȱĴȱȱȱǵ Ĵȱȱȱěȱǰȱȱȱȱȱ ȱǻȱȱȱȱȱȱǼǯȱȱǰȱĴȱȱ ȱȱȱȱȱȱǯȱȱȱĴȱȱȱ ǰȱȱ¢ȱȱȱ ȱȱȱȱȱȱ ȱ¢ȱ ȱȱȱȱȱȱȱ ȱǯȱȱȱ¢ȱĴȱ¢ȱȱȱ ȱȱȬȱǻǼȱȱ¢ȱȱȱ ¢ȱȱȱȱȱȱ¢ȱǯȱȱȱ ȱȱȱ¢ȱȱ¢ȱĴȱ¢ȱȱȱȬ ȱȱȱȱ¢ȱĴǯ ȱȱȱȱȱȱĴȱȱǵ ȱĴȱȱȱȱȱȱȱ ȱ¢ȱ ȱȱ ȱȱȱȬ DZ Ȋȱ ȱ Ȋȱ ȱȬȱȱȱ¢ȱȱȱȱȱǯȱȱȱ ȱȱȱȱȱȱǰȱȱȱȱǯȱȱ ȱǰȱȱȱȱȱȱ ȱȱȱǯ Ȋȱ ¢ȱȱ ȱ¢ Ȋȱ ȱǭȱ Ȋȱ ȱȱȱǻȱȱȱ¢ȱǰȱȱ ȱȱȱȱǼ ȱ¢ȱȱȱȱȱǵ ȱȱȱȱȱȱȱȱȱǻǰȱ ¡ǰȱȱǼȱȱȱȱěȱȱǻǰȱ ǰȱȱĚȬǼǯȱȱȱȱȱȱ ȱȱȱȱ£ȱȱĚ Ȭǯȱȱȱ¢ȱȱ ȱȱ ȱȱ¢ȱ¢ȱ ȱǰȱ ¢ȱȱȱȱ ȱěȱ¢ȱȱ¢ȱȱǯȱȱȱ ¢ȱęȱȱ ȱȱ¢ȱ¢ȱǰȱȱ¢ȱ ȱȱȱȱ ȱǯ ȱȱ¢ȱȱȱĴȱȱȱȱ what they are made of, how often they are used, and how ȱ¢ȱȱ£ǯȱȱȱȱȱȱȱȱ ¢ȱȱȱȱȱȱȱȱǯ 32 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱȱȱĴȱ£ȱȱ £ȱĴȱȱǵ ȱȱȱȱȱȱĴȱ£ȱȱ ȱȱȱȱ£ȱĴȱȱȱȱȱ ȱǯȱȱȱȱȱ¢ȱȱȱȱ ȱ ȱ¢ȱȱȱȱȱȱȱȱȱ ȱȱǰȱȱ¢ȱȱȱȱȱȱ £ȱȱȱȱ¢ȱȱȱȱ ȱǯȱȱ ȱȱȱ¢ȱȱȱȱ ȱȱ£ȱȱȱȱĴȱ ȱȱȱȱǰȱȱȱ¢ȱ¢ȱȱȱ ěǯȱȱȱ ǰȱȱȱȱȱȮȱ ȱȱȱȱ ȱȱ ȱȱȱȱ ¢ȱȱȱȱǰȱȱȱȱ ¢ȱȱ ȱȱ ȱȱȱȱȱȱȱȱȱ ȱȱȱȱȱȱ ȱȱǯȱȱ ȱȱȱȱĴȦȱ£ǰȱȱȱ ȱȱȱ ȱȱȱȱȱȱ ȱ£ȱ¢ȱȱȱȱȱȱȱŘȱǰȱ ȱȱȱȱȱȱȱǯȱȱȱ ȱȱ£ȱȱ ȱȱȱȱȱȱ ȱȱĴȦȱ£ǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱĴȱǭȱȱȱȱ ǵ ȱ ȱ ȱȱ£ȱĴȱȱǯȱȱȱ ȱȱ¢ȱȱȱȱȱȱȱȱ ȱȱȱȱȱȱȱȱȱȱȱĴǯȱȱ ȱĴȱȱȱȱȱȱ¢ȱ ȱȱȱ ȱȱ¢ȱȱ¢ȱǯ ȱȱȱȱȱȱȱĴȱȱȱȱǵ ȱȱȱȱȱȱȱȱ£ȱȱ ȱȱȱ£ȱĴǯȱȱȱ ¢ǰȱȱ ȱȱȱȱȱȱ£ȱ ȱȱ ȱȱǰȱȱȱȱȱ ȱȱȱŘŚȱǯȱȱȱ¢ȱȱȱȱȱ ęȱȱȱǰȱȱȱ¡ȱ ¢ȱȱȱ ȱȱȱȱ¢ȱȱ¢ȱȱȮȱȱȱȱ ǰȱȱȱȱȱȱȱȱ ȱȱĴȱȱ ȱȱȱȱȱȱǯ Formula Feeding: What You Need to Know 33 ȱȱȱȂȱ¡ȱȱȱ¢ǵ ȬȱǻȱȱĴȱ ȱȱȱȱ ȱ ȱȱȱǼȱȱȱ ȱȱȱ¢ǰȱDZ Ȋȱ Ȋȱ Diarrhea Ȋȱ Ěȱȱȱ Ȋȱ ȱȱ¢ȱȱȱȱ¢ Ȭȱǻȱȱȱ Ǽȱȱȱ ȱȱȱ¢ǰȱDZ Ȋȱ Low nutrient intake Ȋȱ ȱ¡ȱȮȱȱȱȱ£ǰȱ ¢ǰȱ¢ȱǰȱȱ ȱȱȱȱȱȱȱȱ¢ȱǰȱ ȱ¢ȱ ȱȱ¢ȱěȱȱȱȱěǯȱȱ ȱȱȱȱȱȱǰȱȱȱȱȱȱ ǰȱȱȱ¢ȱȱȱ¢ȱǯȱȱȱȱȱ ȱ ȱȱȱȱȱveryȱ¢ǯ 34 Formula Feeding: What You Need to Know ȱȱȱȱ ȱȱȱȱǵ ȱȱǯȱȱȱȱȱȱȱ¢ȱȱȱȱ ȱ¢ȱ¡ȱȱȱȱȱ¢ǯȱȱȱȱ ȱDZ Ȋȱ ȱ¢ȱ¢ȱȱȱęȱȱȱǰȱȱȱ ¢ȱȱȱȱȱ¢ȱȱȱȱȱȱȱ air Ȋȱ ȱ¢ȱ¢ȱȱȱȱ Ȋȱ ȱ¢ȱȱȱȱȱȱȱȱȱ ȱ Ȋȱ ȱ¢Ȃȱȱȱȱ¢ȱȱȱȱȱ ȱȱȱȱȱȱ¢ Ȋȱ ȱȱȱ¢ȱȱȱȱ¢ȱ¢ȱ ȱǯȱȱȱȱȱȱȱȱȱ¢ȱȱ ȱȱȱȱȱȱȱ ȱ¢ȱȂȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱ ȱȱ¢ȱ¢ȱȱȱȱ ȱȱȱȱȱǵ ȱ ȱȱȱȱ¢ȱȱȱ ȱ ȱȱȱȱ¢ǰȱ¢ȱȱȱ ęȱ ȱ ȱȱǯȱȱ ǰȱȱȱȱȱȱ ȱȱȱ ȱȱȱȱȱǻȱ Ǽȱ ȱȱȱ ȱȱ¢ȱŗȬŘȱ¢ǯȱȱȱ ȱȂȱȱȱȱȱǰȱęȱȱȱ ǰȱȱ ȱȱ¢ȱȱȱȱĴǯȱȱ ȱȱȱ¢ȱ¢ȱȱȱ¢ȱ ȱ¢ȱȱȱ ȱǰȱȱȱȱȱȱ¢ȱȱȱ ȱȱǰȱȱ¢ȱȱȱǯ ȱ¢ȱ¢ȱȱȱǰȱ¢ȱ ȱȱȱ ȱĜȱȱȱǰȱǰȱ¢ȱȱȱȱ ȱȱȃǯȄȱȱȱ¢ȱ¢ȱȱȱȃȄȱȱ ǰȱȱȱ¢ȱȱȱǯ ȱ¢ȱ¢ȱȱȱȱȱęȱǵ Ȭęȱȱȱȱ¢ȱȱȱ¢ȱȱȱ ǯȱȱȱ¢ȱȱȱě¢ǰȱ ȱȱȱȬęȱȱǯȱȱȱ¢ȱ¢ȱȱ ȱȱȱǰȱȱȱ¢ȱȱȱ ǯȱ ¢ȱ¢ȱȱ¢ǰȱȱȱ ȱǵ ȱ¢ȱȱȱǰȱȱ ȱǯȱ ȱ ȱȱȱȱȱȱȱȱȱ ȱ ȱȱȱȱ¢ǯȱȱȱ¢ȱȱ¢ȱȱȱ ȱǰȱȱȱ¢ȱȱȱȱęǯȱȱ ȱ¢ȱȱ ȱǰȱȱ¢ȱȱȱȱ¢ȱ on the new formula for at least one full week in order to ȱ ȱ ȱȱ¢ȱȱȱȱȱǯ ȱȱȱȱ ȱȱĴǵ ȱ¢ȱȱȱȱȱȱȱȱ ȱȱ¢ǯȱȱȱ¢ȱ ȱ¢ȱ ȱȱȱ ȱȱȱȱǰȱȱȱęȱȱěȱȱȱ ¢ǯȱȱ ȱȱĴȱȱȱȱȱȱȱěȱȱ ȱȱȱȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Formula Feeding: What You Need to Know 35 ȱȱȱȱ¡ȱ than powdered formula? ȱ¢ǯȱȱȱȱȱȱ¡ȱȱȱ ȱȱ¢ȱȱȱȱȱȱȱȱȱȱ ȱǰȱȱȱȱȱȱȱȱ ȱȱ ȱȱ ȱȱȱȱ ȱȱȱǻȱȱȱȱ¢Ǽǰȱȱ ȱȱȱȱ ȱȱȱȱȱ ¡ǯȱȱ ȱȱȱ¢ȱȱȱěȱȱȱȱ supplement, what is the best formula to use? ȱ¢ȱȱ¢ȱȱȱěȱȱȱ ȱǰȱȱȱ¢ȱ¢ȱȱȱȱȱȱ ǰȱȱȱȱ Ȃȱȱȱȱȱ ȱǯȱȱȱ¢ȱȱȱ¢ȱȱȱȱȱ ȱȱȱ¢ȱȱ Ȃȱȱȱȱǯȱȱ ȱȱȱȱȱȱȱ¢ȱȱȱȱ about whether your baby needs to be supplemented with ǯȱȱȃĴȱ¢ȱȱȱȄȱȱ ȱŚǯ 36 Formula Feeding: What You Need to Know What about DHA? ȱȱȱȱĴ¢ȱȱȱȱȱ ȱȃȬřȄǰȱȃ ȄǰȱȱȃǯȄȱȱȱȱ ȱȱȱȱǰȱȱȱȱȱ ȱ ȱȱȱȱȱ ȱȱȱ ȱȱǯȱȱȱȱȱȱ¢ȱȱȱȱ ȱ ¢ȱ ȱȱȱȱ¢ȱȱȱȱǯ What are “follow up formulas”? ȃ ȬȄȱȱȱȃȱȄȱȱ ¢ȱȱȱȱȱȱȱȱ ȱǯȱȱȱ¢ȱ¢ȱȱŜȱȱȱǰȱȱ ȱȱȱȱȱȱȱȱȱȱ ȱȱȱȱȱǯȱȱȱ¢ȱ¢ȱȱȱ ȱ ȱȃȄȱǰȱȱȱȱȱȱȱȱȱ ȱȱęȱ¢ǯȱȱȱ¢ȱ¢ȱȱȱȱ ǰȱ¢ȱȱȱ¢ȱȱȱȱȱ¢ȱ ȱȱȱȱ Ȭȱ¢ȱǯȱȱȱȱȱȱ ¢ȱȱȱȱ ȱ¢ȱȱȱ¢ȱȱȱ ȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱ ȱȱ¢ȱ¢ȱȱȱȱȱȱ to the formula? Babies who have a parent, brother, or sister with any ¢ȱȱȱȱȱ¢ȱȱȱȱȱ ȱȱȱȱȱȱǯȱȱ ȱȱȱȱȱDZ Ȋȱ ȱ Ȋȱ Nausea Ȋȱ Ȋȱ Blood in stool Ȋȱ Hives or rash Ȋȱ ȱȱ¢ǰȱǰȱǰȱǰȱǰȱȱ Ȋȱ Ĝ¢ȱǰȱ £ǰȱǰȱȱ runny nose Ȋȱ ȱȱȱȱǻ¢¡Ǽ ȱȱȱȱȱȱȱȱȱ¢ȱǰȱȱ ȱ¢ȱ¢ȱȱȱǰȱ¢ȱȱȱ¢ȱȱ Ȃȱ ȱȱǯȱȱȱ¢ȱ¢ȱȱȱȱȱ ȱȱȱȱȱ¢ȱȱǰȱȱ ȱ¢ȱȱ¢ȱȱǯ ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ȱȱȱȱȱ ¢ȱȱǵ Ȋȱ ȱȱ ȱȱȱȱ ȱ ȱȱ ȱȱǰȱȱȱȱȱȱ ȱȱȱǯȱȱ Ȋȱ ȱȱȱȱȱȱǯȱȱ ȱȱȱȱǰȱȱȱȱ ȱȱȱ¢ȱȱȱ ǯȱȱȱȱȱȱȱȱȱȱ ȱȱȱȱȱȱ ȱŘŚȱ ȱȱ ȱȱ ȱęȱǰȱȱȱȱȱ ȱȱȱȱȱ¢ǯȱȱ Ȋȱ If the journey time takes more than 30 minutes, ȱȱȱȱȱȱȱ ȱȱȱȱȱȱȱȱȱ ȱȱȱǯȱȱȱȱȱȱȱȱ ȱȱȱȱȱȱȱȱȱȱ¢ǯȱȱ ȱȱȱȱȱ¢ȱȱȱĴȱȱ ȱȱȱȱ¢ȱȱȱȱǯ Ȋȱ ȱȱ ȱǰȱȱȱ¢ȱ ȱ ȱ ȱȱȱȱȱ ȱȱ ǰȱȱ¡ȱȱȱȱȱ¢ȱ ¢ǯȱ Formula Feeding: What You Need to Know 37 ȱȱȱȱȱǵȱ ǰȱȱǭȱȱȱ ȱ ŚśŞȱȱǯ ǰȱȱȱŜȱŝř Health ACTION Line (toll free) ŗȬŞŖŖȬŜŜŖȬśŞśřȱ ǯǯȦ ŘŞŘŞȱȱŘŖŗŚ 38 Formula Feeding: What You Need to Know ђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ Developed & designed by Leeds, Grenville & Lanark District Health Unit May be reproduced in its entirety provided source is acknowledged. 2828 revised November 2014 Leeds, Grenville & Lanark District HEALTH UNIT Your Partner in Public Health www.healthunit.org џќёѢѐђёȱяѦȱђђёѠǰȱџђћѣіљљђȱӕȱюћюџјȱіѠѡџіѐѡȱ ђюљѡѕȱћіѡ ќѣђњяђџȱ2014
