 Breast-feeding is the natural

and ideal nourishment that will supply an infant with adequate nutrition as well as immunologic and anti-infection properties.
 Breast-feeding can be

continued through most illnesses and hospitalizations of the infant.

 Attempts should be made to maintain

the breast-feeding bond and routines of the child and mother.  Supplemental artificial formula can be given to the infant if the mother is not available.  The mother can pump her breasts so that milk can be given to the infant by way of bottle when she is not available.  Breast milk can be frozen for up to 6 months (check the facility's specific policy).  Thaw frozen breast milk for use in tepid water. Do not use a microwave.

 Stress of new motherhood or illness

in the infant or mother may decrease the mother's milk supply and inhibit her let-down reflex, as well as increase or decrease the infant's desire to suckle.
 Pumping may be initiated to help

stimulate the mother's milk supply.
 Education and encouragement

should be offered to all new mothers and those having difficulty or concerns about breast-feeding


 Problems:  Breast engorgement  Sore nipples

ADVANTAGE TO THE MOTHER ► Economical ► Emotionally satisfying to most women ► Helps contract uterus and accelerates uterine involution in postpartum period ► Promotes infantmother bonding DISADVANTAGE ADVANTAGE TO THE BABY ► Digestible ► Most drugs are taken ► Available at right by the mother are temperature transmitted through ► Not so likely to become breast milk and may obese cause harm to newborn ► Sucking promotes mother-infant bonding ► Composition is ideal ► Has antibodies ► Develops facial muscles, jaw, and nasal passages

Bottle-feeding is a method of supplying nutrition to the infant by oral feedings, using a bottle and nipple set-up. Bottle-feeding can supplement breastfeeding with formula or water, or can be the sole means of nutritional intake for the infant. Bottle-feeding can also provide intermittent feedings of expressed breast milk when the mother cannot be present at the time of the feeding. Bottle-feeding can be a time of bonding between the mother and infant. The father or other capable members of the family should be taught bottle-feeding technique as well.

TYPES OF FORMULA MILK  Evaporated milk

Is whole milk which is 60% of water has been removed

Condensed milk

Evaporated milk which sugar has been added, contains 100cal/oz
Milk from which the bulk of the fat has been removed Whole or skimmed milk from which the water has been completely evaporated

Skimmed milk

Dried milk

PROCEDURE GUIDELINES: BOTTLE-FEEDING Preparatory phase 1. Infant should be awake and hungry. Change wet or soiled diaper. 2. Prepare formula according to manufacturer's instructions. Check formula for correct type and amount. 3. Some infants prefer warmed formula, not hot. 4. Sit in a comfortable chair. Cradle the infant with one hand and arm, while supporting the infant against your body or lap.

Performance phase
1. Let the infant root for the nipple by touching the corner of the infant's mouth with the nipple. When the infant's mouth opens, insert the nipple. 2. Hold the bottle at an angle to completely fill the nipple with fluid. 3. Never prop the bottle or leave the infant unattended during feeding. 4. Handle the bottle carefully so as not to contaminate the nipple or fluid. 5. Infant's feeding time will vary from 10 to 25 minutes. Position the infant so eye contact can be established during feeding. Soothing talk and fondling can provide additional comfort to the infant. 6. Burp the infant at least once during the feeding and at the end of the feeding. a. Place the baby in a sitting position in your lap, tilt slightly forward, and gently rub or pat the back or abdomen. b. Place the infant in a prone position on your shoulder and gently pat or rub the back. c. Place the infant in a prone position on your lap and gently rub or pat the back.

Follow-up phase
1. After final burping, change the infant's wet or soiled diaper and place the infant in the crib on the right side. 2. Check the infant in a few minutes. If restless, pick infant up and burp. Note if any spittingup has occurred.