Formula Feeding of

Infants & Children

Randev Wannakuwatte
What is formula feeding?
• Modified animal milk (usually cows or goats milk) designed to
simulate the composition of human milk is used to feed infants when
breastfeeding is not possible
• Formula feeding is considered inferior to breast milk for numerous
reasons and therefore must not be used whenever breastfeeding isn’t
contraindicated
Contraindications to breastfeeding
• Maternal contraindications
• Chronic diseases
• Emotionally unstable
• Drug intake
• Infections
• Infant contraindications
• Metabolic disorders- galactosemia, phenylketonuria
Breast milk vs raw cows milk composition
Modifications of raw animal milk
• Dilution
• Acidification
• Boiling
• Pasteurization
• Evaporation
• Homogenization
• Hydrolyzation
Basic Formulas
• Suitable for healthy infants, they are produced from cow’s milk with
added iron and vitamins
• Premature – PreNAN, Bellact Pre
• Under 6 months – NAN1, Bellact 1
• 6months to 1 year – NAN 2, Bellact 2
• Some of these formulas include pre and probiotics to stimulate
normal microorganism growth in the colon
Prophylactic formulas
• Goats milk formulas for children with cows milk allergy (beta-
lactoglobulin and alpha-s-1-casein are absent)
• Under 1 year – NENNY
• Over 1 year – NENNY gold
• Partially hydrolyzed formula for children with allergy in anamnesis
• NAN HA(hypoallergenic)
• Bellact HA
Medical Formulas
• Extensively hydrolyzed formulas
• Amino acid based formulas
• Low lactose formulas
• Soybean formulas
• Thickening formulas
• Low solute formulas
• Special formulas- phenylalanine, lactose free, diabetic formulas etc
Thank You!