Bottle Feeding

So as you may know I’m a breastfeeding counsellor but what you may not be aware of is that I formula fed my eldest. It is not my place to pass any comment on how YOU choose to feed YOUR baby – as long as you are both happy and healthy then I am satisfied. So please find my guide to bottle feeding.

Buying bottle feeding equipment

You’ll need a number of bottles and teats, as well as sterilising equipment. There’s no evidence that one type of teat or bottle is better than any other.  Simple bottles that are easy to wash and sterilise are probably best.

Making up bottles

Make sure your bottles and teats are sterilised and wash your hands thoroughly and if you’re using infant formula, follow the instructions on the packaging carefully when you make up the feed.

Step-by-step guide to preparing a formula feed

  1. Fill the kettle with at least 1 litre of fresh tap water (do not use water that has been boiled before).
  2. Boil the water. Then leave the water to cool for no more than 30 minutes, so that it remains at a temperature of at least 70C.
  3. Clean and disinfect the surface you are going to use.
  4. It’s important that you wash your hands
  5. If you are using a cold-water steriliser, shake off any excess solution from the bottle and the teat, or rinse them with cooled boiled water from the kettle (not tap water).
  6. Stand the bottle on the cleaned, disinfected surface.
  7. Follow the manufacturer’s instructions and pour the amount of water you need into the bottle. Double check that the water level is correct. Always put the water in the bottle first, while it is still hot, before adding the powdered formula.
  8. Loosely fill the scoop with formula powder, according to the manufacturer’s instructions, then level it using either the flat edge of a clean, dry knife or the leveller provided. Different tins of formula come with different scoops. Make sure you only use the scoop that comes with the formula.
  9. Holding the edge of the teat, put it into the retaining ring, check it is secure, then screw the ring onto the bottle.
  10. Cover the teat with the cap and shake the bottle until the powder is dissolved.
  11. It’s important to cool the formula so it’s not too hot to drink. Do this by holding the bottle (with the lid on) under cold running water.
  12. Test the temperature of the formula on the inside of your wrist before giving it to your baby. It should be body temperature, which means it should feel warm or cool, but not hot.
  13. If there is any made-up formula left in the bottle after a feed, throw it away.

Dos and don’ts of making up formula feeds

  • Do follow the manufacturers’ instructions very carefully, as they vary as to how much water and powder to use.
  • Do not add extra formula powder when making up a feed. This can make your baby constipated or dehydrated. Too little powder may not give your baby enough nourishment.
  • Do not add sugar or cereals to your baby’s formula.
  • Never warm up formula in a microwave, as it may heat the feed unevenly and burn your baby’s mouth.

Reducing the risk of infection

Even when tins and packets of powdered infant formula are sealed, they can sometimes contain bacteria.  Bacteria multiply very fast at room temperature. Even when a feed is kept in a fridge, bacteria can still survive and multiply, although more slowly. To reduce the risk of infection, it’s best to make up feeds 1 at a time, as your baby needs them. Use freshly boiled drinking water from the tap to make up a feed. Do not use artificially softened water or water that has been boiled before.  Leave the water to cool in the kettle for no more than 30 minutes. Then it will stay at a temperature of at least 70C. Water at this temperature will kill any harmful bacteria.

Remember to let the feed cool before you give it to your baby. Or you can hold the bottle (with the lid on) under cold water from the tap.

Do not use bottled water to make up formula feeds

Bottled water is not recommended for making up feeds, as it’s not sterile and may contain too much salt (sodium) or sulphate.