Actually 5-6 oz per bottle is more than most breastfed babies take. The
average breastfed baby drinks 25oz of breast milk per day (19-30oz is
considered "normal"). So if a baby nurses 8 times they take an average of 3
oz per session (of course sometimes they may take more and sometimes they
may take less). Even with 3 bottles and 2-3 nursing sessions that’s about
4-5 oz per bottle.
http://www.kellymom.com/bf/pumping/milkcalc.html
However if she's taking 18oz when she is away from you she needs maybe
1-12oz while she is with you. If she's more of a 19oz per day kinda baby she
may not be taking very much from you at all, which is bad because her
nursing directly should really maintain your supply more than pumping.
It is actually pretty common for caregivers to overfeed breastfed babies. (
http://www.kellymom.com/bf/pumping/milkcalc.html#toomuchlittle )
Also I forgot to ask, do you pump on your days off to try to bank more milk?
The best thing is to work with the caregiver to find a way for her to take
less breastmilk while you are gone, so that you don’t have to pump as much
AND she will nurse more when you are around. Was a different person in
charge of her the day she did ok on the smaller bottles? If she won't take a
pacifier you could try to get the caregiver to give her a clean upside down
finger (nail to tongue) to suck on and see if she will take that in lieu of
a bottle. Also this has good info for caregivers on how to bottle feed a
breastfed baby:
http://www.kellymom.com/bf/pumping/bottle-feeding.html Also make
SURE that EVERYONE THERE knows that breastmilk should not be discarded if
baby does not finish a bottle, breastmilk is perfectly fine to reheat at
least once http://www.kellymom.com/bf/pumping/reusing-expressedmilk.html ,
if stored at room temp it can be reoffered an unlimited number of times
(until the time is up for room temperature storage which is at least 10
hours unless the room is very warm)
http://www.kellymom.com/bf/pumping/milkstorage.html &
http://www.llli.org//NB/NBJulAug98p109.html -lists the study that shows
a minimum of 10 hours . Also use a low flow nipple and *maybe* one of these
bottles though I am not really convinced they are any better: breastflow
(http://www.breastflow.co.uk/ (video) US site:
http://www.learningcurve.com/breastflow ) or adiri
http://bellylaughs.ca/catalog.php?item=9
or
http://shop.littlebundles.ca/products/adiri-breast-bottle
Assuming that doesn’t work there are a few schools of thought on this. La
Leche League (
http://www.llli.org/llleaderweb/LV/LVDec99Jan00p130.html ) would tell
you that a small amount of mashed banana can help tide baby over until mom
gets there without stopping baby from nursing when mom does come back. So
you could leave 3-4 oz bottles and on the days it isn’t enough give her
banana. Not only will banana not fill her up so much she won’t nurse it is
far less allergenic than formula (and has no heavy metals). I would also
presume it’s cheaper. I know it’s early to start solids BUT adding formula
does the same thing to the intestinal pH and flora as solids.
Dr Newman would tell you that its perfectly ok to add water to a baby’s diet
as long as it’s not replacing nursing (
http://www.kellymom.com/newman/17feed_baby_working_moms.html ). He would
also say that cow’s milk and other solids are fine as well. I am often on
yahoo saying to never give a breastfed baby water BUT you are a thinking mom
so I would trust you to be smarter than the average person on Yahoo. You
could make up bottles that are 4oz breastmilk and 1oz water, that would only
give the baby about 3oz of water per day. By mixing it with the milk you are
keeping some electrolytes with it. Some experts will tell you that you can
give 2-3oz of water between nursing sessions, to 3oz a day is fine (
http://bodyandhealth.canada.com/channel_health_news_details.asp?news_id=4921&news_channel_id=145&channel_id=145&relation_id=0
.
http://www.stlouischildrens.org/tabid/88/itemid/166/Water-Intoxication-in-Infants.aspx
) . And of course there was a time when most breastfed babies were given
water between feeds and even then water intoxication was rare, though babies
may not have grown as fast as they should have. Though kellymom suggests 2oz
per day as a maximum:
http://www.kellymom.com/nutrition/solids/baby-water.html
The third school of thought is that “formula is just fine” blech! For the
sake of 2-6 oz a few times a week you could make a homemade formula that
might be less disgusting? Dr Sear’s is well respected though I’m not sure
how good canned goats milk is compared to formula:
http://askdrsears.com/html/3/t032401.asp
Of course you could be really radical and find a breastfeeding momma with
some extra milk
http://health.groups.yahoo.com/group/milkshare/ but of course there are
risks to that. If you can get pasteurized breastmilk that of course is safe,
but not generally available to non-preemies/special needs babies.
Of the options I would rank it: just giving less breastmilk, water (but less
universally accepted), someone else’s milk (if you can find someone you
trust), banana, homemade formula, commercial formula. So that’s the end of
my book (I really need to know when to shut up)
Brenda