Weaning a 6+ Mo. Baby From Breastfeeding to Bottle Feeding

I am a Breastfeeding advocate! I have breastfed my (4) babies for as long as possible, including pumping sessions in the NICU for one of them. However, eventually there does come a time when you are either faced with saying goodbye to breastfeeding because your baby has grown, or you are faced with the daunting task of having to train your breastfed baby to take a bottle. This was our recent journey. We have succeeded and I want to share how we did it.

Wean Completely or 50/50?
Decide whether you will be weaning from the breast completely or alternating bottle/breast. If you are weaning completely then I suggest doing so slowly. This reduces the risk of becoming uncomfortable or even ill due to excess milk.
If you have to wean immediately, I recommend taking two days aside when you won't have to function much and you have help with the baby (and any other children.) Then take Benedryl around the clock according to the recommended directions (I think medical maximum dosage is 20mg if I remember right.) This will make you very sleepy. But it really helps dry up your milk. I am not a Dr. So don't take my advise as such. I know this from experience. When my baby in the NICU passed I needed help drying up my milk ASAP. The pharmacist recommended this and it was a life saver in many ways. So, that is how you can dry up your milk if you have to. I hope you'll be able to take the weaning process slowly. But if that's not possible. I hope this helped.

- Gather Materials and Set Up a Plan -


MATERIALS NEEDED
FORMULA:Find out which formula tastes best. Here are some parents who taste-tested several formulas (BLESS THEM! eeewww!) Or, if you know your baby has sensitivities choose the best formula for him.
BOTTLES: Buy some bottles. I have a box Full of bottles I've tried throughout my babying years. I have determined that the best nipples are those that are like the baby's pacifier. If they don't take a binky, I suggest NUK or a brand that has tried to mimic the breast. Stay away for the $20+ bottles, especially the adiri Nurser. Maybe I got a defective one, but it was a Pain and a waste of money. The least amount of parts to the bottle the better! Luckily for me, JJ (7+ Months old) chose a NUK pacifier. I also found the BreastFlow bottles that are a neat concept. Also, start with a 4oz size bottle. Breastfed babies aren't used to drinking a whole lot. Use a newborn stage bottle nipple. Breastfed babies are used to working for their food. It is difficult for them if it runs out and chokes them.
BREASTPUMP: An electric double breast pump is heaven sent. If you can not afford one, contact your local WIC office. They usually rent them out for free. Or if your lucky enough to live in a big city (I live in a small town) look in your phone book for a lactation specialist who rents breast pumps. If you can to buy one, look for one on Amazon or Craigslist.org or at your local Walmart or Target. There is another little add-on to the breast pump that I will never be without again if I end up having to pump again. It's a Hands Free Breast Pump Bra. I made my own, but you can purchase them online. I took an old bra and slit holes that fit the breastpump shields. Ahhh, so very helpful!!
BABY BOTTLE WARMER: I found that this is actually one of the most important tools if you are going to pump and use breast milk. It is very difficult to warm up breast milk safely when you have a hungry baby without one of these handy gadgets (more on this later). We just purchased to one that Wal-Mart had. But Amazon has a good selection. Never microwave breast milk or formula! It ruins the nutrient content of the milk and it causes possible hot pockets of milk.

MY PLAN
I tried for a week to feed JJ straight formula. He struggled and struggled. I knew that breast milk is a lot sweeter then formula so I even added a bit of Xylitol (a very safe sweetener.) But he still wasn't taking it willingly. I so don't like pumping! That's why I tried to go straight to the formula. But once I finally decided in my mother heart that bottle feeding JJ was best for him and me (I need to be able to take certain medication and herbal sups that aren't necessarily safe for breastfeeding babies) I decided that a little sacrifice was in order. So I pulled out my breast pump.

I have the bittersweet benefit of producing ample amounts of breast milk. So when I double pump for 10 minutes (which is the length of time my baby nurses on one side total) then it wasn't uncommon for me to pump up to 4oz of milk total in a pumping session. So, the first pumping session I put 1 ounce of milk in separate storing cups and stored it in the fridge. I used this round the following day. For one week I pumped twice a day when I could hide away for ten minutes. I would freeze one session and store the other session in the fridge for the following day.

For the first week I made every bottle 50% formula and 50% breast milk. And the key to the whole success was the TEMPERATURE of the mixed bottle. Just a Note: Swirl the breast milk to mix it in the formula as shaking causes damage to the milk, it can curdle it. I started with 2oz feedings at first. I found that for the first few days JJ only wanted 2oz at a time. Gradually, he has moved up to about 4oz. Oh! Don't be alarmed if you breast milk separates and has a funky color to it. Believe it or not, it's normal. And, Always! Always! Always! Hold your baby while you feed him a bottle! Never prop the bottle in their mouth! This is not only unsafe, but it is damaging emotionally! Hold your baby close just as you did when you breastfed him. Caress his skin and make eye contact. All of this helps sooth and explain to him that this change is not necessarily a bad one. It is simply that, a change. And letting him know that you will be by his side through the big changes in his life is vital to his healthy development.

Gradually, I have run out of stored breast milk and JJ now accepts formula as long as it is warm. When mixing a 100% formula bottle I simply use warm water to mix the powder. This means that the bottle warmer is not used very often. However, I still warm up unused bottles if it's within the safe range of time to use it.
MY FEELINGS
As I began the process of seriously weaning JJ I realized how much I value the bonding and soothing time that breastfeeding gives JJ and I. I also found that bottle feeding made nighttime a whole lot more difficult. Especially since JJ still wakes often through the night. So, since I haven't started any hard medication yet, I decided to follow a 50/50% plan. I bottle feed during the day if needed or desired and I breastfeed at night or during the day on occasion. And it is working out really well for us. I still advocate 100% breastfeeding. But if it can't be done, do the best you can with your options and love yourself!

Nursing Strike Update

The good news is that JJ has calmed down a bit and eventually begins to nurse. He has a strange new habit where he cries as I sit down to nurse him unless I am distracting him by making him laugh or cooing and talking with him. It's very interesting... But the good thing is that he's nursing and not fighting it once he starts eating.

Very Good!

Nursing Strike! And I don't mean medical nursing.

You know the sayings "Never say Never" or "Don't speak too soon."? Well, those apply to me at the moment. I was at a get-together with some friends a week ago and I mentioned the fact that for the most part I could be considered a Jersey Cow when it comes to my milk production. They all talked about their struggles with breastfeeding and I was grateful that I hadn't faced the same. Well, within that week I started to realize that only one side was easy for (4 month old) JJ to nurse on. The other was frustrating him. Like their wasn't enough milk. Well, he handled it for a few days. But two days ago he must have had enough of the struggle. Because he has started what is called a "Nursing Strike."

He screams any time I try to nurse him. He pushes away and refuses to nurse. LOVELY! Sometimes I can get him to nurse a little after a long struggle. But I finally broke down and pumped some milk. My right side takes at least 1 minute to even let down any milk. My left is readily available. I'm sure this is part of the problem.

So Last night, after a long struggle I finally got him to nurse enough holding him in the football hold to ease his hunger. He slept until 3:00AM. But this time he refused to nurse! So there I was pumping in the middle of the night as Leif was trying to calm a starving JJ. Leif fed him the milk and he slept until 7:00A. Refused, drank the last 2 ounces of milk in the bottle, was still hungry so he accepted nursing. 10:00A, strongly avoided nursing. But finally nursed enough to ease the hunger.

So... It's really no fun being so out of our routine. Don't ask me what the issue is completely. I have no answer. Only possibilities.

1. Difficult some of the time so he's frustrated.
2. Too congested to breath well enough.
3. Overactive gag reflex (he gags sometimes when he tries to latch on, it's a new thing.)

I'm an adamant breast milk mama. So just going to the bottle and formula isn't an option. So, I keep trying to nurse and pump along the way so he doesn't get too hungry.

Never say Never!

Calories Burned While Feeding The Baby

Last night I had to find something positive about the situation I am in. Caleb nurses every two hours All Day and ALL NIGHT! Last night I saw 11:00PM, 1:00, 3:00, 5:00, and 7AM. It seems completely insane that I put up with it. Trust me, I know! However, my kid's are unusual nursers. They only nurse for up to 10 minutes tops. That means it's possible that they are only getting one to three ounces per feeding. That burns up pretty quickly. Which means that they are hungry again. I can understand the feeling. Making the milk makes me just as hungry, just as often.

So I was sitting there at 3:AM wondering what possibly could be good about this. I had tried to let him cry it out, but it takes less time to just get up and nurse him then to let him cry. I came up with this conclusion: I sleep better (when I sleep) because of the hormones that are released while nursing. But the best benefit is the calories that I burn throughout the night! I started wondering just how many calories I burn... It looks like it's a lot!

I found a woman who has done her research and she's come up with this; "it is generally said that breastfeeding burns 200-500 calories per day. I think you can convert breastfeeding to a calorie burning on AVERAGE, and you can convert it to an hourly scale, as in 1 hour of breastfeeding=x calories burned. Usually a newborn baby will consume 2 ounces of milk every 2 hours or so if the milk is breast milk. That is 1 ounce every hour, 24 ounces every 24 hours (while the baby is a newborn). Breast milk burns very quickly once the baby drinks it, thus the reason for the constant eating...the baby is always hungry! 1 ounce of breast milk burns approximately 20 calories i believe... so that is 20 calories burned for every hour of breastfeeding, which averages to 280 calories per day in the beginning. I suppose that is about average between 200 and 500 more or less (the actual average is 350 but for estimation purposes of a baby consuming 24 ounces of breast milk per day 280 is enough). So that is breastfeeding 1 ounce of milk per hour burns 20 calories per hour. Breastfeeding 2 ounces of milk per hour burns 40 calories per hour. Breastfeeding 3 ounces of milk per hour burns 60 calories per hour, and so forth and so on. 1 ounce of breast milk=20 calories burned. If your baby drank 4 ounces of breast milk per hour, you burn 80 calories making breast milk per hour." -CaloriesPerHour.com

My guess is that I burn around 80-160 calories throughout the night. That's a low calorie meal or a dessert. It's possible to think that I am burning an average of 800 calories throughout a 24 hour day. Motivation enough for me! That is MY kind of exercise! Stop, Sit, Feed and Loose Weight!