Mixed breastfeeding

Mixed breastfeeding refers to a method of nutrition in which the child receives both breast milk and infant milk. This combines the nutritional benefits of breast milk with the convenience of a bottle. The reasons for this choice can vary, ranging from lactation problems to a return to work or a personal preference on the part of the parents.

When should you opt for mixed breastfeeding?

There are a number of circumstances that lead mothers to choose mixed feeding:

• Milk production problems: Some mothers may have difficulty producing enough milk to satisfy their baby’s hunger.
• Returning to work: After maternity leave, it can be difficult for mothers to continue exclusive breastfeeding.
• Fatigue and rest: Mixed breastfeeding allows other members of the family to participate, giving the mother some well-deserved rest.
• Getting baby used to bottle-feeding: Preparing baby for bottle-feeding can make necessary transitions easier, such as when travelling without mum.

Setting up mixed breastfeeding

The transition to mixedfeeding requires planning. Here are a few steps to get you started:

Gradual introduction of the bottle

To avoid any confusion between breastfeeding and bottle-feeding, it is advisable to introduce the bottle gradually. Start by replacing one feed with a bottle of infant milk, then gradually increase the frequency according to your child’s needs.

Making sure your baby latches on properly

It’s crucial that your baby latches on well to ensure effective suckling. A poor latch can lead to a drop in breast milk production. If you are having difficulties, consulting a lactation consultant can be very useful.

Alternating breastfeeding and bottle-feeding

Alternating between breast and bottle feeding should be done strategically. For example, offer the breast in the early hours of the day when milk production is at its peak, and use the bottle when production drops.

Advantages of mixed breastfeeding

Mixed breastfeeding has a number of advantages that benefit both mother and child.

Flexibility and freedom

Mothers do not need to be present at every feeding moment. The father, grandparents or even a nanny can give the bottle. This allows mothers to take time for themselves and manage their daily activities without stress.

Nutritional benefits

Although breast milk is considered ideal for its immunological and nutritional properties, infant milk also provides essential nutrients for the child’s growth. However, combining the two ensures that baby receives an optimal supply of nutrients.

Managing lactation

If there are fluctuations in breast milk production, the addition of infant milk can compensate for this drop and ensure that the child does not lack for anything.

Potential disadvantages of mixed breastfeeding

Despite its many advantages, mixed breastfeeding also presents a few challenges.

Risks of breast-nipple confusion

For some babies, the introduction of a bottle can lead to breast-nipple confusion. This situation, where the baby may prefer the ease of bottle-feeding to breast-feeding, can compromise the effectiveness of breast-feeding.

Progressive reduction in breast milk production

Any form of reduction in direct suckling at the breast can reduce the stimulation needed to maintain adequate milk production. If the majority of feeds are given by bottle, this could lead to a significant drop in the mother’s milk production.

Additional cost

While breastfeeding is free, buying infant milk represents an additional cost for families. What’s more, accessories such as feeding bottles and sterilisers add to the cost.

Practical tips for successful mixed breastfeeding

Here are a few tips to optimise the mixed breastfeeding experience:

• Express regularly: Expressing breast milk regularly can help maintain a steady milk supply.
• Choose the right moments: Offer the breast when you’re relaxed and have more milk available – usually in the morning.
• Adopt good hygiene: Make sure that all equipment (bottles, teats) is thoroughly cleaned and sterilised before use.
• Monitor baby’s weight curve: Keep a close eye on your child’s health and growth, particularly through regular visits to the paediatrician.

The importance of the parent-child bond

Whatever feeding method you choose, the emotional bond between mother and child remains essential. Make the most of every feeding moment, whether breast or bottle-feeding, to strengthen this precious bond.

Support and resources available

There are many resources and supports available for mothers who want to practise mixed breastfeeding. Lactation consultants, support groups and childcare workshops can offer invaluable help.