Supplemental Formula

• Don't offer your baby any bottles of formula before 3 to 4 weeks old (Reason: it will interfere with establishing a good milk supply)
• EXCEPTION: Medical indications to prevent dehydration or severe jaundice include the following: The milk is not in (day 2 - 4) AND your baby is very hungry (especially preterms), inadequate number of wet or soiled diapers or your baby is quite jaundiced. (Reason: prevent dehydration)
• Method: give 1 oz. of expressed breastmilk or formula after every breastfeeding for 1 or 2 days. Also see your doctor within 24 hours for a weight check.
• After your baby is 3 to 4 weeks old and nursing is well established, give a bottle of pumped breast milk or 1 oz. formula once daily. (Reason: so your baby will accept bottle feedings if need to leave with a sitter or return to work outside the home--the "educational bottle"). If you wait until 6 weeks of age, your baby may be unwilling to try the bottle.