Getting Started Bottle-Feeding

Newborn / Baby Care & Feeding

Guiding new parents through baby’s first year and beyond is a top priority at Advanced Pediatrics. The following newborn and baby care articles have been written by Advanced Pediatric Associates and Pediatric Web. Should you have any questions regarding the following care recommendations, please call our Nurse Line at 303-699-6200, Option 2.

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Getting Started Bottle-Feeding

We recommend that you use a formula with iron and DHA-ARA. Research has demonstrated that iron, DHA and ARA, all present in breast milk, are important for physical growth and development of the eyes and brain. Talk to your care provider if you have questions about formula. 

When bottle-feeding your baby, make sure you are both settled comfortably. Cradle your baby in your arms or hold him or her lengthwise in your lap, so that baby’s head and upper back are several inches higher than his or her hips. Hold the bottle at an angle to keep the nipple full of formula. Babies should be burped after every 1 to  2  ounces.  Sitting your baby  upright  with his or  her  back  straight  for  20  to  30 seconds  is  long  enough to produce a burp if one  needs  to  come  up. Drinking  more slowly and burping more often may help babies who tend to spit up. After feeding, babies may be held or should be placed on their back. 

Bottle-fed babies usually drink 1 ½ – 2 ounces per feeding every 3 to 4 hours with a gradual increase to 3 to 4 ounces by the end of the first two weeks. Sucking for 20 to 30 minutes should give your baby all  he or she needs. Babies who are feeding frequently and well during the day may sleep as long as they want at night. 

When making formula, be sure to follow the instructions to ensure proper concentration of formula. Sterilizing water for the formula is not necessary (unless you use well water). If you make one bottle at a time and use warm tap water, there is no reason to heat the formula. If you make a whole batch of bottles at once, you may refrigerate the bottles and use them up to 48 hours from time of mixing. When heating cold formula it is best to use warm water and avoid microwaves. Microwaves heat unevenly and have caused exploding bottles, severe burns, and destruction of the nutrients in the formula. After heating, make sure you mix the contents of the bottle to distribute all heat evenly and check the temperature before feeding your baby. Bottles do not need to be sterilized. Automatic dishwasher cleaning of bottles and nipples is adequate. Plastic bottles are preferable to glass ones, as they will not break. Due to concerns regarding the safety of BPA (bisphenol A) in many polycarbonate bottles, we recommend purchasing plastic bottles that are “BPA free.”

If you are concerned about your baby’s feeding or weight, or have any questions or problems, don’t hesitate to call our Patient Care Line at 303-699-6200 and speak with one of our registered nurses.

Written by Advanced Pediatric Associates

Reviewed July 2015


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Advanced Pediatric Associates

Disclaimer:  If you are not a patient of Advanced Pediatric Associates, we recommend that you consult with your own physician regarding health concerns. This information is provided as a guide to our patients, but in no way replaces the advice given by our staff. Occasionally, advice given by our providers or nurse line may vary slightly from that offered by Pediatric Web and its contributors. If you are unsure of any issue regarding your child's health, please call our Patient Care Line at (303) 699-6200. 

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