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Bottles come in two sizes, small ones which hold 150mls (5 fl oz) and large ones which hold 250ml (9 fl oz). For the first few weeks, newborns feed little and often because their stomachs are so small (Unicef, 2019). The smaller bottles are more suitable for this period. Babies who feed from larger bottles consume more milk, which may lead to overfeeding (Wood et al, 2016). Hurley, K. M., Cross, M. B., & Hughes, S. O. (2011). A systematic review of responsive feeding and child obesity in high-income countries. The Journal of nutrition, 141(3), 495–501. https://doi.org/10.3945/jn.110.130047 [Accessed 6 December 2021] Some advantages of using these bottles are that they can be easy to fill and clean. On the other hand, they can take more space in a steriliser so you probably won’t be able to clean as many bottles at once (Which? 2019). Ready-to-feed bottles
If you plan to use bottles occasionally, or once a day, then it might make sense to buy just one bottle and teat. You might find attending one of our NCT New Baby groups helpful as they give you the opportunity to explore different approaches to important parenting issues with a qualified group leader and other new parents in your area. These bottles are shorter and fatter than the basic ones but you can put the same amount of milk in them. They usually come with silicone rather than latex teats and have a self-sealing lid. Scheel, C. E., Schanler, R. J., & Lau, C. (2005). Does the choice of bottle nipple affect the oral feeding performance of very-low-birthweight (VLBW) infants?. Acta paediatrica (Oslo, Norway : 1992), 94(9), 1266–1272. Available at https://doi.org/10.1111/j.1651-2227.2005.tb02087.xPowdered formula is not sterile, so you need to use water at approximately 70 degrees to kill any bacteria that might be present (NHS, 2019a). If the water is too hot it can reduce the nutritional benefit of the powder, but if it is too cold it may not kill the bacteria in the powder. ‘Ready-to-feed’ bottles contain ready-made milk that has already been sterilised (NHS, 2018; Unicef, 2019). Some parents are cautious about using latex teats due to the risk of developing a latex allergy, particularly if there is a family history of allergy to latex (Kimata, 2004). Perfect for travelling babies and parents, the MAM Self-Sterilising baby bottles can be sterilised in just three minutes using a microwave. Pour 20ml water in the base of the container, arrange the components on the top (don't screw!) and in minutes your baby's bottles are safe to use.
MAM baby bottles feature an innovative vented base for an even drinking flow, so your baby isn’t swallowing air. This can reduce colic in 80% of cases. Appropriate if your child has shown consistent feeding with no difficulties and is taking larger amounts at the breast and bottle. Kellymom (2020) How to bottle feed the breastfed baby. Available at https://kellymom.com/bf/pumpingmoms/feeding-tools/bottle-feeding/ [Accessed 6 December 2021] As a baby’s feeding develops and they are taking a longer time feeding from a Level 2 teat, many parents choose to move up to a Level 3 teat.Wood, C. T., Skinner, A. C., Yin, H. S., Rothman, R. L., Sanders, L. M., Delamater, A., Ravanbakht, S. N., & Perrin, E. M. (2016). Association Between Bottle Size and Formula Intake in 2-Month-Old Infants. Academic pediatrics, 16(3), 254–259. Available at https://doi.org/10.1016/j.acap.2015.08.001 [Accessed 3 December 2021]
If you’re planning to breastfeed it isn't necessary to buy bottles ‘just in case’. Over 90% of maternity units in the UK are now Baby Friendly Accredited, which means a midwife on the infant feeding team should be able to support you if you do have any difficulties with breastfeeding straight after birth (UNICEF 2017). They’ll help you with hand-expressing your colostrum and feeding it to your baby using a spoon, syringe or feeding cup (Unicef 2017). Find out whether your maternity unit is accredited here. NHS (2019a) How to make up baby formula, Available at https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/bottle-feeding/making-up-baby-formula/ [Accessed 3 December 2021] Parents who bottle feed find that they may need to move onto using larger bottles as their baby grows and milk consumption increases. Every baby is different so there isn’t a set age for when this should happen (Unicef, 2019). It’s important to follow your baby’s feeding cues and signs that they need more milk, such as finishing each feed and seeming to want more (NHS, 2015; Unicef, 2016). What type of feeding bottle is best? If they can't control the rate of feeding, they are more likely to over-feed. Non-responsive feeding has been associated with discomfort and fussiness in the short term (NHS 2021) and linked to obesity in the longer term (Hurley, 2011; Watchmaker 2020).What is Colic? Colic causes are common when a baby swallows too much air during the feeding process. If your baby seems unsettled after their feeds, our anti-colic baby feeding bottles reduces baby colic by up to 80%**. The MAM Easy Start Anti-Colic bottles feature a vented base to reduce the air intake during feeds. Whether you're looking for an anti-colic baby bottle, a self-sterilising baby bottle, or an environmentally-friendly glass bottle for bottle feeding - the range comes in sizes from 130ml (4.5fl/oz) right up to 330ml (11/fl/oz) with suitable slow to fast flow teats and accessories are available. Kimata, H. (2004), Latex allergy in infants younger than 1 year. Clinical & Experimental Allergy, 34: 1910-1915. Available at doi: 10.1111/j.1365-2222.2004.02128.x
Many parents want to know ‘which brand of baby bottle is best?’ The fact is there is no independent research showing differences in feeding ability or pattern from different brands of bottles or teats (Which, 2021; Scheel, 2005). It’s down to you and your baby to see what works for you. Here’s an overview of the main types of bottles available on the market: Basic bottles Before sterilising, all bottles and teats need to be washed, either by hand or in the dishwasher (NHS, 2018). If washing by hand, you will need a separate brush for cleaning bottles and teats (NHS, 2019b). When should I throw away my baby’s bottle? With newborns, especially premature babies, the teat flow rate can actually be faster than your infant can tolerate. If your baby is exhibiting any of these signs while eating, you may want to try a slower flow (lower level) teat: Knowing when to move to the next teat level is an important – and sometimes confusing – part of a comfortable and happy feeding experience for you and your baby. Made for Mums judge, Melanie said "Self-sterilisation is a good feature, and it's worth the money. Best-looking bottle on the market and great for sterilising on the go."
Bottle nipples
As a baby’s feeding develops and they are taking a longer time feeding from a Level 3 teat, many parents choose to move up to a Level 4 teat. It’s also recommended that babies stop drinking from bottles with teats by the time they are one year old as drinking through a teat leaves the teeth coated in milk and can lead to tooth decay (NHS Choices, 2015; Oral Health Foundation, 2017). Read more about this here. Teats are made from silicone or latex. Silicone is less flexible but more durable than latex, which needs to be replaced regularly (Which? 2019). Sterilising bottles is recommended for babies under a year because bacteria can easily grow in any milk remaining on the bottle or teats (Unicef, 2019). Babies are more vulnerable to these bacteria. Slow flow is great for breastfed babies when switching between bottle and breast; mimics the slower flow of breastfeeding
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