MrsS2005
Mom of 3
Member since 11/05 13118 total posts
Name:
B
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BFing moms: need help with bottle problems
DS is 3 months old. During the first few weeks, I gave DS a bottle of pumped BM whenever he was really hungry and frustrated with BFing. He'd take a bottle straight from the refrigerator. I stopped after a while b/c I felt it was contributing to latching issues. He didn't get another bottle until he was 8 weeks old and my family watched him for most of the night. He took the first bottle, but refused the second until it was warmed up a little. He didn't have another bottle for a few weeks. That bottle was barium and sugar water, which he needed to take b/c he underwent some tests. He took that bottle without any issues.
DH watched DS yesterday while I went to a shower. This was the first time we used Avent bottles (used Medela previously) and the first time he had thawed BM. DS only drank 2.5 oz. of the 4 oz bottle. He easily drank at least 4 oz when he was 8 weeks old. After I got home, DH tried to give DS the remaining 1.5 oz, but it was a struggle to get him to even take 1 oz. I then took DS and he nursed for a long time.
I've never had an issue with the bottles before and now I'm worried that he's not going to take bottles at daycare. I'm going back to work in about 2 weeks. I plan to try fresh BM with the Avent bottles to see whether he didn't like the bottle and thawed BM with Medela bottles to see whether it was a frozen BM issue.
Has anyone had similar problems? Is there a specific brand of bottle that you recommend? Do you have any tips on transitioning to bottles? I don't give him bottles, but I assume we should try to give him at least one bottle per day for the next 2 weeks to make sure he'll take them. Should I wait until DH gets home from work so he can give DS the bottle? TIA for your help.
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headoverheels
s'il vous plaît
Member since 6/07 42079 total posts
Name:
LB
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Re: BFing moms: need help with bottle problems
it could be the bottles, or it could be that the milk tastes/smells different to him.
i would first try a different bottle. my DS loves the playtex drop ins, possibly because the nipples are larger and more like the breast.
also, check out this link:
kellymom.com
A few mothers find that their refrigerated or frozen milk begins to smell or taste soapy, sour, or even rancid soon after it's stored, even though all storage guidelines have been followed closely. Per Lawrence & Lawrence (p. 781), the speculation is that these mothers have an excess of the enzyme lipase in their milk, which begins to break down the milk fat soon after the milk is expressed. Most babies do not mind a mild change in taste, and the milk is not harmful, but the stronger the taste the more likely that baby will reject it.
Lipase is an enzyme that is normally present in human milk and has several known beneficial functions:
Lipases help keep milk fat well-mixed (emulsified) with the "whey" portion of the milk, and also keep the fat globules small so that they are easily digestible (Lawrence & Lawrence, p. 156).
Lipases also help to break down fats in the milk, so that fat soluble nutrients (vitamins A & D, for example) and free fatty acids (which help to protect baby from illness) are easily available to baby (Lawrence & Lawrence, p. 156).
The primary lipase in human milk, bile salt-stimulated lipase (BSSL), "has been found to be the major factor inactivating protozoans" (Lawrence & Lawrence, p. 203).
Per Lawrence & Lawrence (p. 158), the amount of BSSL in a particular mother's milk does not vary during a feed, and is not different at different times of day or different stages of lactation. There is evidence that there may be a decrease in lipase activity over time in mothers who are malnourished.
What can I do if my storage problem is due to excess lipase? Once the milk becomes sour or rancid smelling/tasting, there is no known way to salvage it. However, newly expressed milk can be stored by heating the milk to a scald to inactivate the lipase and stop the process of fat digestion. Scald the milk as soon after expression as possible.
To scald milk:
Heat milk to about 180 F (82 C), or until you see little bubbles around the edge of the pan (not to a full, rolling boil).
Quickly cool and store the milk.
Scalding the milk will destroy some of the antiinfective properties of the milk and may lower some nutrient levels, but this is not likely to be an issue unless all of the milk that baby is receiving has been heat-treated.
Per Lawrence & Lawrence, bile salt-stimulated lipase can also be destroyed by heating the milk at 144.5 F (62.5 C) for one minute (p. 205), or at 163 F (72 C) for up to 15 seconds (p. 771).
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