Working it all out | Q. about breastmilk pumping

Going back to work and wondering what to do when there's not enough pumped milk for your baby?  I just responded to this question, so have a look at the  Ask the RN section if you have questions about feeding your baby.  It's likely that you'll find lots of answers to many of your questions there.

In the meantime, it's possible that you might find yourself in the position that one of our readers is in, that is, she's returning to work and her supply isn't adequate for the baby's needs during the day, and her baby spits out the formula.

Here's what you can do:  Before returning to work, try to increase the number of times that you pump during the day, or the length of time you're pumping.  This can help your breasts produce a few more ounces.  Try increasing fluids, try fenugreek and if possible get off your feet a bit.  Now, if you must use formula, then not to worry, it's a safe and healthy alternative to breast milk.

For babies over 6 months, try using a sippy cup to offer the formula.  Sometimes the novelty will engage them to try it.
Don't give up.  Most babies will refuse a new food 5-7 times before deciding that they like it.
With newborns, under 6 months, I don't advise mixing breastmilk and formula in the same bottle, because it can change the way some nutrients are absorbed.  For babies over 6 months, if you're desperate to get them to take formula, it's ok to mix it for a day or 2.  Start with 1 part formula to 3 parts breast milk for 1-2 feedings.  Then try a half and half combination for a few feedings, eventually, use 1 part breastmilk to 3 parts formula, finally all formula.

The main objective is to provide plenty of calories and nutrients for your growing baby's body and brain.  Also offer yogurt once they're used to taking food from a spoon.  You might try cheese cubes when your little one starts finger foods.