Feeding breastmilk by bottle?  Learn paced feeding to avoid overfeeding your baby.

May 29, 2014

Mother Holding InfantYou may not be able to overfeed a baby at the breast, but it is possible to overfeed (and overwhelm) a baby with a bottle of breastmilk.

Paced feeding is a method that helps to prevent this problem, and may be useful for you to learn if you’ll be returning to work and pumping, if you’re exclusively pumping, or if your partner will be feeding an occasional bottle of breastmilk.

Research has shown that feeding babies anything by bottle can can have an effect on their ability to regulate their intake.  It’s likely a result of the “maternal control” over how much is taken by the bottle which doesn’t occur in feeding at the breast, which overrides babies’ needs.  One theory suggests that this inability to self-regulate intake is related to higher risk of overweight and obesity.

Paced feeding allows babies more control over his or her intake of breastmilk by responding to their cues, and may also prevent post-feeding fussiness by reducing overfeeding.  Since much of paced feeding also mimics feeding at the breast, it can also support the breastfeeding relationship and help babies transition back and forth from breast to bottle.  Babies may be less likely to get accustomed to the fast flow of a bottle and reject the breast.

How does paced feeding work?

  • Feed based on the baby’s feeding cues, not a set schedule.
  • Hold the baby so she is in a more on an upright or almost sitting position.  Avoid feeding by bottle when the baby is reclined, as this reduces her control over the flow of milk.
  • Hold the bottle in a horizontal position, tilted only enough to keep milk in the bottle nipple.
  • Don’t force the nipple into the baby’s mouth.  Rather, elicit the rooting response and encourage the baby to “latch” onto the nipple by touching the nipple to the baby’s nose.
  • Ensure that the baby’s mouth placement on the nipple is good.
  • Allow the baby to set the pace of the feeding, and aim for the same length of time as a feeding at the breast might take.
  • Encourage the baby to pause frequently, resting the bottle nipple on the baby’s lips or taking a break to burp him.  The baby will start sucking again when he’s ready.
  • Switch sides during the feeding to mimic feeding at breast and even out eye stimulation.
  • Never try to force the baby to take more than she wants to just to finish the bottle.  If you’re worried about squandering precious breastmilk (we understand!), heat up smaller amounts - maybe 2 ounces - at a time, and providing more as needed.

A few resources on paced feeding that may be helpful:






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