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Breastfeeding Issues: When To Supplement a Breastfed Baby

Most breastfeeding mamas can produce enough milk to completely meet their baby's nutritional needs through their first four to six months, but sometimes breastfeeding issues make it is necessary for a breastfed baby to have supplemental feedings. Here are a few examples of breastfeeding issues that might necessitate that:

  • If your baby is at risk of developing severe hypoglycemia or has hypoglycemia that is not improving with breastfeeding.

  • If your baby is dehydrated and is not improving with more breastfeeding sessions.

  • If the mother is extremely ill and unable to breastfeed the baby.

  • If the baby has a metabolic issue and requires a special formula (e.g., galactosemia, PKU). (Note: With careful monitoring, babies with PKU can breastfeed if they are eating both Lofenalac—a special formula for babies with PKU—and breast milk.)

  • The mother is prescribed a medication that is not recommended during breastfeeding. (Note: There are very few medications that can cause this issue!)

  • If the mother isn't able to produce enough milk for the baby due to primary lactation failure.

  • If an adoptive mother is breastfeeding her baby (generally, some degree of supplemental milk will be needed, but she will likely be able to breastfeed her baby sometimes).

    If breastfeeding is interrupted temporarily, you or your partner may feed your baby using a cup, spoon, or dropper, or by attaching a lactation device to your finger until you can put her back to the breast. Some babies will not resume breastfeeding once they've learned that there's less work in extracting food from a bottle than a breast. Because different methods are used for breastfeeding and bottle-feeding, some babies may forget how to latch on to a breast after they've been been fed from a bottle.
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