Why it’s Time to Stop Teaching Parents Paced Bottle Feeding and Teach Responsive Feeding As Recommended by the AAP

Paced bottle feeding is a wildly popular bottle feeding technique that is promoted as the best way to feed babies who are breastfed. When I did a google search for paced bottle feeding, there were a whopping 572,000,000 results! What’s more, definitions of paced bottle feeding techniques varied significantly, often contradicting each other,  and there were many unproven claims to promoting paced feeding. 

As a 31-year NICU nurse and lactation consultant, I’m mystified why paced feeding for healthy term babies has become the norm. Pace feeding is a therapeutic feeding technique primarily used for medically complex and premature babies whose suck, swallow, and breathe (SSB) reflex is not coordinated or matured, which is essential to bottle-feed without aspirating milk into the lungs.  

The American Academy of Pediatrics (AAP) and global infant feeding guidelines advocate and promote responsive feeding, which is uniquely different from paced feeding.  Full-term, healthy babies are born with their SSB coordination fully developed and can responsive bottle feed safely.

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Things We Wish We Knew About Breastfeeding Before We Started

Parents from the Fed is Best Infant Feeding Support group have told us that their prenatal education didn’t prepare them for the realities of breastfeeding and didn’t teach them the education they wanted and needed. They want other families to be informed to have a safe and positive breast/chestfeeding experience.  This is what they said: 

“It’s really, really difficult!”

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Mother Speaks Out About Her Baby’s Death After Exclusive Breastfeeding: What She Wants Human Rights Organizations to Know

Josephine contacted us after reading Dr. Christie del Castilo-Hegyi’s letter to health care professionals about the dangers of insufficient breastfeeding and the Baby-Friendly Hospital Initiative. Josephine is from Lagos, Nigeria, and wants to tell her story, because she believes every mother should know how to supplement her baby safely until her milk is flowing, no matter what country she lives in, to prevent brain damage and death from insufficient breastfeeding. 

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Dear pediatricians, watch your language; infant bonding happens with a present loving parent not the way they are fed

 

Dear Pediatrician, 

I am writing this letter to open my heart to all pediatricians. I’m hoping that sharing my story will encourage them to watch their language when talking to parents about infant feeding.

As a parent, we naturally want to make sure our children thrive. We entrust pediatricians to care for our children with unbiased and evidence-based information. We rely so heavily on your assurance that we are doing right by our children. We need the “you’re doing great” or “maybe try doing this instead” to help guide us through the ups and downs of parenting these little ones that did not come with an instruction manual. 

Recently, I was at a pediatrician appointment with my second baby, who happens to be exclusively breastfed. Breastfeeding was easier for me the second time around, and my mental state is in a much better place. 

My pediatrician began to examine him. He starts to cry as he does with everyone that isn’t mommy, daddy, or big sister. She looks at me and laughs and says, “yup, he is definitely in the stranger-danger phase now. And I bet it’s even stronger because he is breastfed. Breastfeeding just creates this unexplainable bond.”

I stood there dumbfounded and in disbelief. My pediatrician knows my daughter was formula-fed, and she knows how emotional I was when switching her to formula. But even putting that aside, she is supposed to be a trained professional and understands that breastfeeding doesn’t create “an unexplainable bond” —bonding happens with an emotionally healthy, loving parent, not by the way a baby is fed. I don’t feel a stronger bond with my son than I do with my daughter. They are both my babies, and I love them both equally and unconditionally. 

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How To Prepare For Supplementing When Breastfeeding Your Baby In The Hospital

Mothers who experienced delayed onset of milk production or experienced low milk supply with their first baby often contact us for support to try breastfeeding again. They typically have anticipatory anxiety because they have lost trust in their lactation professionals and hospital staff and are unwilling to attempt breastfeeding again without supplementation. They want to know how to supplement their baby until their milk supply becomes sufficient to feed them safely while providing proper breastfeeding stimulation for optimal milk production.

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