Diane wrote "Not a matter of
rate of digestion, but of quantity to be digested..."

I agree that many parents who are bottling breastmilk begin giving baby
more and more milk per feeding.  The feeds space out and q3 during the day
and q4 at night is common.  We try to keep these parents to limit their
feeds to no more that 2 1/2 to 3 oz and to focus on the amount of milk in
24 hours. I see parents too easily falling into the trap of feeding by the
clock and giving increasing amounts of milk.

As part of our handout on giving expressed breastmilk (temporarily for non-
latching baby) we talk about the transition back to breast.  We let parents
know that they can expect more frequent feeds in response to baby's cues.
Parents are often discouraged when they see their baby being hungry more
frequently and with less predictability once they are back at the breast.
With some health teaching the parents can see this increased interest in
the breast as a positive step that demonstrates their baby returning to a
more natural pattern.

Janet Vandenberg RN, BScN, IBCLC
Public Health Nurse
Ontario, Canada

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