Often, with artificial nutrition, a child develops digestive problems: constipation occurs. Sometimes a baby develops intolerance to cow's milk protein. In such cases, after consulting a pediatrician, mothers are advised to give several artificial formulas at the same time. Therefore, to the question: is it possible to feed a child with different formulas, experts answer unequivocally, in some cases it is not only possible, but also necessary! This helps to normalize the digestion of the baby’s still fragile body.
How to choose a mixture
Before purchasing formula for your child, you should definitely consult your pediatrician. He has a good knowledge of the baby's condition and the range of quality milk formulas available on the market.
After consultation, when choosing a product in a store, you should carefully study:
- packaging;
- release date;
- best before date;
- package integrity;
- compound.
Only after these manipulations will the product not harm the baby.
But these are not all the criteria by which a mixture for a child is chosen:
- When choosing, pay attention to the composition of the product, since different manufacturers have different mixtures in composition.
- It is selected depending on the age of the baby (for each age there are certain proportions of vitamins, microelements, proteins, fats and carbohydrates). Therefore, formula for a six-month-old child is not suitable for a one and a half year old child; he simply will not get enough of it and will remain hungry.
- The choice also depends on whether the baby has an allergic reaction to the components included in the composition. For children with intolerance to cow's milk protein, there is a special mixture in which this protein is divided into atoms . It subsequently does not cause an allergic reaction in the baby (this is the most popular mixture purchased for children in the first three months of life).
As you can see, it is quite difficult to determine the right product for your baby, so it is recommended to seek help from a pediatrician.
Is it possible to mix different self-leveling mixtures?
The Master Himself wrote: Why is it stupid to fill the mixture with a 20mm layer? Clarify please.
Firstly, the fact is that a layer of such thickness is poured not on top of the old subfloor, but on top of the new screed. The question arises - why didn’t they immediately make the screed so that it was necessary to fill it not with this 20mm layer, but with a thin leveler? Secondly, when the thick leveler sets, you will have to rub it in to get a surface of proper quality since it will be a laminate. Why the extra work?
Self-Master wrote: And what is the stupidity of buying a mixture on the construction market? Are they not the same mixtures as in the store? Are you afraid that they will slip you bullshit?
Search the forum because people have written about this more than once here, about fakes, and about how SS, paints, and primers are stored on the market, especially in winter, when it’s frosty.
The Master Himself wrote: Won’t they slip it in the store?
Of course, they can slip it in at the company, but the likelihood of this is several times less, and where I buy materials is zero.
Myself-Master wrote: I recently finished making three rubles in a new building; it took about 200 bags of different mixtures. On average 30 rubles. savings per bag compared to the store - 6000 is not a lot of money and no bullshit - and they took back more than 2 dozen bags of excess.
I understand that you are not a professional builder since you are returning the mixtures, and even in such quantities. As for savings, you need to take, say, 20-30 pieces throughout Moscow and then talk about where it’s cheaper. I compared it. There are companies where it is more expensive than in the markets or they have significant discounts only for large volumes, but in general it is more expensive in the markets. They are usually taken from the markets by aunties because they are close to home so that the uncle with a manual tile cutter, who sculpts tiles for them in the outhouse, doesn’t have a lot of trouble running with a string bag for materials.
Self-Master wrote: Well, self-spreading is a relative concept. You need to disperse it either with a mop (I did it very well) or with a needle roller (much worse).
This concept is not arbitrary. For each manufacturer, self-flowing means a certain diameter of a pancake of solution flowing out of a funnel, for example. There are European standards, but they apply to mixtures of imported manufacturers that have this certification. In Russia we also have a GOST for measuring the spreadability of a solution, but I personally have not seen any indication of it from our manufacturers. By the way, the needle roller is not intended for distributing the solution.
Types of mixtures
Since there are many types of baby food sold on the market, let’s look at each in more detail.
Standard
Designed for infants who do not have contraindications or allergic reactions to lactose and cow's milk protein, and do not suffer from constipation. But practice shows that very few children tolerate such a product, since a large amount of protein is difficult for a child’s fragile body to absorb.
Adapted
Often used to feed children in the first months of life. In the product, the protein is split into atoms, which subsequently do not cause allergic reactions and constipation. It is as close as possible to the protein found in human breast milk. At the same time, the body is completely saturated with all necessary microelements. There is quite a wide choice of such products on the market; they are produced by all brands that produce baby food.
Lactose-free
Designed for children whose bodies are lactose intolerant.
The product has removed all milk sugar, which causes colic, diarrhea and bloating.
However, it has side effects. With constant use, it causes intestinal dysbiosis, in which a child’s tummy cannot break down sugar on its own. The following mixtures do not contain lactose: “Nutrilon”, “Humana LP”, “Nutrilak”, in “Semper-bifidum” lactose is replaced by more digestible lactase.
Fermented milk
Designed for children with digestive problems. The composition includes curdled cow's milk protein, which helps the tummy digest difficult-to-soluble microelements. They are used often and have positive reviews from mothers. Among the manufacturers producing these products are Frisolak, Agusha Gold, Nestozhen, and Nutrilon.
But at the beginning of artificial feeding, pediatricians do not recommend using this food, as it increases the number of regurgitations.
Antireflux
The composition contains components that, when ingested into the baby's stomach, increase the viscosity of the product. This reduces the frequency of regurgitation. Used for babies who often spit up like a fountain.
For premature babies
For such children, manufacturers have prepared special food with a lot of protein. When consumed, children gain weight more vigorously.
Are mixtures from different manufacturers compatible?
Pediatricians and gastroenterologists sometimes recommend feeding infants dairy products from different manufacturers if they have digestive problems. Since not all brands have the necessary composition. For constipation, it is recommended to alternate the fermented milk mixture with the standard one. Since the child’s body, accustomed to receiving bacteria from the outside, will refuse to produce its own.
Lactase-free products are gradually being replaced by lactase-free ones, while combining two different manufacturers.
However, you should not choose the manufacturer yourself. It is better to consult a pediatrician on this issue.
Komarovsky answers this question this way: they combine two different products at the same time, but it is desirable that they be from the same manufacturer. Formulas are selected by parents depending on the child’s well-being.
How to feed your baby correctly? About mixed and artificial feeding
Mixed feeding
For various reasons (illnesses of the mother and child, hypolactia, early return to work, etc.), some mothers use mixed feeding.
When feeding your baby breast milk in combination with formula, it is important to maintain on-demand feeding and keep an eye on weight gain. It is important that supplementary feeding is introduced only after breastfeeding. In addition, it is necessary to take into account the following recommendations from experts: the breast must be offered to the baby at every feeding, because alternating breastfeeding and formula feeding will lead to the extinction of lactation. If the volume of milk is small, the baby is fed to both breasts when feeding, and if there is little additional feeding, it is offered from a spoon rather than from a bottle. Bottles should be selected with a tight, elastic nipple and a small hole.
In cases where there are problems with the composition of breast milk, special breast milk fortifiers can be used under medical supervision.
Artificial feeding
Tatyana N., mother of two children:
“From the very first days, we bought expensive mixtures with probiotics for our son, and changed them according to his age. After a year, up to 20 months, fermented milk mixtures were given at night.
It is necessary to observe the regime and quantity of the mixture, because... Many children are prone to constipation, and formula contributes to this. It is also important to choose the right nipple for the bottle: beveled or round; the hole in the nipple also matters. If the mixture is thick, with probiotics, then a size 2 or 3 hole will do. If regular, then size two will do. But you can’t pick it out by eye the first time, you have to buy different mixtures and try.
When bottle-feeding, it is recommended to feed at intervals of three or three and a half hours, ideally with a six-hour break at night. After the introduction of complementary foods, the child can be transferred to five feedings a day. There are two ways to calculate food volume. In the first option, to calculate the amount of food in the first week of life, you can multiply the child’s day of life by 70 or 80 ml - depending on weight: for children with a birth weight of up to 3200 kg or more, respectively (for example, on the fifth day of life the baby , who was born weighing 3100 grams, should eat 5 * 70 ml = 350 ml of food). In the second option, up to two months a child should eat a volume of food per day that is equal to a fifth of body weight, from two to four months - a sixth, up to six months - a seventh, and up to a year - up to an eighth of body weight, excluding water, juice, etc. (i.e., a three-month-old baby weighing about five kilograms should eat approximately 800-1000 ml of food). Of course, these are just approximate figures, everything is individual.
Adapted baby formula (infant formula) must be used in children's nutrition. They are close to human milk in all components - protein, fat, carbohydrates, amino acids, vitamins and minerals.
Types of milk formulas:
- mixtures based on cow's and goat's milk,
- “initial” or “starter” mixtures, “subsequent” mixtures, mixtures for children from 0 to 12 months (indicated by numbers),
- dry and liquid (liquid, such as PreNAN, are used for medicinal purposes – author’s note) milk formulas,
- fresh and fermented milk,
- with and without the addition of additional components.
When bottle-feeding, the mother needs to provide the baby with tactile contact, so it is better to feed him while holding him in her arms “skin to skin.”
It is believed that goat milk formulas cannot cause allergies, but unfortunately, this is a myth. But they are easy to digest and digest, taste good and are rich in nutrients. Therefore, if you are intolerant of certain components of cow's milk or allergic to it, goat milk mixtures are used.
- “Initial” or “starter” formulas (“1”) are intended for children in the first 6 months of life. The composition is as close as possible to human milk.
- “Subsequent” formulas (“2”) – for feeding children in the second half of life. Contains a higher amount of protein and is less similar to breast milk.
- “Subsequent” formulas (“3”) – for feeding young children.
- Formulas from “0 to 12 months” can be used throughout the first year of a child’s life.
Composition of mixtures
The mixtures are similar in composition to human milk due to:
- reducing the content and changing the composition of protein, which reduces the negative impact on metabolism and reduces the load on the kidneys and digestive system,
- administration of taurine, which is necessary for the normal development of the retina and brain, and fat absorption. It is indispensable for children in the first few months of life, because... not formed in the body;
- the use of polyunsaturated fatty acids and lactose in combination with dextrin maltose,
- reducing the content of mineral salts and introducing iodine, selenium, iron, copper, zinc, manganese, the content of which in cow's milk is lower than in women's milk.
Prebiotics are non-digestible food components that have a positive effect on health by influencing bacteria in the human intestine. Prebiotics include some carbohydrates.
Nucleotides, pro- and prebiotics are often introduced into adapted milk formulas. Nucleotides influence the formation of children's immunity. The introduction of pre- and probiotics ensures normal intestinal microflora.
Adapted fermented milk products are also used in the nutrition of infants. They are prepared using special colonies of bacteria. Such mixtures contain protective substances, lactic acid, lower levels of lactose, and milk protein is partially broken down, which somewhat reduces allergenicity. They improve the composition of intestinal microflora, strengthen local immunity, and are able to regulate intestinal motility during constipation and diarrhea.
Probiotics are live microorganisms that have a positive effect on human health.
Adapted fermented milk formulas can be used from the first weeks of life as an addition to the main fresh formulas. They are recommended for those at risk of nutrition-dependent diseases, decreased appetite, dysbacteriosis, frequent respiratory infections and during an epidemic of colds. Fermented milk powders with low acidity are sometimes even used as a staple food.
Elena F., young mother:
“I was in the hospital for eight days because of breast problems, plus I waited a couple of days after taking antibiotics. Later it was difficult for my daughter to latch on to the breast, so at first she expressed milk into a bottle, but she also gave breast milk. As a result, I managed to establish breastfeeding, and I almost no longer breastfeed. When I was only on the mixture (ate “Bellakt Optimum”), the stool was a little tight. When we switched to milk and formula as a supplement, everything returned to normal.
If there is a high risk of developing atopic dermatitis - if both parents and siblings suffer from allergic diseases - formulas based on partially hydrolyzed cow's or goat's milk protein are preferred.
How to choose the right mixture?
Infants who need mixed and artificial feeding should receive only adapted milk formulas for proper development. When choosing a milk formula, it is necessary to take into account the child’s age, the functioning of the gastrointestinal tract, the presence of a risk of allergies, diseases, the nature and possible side effects of taking medications, the financial level of the family, the individual tolerance of this particular mixture and the tastes of the child.
From the first weeks of a child’s life, preference should be given to fresh formulas, then, if necessary, combine fresh and fermented milk mixtures.
Important: an excess of fermented milk mixtures in the diet of a child in the first year of life can cause persistent regurgitation and metabolic disorders. From six months onwards, “follow-up” formulas are recommended. In the first and second half of life, you can also use mixtures “from 0 to 12 months”. For children aged approximately 10 months to 3 years, formulas numbered “3” are recommended.
If the child’s body tolerates the mixture well, there is no regurgitation, vomiting, loose or poorly digested stools, constipation, skin and other manifestations of food allergies, anemia, and the child eats with pleasure, then the mixture is chosen correctly.
Examples of choosing formula for children of the first year of life : (review of the typical assortment of Bobruisk convenience stores)
- Adapted milk formulas for healthy children from birth: Nutrilon 1 and 2, Bellakt Optimum 1+ and 2+, Bellakt Immunis 1+ and 2+, Frisolac, Frisomel, NAN, Nestogen, Nutrilak, Semper Baby 1 and 2, Winnie, Hipp, Humana.
- Formulas for children with reduced lactase activity, with breast milk oligosaccharides: Nutrilon-low-lactose, Similac.
- Formulas for children with regurgitation and vomiting, constipation, colic: Nutrilon antireflux, Bellakt KM2, Bellakt AR, Frisovo.
- Formulas for children with diarrhea and severe intolerance to cow's milk, hydrolysates: Nutri-Soya, Pepti-Junior, Frisosoy, Frisopep, Alfare Amino.
- Mixtures that help strengthen the immune system and improve intestinal microflora: NAN with bifidobacteria, Semper Bifidus.
- Formulas for premature and low birth weight babies: Nenatal, Bellakt PR, Frisopre.
- Fermented milk mixtures: NAN fermented milk, Nestogen fermented milk, Bellakt KM.
- Mixtures based on goat milk: Nanny 1.2, Kabrita 1.2, MD mil SP Kozochka, Mamako Premium.
Important : if you use mixtures with bifidobacteria, strictly control the temperature - it should not be higher than 45 degrees. An open package of any mixture should be stored in accordance with the requirements indicated on the box. Any mixture is prepared for one feeding and is not stored.
An example of a bottle with a convex anatomical nipple.
Tips from moms on choosing a bottle and nipple:
- Most people prefer plastic bottles from well-known brands (cheap ones and those bought in random places can contain harmful impurities!),
- the volume should be appropriate for the age: for starters, 150 ml, and after a year, 300 ml is possible,
- the neck should preferably be wide, this makes it easier to pour the mixture,
- the shape of the bottle should not be complicated - in this case, even with a brush it is difficult to wash it well,
- for children who hold the bottle themselves, it is good to take one that is narrowed in the middle or with removable handles and an anti-slip coating,
- it is advisable to check (read reviews) whether the bottle leaks when you turn it over,
- most mothers advise taking “anti-colic” bottles,
- The nipple will most likely have to be selected individually, but it is recommended to take an anatomical convex one, the grip of which is as close as possible to the shape of the female nipple. Most respondents are in favor of silicone orthodontic nipples, but some, on the contrary, prefer softer round latex ones;
- the hole in the nipple for water should be “one”, and for the mixture “two” or “three”;
- Any nipples are used for no more than two to three months; latex ones last less. It is necessary to strictly observe the service life of the bottle itself,
- there should be a clearly visible accurate scale on the bottle, preferably in relief (so as not to be erased),
- the lid should close easily and tightly, it is advisable not to fall off from impact even if dropped;
- Before using the bottle for the first time, you must carefully read the instructions for caring for it. Ideally, after each use, the bottle is sterilized, and before preparing the mixture, washed with boiled water;
- All mothers advise having two or three bottles in stock.
The material used data from the educational manual “Feeding healthy children in the first year of life” (Zhernosek V.F., Dyubkova T.P.).
Afterword from the leading column
Dear Bobruisk women, feed your babies with love and tenderness, and nature will do the rest. Be patient and attentive - and everything will work out for the best.
Ekaterina NOVITSKAYA, presenter of the “Mom on Maternity Day” column
You can send any questions about the development, upbringing, problems of your children to me by email: [email protected]
Let's discuss it together!
How to give a child two different formulas?
Different baby foods are given at the same time, based on the baby’s condition. Feedings are alternated, for example, in the morning they give a fermented milk mixture, after three hours a standard one. The basic rule in feeding babies: do no harm! The mother must monitor the condition and behavior of her baby. If there are deviations from the norm in behavior: weakness, pale appearance of the face, stools have become hard, gas or constipation appears, then the combination is not suitable, you should consult a pediatrician for advice. He will recommend another combination, more suitable in this case.