My feed
Premium

Please
or
to access all these features

Get advice and support with infant feeding from other users here.

Infant feeding

How different are first & follow on formulas?

8 replies

olivia35 · 20/04/2006 21:14

We left MIL babysitting ds (21 months) & dd (2 weeks) for a couple of hours the other day, armed with a bottle of ebm for dd. She asked what she should do if dd needed more milk, & would it be OK if she used the SMA 'follow on' formula which is still knocking around the cupboard from when ds used to have it occasionally (it is in date, I checked!)

I said prob not a brilliant idea & sent dh out to corner shop for emergency carton of formula. Just out of curiosity does anyone know - are they actually drastically different & would it hurt a younger baby to have formula intended for 6 months & up? Not planning on trying it...

OP posts:
Report
julienetmum · 20/04/2006 21:54

They are quite different.

One is whey dominant and the other casein. (can't remember which is which but the first formula is formulated to mimic the makeup of breastmilk in that it is easier to digest)

Follow on also contains more iron (too much for some babies.

I gave my 6 month old formula fed dd some follow on milk that came free in the bounty pack. She was up all night screaming with tummy ache and that was at 6 months old.

I would not give it to a 2 week old.

Report
olivia35 · 20/04/2006 22:04

Thank you! Will check if it'll still be in date when dd is old enough & chuck/hide it away accordingly to prevent mishaps...

OP posts:
Report
tiktok · 21/04/2006 00:06

No.......julie, you have it wrong, or partially wrong.....however, follow on is certainly not suitable for a newborn and it will say so on the package.

It's late, so will return to this tomorrow.

Report
starlover · 21/04/2006 00:28

olivia, tins of formula usually need to be chucked after 4 weeks if they're open.

Report
hana · 21/04/2006 01:47

also the composition of breastmilk changes as the baby gets older, so it makes sense that formula would change as well for different age groups

Report
Chandra · 21/04/2006 02:31

Follow on formula is not as "complete" as first formula because by 6m the diet of the baby would be complemented with some other foods.

Being whey or casein based depends mostly in the brand of the formula rather than in being First or Follow on milk.

Report
tiktok · 21/04/2006 09:29

OK - here's the gen on formula and different formulations.

'Infant formula' in the UK is formula intended for babies under 6 months. It is basically skimmed cows milk with fats from other vegetable or animal sources added in, plus a whole raft of additions such as nucleotides, vitamins, prebiotics again from vegetable or animal sources. The protein in the cows milk has been 'modified' (this is the technical term) with the aim of making it less hard work for the baby to metabolise.

In the case of 'stage one' milks (different brands have different terms for this) usually marketed as being 'for babies from birth or when breastfeeding is being supplemented' or 'when moving on from breastfeeding' or some such, these proteins have been modified to make them predominantly whey and this mirrors the composition of human milk where the protein is predominantly whey (remember this is cows milk we are talking about, so in my book this doesn't make it 'close' to breastmilk).

In the case of 'stage 2' milks or 'milk for hungrier babies' or whatever term the manufacturer is using, the proteins have been modified a bit, but the predominant protein is casein which is 'tough' and takes longer for the baby to break down....hence the idea (unresearched in any proper study) that babies are more 'satisfied' by it.

Both whey-based and casein-based formulas are able to be marketed for newborns, but the preference in the UK is for babies to start off on the whey-based and then typically to move to casein-based, often when the mother feels the baby is feeding too often or is not satisfied.

This as far as I can see is marketeers catering to a market - a market of mothers who feel their existing formula is not keeping their baby 'full' - and the mothers may be right in thinking that, of course. Casein based formula has been around longer than whey based, and manufacturers needed to keep the casein formula rather than replace it entirely with the apparently more breastmilk like whey based.

The calorie content of these milks is more or less the same, by the way.

All the UK-sold formula (as far as I am aware) has a whey-based and a casein-based version, so it's nothing to do with a particular brand. For example, SMA Gold and White; Aptamil and Milumil. Mothers are not told much about this. Instead they are given marketing speak like 'gentle on baby's stomach' or 'for hungrier babies' .

Follow on formula (note they don't use the word 'infant') began when restrictions were introduced on the way formula could be advertised and marketed.....manufacturers developed a new product deliberately not targetted at 'infants', but at babies over six months, which they could brand, package and market as they wished, keeping their logo and their name in front of British mothers. Again, I think all the manufacturers have a follow on formula.

The main difference in follow on is its relatively high iron content compared with ordinary cows milk - it has a higher iron content than infant formula, but that does not mean it is 'better' than infant formula. Much of the iron content in follow on is excreted because there is far more than the baby can process. This is why it is very common for babies and toddlers on follow on to become constipated, and the usual advice for them is simply to go back to infant formula, which is, in any case recommended for non-breastfed babies until 12 months (or longer - 12 months is the time when current guidance says cows milk is ok for a main drink).

Hana: breastmilk does change as babies grow - but not in the way that formula changes. Breastmilk doesn't acquire more casein, or more iron - which is the way formula changes.

Formula changes for marketing reasons, not to mirror breastmilk changes.

Sorry this is long but no one else is telling mothers this from what I can see :)

Report
olivia35 · 24/04/2006 21:00

starlover - it was cartons rather than an opened tin! Expiry date 05/06, so has now been binned - it'll be well out of date long before dd is old enough for it (& tiktok has rather put me off the wretched stuff anyway!)

Thanks to all for information - I didn't know any of this. Admittedly I don't use formula very often...but I did scan the carton of follow on to see if it said anywhere in big letters 'DO NOT GIVE TO YOUNGER BABIES', & didn't see anything to that effect. Hence the curiosity - I was wondering if the main difference was actually just the colour of the carton...

OP posts:
Report
Please create an account

To comment on this thread you need to create a Mumsnet account.