Kendamil causing 10 day old to projectile vomit!

[mkwar]

Hi all,

My little one is 10 days old, I am currently trying to transition to exclusively breastfeeding and pumping as prior to birth mixed feeding was the plan. However he takes so much better to breast milk, we have been using Kendamil from birth on the odd occasions when I haven't got enough just to top him up however on 2 occasions now he has projectile vomited after having a 90ml bottle, is this normal? Has anyone else had this issue with Kendamil or formulas? Makes me so worried, he also seems so much gassier on formula, so I have no made the decision to take him off of formula completely any advice?

Thank you x

90ml seems quite a lot for a 10 day old baby. They should be having 150ml/kg/day. If it's true projectile vomiting and it continues them checked for pyloric stenosis.

NHS reckons a 10-12 day old baby has a stomach that can hold 60-85mL. So maybe 90 is just too much and there was no space! If breastfeeding is going well I’d do more of that and less formula. Washing and making up bottles is a faff at 3am.
https://www.uhsussex.nhs.uk/resources/breastfeeding-in-the-first-few-days/

Oh if the 90mL is like a top up after a breastfeed then it’s not that surprising that it made him vomit. Too much liquid all at once!

It wasn't 90ml as a top up I should have worded it better I was trying to say we only ever use it to top up, he never does 90 after breastfeeding and in regards to the amount this was advised by our midwife, she told us 120ml of formula same as what it says on the packaging for a one week old baby but we lessened it to 90ml as we thought it was too much x

After he has vomited once he seems fine in no discomfort and is alert and his normal self he's not a very sicky baby just seems to be when he has the Kendamil x

Too much milk in 1 go I'd say. My little one was only on 1 or 2 oz at that point!

90ml too much milk. Try offering 2 oz at a time

Honestly feel awful now, we had the community midwife round and she has said he had gained weight and was really happy with his feeding and weight gain, and told us to up his milk to 120ml which we thought was too high so we knocked off 40ml thinking we was doing the right thing I will definitely be giving him less now and just breastfeeding and pumping x

He is 8pound 4 ounces does say on nhs website between 60-90ml every two to three hours is ok x

For his weight he should be having 561ml
In 24 hours. Which divided by 8 = 70ml every 3 hours. (Paediatric nurse)

Thank you so much we will do that from now on x

They’ll be variation in how quick babies stomaches expand. So the HV was probably just thinking he’s on the quicker side of the stats and recommended the next increment.
It’s not a big deal to vomit up a feed. Some babies vomit a lot and others hardly ever. It won’t have hurt him or been unpleasant for more than a minute or two. Keep doing whatever is working for you and your baby. Did you really want him to have formula early on or is it an option to introduce it again later?

I think we will stick with breastfeeding and pumping for now as he does seem to enjoy it a lot more but I will reintroduce him to it at a later stage and slowly move him to formula the older he gets x

Sounds like a plan. If he’s having more than one formula feed a day you might find you need to swap to fully breastfeeding/expressing over a few days to let your supply catch up.