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Bottle feeding without developing OCD?

9 replies

Anonmum881 · 24/05/2024 16:44

Second time mum here, currently 34 weeks pregnant.
My son has a rare condition that meant that we had to switch to bottle feeding quite suddenly, and not only that but he had to have 2 separate bottles at each feed to get the right nutrition for his condition, and avoid adverse health effects. I had planned on breastfeeding so our introduction to bottle feeding was very fast and stressful, alongside processing his diagnosis and grief for loss of control of the feeding process. We just about managed with a perfect prep machine, and making double of one of the bottles up for night feeds

Fast forward 3 years and expecting second, who is also fairly likely to have the same condition. I was given "feeding" info by my midwife this week, which turned out to be 90 percent about breast feeding, with half a page directing you to online resources about safety concerns with bottle feeding (don't get me started on how angry this makes me). So turns out there are safety concerns about the perfect prep machine not heating up sufficiently to kill bacteria, these seems to have been proven in a peer reviewed research study. This study, and the other website I was directed to advise a 13 step process to make up a bottle (in our case 2) fresh each time, rinsing Milton off with colled boiled water, whist waiting for freshly boiled water to cool for bottle. It's actual insanity! I developed anxiety issues, somewhere between OCD and gad after my last birth, in part because of the feeding, and I'm just feeling overwhelmed at the prospect of doing it again, without the perfect prep. OH thinks I'm being OTT and thinks we should use perfect prep anyway, but hasn't read the research. Also complaining that ready made bottles are too expensive, which is true, but I'd rather pay it than be ridiculously stressed for first 6m.

What do other people do? Is this 13 step thing just a story were told by the NHS that no one else does? Or is everyone who bottle feeds just super organised and able to tolerate going through all these steps while baby cries?

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Are your children’s vaccines up to date?
Loveofmine · 24/05/2024 16:45

Use ready made at night and nuby rapid cool during the day!

Devilsmommy · 24/05/2024 16:50

I got a hot water dispenser from Amazon for £60 and had the temperature set at 70°C so could make a perfect bottle in no time. Way less faff than hot or cold shots😁

wishIwasonholiday10 · 24/05/2024 17:34

I read a lot about the perfect prep risks and decided the risks were minimal. A lot of the concerns are also about an older version of the machine. The risk of harmful bacteria in formula here is also very low and most other countries don’t even recommend using hot water to kill bacteria and just make it up with cooled boiled water or bottled water.

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MizzMarple · 24/05/2024 17:40

Nah it’s mad. It’s just not possible to do it as they say until they’re a lot older and only having a couple of bottles at predictable times and the risks are absolutely tiny. Having said that I used (and will use for this baby) ready made formula. It’s so easy especially when they’re little and only taking small amounts. It’s expensive but worth it for me.

BertieBotts · 24/05/2024 18:07

We had to mix feed DS2 which was new to me so I did get quite obsessive over the rules, then I relaxed a bit and realised most people don't follow the majority of them and some of them are common sense things you'd do anyway.

Essentially you want to do two things - manage contamination from the environment, which means things like:

Wash hands (especially if someone is ill)
Keep kitchen clean/don't make up formula in a dirty environment
Try to avoid anything falling into the tub
Use clean/dedicated utensils to make (e.g. clean knife or the purpose built leveller in the tub)
Clean old milk bottles well
Sterilise the cleaned milk bottles in case any remnants of milk were left after cleaning
Protect tub from moisture, excess heat/cold/sunlight etc
Discard open tub after 4 weeks (also due to potential vitamin degradation IIRC)
Discard feed after 1 hour when baby's mouth has been in contact with it
Keep lid on bottle to protect teat

And then understanding that if the powder ever does get contaminated, which is possible from the factory itself (though very rare) - that milk is a very welcoming environment for bacteria and when it's kept in the "danger zone" (5-60C) for any length of time, any bacteria present may grow to dangerous levels. So reducing risks of this:

Make up with hot water when possible (over 60) especially if you will be storing it.
Feed ASAP after making up, esp if made with cooler water.
If cannot feed immediately, cool feed and keep in fridge (under 5C)
If taking pre-made milk out and about, use a cool pack
Stick to rough guidelines on time:

Max 2 hours at room temperature
Max 4/6 hours with a cool pack (I forget what this is,NHS has the guideline)
Max 24 hours in back of fridge

After this time has elapsed, discard the feed.

Discard any feed which smells or tastes sour or has curdled.

Recognise that the risk is small to begin with, and is most serious for babies under 4 weeks old. Older babies have more defences against food-borne illness.

All of the bacterial growth rules are likely overly conservative given that until 2001 the advice was just to treat made up formula like fresh milk and that it could be kept at room temperature up to 24 hours. I'd still stick to the up to date ones, but it helps add some perspective.

Likewise in many countries making up with hot water is not considered necessary, and neither is sterilising.

Most of the guidelines are a kind of "swiss cheese model" multiple safety nets in case some or all of the others aren't present. So it makes sense to do as many of them as possible, but at the same time, no individual guideline is critical because there are so many other safeguards to begin with and also the chance of it being contaminated in the first place is low.

SarahB88 · 24/05/2024 18:15

We’ve had to switch to bottles unexpectedly and my friend recommended nuby rapid cool, it’s a godsend. We still check the temp and find nuby doesn’t cool it all the way down to required temp but it’s much faster than the kettle method.

Unexpectedlysinglemum · 25/05/2024 21:04

Just get the ready mixed in at first and see if you need it?

Anonmum881 · 26/05/2024 07:27

Thanks for all the responses, that's really helpful. I think i'll get a nuby and some pre made bottles and see how we do, maybe doing a mixture to save on cost

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ProjectKettle · 26/05/2024 07:43

I read the same study about perfect prep machines in between DD1 and DD2. After DD2 was born, we bought a digital thermometer and once a week we test the water that comes out of our prep machine. Its always at 72c so im happy that we are managing the risk appropriately. We did ready made for the first 4 weeks and then switched back onto prep after that.

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