Breastfeeding is child’s right and mother’s right as well as duty. If your baby is being breastfed and refluxing then ignore this lesson and continue to feed your baby with patience.But sometimes due to unavoidable circumstances and even after trying hard some mothers fail to breast feed. The baby can’t go hungry. In such circumstances a helpless new mom resorts to the tin of formula milk powder. Once formula milk is introduced the problem of reflux starts. Some babies do tolerate formula with out any reflux issues. But if your baby is on formula and refluxing, your paediatrician is going to blame your brand of formula milk only.
However, don't loose hope. You will definitely find the brand of formula that suits your baby better than what you are using now, thanks to the array of formula milk powders available in market. If you go by the literature printed on each formula powder’s tin, then you would end up saying that they are all the same. Yes, they are all the same formula milk which is way unworthy than the breast milk, an elixir of life. Nutritionally they look similar but the method of preparation is different for each brand which will become evident once you look at the powder of different brands. The only way to find the formula that will suit your baby is hit and trail. I did so too.
Let me share my experience with the brands of formula I have tried. My baby was introduced to pre-nan in the NICU on the 3rd day of his birth. So I continued with it, until I realized he was refluxing. At the time of discharge from NICU they had set the dose of formula for him at 30 ml every 2 hours. I continued with it and kept trying to breastfeed as much as possible by direct latching, latching through nipple shield, pumping etc. After a week, his demand increased, referring to the feeding table on the tin of the formula, I increased his feed by two times to 60 ml and all hell broke loose with floods of spit ups and nasal aspirations etc. How I wish I knew how to manipulate or calculate the correct feeding dose at that time! But that was me as a new mom.
So starting with pre nan I followed it with nan pro once my baby attained 3kg weight.
It claims to be closest to breast milk. But it isn't so close. It is quite heavy on the under developed digestive system. Spit ups were like denatured milk with a lot of acid content.
Lactogen is a very old formula by Nestle and quite cost effective as compared to the newer counterparts but it doesn't contain the new age fortification of ADA or AHA. Rest of the nutrients remain same. Most babies settle down with this. Spit ups were thick curd like with high acid content.
This powder looks yellow with coarse granules. This is well tolerated and refluxes are reduced but some babies end up with increased frequency of passing stools. My baby passed stool after each feed with this formula. No spit ups at all.
Currently, this is the most expensive formula available in local market as well as online. This powder is very fine and thin. This is the closest to breastmilk, hence very easily digested by infants. Refluxes, flatulence and colic reduced considerably with this formula. Even the spits up were easier than other formula powders as it was mostly watery.
If your baby doesn't settle with any of these 4 commonly available formulas then do go ahead and try dexolac, aptamil or farex.
Before trying or changing a brand I always tried to go through all the available information about it present on google. While doing so I realized that there are formulas exclusively for refluxing babies and gassy babies. Unfortunately they are not available in India.
Personally so far my experience with enfamil a+ stage 1 and stage 2 has been really good. You can continue with enfamil a+ stage 1 even after 6 months if the refluxing hasn’t settled down yet. Because stage 2 is less processed than stage 1, hence heavier than stage 1 on the tummy. Stage 2 can be introduced later at 7+ months also.
Also read: Ways To Increase Breastmilk Naturally