While everyone is in agreement that breastfeeding is ideal, it just doesn’t work for every family. Some parents need to use formula full-time while others give formula in addition to breastfeeding. Breast milk or formula should be your child’s only source of nutrition for about the first six months. From six months to 12 months, breast milk or formula will continue to be the primary source of food as your little one slowly transitions to solid food.
If you’re planning to feed your baby Baby Formula, you might have questions. Is one brand of Baby formula better than another? Are generic brands OK? Is soy-based formula better than cow’s milk formula? Here’s what you need to know about Baby formula milk in South Africa as well as a list of the best formula for babies:
Related Aricle: Welcoming Mammas’ Meeting Place to the World
I’m bottle-feeding my baby. Which formula is best?
It’s easy to feel overwhelmed in the formula aisle. Choosing the right nourishment for your baby is a pretty weighty decision, and there are lots of options.
When choosing formula, consider the form it comes in, the type of protein and carbohydrate it provides, and what other ingredients are included. In the end, you’ll be able to choose the formula that is best for your baby and your family’s lifestyle.
What are the main types of baby formula?
Commercial Baby formulas are regulated by the Food and Drug Administration (FDA). The major types are available:
1. Regular formula:
Most infant formulas are made from cow’s milk which has been adapted to be suitable for babies. The proteins are changed to be easily digestible, milk sugar (called lactose) is added to resemble breastmilk more closely, and vegetable oil is replaced for butterfat.
A. Starter formula:
These milks are suitable from birth to 6 months of age. They are usually based on the whey of cow’s milk, which is known to be more easily digested. This lighter protein is preferred for younger babies, since the digestive system is still very immature and could struggle to digest and adapt to heavier protein based formulas.
B. Follow on formula:
Follow–on milks are suitable for babies from 6 to 12 months of age, covering nutritional requirements of the infants as part of a diversified diet. These milks tend to be predominantly based on the casein of cow’s milk, which is referred to as the “heavier” protein type to digest. The reason for changing the protein profile is for easier weaning, to prepare baby’s gut for the digestion of solids.
C. Growing up formula:
These milks are suitable for babies from 12 to 36 months of age. As your child grows and develops, their nutritional requirements change. Often toddlers tend to be fussy eaters and as a consequence of not following a balanced diet, are at risk of nutrient deficiencies. Growing up formulas could provide your toddler those nutrients that they might be lacking.
2. Hydrolysed formula:
These formulas are defined as cows’ milk-based formula treated with enzymes in order to break down most of the proteins that cause symptoms in allergic infants. What this also means is that the protein content is broken down into smaller proteins, making it easier for baby to digest. What is important to know about hydrolysed formulas are whether they are partially hydrolysed or extensively hydrolysed. Partially hydrolysed formulas are often recommended by health care professionals for infants who are allergy prone/ have a family history of allergies, in order to prevent these allergies from occurring in the infant. The higher the level of hydrolyses/ the more the protein is broken down, the better the product would be in preventing allergies, reducing the allergenicity of the product. Extensively hydrolysed formulas are indicated for the treatment of a cow’s milk protein allergy. However, if you ever do want to feed these formulas to your little one, it is best to do on your healthcare professionals’ advice
3. Soy-based formula:
Soy based formulas are made from soybeans supplemented with vitamins, minerals, and nutrients. However, soy formulas are even more different from breastmilk than cow’s milk and they are not generally recommended as a first choice infant formula. Some healthcare professionals might still recommend soy based formulas for babies with a cow’s milk allergy, but it is important to know that it is common for infants with a milk allergy to also be sensitive to soy protein and so the choice to use soy formula in this particular case is also debateable.
4. Special formula:
Special formulations are available for special medical purposes such as for premature babies, babies that suffer from severe cow’s milk protein allergies or maybe metabolic disorders. However, these infant formula products should be used only on the recommendation of a healthcare professional like your baby’s paediatrician.
However, so many times our little ones struggle with more common tummy troubles such as colic, reflux, constipation, diarrhoea and for these conditions there are also infant formulas on the market that are specifically designed to address these problems, in my case i used Novalac as they have a whole selection of products for each of these problems.
In addition, specialized formulas are available for premature Baby’s and babies who have specific medical conditions.
Why use formula instead of regular milk?
Commercial Baby formulas provide all the nutrients that most Baby’s need. Milk from animals or milk substitute from plant sources doesn’t contain these nutrients in a healthy balance for an Baby. For example, Baby’s younger than age 1 who drink cow’s milk are at risk of iron deficiency.
What Baby formula preparations are available?
Ready-to-use formula is undoubtedly the most convenient – no mixing or measuring required, just open and serve. It’s the kind of formula that hospitals often give to newborns. It’s hygienic and especially helpful when you don’t know whether you’ll have access to safe water.
The convenience of ready-to-use formula comes at a price – this kind costs about 20 percent more per ounce than powdered formula. The containers also take up more storage space in your cupboard and more space in the landfill (unless you can recycle the containers).
Once opened, ready-to-use formula has a short lifespan – it must be used within 48 hours. Also, because liquid formula is often darker than powdered formula, many moms complain that it’s more likely to stain clothes.
Liquid concentrate formula requires mixing equal parts of water and formula. Compared to ready-to-use formula, concentrate is less expensive and takes up less storage space. Compared to powdered formula, it’s a little easier to prepare but more expensive.
Powdered formula is the most economical and the most environmentally friendly formula option. It takes up the least amount of space in transport, in your pantry, and in your trash can.
Powdered formula takes more time to prepare than other types of formula, and you must follow the directions exactly, but it has a one-month shelf life after the container has been opened. As with liquid concentrate formula, you can mix up just the right amount – as much or as little as you want – whenever you need it. This is especially helpful if you’re a breastfeeding mom who may only need a supplemental bottle occasionally.
Be sure to follow any mixing instructions carefully.
What’s the difference between generic and brand-name Baby formula?
All Baby milk formulas sold in South Africa must meet the nutrient standards set by the FDA. Although manufacturers might vary in their formula recipes, the FDA requires that all formulas contain the minimum recommended amount — and no more than the maximum amount — of nutrients that Baby’s need.
Generic brands of formula must meet the FDA’s requirements for nutrients in formula, so in many instances, the only difference between generic and brand name is the price.
Whether you’re buying generic or name brand, take a minute to look at the label before you purchase the formula. Specific ingredients do vary from brand to brand, and this can make a difference to your baby.
How do formulas differ?
There are five main components to formula: Carbohydrate, protein, fat, vitamins, and minerals, plus other nutrients in smaller quantities. What makes one brand of formula different from the next are the specific carbohydrates and proteins as well as any additional ingredients. For example, casein and whey are two kinds of cow’s milk proteins found in various proportions in different brands of cow’s-milk-based formula.
It’s very easy to get confused by all of the items listed on the ingredient label. Below is a guide through the maze of ingredients and a comparison to the ones found in breast milk.
Carbohydrate: Lactose is the main carbohydrate in both breast milk and formulas made from cow’s-milk. Corn maltodextrin is sometimes used as a secondary source of carbohydrate in formula. Lactose-free, soy, and special formulas contain one or more of the following carbohydrates: Sucrose, corn maltodextrin, modified cornstarch, or corn syrup solids.
Protein: Breast milk contains about 60 percent whey and 40 percent casein. Most formulas have similar protein content. Others contain 100 percent whey.
Partially hydrolyzed formulas are not hypoallergenic – don’t use one if your baby has a protein allergy, or even if you suspect she may have one. However, compared to standard cow’s-milk formula, partially hydrolyzed whey formulas have been shown in studies to reduce eczema.
Extensively hydrolyzed formulas contain proteins that are completely broken down into their building blocks (amino acids), which allow them to be easily absorbed. These formulas are considered hypoallergenic and are used for babies who have a protein allergy.
Soy formulas contain soy protein isolate – a processed soybean ingredient that is almost pure protein (at least 90 percent). Some brands use partially hydrolyzed soy protein (protein is partially broken down) to allow easier digestion.
Fat: Breast milk contains a blend of monounsaturated, polyunsaturated, and saturated fat. Formulas use a variety of oils to match the fat makeup of breast milk. They include soy oil, coconut oil, palm or palm olein oil, and high oleic sunflower oil.
Although palm and palm olein oil is widely used, research has shown that these fats can reduce absorption of fat and calcium. This would mean that your baby would not absorb as much fat and calcium as she would from a formula that doesn’t contain this oil.
Medium-chain triglycerides require less effort to digest and are more easily absorbed. They’re used in special formulas for premature infants and for infants who have trouble digesting or absorbing nutrients.
The federal Food and Drug Administration (FDA) has approved the addition of two long-chain fatty acids to formula: DHA (docosahexaenoic acid) and ARA (arachidonic acid), which are now standard ingredients in formula. Both of these substances are found in breast milk when the mother’s diet is adequate, and both are important for brain and vision development.
Babies get DHA and ARA from their mother during the third trimester, but the transfer is cut short when a baby is born prematurely. All babies need a steady supply of both substances throughout their first year.
Vitamins and minerals: Most words on the ingredient label describe vitamins and minerals. These words can be hard to figure out – ferrous sulfate is iron, for example. Sodium ascorbate is vitamin C, and calcium pantothenate is vitamin B5.
The AAP recommends that all healthy babies who aren’t breastfed exclusively be given iron-fortified formula until their first birthday. It’s important that babies receive the minimum recommended amount of iron (0.27 milligrams [mg] daily for infants 0 to 6 months; 11 mg daily for babies 7 to 12 months) to prevent iron-deficiency anemia.
Iron is vital to the blood’s ability to circulate oxygen, which all of the body’s cells need to function properly. Studies have shown that getting enough iron in the first year of life is important for brain development. A baby’s iron stores are established in the third trimester, so premature babies need extra help in getting plenty of iron.
Most formulas contain at least 4 mg of iron per liter, although “low-iron” formulas are still on the shelves. These were developed years ago in response to the misconception that iron causes constipation. The AAP would like these low-iron formulas to be discontinued or labeled as nutritionally inadequate.
Nucleotides: These are the building blocks of DNA and RNA, naturally present in breast milk. They have several functions and may aid in immune system development. Different brands of formula have different amounts of nucleotides added.
Rice starch: Rice starch is added to “anti-regurgitation” formulas. Your doctor may recommend this type of formula to alleviate your baby’s acid reflux.
Dietary fiber: Soy fiber is added to soy formula for the temporary treatment of diarrhea. The only formula containing fiber is Similac Expert Care for Diarrhea, which is clinically shown to reduce the duration of diarrhea.
Amino acids: Amino acids such as taurine, methionine, and carnitine are added to soy formulas, and sometimes to cow’s-milk formulas, to match the amino acids in breast milk.
Probiotics and prebiotics: Probiotics are a type of live bacteria that may help prevent intestinal infections and inflammation. Prebiotics boost the numbers of probiotic bacteria in the gut.
The AAP says some studies show probiotics and prebiotics can play a role in keeping your child’s digestive system healthy but they can also be unsafe for babies with compromised immune systems and certain other medical conditions, so it’s best to check with your baby’s doctor before using these formulas. Any benefit from probiotics and prebiotics goes away once your baby stops using them.
How important is the expiration date on Baby formula?
Don’t buy or use outdated Baby formula. If the expiration date has passed, you can’t be sure of the formula’s quality. While checking the expiration date, also inspect the condition of the formula container. Don’t buy or use formula from containers with bulges, dents, leaks or rust spots. Formula in a damaged container may be unsafe.
How long should a child drink Baby formula?
Baby formula is generally recommended until age 1, followed by whole milk until age 2 — but talk to your child’s doctor for specific guidance. Reduced-fat or skim milk generally isn’t appropriate before age 2 because it doesn’t have enough calories or fat to promote early development.
What about adding cereal or milk to my baby’s formula?
Never add any ingredients – including vitamins, cereal, fatty acids, olive oil, regular cow’s milk, or anything else – to your baby’s formula unless your doctor recommends it. Formula is a carefully developed substance with precise amounts of dozens of nutrients. Adding anything to formula could jeopardize your baby’s health.
Olive oil, for example, can lead to permanent lung damage and even death, because of the danger of inhaling the oil into the lungs when spitting up. Because cow’s milk is so hard for babies to digest, never mix cow’s milk with formula or give it to your baby straight until he’s at least 1 year old. And adding breast milk to formula is a waste of breast milk if your baby doesn’t drink the entire bottle.
What if I’m still not sure which formula is right for my baby?
If you’ve decided to feed your baby formula and you’re still baffled by the many options available, or you’re considering switching formulas, talk with your baby’s doctor. He’ll consider your baby’s health, age, and nutritional needs and make an appropriate recommendation.
He can also monitor your baby’s reactions and investigate any symptoms. Don’t try to diagnose an allergy or sensitivity on your own. You could miss a serious underlying condition or prevent your baby from getting adequate nutrition.
With all of that in mind; we’ve rounded up the best formula milk for every kind of baby. Got a baby who’s a picky eater, or one with a sensitive stomach? There’s a formula for that, too! From GMO-free and organic options to a goat’s milk version and hypoallergenic picks. *Remeber that not every baby will agree with or like these formulas. Keep an eye on your baby and speak to your doctor if you are unsure about anything.
S26 Gold Infant Formula
Nestle’s Nan Gold
Baby’s Only Organic Dha & Ara Lactorelief – Toddler Formula
Aptamil Profutura Infant Formula