Feeding your baby: Exclusively Breastfeeding, Exclusively Pumping, and Combo-Feeding
You have many options for feeding your baby, from exclusively breastfeeding to exclusively pumping to combo-feeding to formula supplementation. What do all these terms mean, though?
How are you going to feed your baby?
For most new parents, the first answer that comes to their head is the question of breastfeeding versus formula feeding. But options are more nuanced than that. When it comes to how you provide nourishment for your baby, you have lots of great options.
Exclusively breastfeeding is what most people think of when they think of breastfeeding. It means that your baby only gets breastmilk for the first 6 months of their life. No formula, no water, no solid foods.
“Breast milk provides all the nutrition your baby needs for the first six months of life, along with a host of benefits other than just basic nutrition,” shares Nest Collaborative IBCLC, Robin Williams.
Benefits of exclusively breastfeeding
The benefits of exclusively breastfeeding your baby are many.
Breast milk provides the ideal nutrition for babies. More than just sugar, fats, proteins, and water, it also delivers essential antibodies that support your baby’s developing immune system. In addition, the immune system protection breast milk offers lasts as long as your baby breastfeeds—and, in fact, longer given the intimate relationship between microbiome, breast milk, and health. What’s more, when nursing is part of exclusively breastfeeding, the immune system protection is better than exclusively pumping given the saliva-breastmilk exchange.
Exclusively breastfeeding reduces the risk of childhood illnesses, including diarrhea, pneumonia, ear infections, allergies, and more.
Reduces the risk of childhood cancers for your baby and breast and ovarian cancer for you.
Breast milk, especially colostrum, supports a healthy gut microbiome.
Improved oral development, including decreased risk of tooth decay, fewer orthodontic problems, speech improvement, and more.
Breastfeeding can help parents lose weight after delivery.
Breastfeeding can reduce the risk of perinatal mood disorders.
Challenges of exclusively breastfeeding
Managing the time commitment of breastfeeding
Adjustment to an on-demand feeding schedule, including nighttime feedings every 3 hours for months (or more)
Anxiety about meeting your baby’s nutritional needs if you have an undersupply
Difficulty in learning the necessary skills like latching
Potential discomfort with breastfeeding in public or in front of others
Lack of support from family, friends, or partner
Tips for exclusively breastfeeding
Start breastfeeding as soon as possible after your baby is born—ideally, within the first hour.
Breastfeed on-demand rather than on a set schedule and don’t limit your baby’s time on-breast.
Don’t limit nighttime feedings—your milk production is highest in the early morning hours.
Teach your baby how to latch well. A good latch is the foundation for successful breastfeeding.
Get support for your breastfeeding journey:
Work with a lactation consultant
Take a breastfeeding class before—or after—your baby is born
Join a breastfeeding group
Come up with a breastfeeding plan for when your baby is born—and enlist your partner’s help!
Avoid pacifiers and bottles for the first 4-6 weeks postpartum.
When we talk about exclusively breastfeeding, we’re really just talking about exclusively providing breast milk. We’re not talking about how your baby gets the milk.
That’s why exclusively pumping is part of exclusively breastfeeding. You’re still providing breast milk as the sole source of your baby’s nutrition. You’re just using a breast pump and bottle to feed it to them.
Exclusive pumping also means that nursing isn’t part of your breastfeeding journey. That doesn’t make it any less meaningful or valuable for your baby, though. Williams points out that, “Breast milk, no matter how it’s given, is beneficial to your baby.”
Why choose exclusively pumping?
Each parents makes their breastfeeding decisions based on a range of personal circumstances. Remember, you don’t have to justify your decision to breastfeed—or how you breastfeed—to anyone else. That being said, when you’re making these decisions yourself, it’s helpful to understand why some parents decide to exclusively pump.
Slow or low weight gain
Difficulty establishing nursing after a NICU stay
Physical reasons like tongue-tie or cleft palate
Aversion to nursing for the parent
Exclusive Pumping Benefits
Greater confidence in how much breast milk your baby is receiving.
Greater ability to share responsibility for feeding babies with your partner and other caregivers.
Weaning from the pump may be easier as there is less emotional attachment involved.
More flexibility in your schedule if you have a freezer stash of breast milk.
Insurance covers the cost of a new breast pump when you have a baby.
Exclusive Pumping Challenges
Pumping is time-consuming—you have pumping time and cleaning time in addition to feeding your baby.
Your milk supply might not respond as well to a pump as it does nursing, leading to a lower supply.
Balancing baby and pumping can be challenging.
Exclusively pumping can be challenging, especially if you wished to nurse your baby.
Breast pumps can be uncomfortable to adjust to.
Exclusively pumping tips
Use a double electric pump to decrease your time at the pump.
Use a hands-free nursing bra to free up your hands.
Set up a pumping station with all your supplies to make pumping easier
Follow guidelines for safe milk storage to ensure your baby is getting all the nutritional benefits of breast milk.
While most breastfeeding parents can make enough milk to exclusively breastfeed, that doesn’t mean that it always works out that way. But parents shouldn’t be hard on themselves for how things work out, or don’t.
“ANY amount of breastmilk has a great benefit to your baby,” enthuses Williams.
That’s where combo feeding comes into the picture. Combo feeding involves feeding your baby both breast milk—whether from nursing, pumping, or donor breast milk—and formula.
Why choose combo feeding?
Exclusively breastfeeding for the first 6 months of your baby’s life is recommended by both the CDC and WHO. However, exclusively breastfeeding can be a challenge—for you, your baby, or both of you. Reasons for combo feeding include:
Nipple pain or damage
Recurrent blocked ducts
Flat or inverted nipples
Difficulty with latching
Tongue and/or lip-ties
Low milk supply
Can be temporary or ongoing milk supply challenges
Low or slow weight gain and/or failure to thrive
Poor response to pumping
Benefits of combo feeding
Providing your baby with the benefits of breast milk
Reducing stress and time commitment involved with pumping
Allows your partner and other caregivers to help with feeding the baby
Challenges of combo feeding
Maintaining your milk supply
Potential difficulty with maintaining baby’s latching skills
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