01/21/2023
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I am often asked for bottle recommendations. There is no one size fits all when it comes to bottle selection. The best bottle for your family may depend on your family’s feeding goals, your baby’s oral anatomical structure, milk flow rate, and many other factors. However, when a parent is planning on combination breast/chestfeeding and bottle feeding, there are a few things to consider when choosing a bottle ni**le shape to support that body feeding journey.
There is no such thing as a bottle that functions just like breastfeeding. Many bottles are made to “look” like a breast or marketed to be “closest to breast”, but that does not mean they will function in the baby’s mouth like a breast.
Often, bottles with ni**les made to look like a breast are wide at the base of the ni**le (the part near the bottle collar). A new parent may choose one of these bottles based on the look and shape- if it looks like a breast, it acts as a breast, right? Not in this case. In most cases, baby cannot get a deep enough latch on the ni**le and the part that gets abruptly wider keeps them from getting that part of the ni**le into their mouth- so they end up chomping on the narrow part of the ni**le and getting a shallow latch. If the wide part of the ni**le is super soft and flexible, the baby’s lips can actually compress that part of the ni**le leading to leaking milk and baby sucking in air.
My top bottle choice for a chestfed baby is one with a gradual increase in width of ni**le. This shape is ideal for the breastfed baby because this allows and encourages the baby's lips to fl**ge out correctly and for the baby to get a good portion of the ni**le (not just the tip) in their mouth. We want to see a nice wide open mouth with a good seal on the bottle just as we do on the breast. Two brands that are a great example of this ni**le shape are the Evenflo Baby Balance and Lansinoh USA (The bottom left and bottom middle photos.) Another option is a bottle with a narrow ni**le down to the bottle collar (like the bottom right photo). The goal when using these bottles is to have the entire ni**le in baby's mouth. Essentially, your baby’s lips should be touching and flanging out on the bottle collar.
By selecting a bottle ni**le that supports a healthy latch and a slow flow that mimics the work it takes to receive milk at the breast, you can help set your little one up for success switching between body feeding and bottle feeding!