spit up Archives • Nourish: Birth + Postpartum

No Flow Bottle Nipples

“No flow” also known as “breast flow bottles” allow babies to completely control the flow of milk, unlike a “flow” nipple that drips when the bottle is held upside-down. The concept behind the “no flow” nipple is very innovative and conducive for mimicking breastfeeding while preventing nipple preferencing.

Second to breastfeeding, “no flow” nipples increase development of baby’s speech, oral muscles, and facial muscles and prevent babies from being instantly satisfied from milk dripping down their throats, which is what happens even with “preemie”, “slow flow”, or any other flow-type of bottle nipple.

No flow nipples also prevent suckling through bottle feedings as well as sleeping through bottle feedings, so babies are more likely to get in a whole feeding session in an appropriate amount of time. This also increases their chance of having a deeper sleep during their next sleep period. Why?

1) Babies are less likely to wake due to spit up, hiccups, or tummy trouble due to the improved digestion factor with the no flow nipple.

2) Babies are less likely to be waking due to hunger from not getting that whole feed in with a regular flow nipple because they didn’t have to work at it.

Since babies need to “work at” sucking and swallowing with no flow nipples, they do not have a high probability of becoming nipple preferenced by a bottle (nipple confusion doesn’t exist, it’s nipple preferencing from the satiety of a nipple that has a flow caused by not having to “work at” the bottle).

With a no flow nipple, babies have a lower probability of refusing the breast than they would with any other type of flow, even “preemie” or “slow flow” nipples.

The “no flow” is important, because even with “preemie” or “slow flow” bottle nipples, babies get more milk faster than with the breast because it’s still dripping/flowing.

No Flow Breast Flow Bottle Options

#1 MEDELA CALMA BOTTLE

The Medela brand is pretty genius, like the Dyson of the breastfeeding world. So much research went into their “calma teat” which helps babies create a vacuum between their mouth and the teat in order to allow the milk to flow. Similar to breastfeeding, this vacuum experience with the calma tea lets baby feed, and then pause and breathe. Since babies are “working” at extracting the milk due to the similar no flow, there is low possibility of nipple preferencing or getting frustrated when returning to breastfeed. Medela’s breast milk bottles are compatible with all Medela breast pumps and Calma, making it easy to pump, store and feed using the same container. Only one size of Calma teat available though; if your baby needs a bottle with a shorter teat due to a higher gag reflex, go with the above recommendations.

#2 FIRST YEARS BREASTFLOW BOTTLE

First Years Breastflow Bottle has a “double nipple” which require babies to make more effort in sucking and compressing the teat in order to extract milk. The benefit for breastfed babies and breastfeeding parents is that it helps minimizes nipple preferencing.

Paced Bottle Feeding

If you choose to breastfeed or support a breastfeeding parent, or have a partner supporting your decision to breastfeeding, have a conversation about the method of bottle-feeding which is actually conducive to helping establish and maintain your breastfeeding relationship for whatever duration you’ve deemed your goal to be; feeding a bottle without the paced-bottle-feeding method can disrupt and harm breastfeeding quickly. Paced bottle-feeding helps avoid overeating and spit up from large feedings or feeds that are simply fed too fast. Remember to hold your baby upright 10-15 minutes after each feed as well. Share this video with friends and family:

Paced Bottle-Feeding video by The Milk Mob

Slow Flow Nipples – Bottle Options

If no flow is a no-go, the next best options other than slow-flow bottles to reduce flow preferencing are slow-flow nipples BUT if you can get a no-flow bottle like the three bottles already mentioned, that is best!

The following slow-flow bottles are NOT no-flow bottles:

#1 MUNCHKIN LATCH

The Munchkin Latch bottle, recommended by speech pathologists and doctors, is not a no-flow bottle but it is a slow flow bottle which means it’s a faster flow than any of the no-flow bottles above but it’s the next best thing because it has a slow flow. This is preferred 2:1 over Dr. Brown’s because it helps encourage a wide latch which protects the breastfeeding relationship to prevent sore nipples since wide latches help the nipple hit the soft palette and not the hard palette of the baby’s mouth. It’s silicone nipple is BPA-free and it has an anti-colic valve which is uniquely located at the bottom of the bottle to reduce gassiness and fussiness. They even have a pump adapter which works with many popular pumps (purchased separately) so you can pump directly into the Munchkin Latch bottle.

#2 PHILIPS AVENT

Philips AVENT Natural Glass Bottle with the “newborn flow” nipple. This bottle has a leak-free vent which allows babies to control the flow very similar to a “no flow” nipple. Plus they make them in glass bottles, if you’re into being green and reducing plastic and like to wash bottles in the dishwasher without any extra parts. You can still pour pumped breastmilk inside and then place the bottle in a bowl of hot water to heat it until lukewarm, or pop it in your bottle warmer as usual.

#3 DR. BROWN’S WIDE NECK

Lastly, because the bottles aren’t mimicking the shape of the breast, a “preemie” nipple on Dr. Brown’s Bottles – with the wide neck. If you get the regular Dr. Brown’s Bottles, babies often start refusing the breast because they can help encourage a super shallow latch, so get the wide neck bottles if you’re going with these. The bottles only come with level 1 size nipple, so you should remove those, store them in a labeled baggie i.e. “size 1” and put them away until your baby is an older infant. You’ll need to buy the preemie level nipples to use with them for your newborn and younger infant:

It’s common for partners, grandparents, and other friends and family members to ask or even expect to bottle-feed your baby from the first week.

Yes, it is a way they can bond with your baby however most lactating parents do not want this after learning that the first 6-8 weeks are detrimental to building their supply and realizing it can interrupt the nursing relationship they are working on. The first 6-8 weeks for a new mother is imperative for building her maximum potential yield for her milk supply. It also can add the stress of figuring out how to time in a pumping session which can cause fear that they will not have enough to breastfeed if Baby wakes after pumping and it can lead to clogged ducts and mastitis.

Wonderful ways to connect beyond feeding can make for very special moments such as:

changing diapers
taking walks
babywearing
bathtime
cuddling skin-to-skin
reading books
singing

Check out these formula supplementing tips, and learn some secrets about breastmilk here.

Evidenced-Based Info and Essential Advice for New Parents or Soon-To-Be Parents

Spit ups, reflux, “colic”, and new mothers feeling that “something is wrong with me” – these are issues which are occurring much too frequently. Avoiding too much coffee and brussels sprouts and cauliflower can only help so much. It’s important to be informed and understand the evolution of the human body and what is needed for baby, so you can know:

Why your baby is experiencing these symptoms and how probiotics can help decrease and diminish them
You can get rid of guilt from thinking that something is wrong with your breastmilk
Learn a solution which can restore baby’s gut microbiome, and decrease digestion issues and fussiness

Introducing Evivo probiotics for newborns and babies: Implemented in Hospital NICU’s with MCT Oil and given to preterm infants, Evivo Probiotics are now available to provide to your Little One at home.

“If we give a probiotic, their [a premature baby’s] chance of getting Necrotizing enterocolitis goes down,” says Mark Underwood, who is chief of Pediatric Neonatology at UC Davis and a professor of pediatrics. In fact, at UC Davis Children’s Hospital, all preemies born under a certain birth weight are now given probiotics. It’s become a common practice in other countries including Australia, Japan, Sweden and Finland, Underwood says. This is because probiotics can help prevent a very serious intestinal inflammation called Necrotizing enterocolitis in preemies.

Research on Evivo Probiotics

In Evivo’s Clinical Trial, Evivo restored infants’ gut microbiome 100% of the time
Babies given Evivo probiotics showed 80% reduction in potentially harmful bacteria such as E. coli, clostridia, Staph and Strep; babies who did not receive Evivo had more than 4 times the level harmful bacteria versus the babies given Evivo

Gone are the days that the word “bacteria” just means something bad. This is because there is also good bacteria which is essential in balancing your gut flora. Good gut environment equals better immunity and resistance to disease. Research studies have shown that colic, eczema, allergies, diabetes, and obesity are all related to how much good vs. bad bacteria was collected within the first few months of life. We need more good bacteria to be present in the gut to decrease bad bacteria. Unfortunately, an increasing number of babies experience disruption in their bellies that actually cause bad bacteria to thrive.

Consequences of a Disrupted Gut

9.6 million children under the age of 18 have eczema; of this total, 3.2 million children (33%) have moderate to severe cases (National Eczema Org)
There are at least two children with food allergies in almost every kindergarten classroom (FARE)
Over one million children in the U.S. have type 1 diabetes (American Diabetes Association)
The rate of obesity doubles as children grow from toddlers to teens (CDC)

Why is Evivo Important for Babies?

The first 6 months of baby’s life contain many critical developmental milestones. The presence of B. infantis is vital during these crucial early months of life when baby’s metabolism and immune system are developing. Unfortunately, due to modern medical practices and lifestyles, the vast majority (9 out of 10) of American babies no longer receive B. infantis at birth.

How does Evivo Work?

Evivo works to create a protective internal environment in your baby’s gut, and it’s clinically proven to do just that by significantly reducing the abundance of bad bacterias. Evivo probiotics reduce the presence of bad bacteria by restoring B. infantis, a good bacteria that thrives most in the intestines of infants as it helps break down the lactic acid in breast milk. Are you a mom with a baby who exclusively breastfeeds? Then it will be important for you to know that lactose is the only sugar which is naturally found in breastmilk, AND the only sugar babies should be consuming. Evivo only contains lactose and activated B. infantis EVC001. It is gluten-free, and there are absolutely NO artificial additives, colors, dyes, flavors, or preservatives.

Evivo’s scientists are world-renowned experts in the infant gut microbiome and its critical interaction with human breast milk. Over a decade of research and clinical trials at The University of California led to the important discovery that the nutrients in breast milk that have evolved over millions of years to become the perfect prebiotic, or food, for B. infantis, the key good gut bacteria in Evivo. This research concluded that only one bacteria—the B. infantis in Evivo—takes advantage of this unique relationship. The amazing breastmilk nutrients, Human Milk Oligosaccharides (HMOs), feed B. infantis in Evivo, and the B. infantis returns the favor by transforming the HMOs so they can serve as valuable nutrition for your baby. Without B. infantis as much as 15% of the nutrients in your breast milk will be wasted in your baby’s diaper!

Conclusion

Evivo probiotics help you build a strong foundation in your baby’s gut by improving the good flora in your baby’s gut environment, improve digestion, further increases immunity, and decreases the probability of allergies and disease later in life.

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