In How to breastfeed

When breastfeeding doesn't work out

Given the significant health benefits for both baby and mother, all health professionals have a responsibility to promote, protect and support breastfeeding. However, if parents are unable to exclusively breastfeed, health professionals should support parents and provide non-biased, evidence-based information about formula feeding.

In some circumstances it may be possible for a mother to mix feed her infant (combination of breastfeeding and formula feeding).

See: Breastfeeding problems

Support and advice for families unable to breastfeed

It is normal for mothers to experience feelings of grief or loss if they are unable to breastfeed. A mother’s informed decision not to breastfeed should be respected and support provided.

For parents or carers who are unable to breastfeed, or do so only partially:

Affirm the value of breastfeeding for whatever length of time the baby was breastfed. Even one feed per day is of value.
Acknowledge any grief/loss feelings.
Let the parents or carers know that maintaining a close relationship with their baby is most important – and express confidence in their ability to continue to give their baby their best.
Advise that a suitable infant formula should be used until the infant is 12 months of age.
At around 12 months of age, pasteurised full cream cow’s milk may be introduced in a cup. Toddler milks are not required for healthy toddlers.

Discuss the importance of following the formula’s preparation instructions, and the hazards of improper formula preparation and storage.