Bottle feeding is not advised for any infant or a child as it can be a source of infection. However, it is a common practice as feeding is comfortable for the child and a parent. In such cases, it would be advisable to follow certain precautions and maintain an appropriate feeding practice. It can be used to give formula or expressed breast milk. Here’s what parents need to know:

1. Choosing the Right Bottle and Nipple

• Select a BPA-free bottle with a slow-flow nipple for newborns.
• Anti-colic bottles can help reduce gas and spit-up.
• Try different nipple shapes and flow rates if your baby struggles with feeding.

2. Preparing the Formula Safely

• Use only infant formula recommended by your pediatrician.
• Follow the instructions on the formula packaging for proper mixing.
• Use boiled, cooled water if needed, and ensure all equipment is sterilized.
• Never dilute formula beyond instructions, as it can be unsafe for the baby.

3. Safe Bottle-Feeding Practices

• Hold your baby in a semi-upright position to prevent choking.
• Always support the bottle and avoid propping it up.
• Let the baby control the pace of feeding—watch for signs of fullness.
• Burp your baby after every feeding to reduce gas.

4. How Often and How Much to Feed

• Newborns usually feed every 2–3 hours, with about 1.5–3 ounces per feeding.
• By 2–4 months, they may take 4–6 ounces per feeding, every 3–4 hours.
• Watch for hunger cues like sucking motions, hand-to-mouth movements, and fussiness.

5. Signs of Feeding Problems

• Persistent spit-up or vomiting may indicate reflux or intolerance.
• Gassiness, constipation, or diarrhea could mean formula sensitivity.
• Excessive fussiness during feeding might indicate nipple flow issues or digestive discomfort.

6. Cleaning and Storage

• Wash bottles and nipples with hot, soapy water after every use.
• Sterilize bottles before the first use and regularly if your baby is under 3 months.
• Prepared formula should be refrigerated and used within 24 hours.
• Discard any leftover milk or formula after feeding—never reheat or reuse.

7. Weaning from the Bottle

• Start introducing a sippy cup around 6 months.
• Begin weaning off the bottle between 12–18 months to prevent tooth decay.