Your baby's special formula (1634)

Key points below


or fortified human milk recipe

Formula name:  ________________________    Mixed to: ______________________
Your baby is on a special formula recipe.  It will help your baby get the right calories, protein, vitamins and minerals needed to grow.  Do not use the directions on the can or bottle to mix the formula.  Instead, use the recipe below to mix the formula or fortify your human milk.

To start

Wash your hands with soap and water.  
Use clean bottles and nipples.  Wash them in warm soapy water and rinse well.

The formula

Check the date on the can. Do not use expired formula.
Formula and human milk may be given cold, at room temperature or warm.  To warm the formula, put the bottle in a pan of hot, not boiling water for 2 to 3 minutes.
Do not use a microwave to warm up formula or human milk.  It may cause hot spots.
Test the temperature before you feed baby.  Shake a few drops onto your wrist.  
Refrigerate prepared formula or fortified human milk and use within 24 hours.  

The recipe

(measure the water first). Note: 1 ounce = 30ml

To mix small amount: 
_______oz/ml water  +  _______ scoops packed/unpacked =   _______oz/ml formula  

To mix large amount:
_______oz/ml water  +  ________ cup(s) packed/unpacked =   _______oz/ml formula 

Shake formula to mix

To fortify human milk:  

For every_____ ml of human milk, add ____ teaspoons of formula or powder

Do not shake human milk. Roll the bottle back and forth in your hands to mix.

Other instructions: ________________________________________________________________________
________________________________________________________________________

Dietitian: __________________________ Telephone: ___________________

ALERT

Call your child’s doctor, nurse, or clinic if you have any concerns or if your child has special health care needs not covered by this information.