Cow’s Milk and Babies: Wait until One Year

Although your baby may have been on a cow’s milk based formula since birth and has tried other dairy products such as yogurt, you should still hold off on giving your baby cow’s milk for the first 12 months of life. Cow’s milk can cause a number of problems, and differs from other dairy based products in its safety for babies.

Cow’s Milk and Baby’s Body

Under one year of age, your baby’s digestive system simply isn’t ready for cow’s milk. The proteins can be difficult to digest and can cause gastrointestinal problems. In large amounts, cow’s milk can damage the lining of baby’s stomach, resulting in internal bleeding. This is only one of the ways in which cow’s milk can lead to low iron levels in baby and serious consequences.

Cow’s milk is also known to block the absorption of iron, which is essential to your baby’s blood. Iron helps to create new red blood cells and also hemoglobin. Low iron results in low levels of red blood cells and a reduced ability for oxygen to be carried throughout the body. This is known as iron deficiency anemia, and it is common in babies who do not get enough iron through baby food diet. Cow’s milk can cause iron deficiency anemia through both blocked iron absorption and also by causing stomach bleeding that leaches more iron from the bloodstream.

As your baby grows past one year, the digestive system will be better able to handle the proteins in milk, but the risk of anemia still exists, so cow’s milk intake should always be regulated.

Why Some Dairy Products are Safe

Not all dairy carries the same risks as cow’s milk. In foods like cheese and yogurt the processing methods that are used in manufacturing break down the protein and the lactose, making them easier to digest. This is why many lactose intolerant people are able to eat these foods and yet can’t drink milk. The same applies to cow’s milk based formulas, however there are still some babies who can’t tolerate even the dairy protein in these formulas and need a different option.

The main difference between milk and other dairy products is that yogurt and cheese are unlikely to be eaten in large amounts, and are even less likely to replace formula or breast milk. During the first year, your baby needs all the nutrients that are provided by these sources. Cow’s milk does not provide everything a baby needs nutritionally. After one year old, babies are able to use cow’s milk as a beverage because they are eating larger amounts of solid baby foods that provide a much better nutritional base. A baby who starts drinking cow’s milk too early may skip formula or breast milk feedings and lose important nutrients.

Until your baby is a year old, the only beverage that is really required is breast milk or formula. Along with meeting all of your baby’s nutritional needs, they also offer plenty of fluid intake to keep baby hydrated. Once your baby is a year old, you can start to replace these feedings with cow’s milk and wean from the breast or bottle. At this time you should still be cautious that baby gets less than 24 ounces of cow’s milk every day. This will prevent anemia and also make certain milk isn’t replacing meals.

Choosing and Preparing Infant Formula

If breastfeeding is not the right solution for you and your baby, formula feeding provides baby with all of the nutrients he needs and also allows you to hold your baby and establish the same level of bonding as you would while breastfeeding. To ensure success with formula feeding, first discuss your child’s health and situation with a pediatrician to learn what she recommends.

Cow’s Milk-Based Formula

In the vast majority of situations, doctors prescribe cows milk-based formula for infants. There are both commercial and organic versions of milk based formula and there are differences to consistency and taste between brands. Your baby might prefer one brand to another, but switching formulas should always be done slowly and cautiously to avoid upsetting baby’s digestive system.

Milk based formula is derived from cow’s milk. The cow’s milk is broken down to remove harsh proteins that can harm the baby’s fragile system and many additional nutrients are added to make it as close to breast milk as possible. This is true of all formulas. Despite this, some babies still have trouble digesting cow’s milk-based formula and do better on a different formula.

Soy-Based Formula

Babies that don’t do well with cow’s milk-based formulas often switch to a soy-based formula. This type of formula is derived from soybeans and is dairy free. While soy-based formula can be gentler on the digestive tract for those babies that suffer from lactose intolerance, there is just as much likelihood of allergies with soy products as milk-based ones. Speak to your doctor about soy-based formulas if you think it is right for your child.

Lactose-Free Formulas

There are other formulas that might be suitable for a child with sensitivity to lactose but not a full-fledged milk allergy. Lactose-free formulas are made with cow’s milk proteins, but have the lactose carbohydrate removed and replaced with a carbohydrate that is easier to digest.

Elemental Formulas

Formulas made without milk or soy are created using hydrolysate proteins. This makes it easier to digest for babies with milk and soy allergies. Elemental formulas, like all formulas, are fortified with iron and all required vitamins and nutrients.

Preparing Formula

Once you’ve decided on a formula, you generally have three options of how to prepare it. There is a powdered form which requires you adding a certain amount of water, shaking up the bottle and then feeding it your child. Powered formula is usually the easiest to handle while on the go as it doesn’t require refrigeration. Concentrated formulas also require you to add water and shake to create formula in a bottle. The remainder of the concentrate should then be refrigerated.

Ready-to-use formulas are packaged in bottles much like milk and are ready to be used, as stated in the name. Simply pour the desired amount of formula into a bottle and you are ready for a feeding. There is no measuring involved. The unopened container of formula does not require refrigeration, but it must be refrigerated and used within 48 hours once opened. Ready-to use formula is typically the most expensive option available.