Contraindications and Safety Precautions in Infant Feeding
Most babies tolerate breast milk or standard infant formula well, but there are situations where specific feeding approaches are contraindicated or require medical guidance.
Galactosemia is a rare metabolic disorder in which babies cannot process galactose, a sugar found in breast milk and standard formula. Newborns diagnosed through heel-prick screening must not receive breast milk or standard formula and require a specialized lactose-free formula under medical supervision. This is a medical emergency if missed.
Signs a baby may not tolerate a formula:
- Persistent vomiting after most feeds
- Watery or bloody stools
- Significant bloating or abdominal distension
- Skin rash, hives, or swelling after feeds
- Extreme irritability that does not settle between feeds
If you notice any of these, stop the current formula and speak to your pediatrician before trying a different one. Do not switch to a "comfort" or hydrolysed formula without a doctor's guidance, as the underlying cause needs proper assessment.
Additional safety precautions:
- Never add sugar, honey, cereal, or any other substance to breast milk or formula before 6 months. Honey specifically carries a risk of infant botulism.
- Do not water down formula to make it last longer. This dilutes essential nutrients and can cause serious harm.
- Bottle-feed in a semi-upright position and always hold the baby; never prop a bottle.
- Sterilise all feeding equipment until your baby is at least 6 months old.
For guidance on newborn care basics beyond feeding, like umbilical cord hygiene, Apollo Pharmacy's newborn care resources are a helpful reference.
Report adverse events or unexpected reactions to infant feeding products to your healthcare provider or the relevant regulatory authority.