Dietitians New Zealand has issued a statement to clarify the current guidelines for feeding infants, in response to recent updates in the World Health Organisation’s Global Feeding Guidelines for Children Under Two.
The New Zealand infant feeding guidelines, updated in 2021, recommend exclusive breastfeeding for the first six months, and continuing breastfeeding up to two years or beyond, along with a nutritious diet. If breastfeeding is not possible, commercial infant formula is recommended for babies aged 0-6 months, and follow-on formula for 6-12 months.
Dietitians New Zealand acknowledges the financial challenges many parents face, especially when deciding on food expenses. However, they advise parents to consider some key factors before switching from infant formula to cow’s milk.
One of these factors is the risk of iron deficiency anaemia. Many babies are born with low iron stores and can develop anaemia in their first year. This risk is higher if the mother was iron deficient during pregnancy or if the baby was born prematurely. Commercial infant formulas are fortified with iron, while cow’s milk is not.
Another consideration is the impact of cow’s milk on a baby’s kidneys. Babies’ kidneys are immature at birth and mature over the first year. Cow’s milk has high levels of protein and minerals that can stress the kidneys.
Dietitians New Zealand urges parents to consult with their Well Child Provider or GP before switching from infant formula to cow’s milk from six months of age, as each infant is unique and requires individual care.
For personalized nutrition advice, parents are advised to consult with a Registered Dietitian. More information can be found on the Dietitians New Zealand website at www.dietitians.org.nz.