5. Ask the experts

0-6 months

5. Ask the experts

0-6 months

Pharmacy teams are asked for advice on a wide range of infant feeding topics. So how do the experts suggest you respond to these common queries?

What are the signs that a bottle-fed baby has had enough?

Vicky Pennington, nutritionist at Boots UK, advises:

  • The mother should be guided by her baby – a baby will often let mum know by pushing the bottle away
  • A baby should not be forced to finish the bottle
  • The baby should appear content and satisfied after their feeds.

Dr Emma Derbyshire, independent nutrition consultant, founder of Nutritional Insight Ltd and co-founder of Little Foodie, adds that if the baby has had enough, they’re likely to:

  • Be disinterested in their milk
  • Play with the bottle or flick the teat
  • Not accept the feed and keep pushing it away.

Why should cows’ milk not be given to babies aged 0-6 months?

Geraldine Goodman, community dietitian, Dietetic Department, Cumberland Infirmary, says: “Up until six months [of age] a baby’s nutrients come from breast milk or a suitable infant formula. Cows’ milk should not be given as it does not contain the correct balance of protein, vitamins and minerals that a baby needs. At six months, cows’ milk can be introduced as an ingredient in foods such as custard or sauces but it should not be given as a main drink until a baby is a year old.”

The Government advises mothers to breastfeed exclusively for the first six months of life

A customer says her baby is unsettled after a feed. How can I help?

Freelance paediatric dietitian, Tanya Thomas BSc (Hons) RD, says: “Has the infant taken enough feed? Do they have wind or colic? Is it non-feed related: are they tired, unstimulated, teething or unwell? In some cases, the infant may be intolerant to the feed, but check other possible reasons first before investigating this possibility further.”

Is it acceptable for a hungry breastfed baby to be topped up with formula milk before the age of six months?

”The Government advises mothers to breastfeed exclusively for the first six months of life,” explains Tanya. “It is acceptable for hungrier babies to be topped up with formula if that is what the mother wants. However, other avenues should be explored and exhausted first. If the infant is coming up to six months then consideration should be given to weaning rather than topping up. The Government recommends weaning at six months, and not before four months. All babies are different and some babies may be ready for first weaning solids before six months. Topping up should not be considered the norm or the ideal.”

Record my learning outcomes

0-6 months

Inspiring stories related to health, fitness and the pursuit of wellbeing


Recommended Learning


Covid-19: shielding

Improve your understanding of shielding and which people are classed as vulnerable during the Covid-19 pandemic.

10 Min Module



This CPD module looks at the management of prediabetes and explains how pharmacy can have a role in identifying at-risk patients.

20 Min Module


Winter health

This CPD module looks at winter health, specially cold and flu which brings many customers to the pharmacy.

18 Min Module


FRONTLINE – Tackling Fleas and Ticks

This NPA-accredited module will enable you to have confident conversations with customers, helping them manage fleas and ticks both on their pets and in the home.

15 Min Module


Hand, foot and mouth disease

Are you ready for customer questions about hand, foot and mouth disease?

10 Min Module


Dry skin and eczema

Atopic eczema cannot be cured, but there are ways in which people can keep their problematic skin under control.

24 Min Module