Struggling with low milk supply and sleepless nights, new mothers often find breastfeeding both rewarding and exhausting. The constant worry about baby’s nutrition, latching issues, and painful nursing sessions make them question if they was doing enough.

On the other hand, breastfeeding is both rewarding and challenging. Mothers greatly cherish the bonding experience. However, others face low milk supply, exhaustion, or demand upon returning to work. In such a case, combination of breast milk with formula is usually the solution at hand, better known as combo feeding. So, is this safe? How do you correctly mix your breast milk with your baby's formula? Let me tell you about everything there's to know so that you're able to maximize your baby's nutrition, just making things more manageable for yourself.

Why Some Moms Make the Decision To Mix Breast Milk and Formula

Some mothers mix breast milk and formula based on personal choice. The reasons for doing so are numerous, but the most common include the following:

• Some mothers do not have enough milk to fully feed their baby.
• Pumping regularly at work is not always possible, so supplementing with formula is convenient.
• Breastfeeding twins or more is very exhausting, and formula can help fill in the gaps.
• Some mothers find that formula feeding at night helps their babies sleep longer.
• Gradual introduction of formula can help a baby get accustomed to the new taste and consistency.

Is it Safe to Mix Breast Milk and Formula in the Same Bottle?

Yes, you can mix breast milk and formula in the same bottle as long as you prepare it according to proper guidelines. Both the American Academy of Pediatrics (AAP) and the World Health Organization (WHO) recommend exclusive breastfeeding for the first six months, but they acknowledge that supplementing with formula is sometimes necessary.

The antibodies, proteins, and essential nutrients in breast milk are tailored for your baby. Formula, on the other hand, offers a steady and predictable source of nutrition. Mixing them gives you the chance to benefit most from both.

Pros and Cons of Mixing Breast Milk and Formula

Pros

Mixing the two can be done directly in one bottle and can cut down the number of feedings as well as bottle cleaning.

Infants take in all the immunity-boosting benefits of breast milk.

The other caregivers can feed him/her to give her the needed break.

It is easy for the mother to return to work without abrupt weaning.

Cons

Breast milk lasts as long as four hours at room temperature, but once mixed with formula, it should be consumed within two hours.

Some babies may take time to digest formula.

If the formula is not mixed properly, the balance will be disturbed when it comes to nutrition.

How to Safely Mix Breast Milk and Formula

To make sure your baby receives the proper nutrition without any forms of adverse health effects, one can follow this step:

Step 1: Prepare the Formula Correctly

Never use breast milk in place of water when mixing the formula. This will establish an unsafe calibration of nutrients, which is dangerous for your baby. Use the following strategy:

- Always observe the instructions from the manufacturer on the container.

- Measure out the amount of water first and then the amount of formula.

- Mix well or shake to dissolve it properly.

Step 2: Add Breast Milk

After preparing the formula, you can add expressed breast milk to the bottle. Ensure that:

- The breast milk is safely stored (freshly pumped, refrigerated, or thawed from frozen).

- The mixture is consumed within two hours at room temperature or within 24 hours if refrigerated.

Step 3: Serve Immediately or Store Safely

- If your baby starts drinking the bottle but doesn’t finish, discard the remaining milk within one hour.

- Do not reheat mixed bottles, as this can alter the nutrients in breast milk.

To minimize waste, some experts recommend offering breast milk first. If your baby is still hungry, follow up with a separate bottle of formula. This method ensures that none of your hard-earned breast milk goes to waste.

If you decide to mix breast milk and formula, it’s important to listen to your baby and your body. Start slowly by introducing formula gradually to monitor how your baby reacts and ensure a smooth transition. Using the right bottles can make a big difference—some nipples and bottle designs mimic breastfeeding, helping babies adjust more easily. There are several points a breastfeeding mom should keep in mind: she needs to take good care of her health and hydration system in order to maintain proper milk supplies, and in case of any medical information a baby has, it is always best to consult a pediatrician because every infant is different and requires a specific feeding plan.

Breast milk and formula do not necessarily have to be an either-or proposition. When you want to solely breastfeed or supplement your baby with formula, the most important thing is that the baby's on time, healthy, and happy. If combo feeding makes life easier while also ensuring that your baby is well-nourished, then it is a valid and beneficial choice.

How to Safely Prepare Baby Formula With Water Opens a new window. American Academy of Pediatrics, 2022

Infant Formula Preparation and Storage Opens a new window. CDC. 2022

Questions & Answers for Consumers Concerning Infant Formula Opens a new window. FDA. 2022

Trying to conceive in your 30s can feel like a race against time, but what if the secret to increasing your fertility was as easy as taking a walk outside for some sunlight? Yes, you heard that right! New studies indicate moderate sun exposure to have a crucial role in maintaining ovarian health and fertility, particularly for women past the age of 30. The quest for fertility and reproductive well-being assumes greater importance with advancing age for women, more so after passing the 30s. That biological functions change with age for women is not a secret, and with this comes the dip in fertility as well but what if something as easy as sunlight could improve those chances? Research indicates that moderate sunlight exposure may play a big role in ovarian health and fertility, particularly in women aged over 30.

We've known for years that sunlight improves our mood and mental health. Natural serotonin production while being exposed to sunlight is well-documented, but new studies are now connecting sunlight exposure with better fertility rates, especially among women aged over 30.

A study appearing in Steroids, authored by scientists at Tel Aviv University and the Sheba Medical Center, reveals how solar radiation exposure may impact fertility. The study, in particular, examined how sun exposure influenced the level of Anti-Müllerian Hormone (AMH) in women. AMH is an important marker of ovarian reserve—the amount of eggs a woman possesses in her ovaries, which determines her fertility potential.

The scientists followed 2,235 women aged 20 to 40 and discovered an interesting trend: women aged 30 to 40 who were exposed to moderate amounts of sunlight in spring and autumn had more AMH compared to those exposed to little sunlight in winter months. Surprisingly, those who were exposed to more solar radiation in summer had greater levels of AMH than those in the winter. Although the study does not create a direct cause-and-effect relationship, it does imply that moderate sun exposure can be good for ovarian reserve and therefore fertility.

Role of Vitamin D in Fertility

Vitamin D, or the "sunshine vitamin," is manufactured by our skin after exposure to sunlight. Vitamin D has been found to be very important for fertility, especially for women who are attempting to get pregnant. A deficiency in vitamin D has been linked to unfavorable fertility outcomes, such as lower IVF success rates and an increased risk of pregnancy complications.

For women attempting conception without medical aid, having optimal levels of vitamin D can maximize the possibility of conception. A number of studies establish that women with higher levels of vitamin D are likely to have better rates of implantation of the embryo and better success when undergoing IVF treatment. The relationship between vitamin D and fertility highlights the need to maximize exposure to sunlight or take supplements, especially for those attempting conception.

How Much Sun is Too Much?

While moderate sun exposure will improve fertility by increasing vitamin D levels and AMH levels, it's necessary to counterbalance this with the danger of too much sun. Long-term exposure to strong sunlight can cause sun damage, premature aging, and increased skin cancer risk. So, it's worth striving for safe, moderate sun exposure—usually, about 10 to 30 minutes a few times a week, depending on the type of your skin and sun intensity.

It's essential to pay attention to your body and not expose yourself to the sun during the strongest hours, usually between 10 a.m. and 4 p.m. Applying sunscreen to longer exposures and dressing in protective clothing is worth considering to avoid long-term damage to your skin.

Fertility-Enhancing Lifestyle Changes for Women Age 30 and Above

Sunlight exposure is only half the solution when it comes to enhancing fertility among women aged 30 and above. Embracing a healthy lifestyle can also contribute in a notable way to enhancing reproductive health. These are some of the most important lifestyle changes that can enhance fertility:

1. Eat a Balanced Diet

A healthy diet high in antioxidants, healthy fats, and whole foods may also contribute to improving fertility. Foods that are rich in nutrients such as folic acid, zinc, and omega-3 fatty acids play a critical role in maintaining reproductive health. Especially, consuming fruits, vegetables, lean protein, and whole grains can normalize hormones and make conception more likely.

2. Exercise Regularly, But Don't Overdo It

Physical exercise is essential for general health and fertility. Regular, moderate exercise—like walking, swimming, or yoga—can help normalize hormones, enhance blood flow, and alleviate stress. Excessive exercise, on the other hand, can have the opposite effect and harm fertility. Women who overexert themselves or have extremely low body weight can suffer from menstrual irregularities, which can prevent ovulation.

3. Stress Management

Chronic stress is a proven fertility killer, as it can cause hormonal imbalance and affect ovulation. Adding stress-reduction methods like yoga, meditation, or breathing exercises can help balance your body. Also, talking to a counselor or therapist can be helpful in resolving emotional and psychological stress that could be impacting your fertility.

4. Get Enough Sleep

Sleep is necessary for hormone balance and overall health. Lack of sleep can raise cortisol levels and interfere with your reproductive hormones. Get 7 to 9 hours of quality sleep each night to aid your fertility and overall health.

Although no one factor can promise fertility, sunlight exposure may be a natural and inexpensive means of aiding reproductive health. Along with a healthy diet, exercise on a regular basis, and stress management techniques, you can really boost your chances of conception, particularly if you're in your 30s. Fertility is a multifaceted process, and it's always a good idea to consult with a healthcare provider when changing your lifestyle or embarking on a family planning adventure.

Moderate sunlight exposure not only does your mood and mental health good but also has an unsuspected but possibly vital role to play in enhancing ovarian health and fertility beyond the age of 30.

The US is facing a long-term decline in the birth rates. As per experts, this raises a concern in terms of what this means for country's future, especially with regard to health of its population, economy, and caregiving systems.

A Slight Rise in 2024

As per the new data released by the US Centers for Disease Control and Prevention (CDC), more than 3.6 million babies were born in 2024. This is just a 1% increase from the previous year, which had been the lowest record in births. While this uptick may seem encouraging, it is not enough to reverse the troubling trend.

The US fertility rate remains around 1.6 births per woman. This is significantly below the 2.1 births that is required to sustain the population growth without immigration.

As per the demographers, this continuous drop began during the Great Recession in 2007. It has continued steadily since.

Shift In Teen Births

One of the biggest shifts is the steep decline in teen births. In 1991, about 62 of every 1,000 teenage girl had a child. This number has now fell to just under 13 by 2024. This is a historic low that reflects a positive shift, better education, access to contraception, and changing attitudes about early parenthood.

Similar trend is seen among women in their 20s, as the rates their too have dropped. In 2007, about 106 of every 1,000 women aged 20 to 24 gave birth. By 2024, the number has dropped to around 57. For women aged 25 to 29, the rate fell from 118 in every 1,000 women in 2007, to 91 in 2024.

Though there has been a slight rise in births among women in their 30s, experts say that it is not enough to offset the overall decline.

Are Births Being Delayed?

“One of the big questions is all these births that haven’t occurred—are they just being delayed?” asked Ken Johnson, a demographer at the University of New Hampshire. “Or are a lot of these births going to be forgone entirely?”

The answer has significant public health implications. A shrinking younger population could lead to fewer caregivers for an aging society, higher burdens on healthcare systems, and a smaller workforce contributing to national health programs like Medicare.

Why Are Fewer Americans Having Kids?

As per experts, while people still want children, there is a lingering financial burden and social barriers too that get in a way. High student loans, debt, and the rising coast of child care, unstable housing, along with limited access to paid parental leave are all major concerns.

“People don’t have kids when they don’t feel good about their own futures,” said Karen Benjamin Guzzo, a family demographer at the University of North Carolina.

Can Policies Help?

Some political leaders are proposing measures to encourage parenthood. Former President Trump, for instance, has suggested “baby bonuses” and scholarships for married couples or parents. However, Johnson believes that without stronger, systemic support, the U.S. birth rate is unlikely to bounce back to replacement level.

Immigration may help slow the effects of falling birth rates. Many immigrants move to the U.S. with plans to start families, Johnson noted. “They bring the potential for babies in the future.”

Not so long ago, childhood was seen as a joyful chapter of life rich with play, discovery, and endless imagination but now, a dangerous shift is underway. More and more number of children and teens are fighting severe emotional struggles that were once considered rare in youth. From depression and anxiety to more serious, more intricate mood disorders, the emotional well-being of the next generation is in shambles.

A study appearing recently in JAMA Pediatrics put a spotlight on a frightening trend: a sharp and consistent rise in mood disorders in children and teenagers over the last six years. Over 1 in 10 kids—10.6%—suffered from anxiety in 2022, compared to 7.1% in 2016. Depression also increased, hitting 4.6% of children in 2022, up from 3.2% in 2016. These statistics are not abstract; they reflect an escalating emotional crisis among our children, one that requires immediate and thoughtful action from parents, medical professionals, educators, and policymakers.

These aren't one-time occurrences. They're indicators of a broader crisis that is occurring in schools, homes, and communities—one which was fueled by the pandemic but was well under way before that. As the stressors of childhood change and escalate, so does the psychological load on our children.

But whereas scraped knees or the flu are tangible and obvious, mood disorders can be intangible, misunderstood, or dismissed altogether. And if left unidentified or unaddressed, the impact can trail a child into adolescence and adulthood, impacting everything from grades to relationships, self-worth, and health outcomes.

Not Just a Post-Pandemic Phenomenon

Although the COVID-19 pandemic shed international light on mental health conditions, scientists explain that the increased prevalence of mood disorders among adolescents is not exclusively a pandemic phenomenon. "Our results highlight the urgent need to address youth mental health, which continued to decline even as we exited the pandemic," says Marie Heffernan, assistant professor of pediatrics at Northwestern University Feinberg School of Medicine.

The research, conducted on the National Survey of Children's Health, shows a bittersweet pattern: although a few physical medical issues such as asthma and migraine are reducing in numbers, mental and emotional ailments are increasing. This contrast serves to emphasize that children's emotional health must command just as much clinical attention as does their bodily well-being.

What Are Mood Disorders?

Mood disorders, or affective disorders, are mental illnesses that encompass major depression, bipolar disorder, and dysthymia. They are marked by disturbances in an individual's emotional state that exceed the normal ups and downs of childhood or adolescence. The emotional changes are persistent, intense, and hard to control, and they tend to interfere with a child's functioning at home, school, and in social relationships.

Some of the most frequently diagnosed mood disorders in children and adolescents are:

Major Depressive Disorder: Ongoing sadness or irritability for two weeks or more.

Persistent Depressive Disorder (Dysthymia): Ongoing low-grade depression for one year or more.

Bipolar Disorder: Intermittent periods of elevated and depressed mood.

Disruptive Mood Dysregulation Disorder (DMDD): Intense irritability and persistent outbursts of temper.

Substance-Induced Mood Disorder: Mood disturbances due to medication, drugs, or toxins.

Mood Disorders Caused by Medical Illnesses: Mood shifts brought on by chronic disease or injury.

How to Identify the Warning Signs

In contrast to adults, children and adolescents tend to convey emotional distress through physical complaints or behavioral problems instead of talking about sadness or anxiety. This can make it more difficult to identify mood disorders. The Children's Hospital of Philadelphia states that symptoms can be:

• Severe or persistent sadness, irritability, or anger
• Substantial changes in sleep, appetite, or energy
• Withdrawal from friends or family, or withdrawal from social events
• No interest or pleasure in activities that they used to enjoy
• Difficulty with schoolwork without an identifiable cause
• Excessive physical complaints such as headaches or stomachaches

More often than not, these symptoms are confused with "phases" or attributed to stress or personality traits. That diagnostic delay can result in escalating symptoms or the emergence of comorbid conditions such as substance abuse or conduct disorders.

Why Are Today's Kids More Vulnerable Emotionally?

Experts cite several overlapping reasons for the explosion of mood disorders in young people:

Heightened Academic and Social Stress: Children today are under enormous pressure to succeed—academically, athletically, and socially—with little time left for emotional regulation.

Social Media and Online Exposure: Ongoing exposure to filtered realities, cyberbullying, and online validation cycles can exacerbate feelings of inadequacy and anxiety.

Family Life and Stress: Domestic instability, economic struggles, or family conflict can have a significant effect on a child's emotional resilience.

Deficiencies in Mental Health Infrastructure in Schools: Most schools do not have adequate psychological support staff or school programs emphasizing emotional well-being.

Stigma and Lack of Awareness: Mental health, in most communities, is still stigmatized, and its underreporting and underdiagnosis follow accordingly.

Managing Mood Disorders with Early Intervention

Mood disorders in children can be treated—if caught early. Treatments include:

• Cognitive Behavioral Therapy (CBT) to assist in coping with detrimental thought patterns in children
• Medication, as needed and very closely monitored
• Family Therapy to treat systemic stressors
• School-Based Support Services, including counseling and emotional wellness programs

Experts have said that continued concern and resources are justified at a national level to explain and treat the array of possible reasons for increasing anxiety and depression.

What Can Parents and Schools Do?

The awareness is the beginning, parents need to notice not only the changes in behaviour, but also emotional and physical signals that indicate distress. Schools, in return, require improved mental health education for teachers and more accessible support systems for pupils.

Promoting open dialogue about mental health, safe emotional release, and decreasing stigma can help children get through their feelings. As has been proven through research, numerous children benefit immensely from early, long-term intervention—and go on to live strong, healthy lives.

The emotional well-being of our children is not a specialty concern—it's a global public health imperative. With anxiety and depression levels steadily increasing, the time to take action is now. Being able to provide children with the proper resources, attention, and support systems can influence not only their emotional well-being in the short term but their capacity to thrive in the future.