Baby bottle
A baby bottle, nursing bottle, or feeding bottle is a bottle with a teat attached to it, which creates the ability to drink via suckling. It is typically used by infants and young children, or if someone cannot drink from a cup, for feeding oneself or being fed. It can also be used to feed non-human mammals, whose mother cannot feed their young or mammals which have no mother.
Hard plastic is the most common material used, being transparent, light-weight, and resistant to breakage. Glass bottles have been recommended as being easier to clean, less likely to retain formula residues, and relatively chemically inert. Hybrid bottles using plastic on the outside and glass inside have also been developed. Other materials used for baby bottles include food-grade stainless steel and silicone rubber.
Baby bottles can be used to feed expressed breast milk, infant formula, or pediatric electrolyte solution. A 2020 review reports that healthy term infants, when breastfeeding or bottle-feeding, "use similar tongue and jaw movements, can create suction and sequentially use teat compression to obtain milk, with minimal differences in oxygen saturation and SSB patterns". Sick or pre-term babies may not be able to breastfeed or take a bottle effectively and may need specialized care.
The design characteristics of the bottle and teat have been found to affect infant feeding and milk intake. Interactions between the infant and the caregiver feeding them affect the infant's milk intake during feeding. Whether the caregiver or the infant controls the feeding appears to affect the infant's ability to learn to self-regulate their milk intake. Proper cleaning and sterilization of bottles are recommended to avoid bacterial contamination and illness, particularly in areas where water quality and sanitary conditions are not good.
Design considerations
A typical baby bottle has four components: the first is the main container or body of the bottle. A teat, or nipple, is the flexible part of the bottle that the baby will suck from, and contains a hole through which the milk will flow. The collar goes over the nipple and typically screws onto the neck of the bottle, forming a seal. Most, but not all baby bottles will also have a cap or travel cover that goes over the teat to keep it clean and to prevent small spills. Some bottles may optionally have a disposable liner.Design concerns for the making of baby bottles often reflect safety or comfort.
A safe baby bottle should not break, should not come apart easily into small or potentially harmful components, should not be made of materials that pose a health risk, and should be easy to clean so as to avoid bacterial contamination and illness.
A bottle should also be comfortable for both caregiver and baby to use. Bottles that are lightweight and easy to hold can be desired by both babies and mothers. A variety of shapes are available. The design of containers, nipples or teats may mimic the shape of the mother's breast. Designers may try to mimic the flow rate of breastfeeding: the baby should be able to get enough nourishment, but at the same time not be overwhelmed or overfed.
Materials
Over time a wide variety of materials have been used for infant feeding vessels. The materials now most commonly used in baby bottle containers are glass and some types of plastics. Food-grade stainless steel and silicone rubber are also used. Each of these four materials—plastic, glass, silicone and stainless steel—has advantages and disadvantages. The standard materials used in teats/nipples are latex rubber and silicone.A number of countries have regulations about allowable food contact materials. Ideally, the material making up the bottle should react as little as possible with the material in the bottle. No material is completely inert, but glass and stainless steel are relatively neutral materials which tend to remain stable and not interact with foods. The disadvantages of glass are that it tends to be heavy and can break more easily.
Plastics are lightweight and resistant to breaking. Manufacturers find them easy to form into a variety of shapes. A wide variety of plastics have been developed, some of which are not well understood in terms of reactivity. Some plastics have been found to be reactive with fluids such as breast milk and infant formula. Chemicals such as Bisphenol A may "leach" from a bottle into the substance it holds. In addition, plastics may be more likely to break down when heated or cooled, for example, when being heated in a microwave or being boiled to sterilize them.
Polycarbonate plastic was frequently used in baby bottles before 2011, and is still used in some countries. Polycarbonates contain Bisphenol A. Since 2008, at least 40 countries have banned the use of plastics containing Bisphenol A in baby bottles due to safety concerns. Bottles made of polycarbonate may be marked as "#7 PC".
Bisphenol S and Bisphenol F have been used as substitutes for BPA. They are structurally similar. Comparisons of BPA, BPS and BPF have found that these chemicals have similar potency and action to BPA and may pose similar dangers in terms of endocrine-disrupting effects. This has led to criticisms of the chemical industry and for calls to deal with bisphenols in groups, not individually. In 2021, the Canadian government agencies Environment and Climate Change Canada and Health Canada held consultations with the goal of grouping 343 known BPA analogs and functional alternatives.
Polyethersulfone plastic does not contain BPA but does include Bisphenol S. An assessment of a variety of different baby bottles in use in 2016, reported 4 bottles to be of "high concern", 14 bottles to be of "concern"; and only 6 bottles to be of "no concern" These of "no concern" included two polyamide and two polyethersulfone bottles, a stainless steel bottle, and one of the 17 polypropylene bottles tested.
Phthalates, found in polyvinyl chloride, are another area of concern. Referred to as "everywhere chemicals" because they are so common, phthalates make plastic more flexible, and have been used in pacifiers and nipples or teats for bottles. Phthalates have been banned from use in feeding bottles in the EU. In the USA, there have been repeated calls for the removal of phthalates by the U.S. Consumer Product Safety Commission and others. Their use in children's toys and products was somewhat restricted by the Consumer Product Safety Improvement Act of 2008. Plastics labeled #3 may leach phthalates. Latex rubber nipples may contain phthalates, so silicone nipples may be recommended instead. Packaging may indicate whether a product is "BPA-free" or "phthalate-free".
Plastics may degrade over time in other ways, There are concerns that small beads of plastic may be released into fluids from some types of plastic bottles. In 2020 researchers reported that infant feeding bottles made out of polypropylene caused microplastics exposure to infants ranging from 14,600 to 4,550,000 particles per capita per day in 48 regions with contemporary preparation procedures. Microplastics release is higher with warmer liquids and similar with other polypropylene products such as lunchboxes. In 2022, the first study to examine the presence of plastic polymers in human blood found plastics of multiple types in the blood samples of 17 out of 22 healthy adults tested. Medical experts have suggested reducing exposure to microplastics by not shaking plastic bottles or exposing them to high temperatures. Some recommend using alternative materials such as glass, silicone, or stainless steel.
Baby bottle nipples are typically made from either silicone or latex rubber. When used for nipples, silicone is clear, durable, and slightly harder than latex. Natural rubber latex teats are elastic, tear resistant, and may feel softer. Latex can absorb odors, while silicone does not. Latex can break down if exposed to sunlight. Some people have allergies to latex.
Size
Bottles tend to come in standard sizes, oftenand.
Smaller bottles may be lighter and easier to hold and are often used with younger, smaller infants. There are concerns that larger bottles may lead to over-feeding, since parents are likely to encourage a baby to "finish" a bottle during a feeding.
The height-to-width ratio of bottles is high because it is needed to ensure the contents flood the teat when used at normal angles; otherwise the baby will drink air. However, if the bottle is too tall, it easily tips. There are asymmetric bottles that ensure the contents flood the teat if the bottle is held at a certain direction.
Shape
The shape of the bottle is related to both ease of use and ease of cleaning. Designers sometimes suggest that naturalistic designs will mean that babies can transition between breast or bottle without issues. Other bottles have been invented with unique shapes designed to speed up the warming and cooling of breast milk, saving time, reducing bacterial growth, and reducing exposure to temperatures that can damage the nutrients in breast milk."Anti-colic" bottles have been put forward with the goal of reducing "gassiness" and distress when feeding. Designs often seek to minimize the sucking in of air by the baby while feeding. Some bottles try to minimize the mixing of air into the milk within the bottle. At the same time, it is desirable to avoid creating an internal vacuum as the infant sucks out fluids, since this will make it harder to feed. Designs may rely on the bottle's shape or incorporate different types of "venting".
Some vented bottles, as well as bottles which use a collapsible liner collapses as the formula is drained, have been assessed favorably. They were reported to be comparable to a breastfeeding group in terms of milk intake, sucking patterns, and oxygenation.
A 2012 study comparing two types of vented bottles with anti-vacuum features found no differences in infant growth between randomized groups. "Bottle A", a partial anti-vacuum design, was rated by parents as easier to assemble and clean. Infants fed using "Bottle A" were reported to engage in less "fussing", but no difference were found in "crying" or "colic" or in rates of ear infection. Health recommendations for the storage and handling of human milk typically focus on preventing the growth of dangerous bacteria, but some research is also being done on nutrition. Experimental studies have shown a degradation of retinol and α-Tocopherol content dependent upon the formation of bubbles in expressed breast milk and in formula. Seven models of bottles were studied, from six companies. Less degradation occurred when using a bottle feeding system designed to minimize the mixing of air with the bottle's contents.