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My situation was a bit different because I EPd, and my LO had some feeding issues and wasn't really eating much (if at all) in the way of solids at 8 months.

But she was drinking 3 6 oz bottles at daycare at 8 months. We dropped her at 8 and I picked up at 4ish. I think they usually fed her at 9, 12, and 3. (we fed her 6 oz at 6 am when she woke). Sometimes she wouldn't have finished her last bottle and I would give her the rest right when we got home around 4:15. And then I'd give her another 6 oz before bed.

So she was at 30 oz total for the day of bm at that point, but pretty much no solids. She continued at 30 oz a day until she finally started eating right after she turned 1 year, and then we quickly started dropping milk feeds.

My kids only ever took 4oz bottles 3 times a day while I worked -

Are you able to pump more? If so then you could try it. I barely got the 12 oz I needed for the day so I would probably suggest adding solids.

As for the nanny I would leave her a daily menu of sorts

Breakfast : bottle and 2oz fruit
Lunch: bottle and 2oz veggies
etc

My kids nursed a lot over night too though

At 8 months, Xander was probably only eating 1-2 meals of solids a day and had 5 oz bottles. By 9 months, we upped his bottles to 6 oz, but only because I cut out a MOTN feed and wanted to make up the difference, but I really don't think it would have mattered.

I'd tell your nanny to stick with the 5 oz bottles, but to add a solid meal during the day instead. And also switch back to slow flow nipples!

@bushelandapeck: nope! But I had cut down to one overnight feeding at that point---and we would only give 3-4 oz, trying to stop that feeding too. Usually whatever we gave overnight was kind of "deducted" from her morning bottle since I felt like we didn't need to go over 30 oz a day.

Our LO was 80% for height and 30% for weight at that point, so definitely not in danger of eating too much either.

H was eating three 4-5 oz bottles a day and 1-2 meals of solids at that age. She also ate overnight, anywhere from 2-4 times. Our ped wasn't concerned (she is smaller as well), so I wasn't concerned. I don't think the nanny should have switched the bottle nipples without your permission though.

@bushelandapeck: Ah, the dreaded thrush. I'm sorry. We had it twice early on, but thankfully she wasn't reliably taking pacis or a bottle at that time (10 days old and 4 weeks old).

She needs to be practicing paced bottle feeding. At that age my daughter ate a ton of solids (we did blw) and remained at 3 4 oz bottles a day, sometimes only taking 3 oz. we never went above the slowest flow nipples. My daughter was waking 1 maybe 2 times a night to nurse at that point. I always just gave what I pumped and figured my body knew what it was doing.

@catomd00: I second everything you said. Look for you tube videos on paced bottle feeding. Breast nipples never change size so you don't need to increase bottle nipple size. My lo is 7 months and takes 3x 4oz a day with premie nipples.

DD1's bottle never increased or decreased despite starting solids or physical milestones. Sure there might've been more wkaeups etc.

DD2 just started crawling and it didn't affect her bottle intake. We just started sending solids to daycare 1x a day and some days she doesn't take all of her last bottle. We send (4) bottles at 3.5oz. So 14 ounces total which is about the same as you. Both girls have always stayed at level 1 nipples. I didn't think with BF babies there was a need to go above level 1s because it's like the breast? I would definitely switch back to a 3 and ask her to give at least another solid meal. Especially if you're regularly giving 3 and she's only giving 1!

@bushelandapeck: good luck! Hope you get it all figured out. It always astounds me how childcare givers think they know more than than the parents and do things without clearance first.