What If Youre Breastfeeding And Formula
For moms who do a blend of breast milk and formula, there are no set rules for how often and how much a newborn should eat of each. Youll want to aim for at least six to eight feedings per day of one type of milk or the other but since breast milk and formula are nutritionally equivalent, its simply a matter of finding the mix that works best for you and baby. However, the American Academy of Pediatrics recommends exclusive breastfeeding for the first six months if possible. Even if you plan to eventually supplement with formula, breastfeeding during that critical period can help better establish your breast milk supply for the months ahead.
Amount Of Formula Required
From five days to three months, a full-term, healthy baby will need about 150 ml of prepared formula per kilogram of body weight, every day. For example, a baby who weighs 3 kg will need 450 ml of prepared infant formula each day.From three to six months, this falls to 120 ml of infant formula per kilogram of body weight each day. From six to 12 months, it falls again to between 90 and 120 ml of infant formula per kilogram of body weight each day.Premature babies need more formula. At first, they usually need about 160180 ml of formula per kilogram of body weight per day. Your neonatal doctor or maternal and child health nurse will advise you.See your doctor or maternal and child health nurse if you are worried about your babys appetite or growth.
Bottles For Expressed Breastmilk Or Infant Formula
When buying bottles, remember that:
- You will need at least three large bottles with leak-proof caps, discs and teats.
- Plastic bottles are better, because glass breaks more easily.
- Bottles should be smooth on the inside surface , so they are easy to clean properly.
- Bottles should have clearly marked measurement guides that will not wear off over time.
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How Much Should A Newborn Eat
Patient Presentation A 4-day-old female came to clinic for her first visit. Her mother complained that she was a very spitty baby but wasnt taking enough of her bottle feedings. The mother said she was told to give her 2-3 ounces of formula every 2-3 hours but she wasnt taking all of it. Shes only taking about 1.5 ounces and even then she seems to throw up with a lot of the feedings, her mother said. My mom says she needs to eat more too, but she just spits up, complained the mother. The pediatrician noted that the mother kept trying to feed the infant when the baby clearly turned her head away from the bottle and didnt want it placed back into her mouth. The past medical history showed a term infant born to a G1P1 mother without complications.
The pertinent physical exam showed a healthy appearing female with a weight of 3.873 kg which was decreased 2.1% from birthweight. Transcutaneous bilirubin was 6.8 mg/dL.Her physical examination was normal except for mild jaundice around the face and upper trunk. During the examination, she had some effortless spit up of formula that did not bother her.
The patients clinical course at the next visit showed her to be above birth weight and gaining about 22 grams/day. The mother complained that she still had some spitting up, but its a lot better. My mother still doesnt believe you and thinks she needs to eat more. I just keep telling her that her grandbaby is okay, her mother remarked.
Is My Baby Getting Enough
It can be difficult to know if your baby is getting enough to eat, especially if you are breastfeeding.
You will typically have an appointment with your pediatrician just a few days after birth. During this time your doctor will check your babys weight, and as long as your baby is gaining weight, the amount he or she is eating should be just fine.
While its normal for your baby to lose a little weight in the first few days, the doctor will expect him to gain about a ½ ounce to 1 ounce per day. Your baby should be back to birth weight by 10 to 14 days.
If you have any questions regarding feedings, this is also a great time for you to receive answers to those.
In general, other signs to help you determine if your breastfed baby is actually getting enough include:
- Having 6 to 8 wet diapers a day.
- At least 3 bowel movements per day the size of a US quarter or larger.
- Increasing alertness when awake.
- Gaining weight.
If your baby seems dissatisfied or fussy after a feeding, it is possible he or she isnt getting enough.
For breastfeeding moms, the visual confirmation is out of the picture and this can make it much more difficult to know just how much your baby is getting. Your breasts should feel fuller before feedings and softer afterward, you should see or hear your baby swallowing throughout much of the feeding, and your baby should be relaxed and satisfied after feeding.
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Colostrum: The First Milk
Colostrum is the very first milk that is produced by the mothers body. It ranges from being a clear fluid in some mothers to golden brown and thick in consistency in others. For the first few days, the colostrum produced is the most suitable food for the babys immature stomach and intestines. It contains more protein and less fat compared to matured milk. Produced in a small quantity, it is power-packed and enough for the baby, as at this stage an hourly feeding is sufficient.
It also has laxative properties that help the baby by clearing meconium off the intestines . Colostrum is packed with antibodies that are crucial for your little ones immunity development. It is as good as giving him his first dose of vaccination. No wonder, it is also known as liquid gold!
Feeding Schedule For Formula
Formula-fed newborns will need about two to three ounces of formula per feeding to start with. Newborns, fed from bottles are able to take in more during a feeding than a breastfed infants. This allows you to space out feedings by about three to four hours.
As your baby reaches her 1-month milestone, she will need at least four ounces per feeding to get the nourishment she requires. Your newbornâs feeding schedule will gradually become more predictable over time, and youâll need to adjust the amount of formula as she grows.
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How Do I Know If My Newborn Is Getting Enough To Eat
In the beginning, a certain amount of newborn weight loss is normal, especially if you are breastfeeding. A 5-7 percent weight loss during the first 3-4 days after birth is normal. If baby loses more than that, breastfeeding should be evaluated by a certified lactation consultant.
Once your milk comes in, about 3-4 days after birth, your baby will typically start to regain that weight. Baby should be back to their birth weight somewhere between 10 days and two weeks after birth. But dont stress: Your babys pediatrician will monitor their weight and growth, and let you know if anything is amiss.
After that, you are looking for a steady weight gain. On average, babies gain 5.5 to 8.5 ounces per week during the first four months. However, its important to note that your pediatrician will be looking for a consistent growth curve, not necessarily a specific percentile. As long as your baby is following their own curve and is healthy, there is rarely anything to stress about.
So What Should You Do With This Information
I get frequent questions as to how many ounces should be in a babys bottle at given ages.
Unfortunately, there is no one-size-fits all answer. As you can see from the first chart, there is a huge variation in what breastfed babies will eat in a given day your baby might be one that only needs 20 oz per day or one who needs a lot more.
My goal with this post was to be able to give mothers a ballpark as to what is normal for breastfed babies to eat in a given day, and if you want, you can use this as a starting point that you can tweak based on your babys needs.
Ultimately, though, I would let your baby be your guide. If he finishes his bottle and still seems hungry and isnt soothed by a pacifier or any of your other tricks, then I would go ahead and feed him more. If hes on the other end of the spectrum and just doesnt like to eat much, I wouldnt push it unless there is an issue with weight gain .
Note: If youre a data geek like me and interested in more survey data, I wrote an e-book about exclusive pumping and milk supply that makes extensive use of it you can check out here.
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Signs Baby Is Getting Enough Food
Though its always important to monitor babys weight gain during those first few months of life, the following signs are good day-to-day indicators that baby is indeed getting enough to eat:
- Mood: Baby is content and seems satisfied after feedings
- Energy levels: Baby is alert during awake periods
- Diaper output: Baby wets at least five to six diapers a day after your milk comes in. Check out this handy chart for more info:
If your baby is lethargic, refusing to eat, not putting out wet/dirty diapers, call your pediatrician right away for guidance.
How Will I Know If My Formula
After a while, you’ll get to know the signs that show your baby is ready to feed:
- your baby will start to get restless
- they’ll begin to turn their head and open their mouth
- they’ll find something to suck usually their fist or fingers
Try to feed your baby before they cry, as this is a late sign of hunger.
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How Much Should A 10 Month Old Eat
10 month olds tend to start getting much more regular at sleeping through the night if they havent already. At this age, they are getting past their last sleep regression and eating a good number of calories during the day. 10 month olds drink milk 3-4 times a day and eat 3 solid meals. Some babies this age are also getting one snack, too.
Average Total Per Day: 3-4 breastfeeding sessions, 20-35 ounces of breastmilk, or 24-32 oz of formula.
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What If Baby Is Eating Solid Foods
Sometime between six months and a year babys milk intake may begin to decrease, but breastmilk should provide the majority of babys nutrition through the first year. Because of the great variability in the amount of solids that babies take during the second six months, the amount of milk will vary, too. One study found average breastmilk intake to be 30 oz per day at 7 months and 19 oz at 11-16 months.
Several studies have measured breastmilk intake for babies between 12 and 24 months and found typical amounts to be 14-19 oz per day . Studies looking at breastmilk intake between 24 and 36 months have found typical amounts to be 10-12 oz per day .
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Topics Covered For Formula Feeding
If your baby is healthy, skip the “What to Do” section. Go directly to the topic number that relates to your question for advice:
What Do I Need If I’m Formula Feeding Away From Home
If you need to feed your baby away from home, take with you:
- a measured amount of formula powder in a small, clean and dry container
- a vacuum flask of hot water that’s just been boiled
- an empty sterilised feeding bottle with cap and retaining ring in place
The vacuum flask does not need to be sterilised, but should be clean, and only used for your baby. The boiling water should kill any bacteria present in the flask. If the flask is full and sealed, the water will stay above 70C for several hours.
Make up a fresh feed only when your baby needs it. The water must still be hot when you use it, to destroy any bacteria in the formula powder.
Remember to cool the bottle under cold running water before you feed it to your baby.
Alternatively, you could use a carton of ready-to-feed liquid formula when you’re away from home.
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Starter Or First Formula
There is a variety of starter formulas based on cows milk protein . Formula based on soy or goat’s milk is also available. These formulas are suitable for babies from birth to 12 months.
Read the label carefully because:
- formulas developed for toddlers as well as pregnant women can look very similar, so check the label carefully to ensure your baby gets a formula that is safe and appropriate for their age.
- the label may list a number of additions such as LCPUFAs , probiotics or prebiotics. These ingredients are added because they are found naturally in breastmilk.
How Many Millilitres Of Milk Does A Newborn Need Per Day
WHO and UNICEF recommend newborn baby feeding on demand. This means there is no specific limit on newborns milk consumption per day. Feed your baby whenever and how much ever times the baby wants. Babies show signs and give you cues when they are full and do not wish to be fed further. The table below serves as a general guide to how much milk a baby needs per day. As newborn milk intake is highly variable, this is just a rough guide.
Newborn Milk Intake Chart: How Much ml of Milk Should a Newborn Drink as Per the Present Weight
|Weight In Grams|
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Day 3 To 14 Building Up
This phase can usually occur anywhere between 24 to 120 hours after birth. However, it can take longer for some moms so if you are worried, see your nurse or pediatrician to ensure the correct nutrition is being given to your baby.
After three days, your babys stomach will have grown to the size of a walnut. This can be up to 30ml but dont worry, your body will automatically adjust to the larger portions.
If you are breastfeeding, usually within the first 3-5 days your body will learn and adapt to how much milk your baby needs. Your body will automatically calculate how much milk to produce. This stage is very important to the development of breastfeeding and the continuation of breastfeeding your baby.
At this point their appetites may change and although their daily consumption of milk will roughly remain the same, you may notice longer periods between feeds and the feeding process will get longer. This is perfectly normal and your baby will naturally adapt to the change in routine.
Feeding your newborn baby at least 10 times per day during the first week will help to promote healthy and bountiful milk supply. Your body will adapt and learn how and when your baby eats. The amount of milk produced will change, depending on your babys feeding habits and appetite.
In these first initial stages, if your baby does not wake themselves up to feed during a nap, your pediatrician or nurse may recommend waking them for feedings.