4 month old baby feeds every 2 hours

Formula Feeding FAQs: How Much and How Often (for Parents)

Whether you plan to formula feed your baby from the start, want to supplement your breast milk with formula, or are switching from breast milk to formula, you probably have questions.

Here are answers to some common questions about formula feeding.

How Often Should I Feed My Baby?

Newborns and young babies should be fed whenever they seem hungry. This is called on-demand feeding.

After the first few days of life, most healthy formula-fed newborns feed about every 2–3 hours. As they get bigger and their tummies can hold more milk, they usually eat about every 3–4 hours. As babies get older, they’ll settle into a more predictable feeding routine and go longer stretches at night without needing a bottle.

Talk to your doctor if you have concerns about feeding your baby, especially if your baby is very small, is not gaining weight, or was born early (prematurely).

How Can I Tell When My Baby Is Hungry?

Signs that babies are hungry include:

moving their heads from side to side
opening their mouths
sticking out their tongues
placing their hands, fingers, and fists to their mouths
puckering their lips as if to suck
nuzzling again their mothers' breasts
showing the rooting reflex (when a baby moves its mouth in the direction of something that's stroking or touching its cheek)

Babies should be fed before they get upset and cry. Crying is a late sign of hunger. But every time your baby cries is not because of hunger. Sometimes babies just need to be cuddled or changed. Or they could be sick, tired, too hot or too cold, in pain, or have colic.

How Much Should My Baby Drink?

In the first few weeks, give 2- to 3-ounce (60- to 90-milliliter) bottles to your newborn. Give more or less depending on your baby’s hunger cues.

Here's a general look at how much your baby may be eating at different ages:

On average, a newborn drinks about 1.5–3 ounces (45–90 milliliters) every 2–3 hours. This amount increases as your baby grows and can take more at each feeding.
At about 2 months, your baby may drink about 4–5 ounces (120–150 milliliters) every 3–4 hours.
At 4 months, your baby may drink about 4–6 ounces (120-180 milliliters) at each feeding, depending on how often they eat.
By 6 months, your baby may drink 6–8 ounces (180–230 milliliters) about 4–5 times a day.

Watch for signs that your baby is hungry or full. Respond to these cues and let your baby stop when full. A baby who is full may suck with less enthusiasm, stop, or turn away from the bottle.

Why Does My Baby Seem Hungrier Than Usual?

As babies grow, they begin to eat more at each feeding and can go longer between feedings. Still, there may be times when your little one seems hungrier than usual.

Your baby may be going through a period of rapid growth (called a growth spurt). These can happen at any time, but in the early months are common at around:

7–14 days old
between 3–6 weeks
4 months
6 months

During these times and whenever your baby seems especially hungry, follow their hunger cues and continue to feed on demand, increasing the amount of formula you give as needed.

Is My Baby Eating Enough?

At times, you may wonder whether your baby is getting enough nutrients for healthy growth and development. Babies who get enough to eat seem satisfied after eating and are regularly peeing and pooping.

At your baby’s checkups, the doctor will review your baby’s growth chart, track your little one’s development, and answer any questions. Talk to your doctor if you have any concerns about your baby’s feeding and nutrition.

Reviewed by: Mary L. Gavin, MD

Date reviewed: November 2021

Breastfeeding FAQs: How Much and How Often (for Parents)

Breastfeeding is a natural thing to do, but it still comes with its fair share of questions. Here's what you need to know about how often and how long to breastfeed your baby.

How Often Should I Breastfeed?

Newborn babies should breastfeed 8–12 times per day for about the first month. Breast milk is easily digested, so newborns are hungry often. Frequent feedings helps stimulate your milk production during the first few weeks.

By the time your baby is 1–2 months old, he or she probably will nurse 7–9 times a day.

In the first few weeks of life, breastfeeding should be "on demand" (when your baby is hungry), which is about every 1-1/2 to 3 hours. As newborns get older, they'll nurse less often, and may have a more predictable schedule. Some might feed every 90 minutes, whereas others might go 2–3 hours between feedings.

Newborns should not go more than about 4 hours without feeding, even overnight.

How Do I Count the Time Between Feedings?

Count the length of time between feedings from the time your baby begins to nurse (rather than at the end) to when your little one starts nursing again. In other words, when your doctor asks how often your baby is feeding, you can say "about every 2 hours" if your first feeding started at 6 a.m., the next feeding was around 8 a.m., then 10 a.m., and so on.

Especially at first, you might feel like you're nursing around the clock, which is normal. Soon enough, your baby will go longer between feedings.

How Long Does Nursing Take?

Newborns may nurse for up to 20 minutes or longer on one or both breasts. As babies get older and more skilled at breastfeeding, they may take about 5–10 minutes on each side.

How long it takes to breastfeed depends on you, your baby, and other things, such as whether:

your milk supply has come in (this usually happens 2–5 days after birth)
your let-down reflex (which causes milk to flow from the nipple) happens right away or after a few minutes into a feeding
your milk flow is slow or fast
the baby has a good latch, taking in as much as possible of your areola (the dark circle of skin around your nipple)
your baby begins gulping right away or takes it slow
your baby is sleepy or distracted

Call your doctor if you're worried that your baby's feedings seem too short or too long.

When Should I Alternate Breasts?

Alternate breasts and try to give each one the same amount of nursing time throughout the day. This helps to keep up your milk supply in both breasts and prevents painful engorgement (when your breasts overfill with milk).

You may switch breasts in the middle of each feeding and then alternate which breast you offer first for each feeding. Can't remember where your baby last nursed? It can help to attach a reminder — like a safety pin or small ribbon — to your bra strap so you'll know which breast your baby last nursed on. Then, start with that breast at the next feeding. Or, keep a notebook handy or use a breastfeeding app to keep track of how your baby feeds.

Your baby may like switching breasts at each feeding or prefer to nurse just on one side. If so, then offer the other breast at the next feeding. Do whatever works best and is the most comfortable for you and your baby.

How Often Should I Burp My Baby During Feedings?

After your baby finishes on one side, try burping before switching breasts. Sometimes, the movement alone can be enough to cause a baby to burp.

Some infants need more burping, others less, and it can vary from feeding to feeding.

If your baby spits up a lot, try burping more often. While it's normal for infants to "spit up" a small amount after eating or during burping, a baby should not vomit after feeding. If your baby throws up all or most of a feeding, there could be a problem that needs medical care. If you're worried that your baby is spitting up too much, call your doctor.

Why Is My Baby Hungrier Than Usual?

When babies go through a period of rapid growth (called a growth spurt), they want to eat more than usual. These can happen at any time. But in the early months, growth spurts often happen when a baby is:

7–14 days old
2 months old
4 months old
6 months old

During these times and whenever your baby seems extra hungry, follow your little one's hunger cues. You may need to breastfeed more often for a while.

How Long Should I Breastfeed My Baby?

That's a personal choice. Experts recommend that babies be breastfed exclusively (without formula, water, juice, non–breast milk, or food) for the first 6 months. Then, breastfeeding can continue until 12 months (and beyond) if it's working for you and your baby.

Breastfeeding has many benefits for mom and baby both. Studies show that breastfeeding can lessen a baby's chances of diarrhea, ear infections, and bacterial meningitis, or make symptoms less severe. Breastfeeding also may protect children from sudden infant death syndrome (SIDS), diabetes, obesity, and asthma.

For moms, breastfeeding burns calories and helps shrink the uterus. In fact, breastfeeding moms might return to their pre–pregnancy shape and weight quicker. Breastfeeding also helps lower a woman's risk of diseases like:

breast cancer
high blood pressure
diabetes
heart disease

It also might help protect moms from uterine cancer and ovarian cancer.

Displaced feeding schedule: why does your baby eat all night and how to change it?

03/12/2017

125704

Feeding and sleep

3-6 months --9 months-18 months

Article

Natalya Trofimova

Senior Snipe Summer, Pediatrician

22 Mom of two daughters

Does your baby eat little or rarely during the day, but hangs on her chest for a long time at night or often asks for a bottle? This is called a "shifted feeding schedule. " With this organization of nutrition, the child receives the bulk of the calories at night. During the day, feedings are either short or rare, or the baby refuses the breast or bottle altogether. After six months, there may be difficulties with the introduction of complementary foods, especially with unformed nutritional interest.

Child crisis calendar

Why is this happening?

During periods of crisis in a child's development (a developmental leap, teething, an acute illness, any strong emotional experiences), a temporary and sharp increase in the number of feedings is normal, it just needs to be waited out.
Babies in their first months of life can “mix day and night” and, accordingly, stay awake and eat mostly at night.
Older children become interested in everything and are easily distracted during the daytime feedings, butting for a short time, because they have too many important things to do during the day.
With the introduction of complementary foods, mothers sometimes begin to replace daytime feedings with breast milk or formula with low-calorie fruit and vegetable purees, and the baby has to “get” calories at night.
Mixed-fed, when breast milk and formula are clearly separated by time of day. When breastfeeding only during the day, the baby may refuse the breast if he prefers a bottle that is given only at night. And vice versa, when feeding during the day with a mixture, and at night with a breast, if the baby prefers the breast.
Breastfeeding mother works outside the home or is separated most of the day from the baby (even with the possibility of pumping). When sleeping together, the baby is often applied, replenishing contact and helping to stimulate lactation. This option is not bad as a solution, provided that co-sleeping is suitable for the family and everyone gets enough sleep.

Answer a few questions to find out if your feeding schedule is shifted:

How many times does the child eat during the day and how, how many times does he wake up at night?
Does he eat for a long time every night when he wakes up, are sips audible, or is it mostly short attachments with superficial sucking for a couple of minutes?
Are the daily feeds long, does the baby let go of the breast when it is full, or is it often torn off and distracted?
Can a baby fall asleep without breastfeeding or a bottle (both day and night) or is this the only way to fall asleep?

Frequent nightly "snacking" does not always indicate that the feeding schedule is shifted. If feeding is a way to relax and fall asleep, then when awakened at night between sleep cycles, the breast or bottle will again be required to fall asleep. This is an association with sleep, the way and habit of falling asleep.

What such feedings usually look like:

The baby wakes up every 1–1.5 hours at night and asks for food, and during the day he usually eats after 3 hours, which means that he is unlikely to experience hunger.
The child eats very little at night: he kissed his chest for a minute or a bottle, ate 10-20 ml and fell asleep - in this case, he does not have a goal to eat.
If there is an association for sleep, but the daily appetite does not suffer, mother and baby get enough sleep, there is nothing to worry about. In order for the number of nightly awakenings and feedings to allow sufficient sleep, even if there is an association for sleep, the child must be well suited to sleep and wakefulness.

Is it possible to change the habit of eating at night and when should I wait?

As much as one would like to reduce the number of night feedings, there are situations when they are necessary. For example, a baby in the first months of life does not gain weight well, there are problems with lactation (little milk, false breastfeeding), adaptation to a therapeutic mixture with a specific taste and refusal to wake up, the baby feels unwell (sick, teeth are being cut), a child is experiencing a developmental leap, stress, a long separation from her mother.

The assistance will depend on the age and the reason for the predominance of night eating. In the first months of life, with the "confusion of day and night," it is important to show the baby when it is day and when it is night. For daytime sleep, you do not need to create a strong blackout, and at night you need to ensure maximum darkness in the room. Limit overly long naps. All activities, walks, communication - during the day, no games at night.

If the baby is distracted during feedings and “forgets” to eat, you need to create the most calm atmosphere during feedings: turn off the TV, do not use the phone, retire to a darkened quiet room, turn on white noise. You can put a bright scarf around your neck, slingobuses, any baby rattle on a ribbon. Try a different position with less visibility, such as kneeling facing you or in a sling.

With the introduction of complementary foods, do not rush to replace breastfeeding or mashed formula. The first vegetable or fruit purees are not comparable in calories to breast milk and formula. Occupying volume in the stomach, they reduce milk intake during the day. Complementary foods can fully replace feeding only after 8 months, when it will make up about 20–30% of nutrition and the baby will eat cereals, meat, and vegetables.

On mixed feeding, it is desirable to supplement the baby with the mixture in the required amount after each application to the breast, or feed the mixture by the hour (at regular intervals), and breastfeed on demand.

A working mother who is breastfeeding and co-sleeping has the hardest time reducing nighttime feedings. To do this, you need to feed the baby often enough during the day, a maximum of 3–3. 5 hours. In the evening, you can reduce the intervals and in the last 3 hours before laying down, put the baby to the breast or give expressed milk every hour, after falling asleep at night around 23-24 hours, offer “sleep feeding”, feed in the morning upon waking up and before leaving the house.

Frequent night feedings are necessary for a child at certain periods of his life and development. The main difficulty is to understand when the crisis period has passed, to begin to distinguish between the child's need for food and his anxiety for other reasons. A child who wakes up at night is not always hungry, and acting always in the same way, you can fix the habit.

If you can't figure out your feeding schedule on your own, book an individual consultation. The BabySleep consultant team also includes consultants for breastfeeding and complementary foods. We will help you establish a comfortable feeding schedule for you and your baby and return your family to a restful sleep.

Article updated: 06/26/2021 nextArrow: '', responsive: [{breakpoint: 1199, settings: {arrows: !1, infinite: !1, slidesToShow: 1}}] }) })

Why is the baby constantly hanging on the chest? ❤️ KIDY.eu

Not enough milk?
Temporary crises
What to do in temporary crises?

“My baby just hung on my chest. I know what to feed demand, but he demands endlessly. What to do?!" - is the most common question to lactation consultants. It turns out that the phrase "the baby is hanging on the chest" means different things for everyone.

It happens that mothers expect that the baby will ask for a breast every 3-4 hours, eat 15 minutes, and sleep the rest of the time. And the requirement of the breast once every 1.5-2 hours, as most newborns do, is alarming. So: if a baby of the first months of life asks for a breast every hour or two and, having received it, eats up to half an hour, then this is not “hanging”, but the normal behavior of the baby. Over time, the baby will begin to ask for breasts less often, but for now you need to wait. For the mother's body, frequent feedings are also useful: they help a good contraction of the uterus, prevent the development of postpartum complications and regulate the total amount of lactation so that the mother does not experience milk stagnation. It happens differently: the baby asks for breasts in 2-3 hours, but, having received it, eats for an hour or even longer. This may be a variant of the norm, but the situation can be improved. Also, carefully look at the general state of affairs with feeding, if the child lives in the rhythm of “an hour I eat - an hour I rest” or spends more time on the chest during the day than without it.

Not enough milk?

Usually the first thing a mother thinks about is that if a newborn is constantly hanging on her chest, then she does not have enough milk. Absolutely not necessary! But you need to check this version. And only weight gain can reliably show this.

Do not rush to get upset, this can be fixed!

Have a lactation consultant look at your feeding. He will suggest ways to improve, assess whether supplementary feeding is needed and whether lactation should be stimulated.
If a consultant is not available, look for improved attachment to the breast. Often this is enough for the breast to begin to be better stimulated to produce milk, and the child to suck out this milk better.
If the baby has gained a kilogram or more in a month, then we are not talking about a lack of milk. Most likely, you can think of a temporary crisis ...

ATTENTION - this is a very important point!
Often mothers are asked to express milk, evaluate breast size, etc. for testing. But these are all very unreliable signs that are different for all women and they don’t talk about the amount of milk. In mothers, the breast reacts differently to pumping, the amount of glandular tissue is different for everyone (in a small breast it can be much more than in a large one, where adipose tissue predominates). The only thing you can really trust is how your baby grows and gains weight.
For the first 3 months of life, an increase that indicates a sufficient amount of milk - from 500 grams per month or more.

If a child gained 500-700 grams in a month, but he had to hang on his chest for hours, the mother needs to work on organizing breastfeeding, otherwise the situation usually worsens later. If your baby added less than 500 grams, then, alas, he really does not have enough milk.

Temporary crises

These are situations of a sharp increase in the attachment of babies to the breast or a sharp increase in the duration of feedings. Every nursing mother faces this, it’s just that someone understands what is happening, someone gets scared, and someone simply, out of ignorance, takes steps to stop breastfeeding.

Crises are caused by various reasons:

Adaptation crisis when new circumstances appear in the baby's life . Usually adaptation crises: the second week of life, moving or going to work, travel. The baby is trying to calm down and regain confidence in her mother's support through more frequent attachments. The crisis can also be provoked by internal factors: for example, a child is preparing to fall ill, and through an increase in attachment, his body fights the disease with the healing elements of breast milk. Babies also tend to hang on their chests before any kind of developmental leap (usually new skills, such as crawling or walking). Mom's milk and attention give the baby the strength to conquer new heights.
Growth spurt crisis . These growth spurts are tied to certain periods of a baby's life: about three weeks, a month and a half, three months, six and nine. During such periods, many children actively grow. For such rapid growth, babies need more nutrition than usual, so they quickly empty their breasts, which gives mothers the impression of “missing milk”. There is actually milk in the chest, just on crisis days the child eats it much more energetically and is ready to constantly ask for breasts, to eat more and more.

The most seemingly obvious option to supplement with formula often becomes a “red flag” for the mother’s body: you don’t need so much milk, the child manages anyway. As a result, milk production really begins to decline rapidly.
In a situation of crisis, it is important not to panic, but for a couple of days literally lie down with the baby in bed and patiently feed, shifting from one breast to another as it is empty. You can drink hot tea, use lactogons, but this is not enough without frequent feedings. And most importantly, crises are a very short-term phenomenon, they rarely last longer than 2-4 days!

What to change?

Let's go back to the most common situation with “chest hanging”: the baby gains weight only slightly above the lower limit (500-700 g in the first three months of life or 400-500 g in the next three months). When, with such increases, the child is applied to the breast every 2-3 hours for about half an hour, this is expected. But if the feedings are more frequent and longer, then sucking is ineffective: the baby sucks out a portion of milk for a very long time, enough to eat.

What to do?

Adjust breastfeeding to the so-called “asymmetric” . When feeding, the breast should be captured deeper from below than from above: the main working parts of the baby's mouth (lower jaw and tongue) are located below, and stimulation from this side should be maximum. This method of application allows the baby to receive milk most efficiently and stimulate the breast to produce new milk.
Bring the baby to the breast at such a height that the nipple is at the level of the spout. On the chest, form a crease with the nipple in the middle so that the thumb is on top of the crease and opposite the baby's nose, and the index and other fingers are below, parallel to the baby's lower lip. When a child feels a breast nearby, he reflexively opens his mouth and throws his head back; then the nipple, which was at the level of the nose, will be directly opposite the mouth. And at this moment, the fold from the chest must be directed into the child's mouth, trying to make the nipple point upwards into the sky. If everything is done correctly, then the baby’s head will be slightly tilted up when sucking, the chin will be tightly pressed to the chest, and the nose is either completely free or touches the chest only with the tip. If the chin does not touch the breast, but the nose is pressed into it, then this is just inefficient sucking, in which the baby has to suck for a very long time to eat, and even the nipples can be injured.
To increase the milk received per session and reduce the time of application, make sure that the feeding is effective . It is a mistake to continue to keep the baby on the chest after he has already emptied it. If the baby has eaten the bulk of the milk from the breast and continues to suck, receiving drop by drop, a teaspoon in five minutes, then it is not surprising that he will not be particularly full after an hour. At the same time, if the mother simply transfers the child to another breast, in the same time the baby will receive a full, good portion of milk and eat much better!
“But I heard that breasts should not be changed often, otherwise the baby will not receive hindmilk,” mothers object. Alas, this recommendation has created a lot of problems where they could have been avoided: it only applies to situations of excess milk production. If the lactation is so profuse that the baby has to swallow the lighter foremilk for a long time and actively before he gets to the fatter hindmilk, this makes sense. But if there is not much milk, then the child eats both the anterior portion and the fatter posterior portion, and after that continues to squeeze the last drops out of the breast for another half an hour, instead of receiving the second same portion from the other breast...
Pay attention to the baby's sucking rhythm to help you navigate the timing of the breast change. Forward, more liquid milk flows freely, the baby swallows it quickly and actively. Then the rhythm of the sips slows down, for several sucking movements there is only one swallowing. When the baby has to make 3-4 sucks before swallowing, it means that he has reached fatter and thicker milk.
A little more - and the rhythm is already five or six sucks per sip, the chest is almost empty. At this point, squeeze the breast at the base with one hand, which will squeeze the rest of the fatty hindmilk into the ducts. After the baby swallows a little more actively, but when his throat slows down again, it's time to change the chest.

Sometimes during times of crisis it is necessary to transfer the baby from one breast to another several times during one feeding. But this is more effective and will give the child more benefit than keeping him all this time on one breast. When the baby begins to eat better, you will soon notice that the total feeding time has become shorter, and weight and height gains are better.

And don't hesitate to contact our consultants for help!