4 months old baby feeding how often
How Often and How Much Should Your Baby Eat?
By: Sanjeev Jain, MD, FAAP
One of the most common questions new parents have is how often their baby should eat. The best answer is surprisingly simple: in general, babies should be fed whenever they seem hungry.
How do I know when my baby is hungry?
For babies born
prematurely or with certain medical conditions, scheduled feedings advised by your pediatrician are best. But for most healthy, full-term infants, parents can look to their baby rather than the clock for hunger cues. This is called feeding on demand, or
responsive feeding.
Hunger cues
A hungry baby often will cry. But it's best to watch for hunger cues before the baby starts crying, which is a late sign of hunger and can make it hard for them to settle down and eat.
Some other typical hunger cues in babies:
Licking lips
Sticking tongue out
Rooting (moving jaw and mouth or head in search of breast)
Putting his/her hand to mouth repeatedly
Opening her mouth
Fussiness
Sucking on everything around
It is important to realize, however, that every time your baby cries or sucks it is not necessarily because he or she is hungry. Babies suck not only for hunger, but also for comfort; it can be hard at first for parents to tell the difference. Sometimes, your baby just needs to be cuddled or changed.
General guidelines for baby feeding
It is important to remember all babies are different―some like to snack more often, and others drink more at one time and go longer between feedings. However, most babies will drink more and go longer between feedings as they get bigger and their tummies can hold more milk:
Most newborns eat every 2 to 3 hours, or 8 to 12 times every 24 hours. Babies might only take in half ounce per feeding for the first day or two of life, but after that will usually drink 1 to 2 ounces at each feeding. This amount increases to 2 to 3 ounces by 2 weeks of age.
At about 2 months of age, babies usually take 4 to 5 ounces per feeding every 3 to 4 hours.
At 4 months, babies usually take 4 to 6 ounces per feeding.
At 6 months, babies may be taking up to 8 ounces every 4 to 5 hours.
Most babies will increase the amount of formula they drink by an average of 1 ounce each month before leveling off at about 7 to 8 ounces per feeding. Solid foods should be started at about 6 months old.
Concerns about overfeeding or underfeeding your baby
Too full?
Babies are usually pretty good at eating the right amount, but they can sometimes take in more than they need. Infants who are bottle feeding may be more likely to overfeed, because drinking from a bottle may take less effort than breastfeeding.
Overfed babies can have stomach pains, gas, spit up or vomit and be at higher risk for obesity later in life. It's better to offer less, since you can always give more if your baby wants it. This also gives babies time to realize when they're full.
If you are concerned your baby wants to eat
all the time―even when he or she is full―talk with your pediatrician.
Pacifiers may be used after feeding to help sooth healthy-weight babies who like to suck for comfort, rather than nutrition. For babies who are breastfed, it's best to wait to offer pacifiers until around 3 to 4 weeks of age, when breastfeeding is well-established.
Trouble gaining weight?
Most babies will double their birth weight by 5 months of age and triple their birth weight by their first birthday. If your baby is having trouble gaining weight, don't wait too long between feeding―even if it means waking your baby. Be sure to talk with your pediatrician about how often and how much to feed your baby.
How do I know if my baby is getting enough to eat?
Daily diapers
A newborn's
diaper is a good indicator of whether he or she is getting enough to eat. In the first few days after birth, a baby should have 2 to 3 wet diapers each day. After the first 4 to 5 days, a baby should have at least 5 to 6 wet diapers a day. Stool frequency is more variable and depends whether your baby is
breastfed or formula fed.
Growth charts
During regular health check-ups, your pediatrician will check your baby's weight and plot it on a growth chart. Your baby's progress on the growth chart is one way to tell whether or not they are getting enough food. Babies who stay in healthy growth percentile ranges are probably getting a healthy amount of food during feedings.
Remember
Talk with your pediatrician if you have any questions or concerns about your baby getting the right amount to eat.
More information:
- Making Sure Your Baby is Getting Enough Milk
- Amount and Schedule of Formula Feedings
- Is Your Baby Hungry or Full? Responsive Feeding Explained (Video)
- Remedies for Spitty Babies
- Ask the Pediatrician: With the baby formula shortage, what should I do if I can't find any?
- Ask the Pediatrician: How should we feed our baby if we're running low on money?
-
Airplane Choo Choo: A Feeding Guide for Children (National Dairy Council)
About Dr.
Jain:
Sanjeev Jain, MD, FAAP, is a Clinical Associate Professor of General Pediatrics and Adolescent Medicine at the University of Wisconsin School of Medicine and Public Health. Within the American Academy of Pediatrics, he is a member of the Section on International Child Health and the Wisconsin State Chapter.
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
Amount and Schedule of Baby Formula Feedings
- In the first week after birth, babies should be eating no more than about 1 to 2 ounces (30 to 60 ml) per feed.
- During the first month, babies gradually eat more until they take 3 to 4 ounces (90 to 120 ml) per feed, amounting to 32 ounces per day.
Formula-fed babies typically feed on a more regular schedule, such as every 3 or 4 hours. Breastfed babies usually take smaller, more frequent feedings than formula-fed infants.
If your baby sleeps longer than 4 to 5 hours during the first few weeks after birth and starts missing feedings, wake them up and offer a bottle.
By the end of the first month: Your baby will be up to at least 3 to 4 ounces (120 mL) per feeding, with a fairly predictable schedule of feedings about every 3 to 4 hours.
By 6 months: Your baby will consume 6 to 8 ounces (180–240 mL) at each of 4 or 5 feedings in 24 hours.
Formula feeding based on body weight
On average, your baby should take in about 2½ ounces (75 mL) of infant formula a day for every pound (453 g) of body weight. But they probably will regulate their intake from day to day to meet their own specific needs, so let them tell you when they've had enough.
If they become fidgety or easily distracted during a feeding, they're probably finished. If they drain the bottle and continues smacking their lips, they might still be hungry.
There are high and low limits, however. If your baby consistently seems to want more or less than this, discuss it with your pediatrician. Your baby should usually drink no more than an average of about 32 ounces (960 mL) of formula in 24 hours. Some babies have higher needs for sucking and may just want to suck on a pacifier after feeding.
On-demand feeding
Initially it is best to feed your formula-fed newborn a bottle on demand, or whenever they cry with hunger. As time passes, your baby will begin to develop a fairly regular timetable of their own. As you become familiar with their signals and needs, you'll be able to schedule their feedings around their routine.
Eating & sleeping patterns
Between 2 and 4 months of age (or when the baby weighs more than 12 lb. [5.4 kg]), most formula-fed babies no longer need a middle-of-the-night feedings.
They're consuming more during the day, and their sleeping patterns have become more regular (although this varies considerably from baby to baby). Their stomach capacity has increased, too, which means they may go longer between daytime feedings—occasionally up to 4 or 5 hours at a time.
If your baby still seems to feed very frequently or consume larger amounts, try distracting them with play or with a pacifier. Sometimes patterns of obesity begin during infancy, so it is important not to overfeed your baby.
Getting to know your baby's feeding needs
The most important thing to remember, whether you breastfeed or bottlefeed, is that your baby's feeding needs are unique. No book―or website―can tell you precisely how much or how often they need to be fed or exactly how you should handle them during feedings. You will discover these things for yourself as you and your baby get to know each other.
More information
- How Often and How Much Should Your Baby Eat?
- Making Sure Your Baby is Getting Enough Milk
- Is Your Baby Hungry or Full? Responsive Feeding Explained (Video)
- Remedies for Spitty Babies
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician.
There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
sleep, feeding and development of the baby
04/11/2019
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By 4 months, the biological rhythms of the child are finally formed, and the structure of his sleep becomes the same as in adults. Therefore, the old ways of laying often stop working, the baby may fall asleep longer, wake up more often at night and constantly breastfeed, and the existing daily routine may no longer work. What to do in this case?
Use our tips to improve your child's routine! nine0003
4 months
At this age, children still cannot live according to a clear daily schedule, as they still sleep short dreams during the day and are not able to stay awake for a long time. Therefore, the daily routine of four months. is built based on the time of wakefulness, which is no more than 1.5-2 hours between sleeps. At the same time, an infant needs 9-10 hours of sleep per night with awakenings for feeding and 3-4 daytime sleeps with a total duration of about 4-5 hours.
That is, the baby will sleep with this schedule 3-4 times a day. The time of evening bedtime will vary and depend on the end of the last day's sleep. To get your baby to bed on time, be alert for signs of fatigue and stay awake for more than 2 hours. So you will prevent overworking the baby, which will improve the quality of his nightly sleep and reduce the number of night awakenings. Morning should start no later than 07:00-07:30 to form the physiological regime of the day. nine0003
What to do if a 4-month-old baby slept well but now has trouble getting to bed:
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Enter a bedtime ritual if you haven't already done so. In the evening, this can be bathing, light massage, putting on a diaper and clothes for sleep, lullaby and feeding. During the day, the ritual can be left the same, only without hygiene procedures. The ritual should be repeated daily and consist of the same actions. It is carried out by one person - either mom or dad. nine0003
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Check that the room has suitable sleeping conditions for a baby: the temperature is no more than 21-23 degrees in winter and no more than 25 degrees in summer, and the air humidity is approximately 40-60%.
It is also important to darken the room for all dreams, including daytime, and use white noise. -
Organize your baby's rest in the crib. The last daytime nap can be done outside in a stroller.
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Prolong the child's sleep by any means, if the morning and afternoon sleep lasts no more than 30-40 minutes. nine0003
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If nothing helps and the baby still constantly wakes up at night, neither motion sickness, nor the breast, nor the nipple work to prolong sleep, then it is worth teaching the child to fall asleep on his own.
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Make sure your baby gets enough sleep. Otherwise, overwork will accumulate, which will manifest itself in frequent nocturnal awakenings. This is where following a routine can help.
Check our chart to see if your baby is getting enough sleep
How many feeds does a baby need at night?
At four months old, breast milk or formula is still the main food in his diet.
The diet of the breastfed baby this month will consist of feedings every 3-4 hours. The volume of breast milk drunk at a time will be about 118-210 ml. The duration of feeding may vary.
When formula-fed, the volume of the mixture should be calculated from the recommendations of the pediatrician. This is usually 1/6 of the child's actual body weight. At four months, the baby will eat 800-1000 ml. mixture per day every 3-4 hours during the day. nine0003
The baby is becoming more and more interested in the world around him and during feeding he can start to be distracted, not eat enough and make up for hunger at night. Therefore, it is better to feed the baby in a calm environment.
2-3 feedings are enough at night for a four-month-old baby.
Does the baby wake up at night shortly after feeding and start crying? Instead of refeeding him, try other ways to calm him down, such as petting his tummy and peeing.
So the child will not form the habit of falling asleep only with the help of feeding. nine0003
Should we start complementary foods at 4 months? WHO (World Health Organization) recommends introducing complementary foods from 6 months. Therefore, before introducing adult food, it is worth consulting with a pediatrician.
Physical development of a 4-month-old baby
The fourth month is the age when a child already knows a lot and masters new skills.
He is already confidently using both hands at the same time and grasping toys, colorful and shiny objects near him. Soft books, teething rings are a good choice for this age. nine0003
For reading, choose large books with different textures inside to develop tactile sensations. Read and sing to your baby every day for a few minutes. This develops the attention and speech of the child. Take a closer look at children's bathing books - their puffy pages are easy to flip through.
In addition, they often squeak, and the pictures in them are bright.⠀
The baby is already holding his head and chest well, being on his stomach and pushing off the surface with his hands. Also, the child can already begin to roll over from his stomach to his back and push with his legs. nine0003
The baby sees better, begins to distinguish colors and notice objects in the distance, although he still prefers to look at faces and things near him. During walks in the fresh air, tell the baby about the surrounding objects, point to them and describe them.
From the age of 4 months, the first teeth erupt. If the baby's salivation increased, redness appeared around the mouth, he began to bite, refuse to eat, became moody, his night's sleep worsened, then most likely the child has a new tooth. In the acute period, teething rings, anesthetic gel recommended by the pediatrician, more attention and warmth from the mother's side will help.
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Important changes occur in communication with the baby at 4 months. He realizes that his mother is coming to his crying, and begins to use different sounds when communicating with others: oooh .., aah .., aha ... Catch the moment when the child “talks” more than usual and play “echo” with him. He says - you repeat.
Such a game gives the child confidence that his mother listens to him and is happy to talk to him. And, of course, develops the speech of the child. Try it - you'll like it.
Also at this age, finger games will already be useful, for example, "Ladushki", "A horned goat is coming", "Magpie-crow" - they are aimed at developing the child's fine motor skills, which in turn is important for the formation of speech. nine0003
If your 4-month-old baby does not sleep well at night, we recommend that you watch the free master class "MY BABY SLEEPS BADLY at NIGHT: 3 SOLUTIONS"
What is the daily routine of your baby at 4 months old?
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Diet for a 4 year old baby
Your baby is 4 months old now.
He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines and reaches for them. The emotional reactions of the child have become much richer: he joyfully smiles at all the people whom he often sees more and more often, makes various sounds. nine0003
You are still breastfeeding your baby or have had to switch to formula or formula feeding. The child is actively growing, and only with breast milk or infant formula, he can no longer always get all the necessary nutrients. And that means it's time to think about complementary foods.
The optimal time to start its introduction is between 4 and 6 months, whether the baby is receiving breast milk or formula. This is the time when children respond best to new foods. Up to 4 months, the child is not yet ready to perceive and digest any other food. And with the late introduction of complementary foods - after 6 months, children already have significant deficiencies of individual nutrients and, first of all, micronutrients (minerals, vitamins, long-chain polyunsaturated fatty acids, etc.
). In addition, toddlers at this age often refuse new foods, they have delayed development of chewing skills for thick foods, and inadequate eating habits are formed. It is important to know that, no matter how strange it may seem at first glance, with a delayed appointment of complementary foods, allergic reactions more often occur on them. nine0003
When is it advisable to introduce complementary foods as early as 4 months, and when can you wait until 5.5 or even 6 months? To resolve this issue, be sure to consult a pediatrician.
The optimal time to start introducing complementary foods to a healthy baby is between 5 and 5.5 months of age.
The World Health Organization recommends that breastfed babies should be introduced to complementary foods from 6 months of age. From the point of view of domestic pediatricians, which is based on the big
practical experience and scientific research, this is possible only in cases where the child was born at term, without malnutrition (because in these cases the mineral reserves are very small), he is healthy, grows and develops well.
In addition, the mother should also be healthy, eat well and use either specialized enriched foods for pregnant and lactating women, or vitamin and mineral complexes in courses. Such restrictions are associated with the depletion of iron stores even in a completely healthy child by 5-5.5 months of age and a significant increase in the risk of anemia in the absence of complementary foods rich or fortified with iron. There are other deficits as well. nine0003
The first food product can be vegetable puree or porridge, it is better to give fruit puree to the baby later - after tasty sweet fruits, children usually eat vegetable puree and cereals worse, often refuse them altogether.
Where is the best place to start? In cases where the child has a tendency to constipation or he puts on weight too quickly, preference should be given to vegetables. With a high probability of developing anemia, unstable stools and small weight gains - from baby cereals enriched with micronutrients. And if you started introducing complementary foods with cereals, then the second product will be vegetables and vice versa.
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If the first complementary foods are introduced at 6 months, it must be baby porridge enriched with iron and other minerals and vitamins, the intake of which with breast milk is no longer enough.
Another important complementary food product is mashed meat. It contains iron, which is easily absorbed. And adding meat to vegetables improves the absorption of iron from them. It is advisable to introduce meat puree to a child at the age of 6 months. Only the daily use of children's enriched porridge and meat puree can satisfy the needs of babies in iron, zinc and other micronutrients. nine0003
But it is better to introduce juices later, when the child already receives the main complementary foods - vegetables, cereals, meat and fruits. After all, complementary foods are needed so that the baby receives all the substances necessary for growth and development, and there are very few in their juices, including vitamins and minerals.
Juices should not be given between feedings, but after the child has eaten porridge or vegetables with meat puree, as well as for an afternoon snack.
The habit of drinking juice between meals leads to frequent snacking in the future, a love of sweets is instilled, children have more tooth decay and an increased risk of obesity. nine0003
With the start of the introduction of complementary foods, the child is gradually transferred to the 5-time feeding regimen.
Complementary feeding rules:
- preference should be given to baby products of industrial production, they are made from environmentally friendly raw materials, have a guaranteed composition and degree of grinding
- Complementary foods should be offered to the baby by spoon at the start of feeding, before breastfeeding (formula feeding)
- the volume of the product increases gradually, starting with ½ - 1 spoon, and in 7 - 10 days we bring it to the age norm, subsequent products within the same group (cereals from other cereals or new vegetables) can be introduced faster, in 5 - 7 days
- start introduction with monocomponent products
- it is undesirable to give a new product in the afternoon, it is important to follow how the child reacts to it
- do not introduce new products in the event of acute illnesses, and before and immediately after prophylactic vaccination (should be abstained for several days)
When introducing a new type of complementary food, first try one product, gradually increasing its amount, and then gradually "dilute" this product with a new one.
For example, vegetable complementary foods can be started with a teaspoon of zucchini puree. During the week, give the baby only this product, gradually increasing its volume. After a week, add a teaspoon of mashed broccoli or cauliflower to the zucchini puree and continue to increase the total volume every day. Vegetable puree from three types of vegetables will be optimal. The portion should correspond to the age norm. Over time, you can replace the introduced vegetables with others faster. nine0003
After the introduction of one vegetable (bringing its volume to the required amount), you can proceed to the intake of porridge, and diversify the vegetable diet later.
If the child did not like the dish, for example, broccoli, do not give up on your plan and continue to offer this vegetable in a small amount - 1-2 spoons daily, you can even not just once, but 2-3 times before meals, and after 7 - 10, and sometimes 15 days, the baby will get used to the new taste. This diversifies the diet, will help to form the right taste habits in the baby.
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Spoon-feed with patience and care. Forced feeding is unacceptable!
In the diet of healthy children, porridge is usually introduced after vegetables (with the exception of healthy breastfed children, when complementary foods are introduced from 6 months). It is better to start with dairy-free gluten-free cereals - buckwheat, corn, rice. At the same time, it is important to use porridge for baby food of industrial production, which contains a complex of vitamins and minerals. In addition, it is already ready for use, you just need to dilute it with breast milk or the mixture that the baby receives. nine0003
Children suffering from food allergies are introduced complementary foods at 5-5.5 months. The rules for the introduction of products are the same as for healthy children, in all cases it is introduced slowly and begins with hypoallergenic products. Be sure to take into account individual tolerance. The difference is only in the correction of the diet, taking into account the identified allergens.
From meat products, preference should first be given to mashed turkey and rabbit.
Diets for different age periods
explain how to make a diet, it is better on several examples that will help to navigate the menu for your child.
From 5 months, the volume of one feeding is on average 200 ml.
Option 1.
I feeding
6 hours
Breast milk or VHI*
200 ml
II feeding
10 hours
Dairy-free porridge**
Supplementation with breast milk or VHI*
150 g
50 ml
III feeding
14 hours
Vegetable puree
Meat puree Vegetable oil
Supplemental breast milk or VHI*
150 g
5 - 30 g
1 tsp
30 ml
IV feeding
18 hours
Fruit puree
Breast milk or VHI*
60 g
140 ml
V feeding
22 hours
Breast milk or VHI*
200 ml
* - Children's dairy mixture (VHI)
** - diluted with breast milk or VHI
Option 2.
9010 9010 9010 9010
9000 9000 901
9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 baby 6 months, if complementary foods were introduced from 4 - 5 months:
| I feeding | Breast milk or VHI* | 200 ml |
| II feeding | Dairy-free porridge** | 150 g |
| III feeding | Vegetable puree | 150 g |
| IV feeding | Fruit puree | nine0191 40 g 140 ml |
| V feeding | Breast milk or VHI* | 200 ml |
* - children's dairy mixture
** - diluted with breast milk or VHI
Option 3.
An approximate daily diet for a baby at 6.5 months on breast feeding, if complementary foods began to be administered from 6 months:
| I feeding | Breast milk | |
| II feeding | Dairy-free porridge** | 100 g |
| III feeding | Vegetable puree | 100 g |
| IV feeding | Breast milk |
|
| V feeding | Breast milk |
|
** - diluted with breast milk
Up to 7 months, increase the volume of porridge and vegetable puree to 150 g and introduce fruit puree.
