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Baby milk feeding amounts


Feeding Guide for the First Year

Feeding Guide for the First Year | Johns Hopkins Medicine

Reviewed By:

Tiffani Hays, M.S., R.D., L.N., Director of the Pediatric Clinical Nutrition Education & Practice

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time. It’s important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended Feeding Guide for the First Year

Breast milk and formula are designed to be the primary sources of nutrition throughout an infant’s first year of life. You should talk with your baby’s health care provider before starting solid foods. Solid foods should not begin before age 4 months because:

  • Breast milk or formula provide your baby with all the nutrients that are needed.
  • Your baby isn’t physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may result in poor feeding experiences and increased weight gain in both infancy and early childhood.

The American Academy of Pediatrics (AAP) recommends that all infants, children and adolescents take in enough vitamin D through supplements, formula or cow’s milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for infants, children, and adolescents who are healthy. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby’s health care provider can recommend the proper type and amount of vitamin D supplement.

Guide for Breast-feeding (Zero to 12 Months)

  • In the early days after a baby’s birth, the mother should plan to breast-feed every two to three hours, including overnight. The mother should respond to the infant’s cues of hunger in a prompt and relaxed manner, providing a quiet and comfortable environment for both herself and the baby. Frustrated or distracted infants may have difficulties latching on.
  • It is normal for infants to wake up overnight to feed for the first several months. If you have any concerns about overnight feeding, please discuss them with your health care provider.
  • Alternate breasts to feed on, and allow the infant to completely empty the breast before switching to the other. This practice ensures the infant receives hindmilk, which is richer in nutrients.
  • Follow your child’s feeding cues and resist forcing a schedule. Instead, rely on keeping track of wet diapers and your child’s growth to judge whether he or she is receiving enough breast milk. A mother’s milk changes as the infant grows, and feeding habits change as well in order to best meet a child’s needs. If you have any questions about whether your child is receiving enough breast milk, ask your health care provider.
  • When not able to breast-feed, use a breast pump to extract milk and maintain milk supply. Pumped breast milk should be stored safely, using appropriate temperature guidelines. Pumped breast milk may be offered to infants in bottles, while responding to the same feeding cues to determine how much they take. Forcing bottles to be emptied may result in overfeeding and excess weight gain, even when feeding breast milk.
  • With the proper support, a mother can meet the needs of most infants, even twins, so seek out help from your health care provider or lactation consultant for success.

Guide for Formula Feeding (Zero to 12 Months)

  • When breast milk is not available, standard infant formula is an appropriate alternative for most healthy full term infants, but there are some differences between brands. Do not hesitate to ask your health care provider for a recommendation if you are unsure which formula to use.
  • Bottle-feeding should be interactive, with the caregiver holding both the bottle and the infant. Propping a bottle has been linked to an increased risk of ear infections and tooth decay.
  • Formula feeding should be in response to the infant’s needs and not based on a predetermined schedule. Look for cues of hunger and fullness to determine both when to feed and how much. The number of wet diapers per day and your child’s growth will reflect if he or she is getting enough formula. The chart below demonstrates common intakes for infants at various stages. However, ask your health care provider if you have any questions about how much formula your infant is taking.
  • The amount of formula an infant takes will decrease as the baby increases intake of solid foods, but formula remains a significant source of calories, protein, calcium and vitamin D for the first year of life.
  • Ask your health care provider before switching an infant less than 1 year of age from formula to cow’s milk or a cow’s milk alternative.

Age Amount of formula per feeding Number of feedings per 24 hours
1 month 2 to 4 ounces six to eight
2 months 5 to 6 ounces five to six
3 to 5 months 6 to 7 ounces five to six

Complementary Feedings (After 6 Months of Age)

Beverages

  • Offer only breast milk or formula in bottles until 1 year of age unless specifically advised by your health care provider.
  • Begin offering breast milk and/or formula in a cup starting at 6 months of age. Infants should drink breast milk and/or formula for the first year of life.
    • Fruit juice is not recommended under 1 year of age.
    • When introducing juice, offer 100% pasteurized juice and limit it to 4–6 ounces per day. Do NOT place juice in a bottle.
    • Avoid giving any sugar-sweetened beverages to infants.

Solid Foods

  • Introduce solid foods when your infant is ready, at around 6 months of age depending on the infant’s development. Infants are ready to start eating solid foods when they can:
    • sit up on their own or with a little support
    • reach for and put things in their mouth
    • open their mouth when seeing something coming
    • keep food in their mouth rather than pushing it out onto the chin
    • move food to the back of their mouth with their tongue
    • turn their head away when they do not want something
  • Prepare to introduce solid foods in a calm feeding environment where the infant is sitting upright and is appropriately supported and moderately hungry.
  • Start with small amounts of solid food, feeding with a spoon or allowing finger feeding, then gradually increase the amount as the infant eats more and develops. Avoid offering breast milk or formula until after the solid-food experience has wound down.
  • Expose infants to a wide variety of flavors and textures of healthy food. Don’t limit your baby’s food choices to the ones you like. Offering a range of foods early will pave the way for healthy eating habits.
  • Maintain the division of responsibility when feeding.
    • The caregiver is responsible for what to eat (offering appropriate variety and textures).
    • The child is responsible for deciding whether to eat and how much.
  • Avoid adding salt or sugar to make baby foods more appealing. Many babies and toddlers need to experience a new food multiple times before accepting it, and increased intakes of salt and sugar among children are associated with obesity in adults.
  • Observe infants for any signs of intolerance when introducing a new food or texture, and discuss all concerns with your health care provider.
  • Although convenient and safe, commercial baby foods are not required. Young children are more likely to eat foods they see others eating, so as long as they are observed to see how they handle new food in their mouths, baby-led weaning using table foods is an appropriate way to introduce solids.
  • Avoid honey in any form during your child’s first year, as it can cause infant botulism. Address any concerns about developing food allergies with your health care provider.
  • Don’t restrict fat and cholesterol in the diets of very young children, unless advised by your child’s health care provider. Children need calories, fat and cholesterol for the development of their brains and nervous systems, and for general growth.

Updated on July 26, 2019.

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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
Last Updated
5/16/2022
Source
Adapted from Caring for Your Baby and Young Child: Birth to Age 5 7th Edition (Copyright © 2019 American Academy of Pediatrics)

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.

What is normal breastfeeding? | Interview with Dr. Jacqueline Kent

It can be difficult for new mothers to understand if breastfeeding is going well, so we decided to ask the expert if it is possible to talk about the norms when it comes to breastfeeding.

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Dr Jacqueline Kent, Research Fellow, Hartmann Human Lactation Research Group:
Jacqueline joined the University of Western Australia research team in 1986 and received her PhD in 1999. She is currently researching the biochemical and physiological aspects of breast milk synthesis and release in search of scientific information to help mothers breastfeed longer.

Dr. Jacqueline Kent and her colleagues have been studying breastfeeding for many years. As it turned out, for all mothers and babies, this process occurs in its own way.

What were the most surprising results of your research?

Variety. It turns out that the limits of the norm are extremely wide.
We are used to textbooks that say that an infant should eat 8-12 times a day and gain 150 grams per week. But babies don't read textbooks and do things their own way! Some gain weight more slowly, others very quickly.

We observed infants aged one to six months who were exclusively breastfed. As our studies have shown, on average, a child is breastfed 4 to 13 times a day, and the duration of one feeding varies from 12 minutes to 1 hour. 1

How much milk do breastfed babies usually consume?

According to our research, the volume of milk consumed by baby
ranges from 54 to 234 ml per feeding. 1

Sometimes it seems to the mother that the baby ate well, but when weighed, it turns out that he ate very little milk. And it happens the other way around: the child is distracted, breastfeeds for only a few minutes and still eats 100 ml of milk. Even if the baby is restless, this does not mean at all that he is malnourished.

All babies are different, but they all get the amount of milk they need in one way or another. One needs 500 ml of milk per day, while others eat up to 1356 ml!

By the way, boys on average eat 76 ml more milk per day than girls. The main thing is that you have enough milk, and the baby will decide when and how much he will eat.

Should I offer my baby a second breast?

I advise offering the second breast to the baby after the first has been completely emptied. If he accepts it, then he hasn't finished eating. If not, don't worry. Let the baby decide for himself - only he knows when he is full. According to our research, 30% of babies get enough milk from one breast, 13% eat from two breasts at each feed, and 57% from time to time. 1

How do you know if a baby is getting enough milk?

In my experience, mothers often blame themselves for not producing enough milk. Ask yourself: Is my child growing? Is he putting on weight? Is he cheerful? Is his skin healthy? How often does he get diapers dirty? If the answer is “yes”, then the baby is getting enough milk, no matter if he eats a lot or a little.

What is the most common misconception about breastfeeding?

Mothers usually think that the older the child gets, the more often
he needs to be fed and the more milk he will eat. They are often surprised to learn that between the 4th and 26th weeks, total milk production normally does not change. 2

In the first few months, the baby grows very quickly and his metabolism is accelerated. The milk that the child consumes during this period is almost completely used for growth and maintenance of metabolism.

Between the ages of three and six months, metabolism slows down and growth slows, so the same amount of milk is sufficient for the baby. In other words, the baby does not have to consume more and more milk as they grow older. On the contrary, feedings become shorter and less frequent, but at the same time the child receives the same amount of milk, because he suckles better.

Do studies say anything about the age at which breastfed babies start sleeping through the night?

Most babies need to be fed at night.
A baby's stomach is not large enough to go all night without a feed, and breast milk is digested very quickly. Therefore, it is natural for the baby to wake up at night - and this usually continues for at least the first six months. Feeding at night is normal. When you feed your baby at night, do not even hesitate - all over the world at this moment other mothers of babies of the same age are doing the same. Be patient - it usually only lasts a few months. 1

What worries new mothers the most during the first few weeks of breastfeeding?

The most common concern is whether the baby latch on properly, sucks well, and is full during feeding. Often mothers also worry about sore nipples. The main thing is to find the right position for feeding from the very beginning and ensure that the baby is latching on correctly. Practice shows that this significantly affects the flow of milk and the convenience of feeding.

What breastfeeding symptoms should be of concern?

Milk production usually returns to normal levels two weeks after birth. If the child does not begin to gain weight on the fifth or sixth day of life, it's time to sound the alarm. You should contact your doctor to make sure that milk is being produced and that its composition is changing from colostrum to mature breast milk.

What advice would you give to a new breastfeeding mother?

Try to ensure skin-to-skin contact with the baby as soon as possible after delivery. If possible, feed your baby within the first hour of life, or at least breastfeed. As soon as possible, contact a specialist to correct the position and grip of the breast during feeding and thus avoid damage to the nipples.

Feed frequently. Young mothers do not immediately succeed in correctly recognizing the signals that the child gives. Be sure to feed your baby on demand, and not at set intervals. Offer the breast as soon as you notice any signs of hunger - as a rule, the baby suckles better when he is calm. If he cries, it is more difficult for him to take the breast. If you are not sure what the child wants, offer him the breast. He decides whether he wants to eat or not.

To learn more about Dr. Kent's research, download infographic "How to determine the limits of normal when it comes to breastfeeding" or see it below.

Literature

1 Kent JC et al. Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics . 2006;117(3): e 387-395. - Kent J.S. et al., "Amount and frequency of breastfeeding and fat content of breast milk during the day." Pediatrix (Pediatrics). 2006;117(3):e387-95.

2 Kent JC et al. Longitudinal changes in breastfeeding patterns from 1 to 6 months of lactation. Breastfeeding Medicine . 2013;8(4):401-407. - Kent J.S. et al., Longitudinal changes in breastfeeding patterns from 1 to 6 months of lactation. Brest Med. 2013;8(4):401-407.

Breastfeeding | Tervisliku toitumise informatsioon

According to the Nordic Nutrition Guidelines based on research and advice from the WHO, only breast milk is the optimal nutrition for the first six months of a child's life.

A healthy child does not need any other fluids or supplements.

An exception is vitamin D, which is recommended by pediatricians as a fat-soluble supplement from the second week of life for the first two years at 10 micrograms (5 drops, or 500 IU) per day to ensure better skeletal development during a period of rapid growth. If a breastfeeding mother is a vegan or vegetarian, she should ensure that her baby is getting enough vitamin B12 to avoid deficiency.

From the second half of the year, continuing breastfeeding, it is necessary to gradually begin to give solid food even if the child grows well and on milk alone. A gradual transition to family food should begin at the end of the first year of life. A one-year-old child should receive half of the energy from breast milk, half from spoon-feeding, mainly vegetables and fruits, cereals and meat. You can continue breastfeeding as long as it is comfortable for both mother and baby.

Nature is an amazing creator of baby food.

The mother's breast produces just the right product for a rapidly growing and developing baby. Breastfeeding soothes the baby, promotes the development of his oral cavity and the formation of bite. Breast milk is always at the right temperature, always clean and cheap. Feeding does not require any aids, you can feed your baby almost anywhere. All components of breast milk are easily absorbed and accepted by the baby and support its overall development. Breast milk is rich in nutrients and bioactive compounds such as vitamins, minerals, fatty acids, and immune factors that have been shown to be beneficial to human health. Breast milk differs during one feed, during the day, in summer and winter, and constantly changes with the age of the child.

There is strong evidence that breastfeeding protects against overweight and many infections (ear, respiratory and digestive tract infections) in infancy and early childhood. Breast milk contains many protective factors that are thought to have an immunological effect for several years after breastfeeding has ended. Breastfeeding is likely to have a positive effect on a child's IQ and cognitive development, and this effect is related to the duration of breastfeeding. It is also considered likely that breastfeeding has a protective role against celiac disease if, even when the child receives breast milk, small amounts of gluten-containing foods are given to him. Comparing breastfed versus non-breastfed infants suggests a protective effect of breastmilk against type 1 and type 2 diabetes. There are indications that breastfeeding may reduce the risk of overweight and cardiovascular disease in adulthood.

Since breastfeeding is part of the normal postnatal process, it is also ideal for women. Feeding promotes faster uterine contraction and postpartum recovery.

When normal nutrition is continued, body weight decreases faster after pregnancy, since a woman's body additionally spends more than 500 kcal on the production of breast milk. Certain foods (nuts, halva), as a rule, do not lead to an increase in the amount of breast milk, but only contribute to weight gain.

The amount of breast milk does not depend on the amount of food consumed by the mother. It depends on the frequency of breast emptying, the duration of feeding and the effectiveness of the sucking technique of the child. Pregnant women should not be without food for more than 12 hours. Otherwise, ketone bodies are formed in the blood, which are dangerous for the fetal brain. The situation can threaten the life of the fetus if the mother has not eaten for more than 20 hours.

Breastfeeding is an energy intensive process and many breastfeeding mothers are encouraged to increase their energy intake. However, in the case of a positive energy balance and low physical activity, there is a risk of overweight during the feeding period. To avoid postpartum weight gain, it is recommended to increase physical activity rather than decrease it during the feeding period. Nursing mothers have a lower risk of developing breast and uterine cancer at a young age, and the risk of osteoporosis later in life also decreases. During the feeding period, it is recommended to consume amounts of liquid proportional to the amount of milk produced. The amount of 750 ml of breast milk during the first six months increases the need for fluid in a nursing mother by about 600-700 ml per day.

Feeding creates a particularly close relationship with the baby, nighttime feedings are more comfortable, and studies show that breastfeeding mothers are less likely to experience postpartum depression.

98% of women can breastfeed, however, according to Estonian statistics, only 40% of our children receive breast milk at the age of 6 months. Many common myths about breast milk and breastfeeding can also prevent successful feeding.

Golden rules for feeding:
  • The child's whole body is turned towards the mother, the mother supports the child behind the back (not behind the head!), pressing his stomach tightly against her own, maintaining closeness.
  • Before taking the breast, the baby's nose is at the nipple.
  • The child's jaw and nose are pressed against the chest, the lower lip is turned down, the cheeks are puffed out.
  • Sucking alternates with swallowing.
  • If the mother is sitting while breastfeeding, the baby should be on a pillow so that the mother can sit as freely and relaxed as possible, with a straight back, leaning on something, neck and shoulders relaxed.
  • The child asks for a breast at least eight times a day and calms down after feeding.
  • Every day the child urinates profusely and in the first month of life begins to poop at least once a day.
  • The child's monthly weight gain is at least 500-600 grams, the child grows in length, and every month his head circumference increases.

Sometimes breastfeeding may be contraindicated for health reasons of the mother or child. Then, during the first year of life, the child should be given milk mixtures and make sure that they are prepared in strict accordance with the instructions on the package. It is impossible to give cow's milk to a baby in the first year of life.

Do not breastfeed if:
  • The child has a rare metabolic disorder - galactosemia,
  • The mother has a dangerous infectious disease: HIV, AIDS or acute incurable tuberculosis,
  • , anti-cancer, lithium, ergotamine, methotrexate, tranquilizers or sleeping pills,
  • Mother has a drug addiction.
Feeding may be difficult if: