Feed quantity for newborn babies
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
Feeding Your Newborn (for Parents)
How you feed your newborn is the first nutrition decision you make for your child. These guidelines on breastfeeding and bottle feeding can help you know what's right for you and your baby.
Breast or Bottle?
The American Academy of Pediatrics (AAP) recommends that babies be breastfed exclusively for about the first 6 months. After they start on solid foods, babies should breastfeed through the first year of life and even beyond, if desired.
But breastfeeding isn't possible or preferable for all new moms. Deciding to breastfeed or bottle feed a baby is usually based on the mother's comfort level with breastfeeding and her lifestyle. In some cases, breastfeeding may not be recommended for a mom and her baby. If you have any questions about whether to breastfeed or formula feed, talk to your pediatrician.
Remember, your baby's nutritional and emotional needs will be met whether you choose to breastfeed or formula feed.
Benefits of Breastfeeding
Breastfeeding your newborn has many benefits. Perhaps most important, breast milk is the perfect food for a baby's digestive system. It has the nutrients that a newborn needs, and it’s easily digested. Commercial formulas try to imitate breast milk, and come close, but can't match it exactly.
Breast milk has
antibodiesthat help protect babies from many infections, including diarrhea and ear and lung infections. Breastfed babies are less likely to develop medical problems such as diabetes, high cholesterol, asthma, and allergies. Breastfeeding also might make a child less likely to become overweight.
Breastfeeding is great for moms too. It burns calories, so can help nursing moms lose the weight gained during pregnancy. Breastfeeding also may offer protection from breast cancer and ovarian cancer.
Some moms find breastfeeding easier and quicker than formula feeding — it needs no preparation, and you don't run out of breast milk in the middle of the night. Also, breastfeeding costs little. Nursing mothers do need to eat more and may want to buy nursing bras and pads, a breast pump, or other equipment. But these expenses are generally less than the cost of formula.
Breastfeeding meets a variety of emotional needs for both moms and babies. The skin-to-skin contact can enhance the emotional connection, and providing complete nourishment can help new moms feel confident in their ability to care for their newborn.
Limitations of Breastfeeding
With all the good things known about breastfeeding, why doesn't every mother choose to breastfeed?
Breastfeeding requires a big commitment from a mother. Some new moms feel tied down by the demands of a nursing newborn. Because breast milk is easily digested, breastfed babies tend to eat more often than babies who are fed formula. This means moms can be in demand as often as every 2 or 3 hours in the first few weeks. This can be tiring, but it's not long before babies feed less often and sleep longer at night.
Some new mothers need to get back to work outside the home or separate from their babies from time to time for other reasons. Some opt for formula feeding so other caregivers can give the baby a bottle. Mothers who want to continue breastfeeding can use a breast pump to collect breast milk to be given in a bottle, so their babies still get its benefits even when mom isn't there to breastfeed.
Fathers and other family members may want to share in feeding the baby. When mom is breastfeeding, dad or siblings may want to stay close by. Helping mom get comfortable, or providing a burp cloth when needed, will let them be part of the experience.
When breastfeeding is going well, other family members can help by giving the baby pumped breast milk in a bottle when mom needs a break.
Some moms may feel embarrassed or worried about breastfeeding. These feelings usually end after a successful breastfeeding process is set. It can help to get advice from those who've gone through the experience. Most hospitals and birthing centers offer in-depth instruction on breastfeeding to new moms. Your pediatrician, nurse practitioner, or nurse can answer questions or put you in touch with a lactation consultant or a breastfeeding support group.
In some cases, a mother's health may affect her ability to breastfeed. Moms getting chemotherapy for cancer and those who have HIV should not breastfeed, for example.
If you have a medical condition or take any medicines regularly, talk with your doctor about whether it's OK to breastfeed. If you have to stop nursing temporarily, continue to pump breast milk to maintain milk production. If you or your baby are sick, continue to breastfeed if you can. Talk to the doctor if you have any concerns.
In some situations, it may not possible to breastfeed, such as when a baby is very sick or born early. Mothers should talk with their baby's doctor about expressing and storing milk. Often, a baby who can't breastfeed can get breast milk through a feeding tube or bottle.
Some moms who have inverted nipples may have trouble breastfeeding, but a lactation consultant usually can help them overcome this. Likewise, women who have had plastic surgery on their breasts should be able to successfully breastfeed. Talk with your doctor if you have any concerns.
Hold off on pacifiers or bottles until your baby has gotten used to and is good at breastfeeding. Lactation professionals recommend waiting until a baby is about 3–4 weeks old before offering artificial nipples of any kind (including pacifiers).
Benefits of Formula Feeding
Commercially prepared infant formula is a nutritious alternative to breast milk. Bottle feeding can offer more freedom and flexibility for moms, and make it easier to know how much the baby is getting.
Because babies digest formula more slowly than breast milk, a baby who is getting formula may need fewer feedings than one who breastfeeds. Formula feeding also can make it easier to feed the baby in public, and lets the father and other family members help feed the baby, which can enhance bonding.
Limitations of Formula Feeding
Just as breastfeeding has its unique demands, so does bottle feeding. Bottle feeding takes organization and preparation, especially if you want to take your baby out. Store-bought formula can be pretty expensive, but do not try to make your own formula at home.
It's important to make sure that you have enough formula on hand, and bottles that are clean and ready to be used.
Here are a few guidelines for formula feeding:
- Carefully follow directions on the label when preparing formula. Do not add more water than directed.
- Bottles left out of the refrigerator longer than 1 hour and any formula left in the bottle that a baby doesn't finish should be discarded.
- Prepared bottles of formula can be stored in the refrigerator up to 24 hours and carefully warmed just before feeding. You don't have to warm formula, but most babies prefer it.
- A bottle of formula can be warmed by holding it in running warm water or setting it in a pan of warm water. A bottle of formula (or breast milk) should never be warmed in a microwave. The bottle can heat unevenly and leave "hot spots" that can burn a baby's mouth.
How Often Do Newborns Eat?
Your newborn will nurse about 8 to 12 times per day during the first weeks of life. In the beginning, mothers may want to try nursing 10–15 minutes on each breast, then adjust the time as needed.
Breastfeeding should be on demand (when your baby is hungry), which is generally every 1–3 hours. As newborns get older, they'll nurse less often and have longer stretches between feedings. Newborn babies who are getting formula will likely take about 2–3 ounces every 2–4 hours. Newborns should not go more than about 4–5 hours without feeding.
Signs that babies are hungry include:
- moving their heads from side to side
- opening their mouths
- sticking out their tongues
- placing their hands and fists to their mouths
- puckering their lips as if to suck
- nuzzling against their mothers' breasts
- crying
A feeding schedule is not necessary — you and your baby will get into a routine. Babies know (and will let their parents know) when they're hungry and when they've had enough. Watch for signs that your baby is full (slowing down, spitting out the bottle or unlatching from breast, closing the mouth, turning away from the breast or bottle) and stop the feeding when these signs appear.
As babies grow, they begin to eat more at each feeding and can go longer between feedings. There may be other times when your infant seems hungrier than usual. Continue to nurse or feed on demand. Nursing mothers need not worry — breastfeeding stimulates milk production, and your supply of breast milk will adjust to your baby's demand for it.
Is My Newborn Getting Enough to Eat?
New parents often worry about whether their babies are getting enough to eat.
Babies are getting enough to eat if they:
- seem satisfied
- have about 6–8 wet diapers a day
- have regular bowel movements (poops)
- sleep well
- are alert when awake
- are gaining weight
A baby who is fussing, crying, seems hungry, does not appear satisfied after feeding, and has fewer wet diapers may not be getting enough to eat. If you're concerned that your baby isn't getting enough to eat, call your doctor.
Most infants "spit up" a small amount after eating or during burping, but a baby should not vomit after feeding. Vomiting after every feeding might be a sign of an allergy, digestive problem, or other problem that needs medical care. If you have concerns that your baby is spitting up too much, call your doctor.
Should Newborns Get Nutritional Supplements?
Breast milk has the right combination of vitamins and easily absorbed iron for newborns. A healthy infant being nursed by a healthy mother doesn't need extra vitamins or nutritional supplements, with the exception of vitamin D. Breastfed babies should begin vitamin D supplements within the first few days of life, continuing until they get enough vitamin D-fortified formula or milk (after 1 year of age).
Breastfeeding mothers who follow vegetarian diets that do not include animal products need vitamin B12 supplements.
Iron-fortified formula has the right blend of vitamins and minerals for a baby, so supplements usually aren't needed. Infants drinking less than 1 liter, or about a quart, of formula a day may need a vitamin D supplement.
Water, juice, and other foods usually aren't necessary during a baby's first 6 months. Breast milk and formula provide everything babies need nutritionally until they start eating solid foods. Talk to your doctor if you have any questions about feeding your newborn.
Reviewed by: Mary L. Gavin, MD
Date reviewed: February 2021
How much a newborn should eat: feeding chart
Contents
- Listen to the experts
- Calculation rates
- First weeks of life
- One to four months
- Five to six months
- Seven to twelve months
- How much breast milk should a newborn eat: table
- Not enough breast milk or not at all: what to do
- Norms and stages of introduction of complementary foods
- First stage - vegetables
- Second stage - cereals
- Third stage - fruit
- Fourth stage - meat
- Fifth stage - new flavors
- Sample daily diet for a 6-8 month old baby
- FAQ
Listen to the experts
Pediatricians have long calculated norms for a child's consumption of milk or formula, allowable intervals between meals, as well as norms for weight gain and height depending on the age of the baby. All these data are usually voiced to parents during a doctor's appointment and entered into the card for further assessment of the child's condition. Comparison of the actual weight and the prescribed norms allows you to find out whether the child is eating well enough and, if necessary, to correct mistakes made during feeding. If something is not clear to you at the appointment with the pediatrician, do not be afraid to ask again and clarify. After all, only a specialist can give competent recommendations specifically for your baby, based on the results of an examination or analysis. The advice of friends, grandmothers and mothers from various forums may be good, but they do not take into account the individual characteristics and needs of your child's body. So, they may not work or even hurt.
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Calculation norms
1. First month of life
As soon as the baby is born, it is immediately brought to the mother's breast to be fed. This helps to strengthen the immunity of the baby and stimulates lactation in the mother. During this period, there is still no milk in the breast, but there is a very nutritious transparent sweetish liquid - colostrum. It is released in the first two or three days after birth and supplies the child with all the necessary substances. To eat, the baby needs a few drops: on the first day of life, the small stomach holds only 7 milliliters. On the second day of life, the baby begins to eat more often. It needs to be fed on demand or every two to three hours, while the baby eats within 10-20 milliliters at one time. Thus, per day the norm will be approximately 90 milliliters. Starting from the third day after birth, the mother actively produces breast milk, the volume of which increases as the child grows. In the first week of life, the baby should eat from 50 to 80 milliliters of milk at a time, and 400 milliliters per day. At two weeks of age, the daily ration should be 20% of the weight of the newborn, and closer to a month - about 600 milliliters. It is important to note that these figures are approximate. Each baby needs its own, certain amount of milk or mixture, depending on individual characteristics: height, weight, mother's milk quality, calorie content of the mixture and the rate of development of the baby. See also: Breastfeeding: first steps after childbirth
2. One to four months
Every day the baby grows, gains weight and increases his daily portions of milk. Having reached the month, the baby is already eating 90-100 milliliters six to seven times a day. After one month, the norms become as follows:
- At two months, the child should eat from 120 to 150 milliliters at a time. The daily norm, therefore, is 700-800 milliliters.
- A three-month-old baby should eat between 150 and 180 milliliters. In this case, it is recommended to observe the frequency of feeding no more than six to seven times a day.
- From the fourth month, babies need 180-210 milliliters of milk or infant formula. The average amount per day is not less than 1/6 of the baby's weight.
3. Five to six months
A six-month-old child normally eats 210-240 milliliters at a time, and the total amount of food per day should be 1/7 of body weight, or 800-1000 milliliters. Also, if there are no contraindications, complementary foods are introduced from six months.
4. From seven to twelve months
During this period, a single portion of breast milk for a baby ranges from 210 to 240 milliliters. At the same time, the average amount per day is not less than 1/8 of the child's body weight. Vegetable, fruit and meat purees, dairy-free and milk porridges are introduced into the diet (if the baby is not allergic to cow's milk proteins).
Below is a table detailing the daily dietary intake of a newborn for each age up to a year.
1/6 mass of the child
5-6 months
210–240
1/7 mass of the child (800–1000)
7–12 months
210–240
1/8 mass of the child
44444444444444 Important! Remember that every child is unique, has individual characteristics and needs. Therefore, slight deviations from the standard indicators are quite possible.
Not enough breast milk or not at all: what to do
When a baby cries after waking up, he is hungry. Modern doctors do not advise mothers to maintain any strict feeding schedule. If the mother gives the baby a breast when he asks, and the baby eats for her own pleasure and at the same time sleeps soundly and well, smiles and is not naughty, then she is full and completely satisfied. See also: The diet of infants But if the baby cries and sleeps poorly, then perhaps he does not have enough milk. In this case, check if the baby is eating his age norm, and try to keep track of this indicator in the future. Found that you don't have enough breast milk? Do not worry, it is better to immediately consult a doctor. The specialist will help you find a way to support milk production and improve lactation.
If you cannot solve the problem and normalize lactation, consult a pediatrician and find the right formula for your child to feed. With strict observance of all the doctor's recommendations, instructions for preparation and dosages indicated on the package, the mixture makes it possible to compensate for the lack of breast milk and provide the baby with the necessary amount of nutrients. Important! Even if there is not enough breast milk to fully meet your baby's needs, try to remain on partial breastfeeding for as long as possible. After all, the ideal food for a child is mother's milk.
Norms and stages of introduction of complementary foods
As a rule, complementary foods are introduced at the age of six months. Before you start exploring new products, you should consult with your pediatrician. In general, different types of food are introduced in stages, starting with very small portions.
1. First stage - vegetables
According to the World Health Organization, the best starter is a one-component vegetable puree, such as zucchini, broccoli, cauliflower or potatoes. If everything goes well, you can try pumpkin, carrot, pea and tomato puree a little later.
It takes seven to ten days to fully introduce the product into the baby's diet. We start with half or a whole teaspoon once a day until breastfeeding. If there are no allergic or other adverse reactions, you can continue the introduction of this product, gradually increasing the dose to a full serving - 100-150 grams.
2. Second stage - cereals
After the introduction of vegetable puree, we recommend diversifying the baby's menu with cereals. For acquaintance, it is better to choose liquid one-component gluten-free cereals, for example, rice or buckwheat. Then you can add oatmeal or semolina.
The initial portion of porridge is half or one teaspoon. Gradually increase the portion to a full - 150 grams. Find out more: Nestle Baby Cereals: Product Range
3. Stage Three – Fruit
Fruit complementary foods We also start with one-component low-allergenic purees, such as apple, pear, plum, banana. These products are not only tasty, but also contain vitamins and minerals necessary for the child.
Fruit purees are also introduced with caution, starting with half or a whole teaspoon. Gradually, the portion increases to 100-150 grams. Learn more: Gerber Baby Food: Puree Range
4. Stage Four - Meat
Meat is a product necessary for development, rich in iron and protein, which is well absorbed in the body. It is introduced in the form of a homogeneous one-component puree from dietary turkey, rabbit, chicken, veal or lamb.
At the beginning we give a try - half or one teaspoon, over time we bring the portion to 60 grams.
5. Stage five - new flavors
After the successful introduction of the above products, the baby is formed a full-fledged varied menu. So you can introduce the young gourmet to new flavors that could previously provoke an allergy: multi-component purees, fruit and cereal cocktails, children's snacks, pieces of fresh fruits and vegetables. See also: Introduction of complementary foods to children with food allergies
Example of a daily diet for a baby at 6-8 months
A child from six to eight months should be given complementary foods three times a day. Further, at the age of nine to eleven months, the amount is increased to four times a day. To make it easier and clearer, check out two options for a full-fledged daily diet, which outlines what and how much a newborn should eat.
Read also: Feeding a 7-month-old baby: making a menu for the baby
Frequently asked questions
1. How to warm up breast milk?
Use the bottle warmer to warm breast milk that has been stored in the refrigerator. If this is not at hand, put a tightly closed bottle in a container of warm water and hold it there until the milk warms to body temperature - 37 ° C.
2. How often should a newborn eat?
A newborn needs to be fed every 2-3 hours, i. e. 10-12 times a day.
3. How much milk does a newborn eat?
During the first days of life, the baby has a very small stomach and a poorly developed sucking reflex. Therefore, for one feeding, the newborn eats 7-9 milliliters of colostrum. Breast milk from the mother appears only on the third or fourth day.
4. How to calculate how much a child should eat?
To understand how much a newborn should eat, you need to know his age and weight. Data for calculation: from 10 days to 1.5 months, the baby needs such an amount of food, the weight of which is approximately 1/5 of the child's body weight; from 1.5 to 4 months - 1/6, from 4 to 6 months - 1/7; from 6 to 8 months - 1/8; from 8 to 12 months - 1/9 of the body weight.
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Starting from the first feeding and in the first days of life, the child receives colostrum. It is very nutritious. The newborn eats little, but remains full. The volume of the stomach in babies in the first days of life does not exceed 10 ml. In one day, a baby eats about 100 ml of breast milk. This volume is increasing every day. For a baby older than 10 days, it is very easy to calculate the feeding rate. To do this, you need to multiply the number of days lived by 10. The amount of food eaten per day should be 1/5 of the baby's body weight.
To determine the rate of feeding children from the first month of life to a year, experts have developed the following table for calculating the volume of feeding:
You can also determine the correct amount of food for feeding a baby, focusing on the age, weight, behavior and development of the child.
At present, the so-called free-feeding regimen is recommended, i.e., to give the child a breast not according to the schedule, but at his first request, including at night. This allows the baby to take full advantage of the first milk - colostrum, which is characterized by a high concentration of antimicrobial factors, which prevents the possibility of infection of the newborn. Colostrum, which contains a high percentage of protein and minerals, even in small quantities satisfies the nutritional needs of the child. In addition, the entry of colostrum into the child's digestive tract ensures a faster "maturation" of the intestinal mucosa. A mother can learn to correctly identify the "hungry" cry of her child: at the same time, he turns his head in search of the mother's breast, smacks his lips, cries loudly, insistently. Usually, with a free-feeding regimen, a newborn baby receives breasts up to 10-12 times a day. on, initiating the secretion and release of milk. It has been shown that with free feeding, the volume of milk is 1.5 times higher than with hourly feeding. Subsequently, as the child grows, he usually develops his own feeding regimen by 2-3 months - from 6 to 8 times a day and, as a rule, without a night break. Observations show that with this feeding regime, children are distinguished by calm behavior, good mood, sleep soundly, give normal weight gain, and mothers produce more breast milk and the ability to secrete it lasts longer.
How can you tell if your baby is getting enough milk?
There is a so-called "wet diaper test". If the baby receives the necessary daily food intake, he pees an average of 16-18 times. At the same time, 6-8 or more richly filled diapers are usually spent per day.
You can also determine if a child is getting enough nutrition by observing how much weight he gains each month. Infants from 2 to 13 weeks of age should gain between 170 and 200 grams per week.
Keep track of whether the baby grows out of the clothes he wears and out of diapers. If the baby eats properly, then on the 10-14th day of life, he returns to his original weight at birth. Babies who get enough food also sleep well and look cheerful and cheerful.
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