When do i feed my baby more ounces
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
- 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.
does it matter for breastfeeding?
I was very relieved to find that, despite their small breast size, they did a great job feeding and I was able to successfully breastfeed all of my six children.
Having worked for over 35 years with breastfeeding mothers of an incredible variety of shapes and sizes, I have learned that small breasts are not a disadvantage. Moreover, breastfeeding with larger breasts can be more difficult because you have to worry about congestion, positioning, proper attachment (Newborns may find it difficult to attach to a large nipple and areola and maintain suckling. (Breasts with milk become heavy and may need to be worn a supportive bra and extra help to help the woman find comfortable nursing positions.)
I have always had a hard time finding the right size nursing bra. The lingerie manufacturers seemed to default to the idea that all breastfeeding women have huge breasts.
After filling an entire closet with uncomfortable bras that never fit me properly, I gave up and decided to go braless or wear stretchy sports tops that can accommodate breast pads when needed and are easy to lift or stretch. feed the baby if necessary.
Special nursing underwear is needed if you need extra breast support. If you have small breasts, then this is not a mandatory purchase. I got frustrated every time I bought nursing underwear, and in the end I decided not to wear it at all (Of course, there are a lot more choices now than I had 30 years ago).
I remember one day in the dressing room my 9 year old daughter, watching me try on one bra after another, said, “Mom, it's all right. Think about the fact that when you get old, your breasts will not hang dejectedly, like most mothers. It cheered me up, and you know what? She was right!
Adipose tissue gives the breast a rounded shape and protects the internal tissues from damage. The amount of adipose tissue and breast size are not related to the ability to produce milk, so women with small breasts are also able to produce enough milk.
Of all the breastfeeding women I have encountered, including mothers who breastfeed twins, women with very small breasts had the most milk.
During lactation, your breasts produce milk all the time, and it collects in the mammary glands between feedings. When you feed a baby, he sucks out almost all the milk, usually about 75-80%. Breastfeeding mothers can produce the same amount of milk per day regardless of breast size, but women with large breasts may have more "breast capacity" than women with small breasts.
This means that large breasts can store more milk between feedings, sometimes several times more than small breasts. For example, if a large breast contains 6 ounces (1 ounce approximately 30 ml) and the baby sucks 4 ounces from each breast during a feed (8 ounces total) and leaves approximately 2 ounces in each breast (4 ounces total) in reserve for the next feed , plus, milk is produced during suckling.
Small breasts may contain 4 ounces per breast. And if the baby sucks 3 ounces from both (6 ounces total) in one feed, then there will be 1 ounce left in each breast (2 ounces total) for the next feed, and in addition, new milk will be produced during the feed.
Due to the size of the individual 'storage', women with small breasts may need to feed more frequently as they breastfeed. their babies may get less milk per feeding. Women with large breasts may produce more milk during each feeding, so the baby may feed less often or suckle only one breast at a time.
In the various benefits, everything is designed for the “average” child. Even though large breasts often produce more milk than small breasts, this does not mean that your baby will need to breastfeed more or less because of breast size.
Since each mother-child pair is unique, a mother with large breasts may need to feed her baby as often as a mother with small breasts, or even more often. These individual differences are the reason why babies need to be fed on demand rather than on a schedule. The baby sucks out as much milk per feeding as he needs at this particular time, and it is the needs of the child, and not the clock, that determine the frequency of feedings.
Of course, there are some exceptions to the rule when breast size does not affect the ability to produce the required amount of milk. A small number of women (about one in a thousand) have insufficient glandular tissue in their breasts. This condition also refers to mammary hypoplasia, breast hypoplasia, or underdeveloped breasts.
In most cases, but by no means always, these women's breasts have some external features: asymmetry (one breast is much larger than the other), a cylindrical shape, sagging and not enlarged at all since adolescence. It is impossible to tell if there will be enough milk in the breast just by appearance, but an unusual appearance of the breast can be a sign to look out for when there is not enough milk.
No one knows for sure the cause of the lack of glandular tissue in the breast, but it can be caused by hormonal disorders. Women with PCOS, women whose mothers were exposed to toxic dioxin, an environmental pollutant, during their pregnancy (exposure to dioxins in the womb can interfere with breast development during puberty and pregnancy).
Women who have had problems conceiving are also at risk.
Mothers with IGT may have very little milk, but even a small amount of milk contributes to the health of the baby. Those mothers who do not have enough milk can supplement their baby with formula (approx. per. - or donor milk, also "Dairy Mom" recommends supplementing from a cup or spoon) from a bottle or through SNS (supplementing at the breast).
Of course, it is important to remember that breastfeeding is not only a way of feeding. Any amount of breastmilk your baby gets will be good for his digestion and immunity, and the special closeness you feel while nursing doesn't depend on how often you feed or how much milk you have.
Anne Smith, IBCLC, Breastfeeding Basics.
Translation: Olga Ryzhova
Breastfeeding after 1 month: what to expect
Do you know when breast milk production stabilizes? And how does the frequency and duration of feedings change as the baby grows? You will find answers to these questions in our recommendations for breastfeeding after the first month.
Share this information
Congratulations: You made it through the first month of breastfeeding. Your breast milk has reached full maturity 1 , its production is stabilizing, and there is little or no leakage from the breast. Don't worry, it's not getting less milk, it's just that your breasts are better able to produce and store it now. 2 At the age of six weeks, your baby will begin to delight you with his charming toothless smiles, and by two months you will already have 500-600 feedings behind you. With a favorable development of events, problems with latch on by this point will already be resolved, and you can simply enjoy the convenience and benefits of breastfeeding.
When does breastfeeding decrease?
The "normal" feeding frequency for babies aged one to six months varies considerably, with some needing four times a day, others asking to be breastfed 13 times a day. 3
“After the age of one month, the amount of milk a baby consumes per feeding increases so that he can go without food for longer,” explains Cathy Garbin, a recognized international expert on breastfeeding, “A baby’s stomach grows, so he eat more at one time.
In addition, mature milk allows him to stay full longer.”
Feeding can last from 12 minutes to one hour -
the habits of babies vary so much! 3 But if the child is gaining weight and falls within this range, there is no cause for concern.
What is most surprising, no matter how often the baby eats, he consumes approximately the same amount of milk per day - both at one month and at six, when it is time to start complementary foods with solid food. 4
“However, sometimes the baby eats more and sometimes less, especially when he is unwell. It’s better to just listen to his needs,” Katie explains.
Is breast milk enough for the first six months?
Yes. Breast milk contains everything a baby needs for the first 90,063 six months of life—exclusively breastfed babies don't even need to drink more water! 5 Until about six months of age, a child's digestive system is simply not adapted to the digestion of solid foods, and he will be able to drink cow's milk only after a year.
In addition, breastfeeding during this period prepares the child for further development. It strengthens the muscles of the mouth, develops the jaw and helps straighten the teeth 6.7 . All this will come in handy when the baby begins to eat and talk. And because what you eat and drink affects how your breast milk tastes, your baby discovers new tastes even before he starts eating solid foods. 8
In addition, when your baby is sick, your body produces breast milk that is
rich in antibodies that help fight infection. 9 In other words, milk continues to protect the baby for many months as he grows and becomes more active.
Breastfeeding is also very comfortable once you get used to it. Claudia, a mother of two from the UK, notes: “No need to sterilize a mountain of bottles, prepare formula, carry it all with you, warm it up - in general, breastfeeding turned out to be very convenient, especially when my babies grew up and we began to leave the house more often.
".
At what age does a breastfed baby start sleeping through the night?
Waking up at night is normal for babies. Most babies between the ages of one and six months consume a fifth of their daily milk requirement at night, so nighttime feedings should not be neglected if you want your baby to get the required amount of calories. 3
"It really depends on what you mean by 'sleep through the night,'" says Cathy. "And it's better than waking up every two hours anyway! I have met infants who, starting at six weeks old, fell asleep at 19:00 and woke up at 7:00, but most continue to wake up frequently at night after this age. All children are different."
In Wales, a study of more than 700 infants showed that almost 80% of children aged 6 to 12 months wake up at least once a night, and 25% of them wake up three times or more. And it did not depend on what type of feeding the child is on - breastfeeding or artificial. 10
And if nighttime awakenings are unavoidable anyway, breastfeeding is at least comfortable! Maina, a mother of two from Australia, agrees: “You can even take a nap while feeding in the middle of the night - both the body and the baby do their job on autopilot.
No need to plan, measure, sterilize anything - ready-made food at the right temperature is right in your chest. I think it's ideal."
My child wakes up more often. Perhaps he is hungry?
Around four months of age, a baby's sleep pattern changes as he, like an adult, develops deep and light sleep phases. Because of this, he may wake up more often at night. “At four months, sleep is more of a problem than feeding,” Cathy admits. “It can be exhausting, but try to adapt and be patient.”
Some people call this " a four-month sleep regression ", but "progress" is more appropriate here. From the outside it may look like a step back, but in fact the child is approaching an important stage of development. He learns quickly, begins to become aware of the world around him, his perception is sharpened and, perhaps, there is anxiety about being separated from his mother. Crying when waking up and being able to eat milk cuddled up to mommy’s chest is a way for a baby to calm down.
11–13
Resist the urge to “supplement” your baby with formula or start solid foods early
in an attempt to improve his sleep. Breast milk contains
hormones that make you sleepy and help you both relax
. Studies show that breastfeeding mothers actually sleep longer at night than formula- or formula-fed mothers
. 14
How does teething affect breastfeeding?
Teething usually begins around four months of age. When a baby has gum pain, he becomes restless, throws his chest and cries. All this, of course, is unpleasant.
However, breastfeeding can be an excellent sedative.
Studies have shown that babies who are breastfed
during the vaccination period cry less and forget pain more quickly. 15 Breastfeeding during teething can have the same calming effect.
An unpleasant side effect may be the child's attempts to try out his new teeth on the mother's breast. “Sometimes children flirt and bite their mother’s nipples.
This can be felt in advance by how the behavior of the child changes when feeding: before biting, he removes his tongue, explains Cathy, “Usually this is not a problem and only happens a couple of times. It is enough to stop feeding, affectionately say that biting is not good, and the baby will soon leave this fun.
How to continue breastfeeding if you have to be separated from your baby?
It happens that during the first six months, when the baby is still fully breastfed, the mother needs to be away for several hours - or even longer if she has to go to work or go away on business for a couple of days.
But this does not mean that you should stop breastfeeding. You can still feed your baby healthy breast milk - just express it and have someone give it to your baby when you're away. Here's Katie's advice:
“Start expressing milk a couple of days in advance, in small batches, 40-60 ml at a time. So you will have the necessary supply for the time of your absence, but at the same time the amount of milk produced will remain the same.
If you have to return to work, check with your employer about your daily schedule. Many mothers breastfeed their babies in the morning, evening and night, and pump milk at lunchtime to relieve discomfort and create a reserve for the next day.
This usually turns out to be much easier than one might think, and today many companies are well placed to do this, notes Cathy. “Breast pumps make it easy to solve this problem.”
Natalie, mother from the USA, shares her experience: “I feed Dylan as soon as he wakes up, and sometimes again before leaving for work, in order to maintain milk production and not lose contact with the child. At work, I pump twice the next day (in my absence, he eats two bottles of breast milk), and after work I rush home for the evening feed. I don't pump on the weekends - we resume regular breastfeeding."
Is it possible to continue breastfeeding after the introduction of solid foods?
When your baby begins to show interest in food and can sit up on his own - usually around six months of age - it's time to start solid foods.
However, it is not necessary to stop breastfeeding, Cathy explains: “A baby’s iron stores during pregnancy are depleted by six months, so he needs additional sources of this element.
Start complementary foods with solid foods, but remember that breast milk remains a more important source of calories and nutrients until the baby is eight to nine months old. By this time, he will be eating much more solid food, but he will still need to breastfeed four to five times a day. By 12 months, the frequency of feeding may be two to six times a day. All babies are different, and many of them at this age are still getting half their daily calorie intake from breast milk.”
Don't forget that breast milk can be added to solid foods, such as cereals and purees, so that the baby can taste the familiar taste. If possible, use milk expressed just before feeding (not thawed) and add just before serving to keep bacteria and nutrients alive. 16
You may be pressured by others to stop breastfeeding when your baby is six months old, but the longer you breastfeed or pump, the better for you and your baby.
How long can I continue breastfeeding?
“The World Health Organization recommends breastfeeding along with solid foods until at least two years of age because it plays an important role in supporting immunity,” says Cathy. feels bad".
At eight months, the baby sometimes breastfeeds four times a day, but by one year old, the frequency of feedings can be reduced to two times a day. You yourself will understand which feeding regimen is more suitable for you and your baby. For example, Jane, a mother of two from the US, breastfed until the age of two: “I breastfed when I was at home - in the evenings and on weekends, when the children wanted to be close to me,” says Jane, “It helped a lot when they were sick . Breastfeeding has become my favorite form of comfort."
“When my son got a little older and bolder, he still often asked me to breastfeed him - as if to calm down and gain strength,” recalls Amy, a mother of two children from Canada, “When he happened to hit or skin his knee , breastfeeding was a wonderful way to comfort him.
”
If your baby is over a year old and you are still breastfeeding, people around you will probably tell you that this way he will never wean. But if children are not pressured, they usually refuse to breastfeed themselves between the ages of two and four. 17
“I didn’t intend to breastfeed for so long, but as a result, I still breastfeed my four-year-old daughter and 22-month-old son,” says Suzanne, mother of two from the UK, “I breastfeed my youngest before and after work, and in I express milk on business trips. The eldest daughter likes to breastfeed a little before bed or when she is upset - this is a great way to make contact. When I get tired of it, I remind myself what great benefit and comfort it brings them. I now plan to pursue a baby-initiated end breastfeeding strategy — let them decide when to stop.”
For more information on what to expect and lots of tips and tricks, see our guide Breastfeeding Problems After the First Month.
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Clin Transl immunology. 2013;2(4). - Hassiot F. et al., "Infectious diseases of the mother and child stimulate a rapid leukocyte reaction in breast milk." Clean Transl Immunology. 2013;2(4).
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13 The Myth Of Baby Sleep Regressions – What’s Really Happening To Your Baby’s Sleep? [Internet]. Pinky Mckay ; "The Myth of Baby Sleep Regression - What's Really Happening to Your Baby?" [Internet]. Pinky McKay, December 2017 [cited February 2018].
14 Kendall - Tackett 3 
