How to Address Low Milk Intake in Infants: Tips for Parents

Low total milk volume?

Hello, the baby is currently 2 months and 17 days old, weighing 5.4 kg (birth weight 3400 g).
The baby is consuming 120 ml per feeding (5 feedings a day, no night feedings), totaling only 600 ml (ranging from 560 to 620 ml).
I am considering increasing the amount to 150 ml per feeding, but the baby cannot finish it, or else the next feeding is automatically reduced.
If I force-feed, the baby tends to spit up.
Should I consider adding a sixth feeding (the midnight feeding)? Is the current milk intake too low, and how can I increase the milk volume?

Jane, 30~39 year old female. Ask Date: 2016/06/17

Dr. Xiao Kaiwen reply Pediatrics

In the first 4 to 6 months of life, a newborn's weight typically increases to about double their birth weight, which translates to an average monthly gain of approximately 800 grams to 1 kilogram.
Your child's current weight gain should not be a concern.
The normal milk intake for infants is about 130 to 150 cc per kilogram per day (not less than 100 cc per kilogram to avoid dehydration).
However, the most important factor is that weight gain is normal, which indicates adequate milk intake.
If weight gain is insufficient, to increase milk intake, consider feeding smaller amounts more frequently (and if necessary, you can increase nighttime feedings).
It's important to note that a baby's intake can vary; as long as they are not ill, are active, and their growth in height and weight is normal, this variation is considered within the normal range.

Reply Date: 2016/06/17

More Info

Addressing low milk intake in infants can be a concern for many parents, especially when the baby is still quite young, as in your case with a 2-month-old infant. It’s essential to ensure that your baby is getting adequate nutrition for healthy growth and development. Here are some tips and considerations based on your situation:

Understanding Milk Intake
At 2 months old, infants typically require about 150-200 ml of formula or breast milk per kilogram of body weight per day. For your baby weighing 5.4 kg, this translates to approximately 810-1080 ml of milk daily. Your current intake of around 600 ml is indeed on the lower side. However, it’s important to note that every baby is different, and some may naturally consume less than others.

Tips to Increase Milk Intake
1. Feeding Frequency: Since your baby is currently having five feeds a day, consider increasing the frequency of feeds. Infants often do better with smaller, more frequent meals rather than larger ones. This can help them consume more overall without overwhelming their stomachs.

2. Responsive Feeding: Pay attention to your baby's hunger cues. If they seem hungry before the next scheduled feeding, offer them milk. Responsive feeding can help ensure that your baby is getting enough nutrition.

3. Avoid Force-Feeding: If your baby is refusing to finish a bottle, avoid forcing them to drink. This can lead to negative associations with feeding and may cause them to refuse milk altogether. Instead, try offering smaller amounts more frequently.

4. Check for Comfort: Ensure that your baby is comfortable during feeding. Sometimes, discomfort due to gas, reflux, or other issues can lead to decreased intake. If you suspect this might be the case, consult your pediatrician for advice.

5. Experiment with Different Bottles/Nipples: If you are bottle-feeding, the type of bottle or nipple can affect how much your baby drinks. Some babies prefer certain shapes or flow rates, so it might be worth trying different options.

6. Monitor Growth and Development: Keep an eye on your baby's growth patterns. Regular check-ups with your pediatrician can help ensure that your baby is growing appropriately, even if their milk intake seems low.

7. Consider Night Feedings: If your baby is not having a night feed, consider whether adding a sixth feeding might help. Some babies may naturally wake up hungry during the night, and responding to that can help increase their overall intake.

8. Consult a Pediatrician: If you continue to have concerns about your baby's milk intake, it’s crucial to consult with a pediatrician. They can assess your baby's growth, development, and overall health to provide tailored advice.

Conclusion
In summary, while your baby’s current milk intake is lower than the recommended amount, there are several strategies you can implement to encourage increased consumption. Focus on responsive feeding, increasing the frequency of meals, and ensuring your baby is comfortable during feeding times. Always consult with your pediatrician for personalized guidance, especially if you have concerns about your baby's growth or feeding habits. Remember, every baby is unique, and what works for one may not work for another.

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