9-day-old newborn
When I was discharged from the hospital, the nurse said that the baby's feeding amount was 60cc every 4 hours.
However, after returning home, it seems that the baby is adjusting to the environment and is still not very good at sucking from the bottle.
For the first two or three days, the baby drank very little, but by the fourth day, she was able to suck a bit more, although the feeding amount and timing became inconsistent.
I also asked other mothers in a group, and I was told that I was overfeeding; they said that just because the baby is crying doesn't mean I should feed her.
Even if the diaper has been changed, I have held her and massaged her belly, I should try not to feed her before the scheduled feeding time.
If she asks for milk before 3 hours, I should not feed her because formula takes 3-4 hours to digest, and a newborn's stomach is not mature enough to handle feeding like that.
On 10/11, I recorded feeding at 1:50 AM (70cc) and again at 3:00 AM.
On 10/12, I recorded feeding at 6:20 AM (90cc), 9:45 AM (120cc), 12:20 PM (40cc), 2:00 PM (5:40 PM), and 7:30 PM (90cc).
On 10/13, I recorded feeding at 12:40 AM (40cc) and 2:40 AM (amount not specified).
I am trying to estimate the amounts because I am not very good at measuring with the bottle markings.
The timing is not exact, and I have been giving 60cc each time.
The timing and amounts are inconsistent.
Is it normal for a 9-day-old newborn to go several days without a bowel movement? Also, since I have started breastfeeding, can I give breast milk for one feeding and formula for the next? How can I tell if my baby is getting enough breast milk?
Niu Nai, 20~29 year old female. Ask Date: 2016/10/14
Dr. Xiao Kaiwen reply Pediatrics
A nine-day-old newborn has a very small stomach capacity, so feeding does not need to be on a strict schedule or in fixed amounts; it should be based on the baby's demand.
It is normal for newborns to have bowel movements ranging from two to three times a day to once every two to three days.
Mixed feeding with both breast milk and formula is acceptable, but if possible, exclusive breastfeeding is better for the baby.
Breast milk is the most easily absorbed by the baby and offers many other benefits, and generally, there should be no issues with its suitability.
Reply Date: 2016/10/14
More Info
Feeding a newborn can be a daunting task for new parents, especially when it comes to understanding the appropriate amounts and timing for feeding. For a 9-day-old newborn, it is essential to focus on the baby's needs rather than strictly adhering to a schedule. Here are some guidelines and tips to help you navigate this critical period.
Understanding Newborn Feeding Needs
1. Feeding Frequency and Amount: Newborns typically need to be fed every 2 to 3 hours, but this can vary. Initially, the amount of formula or breast milk can be around 60-90cc (2-3 ounces) per feeding, but it’s crucial to pay attention to your baby's hunger cues. If your baby is showing signs of hunger (such as rooting, sucking on their hands, or crying), it’s okay to feed them even if it’s not been the full 3 hours. Newborns have small stomachs, and their feeding needs can fluctuate.
2. Feeding on Demand: It’s important to feed your baby on demand rather than strictly adhering to a clock. If your baby is hungry before the 3-hour mark, it’s perfectly acceptable to feed them. This approach helps ensure that your baby is getting enough nutrition and can also help establish a good breastfeeding or bottle-feeding routine.
3. Monitoring Output: One way to gauge if your baby is getting enough milk is to monitor their wet and dirty diapers. In the first few days, it’s normal for a newborn to have only a few wet diapers, but by the end of the first week, they should be having at least 6-8 wet diapers a day. Bowel movements can vary widely; some babies may have several bowel movements a day, while others may go a few days without one. Both can be normal as long as the baby appears comfortable and is feeding well.
4. Mixing Breast Milk and Formula: If you are breastfeeding and also using formula, it is generally safe to alternate between the two. This can be beneficial if you are concerned about your milk supply or if your baby is not gaining weight adequately. However, it’s best to consult with a pediatrician or a lactation consultant to ensure that your baby is receiving the right balance of nutrients.
5. Recognizing Signs of Adequate Feeding: A well-fed baby will typically be alert and active when awake, will have a good skin tone, and will gain weight steadily. If you have concerns about whether your baby is getting enough milk, it’s advisable to consult with your pediatrician. They can assess your baby's growth and provide personalized advice.
Additional Tips for New Parents
- Stay Flexible: Feeding schedules can be unpredictable in the early days. It’s essential to remain flexible and responsive to your baby's needs rather than adhering to a strict feeding schedule.
- Create a Calm Feeding Environment: Whether breastfeeding or bottle-feeding, try to create a calm and comfortable environment. This can help your baby feel more relaxed and willing to feed.
- Seek Support: Don’t hesitate to reach out to healthcare professionals, lactation consultants, or parenting groups for support and advice. They can provide valuable insights and reassurance.
- Trust Your Instincts: As a new parent, it’s normal to feel uncertain. Trust your instincts and remember that you know your baby best. If something feels off, don’t hesitate to seek help.
In conclusion, feeding a 9-day-old newborn should be guided by the baby's hunger cues rather than a strict schedule. Pay attention to their needs, monitor their output, and don’t hesitate to mix breast milk and formula if necessary. Always consult with your pediatrician if you have concerns about your baby's feeding or growth. With time and experience, you will become more comfortable with your baby's feeding patterns and needs.
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