Newborn Feeding Patterns: Is Your Baby Getting Enough? - Pediatrics

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Neonatal milk intake


Hello Doctor, my daughter is currently 2 months and 22 days old.
She is drinking formula every four hours, about 120-150 ml, and has been able to sleep through the night, occasionally reaching 180 ml.
However, recently after feeding her at 7:00 PM, she wants to drink another 90-120 ml at 9:30 PM, and then again at 11:00 PM.
Is this okay? It has become every two hours, and I'm concerned that it will be difficult to extend the time between feedings later on.
Should I follow my baby's demand instead? Thank you for your response!

Qianqian, 20~29 year old female. Ask Date: 2023/12/12

Dr. Ma Zhihao reply Pediatrics


Infant formula can sustain a baby for about four hours.
If this is not sufficient, you may need to increase the amount of formula given at each feeding.
Try to gently wake the baby if they fall asleep after drinking half of the bottle, in order to maintain a normal physiological schedule similar to adults.
During the day, ensure normal activity levels and adequate lighting, feeding every four hours.
In the evening, reduce activity and lower the lighting.
There’s no rush to feed; you can change the diaper, massage the tummy, and provide comfort, among other soothing techniques.
Starting around three months, babies will gradually establish their own circadian rhythm, and nighttime sleep duration will begin to extend.
Fengyuan Hospital Pediatrics cares about you and your baby.

Reply Date: 2023/12/12

More Info


Hello! Thank you for your question regarding your two-month-old daughter's feeding patterns. It's completely normal for new parents to be concerned about whether their baby is getting enough nutrition, especially in the early months of life. Let's break down your concerns and provide some insights based on pediatric guidelines and common practices.

First, it’s important to understand that newborns and infants have varying feeding needs that can change frequently. At two months old, your daughter is still in a stage of rapid growth and development, which means her appetite can fluctuate. The fact that she is drinking between 120-150 cc of formula every four hours is generally within the recommended range for her age. However, it’s also common for babies to want to feed more frequently, especially during growth spurts or if they are experiencing any discomfort, such as teething or gas.

You mentioned that she is able to sleep through the night occasionally, which is a positive sign. Sleeping through the night can indicate that she is getting enough calories during the day. However, if she is waking up and wanting to feed every two hours in the evening, it could be due to several factors:
1. Growth Spurts: Babies often go through growth spurts, typically around two to three weeks, six weeks, and three months. During these times, they may need more frequent feedings to support their growth.

2. Comfort Feeding: Sometimes, babies feed not just for hunger but also for comfort. If she is seeking to nurse more frequently in the evening, it could be a way for her to soothe herself.

3. Daytime Activity: If she is more active during the day, she may be using up more energy, leading to increased hunger in the evening.

Regarding your concern about whether this pattern will make it difficult to extend the time between feedings in the future, it’s essential to follow your baby's cues. Babies are quite adept at regulating their own feeding needs. If she is hungry, it’s best to feed her rather than trying to stretch the time between feedings artificially. Over time, as she grows and her stomach capacity increases, she will naturally start to consume more at each feeding and may space them out further.

In terms of the amount she is consuming, if she is consistently taking in enough calories throughout the day and gaining weight appropriately, then her feeding pattern is likely adequate. The general guideline is that infants should gain about 1-2 pounds per month in the first few months of life. If you have any concerns about her weight gain or feeding habits, it’s always a good idea to consult with your pediatrician.

Lastly, it’s important to ensure that she is comfortable during feedings. Make sure she is properly latched if breastfeeding, or that the formula is prepared correctly if bottle-feeding. If she seems fussy or uncomfortable after feedings, consider whether she might need to be burped more frequently or if there are any other factors at play, such as reflux.

In summary, it’s perfectly normal for your daughter to have varying feeding patterns at this age. Trust your instincts as a parent, and continue to respond to her hunger cues. If you have ongoing concerns or if her feeding patterns change dramatically, don’t hesitate to reach out to your healthcare provider for personalized advice. They can provide reassurance and guidance tailored to your daughter's specific needs.

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