Addressing Milk Intake and Head Movement in Infants: Pediatric Insights

Q: Addressing Milk Intake and Head Movement in Infants: Pediatric Insights

Hello： (1) In the first and second months, feeding is prioritized over sleeping; in the third month, sleeping takes precedence over feeding. <br>This is a common situation for every infant. <br>(2) The standard feeding amount is 100-150 cc per kilogram of body weight per day. <br

Milk consumption issues?

Dear Dr.
Pei,
I would like to ask you two questions:
(1) My baby is currently over two months old.
During the first and second months, he primarily focused on sleeping, often waking up every three hours or less, and immediately showing signs of hunger for milk.
However, in the third month (which is now), he seems to prioritize sleeping over eating, often sleeping for more than three hours without fussing for milk, especially at night, where he can sleep through until morning.
During the day, feeding sessions take longer, and he seems somewhat disinterested in milk, as I’ve noticed that his daily milk intake in the third month is less than in the previous two months.
What should I do?
(2) Recently, I’ve noticed that whenever the baby lies in the crib, his head sways from side to side, almost like a pendulum, with a back-and-forth motion occurring nearly every second.
Should I intervene and stop this behavior? I’ve heard that a baby’s head shouldn’t be shaken casually.
Should I let him continue this motion, or is it a cause for concern?
Thank you for taking the time to respond.

Xiao Fen, 30~39 year old female. Ask Date: 2008/01/21

Dr. Pei Rensheng reply Pediatrics

Hello: (1) In the first and second months, feeding is prioritized over sleeping; in the third month, sleeping takes precedence over feeding.
This is a common situation for every infant.
(2) The standard feeding amount is 100-150 cc per kilogram of body weight per day.
If there is a temporary feeding aversion and other health conditions are stable, there is no need to worry too much! (3) As the baby grows, holding the baby while sitting and watching them shake their head can be quite adorable.
By three to four months of age, the neck muscles will become stronger.
If head shaking continues frequently after four months, it may indicate insufficient muscle tone, and it is advisable to consult a pediatrician for evaluation.
Additionally, unless the baby's head is subjected to external force, it is unlikely to cause any brain injury.
Wishing you health and happiness! Sincerely, Dr.
Pei Ren-Sheng, Chief of Pediatrics, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2008/01/21

More Info

Dear Parent,
Thank you for your thoughtful questions regarding your infant's milk intake and head movement. These concerns are common among new parents, and it's important to address them with accurate information and reassurance.

1. Changes in Milk Intake and Sleep Patterns:
It's quite normal for infants to experience fluctuations in their feeding and sleeping patterns as they grow. In the first few months of life, babies typically have shorter sleep cycles and may wake frequently to feed. As they reach around two to three months, many infants begin to consolidate their sleep, which can lead to longer stretches of sleep at night. This change is often a positive sign of their developing circadian rhythms and overall growth.

Regarding your observation that your baby's milk intake seems to decrease, this can be attributed to several factors. As babies grow, their growth rates can vary, leading to changes in appetite. It's also common for infants to go through phases where they may seem less interested in feeding, sometimes referred to as "nursing strikes" or "feeding aversions." If your baby is still gaining weight appropriately and is alert and active during awake times, there is usually no cause for concern.
To ensure your baby is getting enough nutrition, continue to offer milk on demand, and observe their cues for hunger. If you notice significant weight loss or other concerning symptoms, it would be wise to consult your pediatrician for further evaluation.

2. Head Movement in Infants:
The head movement you described, where your baby rocks their head side to side while lying in the crib, is often a normal behavior known as "self-soothing." Many infants engage in rhythmic movements as a way to calm themselves, especially when they are tired or trying to fall asleep. This behavior is generally harmless and is part of their natural exploration of body movements.

However, it is essential to differentiate between normal self-soothing behaviors and signs of potential issues. If the head movement is excessive, accompanied by other concerning symptoms (such as irritability, difficulty feeding, or developmental delays), or if you feel uncertain, it would be prudent to discuss this with your pediatrician. They can provide guidance and reassurance based on a thorough assessment.

In summary, your baby's changing sleep and feeding patterns are typical as they grow and develop. Continue to respond to their needs, and trust your instincts as a parent. If you have any ongoing concerns or if your baby's behavior changes significantly, don't hesitate to reach out to your healthcare provider for personalized advice.

Wishing you and your little one all the best in this exciting journey of parenthood!
Warm regards,
Doctor Q&A Teams
Pediatric Expert

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