Your Baby's Feeding Patterns: Is Low Intake Normal?

Baby drinking milk?

Hello, doctor.
My baby has just turned one month old.
However, in the past couple of days, there have been one or two feedings where he only drank 20cc, while he usually consumes about 90-120cc per feeding every 3-4 hours.
Is this sudden decrease in appetite considered poor appetite? What could be the possible reasons for this in a newborn?

Xiao Xiao, 20~29 year old female. Ask Date: 2008/05/17

Dr. Xiao Kaiwen reply Pediatrics

Newborns have a small stomach capacity, so small feedings are quite common.
As long as the total daily intake is sufficient, and the baby urinates six to seven times a day or more (with a sufficiently heavy diaper and urine that is not dark yellow), shows normal activity levels without fever, and has normal weight gain, there is no cause for concern.
However, if any of the aforementioned abnormal conditions occur, it is advisable to consult a pediatrician.

Reply Date: 2008/05/17

More Info

Hello! Thank you for reaching out with your concerns about your baby's feeding patterns. It's completely normal for new parents to have questions about their baby's eating habits, especially in the early weeks. Let's break down your concerns regarding your one-month-old baby who has recently shown a decrease in milk intake.

Firstly, it's important to understand that newborns have fluctuating feeding patterns. In the first month, babies are still adjusting to life outside the womb, and their feeding habits can vary significantly from day to day. A typical feeding amount for newborns can range from 60 to 120 cc (2 to 4 ounces) per feeding, and they usually feed every 2 to 4 hours. If your baby is usually consuming around 90-120 cc and has recently dropped to 20 cc for a couple of feedings, it might be concerning, but there are several factors to consider.

1. Growth Spurts: Babies often go through growth spurts, which can cause temporary changes in their feeding patterns. During these times, they may feed more frequently or, conversely, may seem less interested in feeding. This can happen around the one-month mark, so it’s possible that your baby is simply adjusting.

2. Discomfort or Illness: If your baby is experiencing any discomfort, such as gas, colic, or even a mild illness, it may affect their appetite. Pay attention to other signs of discomfort, such as excessive crying, difficulty sleeping, or changes in bowel movements. If you notice any concerning symptoms, it’s best to consult your pediatrician.

3. Feeding Technique: Sometimes, the way a baby is fed can impact their intake. If you are bottle-feeding, ensure that the nipple flow is appropriate for your baby's age. A nipple that is too slow can frustrate a hungry baby, while one that is too fast can overwhelm them. If breastfeeding, ensure that the latch is correct, as an improper latch can lead to ineffective feeding.

4. Environmental Factors: Babies can be sensitive to their surroundings. If there are changes in the environment, such as noise, temperature, or even the presence of unfamiliar people, it might distract them from feeding. Creating a calm and quiet feeding environment can help.

5. Hydration and Diaper Output: Monitor your baby's hydration status by checking their diaper output. A well-hydrated baby typically has at least 6-8 wet diapers a day. If your baby is producing fewer wet diapers or showing signs of dehydration (such as a dry mouth or lethargy), it’s essential to seek medical advice.

In conclusion, while a sudden decrease in feeding can be concerning, it’s essential to consider the context and monitor your baby closely. If your baby continues to show a lack of interest in feeding, or if you have any other concerns about their health or development, do not hesitate to reach out to your pediatrician. They can provide personalized guidance and reassurance based on your baby's specific situation. Remember, every baby is unique, and fluctuations in feeding patterns can be a normal part of their development.

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