Common Concerns for Newborns: Feeding, Hydration, and Comfort Tips

A bunch of questions..?

Dear Doctor, I have a few questions to ask you regarding my baby sister who is just over a week old.

1.
After the baby has a bowel movement, does she tend to get hungrier? (Because right after feeding her milk, she starts searching for something to suck on with her little mouth and cries if she can't find it.
She doesn't seem to be able to keep a pacifier in her mouth.)
2.
Should newborns be given water? I've heard from older generations that giving water can help reduce "胎火" (excess heat in the body).
Should it be glucose water or plain water? If it's okay, how many cc of water can she drink in a day?
3.
Is it normal for a newborn to have irregular feeding times? Sometimes she seems hungry again just half an hour to an hour after feeding.
Is this feeding schedule normal? (She usually takes about 60-70 cc of milk.)
4.
The baby tends to spit up and burp frequently.
What can be done to improve this? (Sometimes after burping, she continues to burp repeatedly and seems quite uncomfortable.)

Hui Di, 20~29 year old female. Ask Date: 2009/08/03

Dr. Xiao Kaiwen reply Pediatrics

1.
The gastrocolic reflex is more pronounced in newborns, so it is normal for them to have a bowel movement right after feeding and to feel hungry after a bowel movement.

2.
Infants under 6 months have immature kidneys and should not drink too much water (which can place a burden on the kidneys); the moisture from milk is sufficient.
Occasionally, they may have 10-15 cc of water between feedings to rinse their mouths.

3.
Newborns have a small stomach capacity, so it is normal for them to have irregular feeding times and varying amounts; this will improve as their stomach capacity increases.

4.
Newborns have a small stomach capacity and tend to swallow air while feeding and crying, so it is normal for them to burp from the top and pass gas from the bottom to relieve gas.
It is advisable to burp them frequently during feeding, and there are anti-colic nipples available on the market that can be considered.

Reply Date: 2009/08/03

More Info

As a new parent, it's completely normal to have questions and concerns about your newborn's feeding, hydration, and overall comfort. Let's address your queries one by one.

1. Hunger After Bowel Movements: Yes, it is common for newborns to seem hungrier after they have a bowel movement. This is due to the gastrocolic reflex, which stimulates the urge to eat after the stomach is emptied. If your baby is searching for something to suck on after feeding, it may be a sign that she is still hungry or simply seeking comfort. It's important to respond to her cues and offer the breast or bottle again if she seems interested.

2. Hydration for Newborns: For newborns under six months, breast milk or formula provides all the hydration they need. It is generally not recommended to give water to infants this young, as their kidneys are still developing and can be overwhelmed by excess water. If you feel the need to give a small amount of water, it should not exceed 10-15 cc between feedings, and it should be plain water, not glucose water. The idea that water can help "cool" the baby is a common myth; the best way to keep your baby hydrated is through breast milk or formula.

3. Feeding Schedule: Newborns often have irregular feeding schedules, and it is completely normal for them to want to eat every hour or so, especially in the early weeks. Their stomachs are small, and they digest milk quickly, which can lead to frequent feedings. If your baby is taking 60-70 cc per feeding and seems satisfied afterward, that is a good sign. Just ensure she is gaining weight appropriately and is alert and active.

4. Spitting Up and Hiccups: Spitting up and hiccups are common in newborns due to their immature digestive systems. To help reduce spitting up, try to keep your baby in an upright position during and after feedings for about 20-30 minutes. Additionally, burping your baby during and after feedings can help release any trapped air that may cause discomfort. If your baby is hiccuping frequently, it’s usually harmless, but you can try to soothe her by gently rubbing her back or offering a pacifier.

In summary, your newborn's feeding and hydration needs are best met through breast milk or formula, and it's normal for them to have irregular feeding patterns. Pay attention to her hunger cues, and don't hesitate to offer more milk if she seems interested. If you have ongoing concerns about her feeding habits, weight gain, or any other issues, it's always a good idea to consult your pediatrician for personalized advice and reassurance. Remember, every baby is unique, and with time, you will learn her patterns and preferences.

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