Optimal Milk Intake for Infants: Guidelines for Parents

Infant milk intake

Hello Doctor: My child was born at 38 weeks and 3 days, a boy.
His birth weight was 2855g.
He is currently 4.5 months old.
My child's current weight is approximately 6.8kg, height is about 62.4cm, head circumference is 41.2cm, and chest circumference is 40cm.
He is currently consuming about 450 to 600ml of breast milk daily.
His activity level seems normal.
Is this milk intake acceptable? We feed him every 4 hours with 150ml each time, but he usually only drinks about 70 to 80ml before refusing more.
When we try to offer him the bottle again, he often cries.
It frequently takes him 1 to 1.5 hours to finish the 150ml.
Should we switch to smaller, more frequent feedings, or what should we do? Thank you.

Borgy, 30~39 year old female. Ask Date: 2011/05/31

Dr. Xie Degui reply Pediatrics

Infants require a daily milk intake of at least 100cc per kilogram of body weight.
If they want to drink more but become easily agitated, first check for any issues such as nasal congestion that may be interfering with their breathing.
If their current weight is not a concern but the issue continues to trouble parents, it is advisable to take the baby to a clinic for further evaluation.

Reply Date: 2011/05/31

More Info

When it comes to optimal milk intake for infants, particularly for a 4.5-month-old baby like yours, there are several important guidelines and considerations to keep in mind. Your child is currently consuming between 450 to 600 ml of breast milk daily, which is generally within the recommended range for infants of this age. The American Academy of Pediatrics (AAP) suggests that infants should consume about 24 to 32 ounces (approximately 700 to 950 ml) of breast milk or formula per day, depending on their age and weight. Given your child's weight of 6.8 kg, his intake seems appropriate, especially since he is exclusively breastfed.

Breastfeeding on demand is often encouraged, as it allows the baby to regulate their own intake based on hunger cues. However, if you notice that your baby is consistently refusing to finish the 150 ml bottles and often cries when presented with the bottle, it may be beneficial to consider a few adjustments:
1. Smaller, More Frequent Feedings: Since your baby is taking only 70-80 ml at a time and taking a long time to finish the bottle, you might want to try offering smaller amounts more frequently. This approach can help reduce the stress associated with feeding and may align better with your baby's appetite and comfort level.

2. Responsive Feeding: Pay attention to your baby's hunger cues. If he shows signs of hunger (like rooting or sucking on his hands), offer him a feed. If he turns his head away or closes his mouth, he may not be hungry. This responsive feeding approach can help create a more positive feeding experience.

3. Comfort and Environment: Ensure that the feeding environment is calm and comfortable. Sometimes, distractions or discomfort can lead to fussiness during feeding. Holding your baby in a comfortable position and minimizing noise and distractions can help him focus on feeding.

4. Gradual Transition: If your baby is showing signs of fussiness or resistance to the bottle, consider gradually transitioning to a different feeding method, such as using a different type of bottle or nipple that may be more comfortable for him. Some babies prefer certain shapes or flow rates.

5. Consulting a Pediatrician: Since your baby is showing signs of distress during feeding, it may be wise to consult with your pediatrician. They can assess your baby's growth and development and provide tailored advice based on his specific needs.

6. Monitoring Growth: Keep an eye on your baby's growth patterns. Regular check-ups with your pediatrician will help ensure that he is growing appropriately. If he continues to gain weight steadily and is active, that is a positive sign.

In conclusion, while your baby's current milk intake appears to be within the recommended range, adjusting feeding practices to accommodate his preferences and comfort can lead to a more enjoyable experience for both of you. Remember, every baby is unique, and finding the right feeding routine may take some time and experimentation. Always consult with your healthcare provider for personalized advice and recommendations.

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