How to Address Your Baby's Milk Intake Concerns at 3 Months - Pediatrics

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Baby's milk intake


Hello, doctor.
My baby is now over 3 months old and weighs 7.5 kg.
Since two months, he has been drinking a total of over 500 to 600 ml of milk daily, but this amount hasn't increased.
Recently, he has shown signs of milk aversion and sometimes only drinks around 400 ml.
At two months, his weight was 6.4 kg.
Is the milk intake insufficient, and how can we improve this? Thank you.

anbo, 30~39 year old female. Ask Date: 2014/10/20

Dr. He Shenglong reply Pediatrics


Hello: The letter mentions that the baby is showing signs of milk aversion and is currently not consuming enough milk.
If the baby is drinking too much water, the milk intake may be even more insufficient.
It is generally recommended to start introducing complementary foods after six months; however, if milk aversion is significant, consider starting complementary foods earlier, around four months.
For methods of introduction, please refer to pages 54 and 55 of the latest Children's Health Handbook.
Also, pay attention to creating a good eating environment and atmosphere, avoiding distractions like playing while eating.
Additionally, monitor whether the baby is active, if there are any signs of discomfort, and ensure bowel movements are regular.
If needed, consult a physician.
Wishing you all the best! Thank you for your letter!

Reply Date: 2014/10/20

More Info


When addressing concerns about your baby's milk intake at three months, it's essential to consider several factors, including growth patterns, feeding habits, and potential developmental milestones. At three months, your baby should be experiencing significant growth, and it’s common for parents to worry about whether their child is getting enough nutrition.

Based on the information provided, your baby weighs 7.5 kg and has been consuming between 500 to 600 ml of milk daily. This amount is generally within the acceptable range for a baby of this age and weight. The typical recommendation for formula-fed infants is about 150 ml per kilogram of body weight per day. For your baby, this would translate to approximately 1,125 ml per day (150 ml x 7.5 kg). However, it’s important to note that individual needs can vary, and some babies may require less, especially if they are more active or going through a growth spurt.

The decrease in milk intake you’ve observed could be attributed to several factors:
1. Developmental Changes: As babies grow, they become more aware of their surroundings and may become distracted during feeding. This can lead to shorter feeding sessions and less milk consumed. If your baby is smiling and interacting more, it’s a positive sign of development, but it may also mean they are less focused on feeding.

2. Growth Spurts: Babies often go through growth spurts, which can temporarily alter their feeding patterns. During these times, they may eat more or less than usual. If your baby is still gaining weight steadily and meeting developmental milestones, this fluctuation may not be a cause for concern.

3. Feeding Techniques: If your baby is not finishing their bottles, consider evaluating the feeding environment. Ensure it is calm and free from distractions. Sometimes, holding your baby in a different position or using a slower-flow nipple can help them focus better on feeding.

4. Hydration and Other Needs: Ensure that your baby is adequately hydrated. If they are producing enough wet diapers (about 6-8 per day), this is a good indicator that they are getting enough fluids. If they are not, it may be worth consulting with a pediatrician.

5. Potential Health Issues: If your baby shows signs of discomfort, such as excessive crying or fussiness, or if there are changes in their stool patterns (e.g., constipation), it may be worth discussing with your pediatrician. Sometimes, changes in formula or feeding practices can lead to digestive issues.

To improve your baby's milk intake, consider the following strategies:
- Frequent, Smaller Feedings: Instead of aiming for larger amounts at each feeding, try offering smaller amounts more frequently throughout the day. This can help if your baby is feeling overwhelmed by larger volumes.

- Monitor Growth: Keep track of your baby's weight and growth patterns. Regular check-ups with your pediatrician will help ensure that your baby is growing appropriately.

- Consult with a Pediatrician: If you continue to have concerns about your baby's milk intake or growth, it is always best to consult with a healthcare professional. They can provide personalized advice and may suggest trying a different formula if necessary.

In summary, while your baby’s current milk intake may seem lower than expected, it could be within a normal range depending on their growth and development. Observing their overall health, behavior, and growth patterns will provide a clearer picture of their nutritional needs. Always feel free to reach out to your pediatrician for guidance tailored to your baby's specific situation.

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