How Much Formula Should a Newborn Take at Each Feeding?

Updated on December 05, 2008
N.S. asks from La Jolla, CA
5 answers

My baby is 10 days old and was switched to formula a few days ago due to an infection I had. For the first few days she was drinking between 3-4 ounces at each feeding (like 3-4 hours apart). Two nights ago she seemed to spit it ALL up, and did so 2 more times after that. The nurses and pediatrician keep saying we're over feeding her, but if we give her less she is still clearly hungry (rooting, eating her hands, making sucking noises, all the signs are there). I seem to remember that when we gave my son formula his doctor said that we should not worry about overfeeding him. But now we are told with our daughter that we could be giving her acid reflux if we overfeed her (which may be causing her massive spit-ups -- which don't happen at every feeding, fyi).

SOOO... my question is, how much formula should we be giving her, based on what you moms out there have done? Has anyone else experienced this? Could it be an allergy or just that we really are overfeeding? It breaks my heart to have her still act like she's starving after we feed her 3 ounces, but have her happy after 4. Thanks mamas!!

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So What Happened?

Thank you all so much for your help and encouragement!! Our regular pediatrician had been away on vacation and is now back and told us to feed away. She's gaining weight perfectly so he's not worried about reflux -- she's just a hungry baby! Your responses really helped to calm me though, thanks so much!!

More Answers

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D.M.

answers from Los Angeles on

Okay, don't worry my son at that age was breast/bottle fed because he was in the NICU and I remember them giving him 2 oz. every 2 hours. I would pump, and they would give him tiny little bottles. When I breastfed it was until he was done, so it varies really. I think it wasn't until he was 2 months old that we were instructed to fill a bottle with milk 4 oz., and see how much he would feed. And, every 2 months it was add 2 oz. By the time he was four months old he was feeding every 3 hours, and taking 4 oz.

It sounds like your doctor is not the best help, and you might want to consider getting new Pediatrician...you can't give a baby acid reflux...it's something you develop as a result of your system. My sister and Dad both have it, and it's a biological thing.

Good Luck!!

1 mom found this helpful
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J.L.

answers from San Diego on

Hi N., when my babies were that age the took an ounce to 2 ounces every 3 hours, 3 to 4 ounces seems like a lot for a 10 day old, remember their stomach is no bigger than their fist, I would try cutting down to 2 ounces, and go to every 2 hours and se if that helps, Some babies are just spitters, my first one spit up with every feeding, I mean alot, so it's normal for some babies to spit up up a lot, make sure you are burping after every half ounce, that's what i did, that may help. Well God luck and enjoy. J. L.

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A.T.

answers from Las Vegas on

N.,
I have twins who are four months old - and they were preemies. They only ate 2-4 ounces at each feeding when they were a month old (discharged from the NICU) and yes, you should feed them if they are still rooting and sucking their fists. A lot of pediatricians will tell you to continue to feed until they stop rooting/sucking, etc. Some of them are going to sound like your pediatrician - however, you might try some other techniques to help with the reflux. You might try to feed her sitting upright - and maintain an upright position for about 20 minutes after feeding. You can also try another formula - just let your pediatrician know that you have changed it at your 2 month check up. I switched my little guys over to Similac Advance with immune support and they actually did better on that than the Neosure that was given by the hospital. You might also give her 2 ounces and then wait for 10 minutes before giving her the remaining 2 ounces and see how she does with that.

I am not a feeding specialist but I am a pediatric physical therapist with a lot of experience with preemies/newborns and have worked closely with occupational therapists who are feeding specialists. A little spitting up is common for newborns - just play around with the feeding a little bit and see how it goes.

Take care -
A.

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D.B.

answers from San Diego on

try 2-3 ounces, but giving it more often, like every 2 hours....My son had that same problem, it sucked- hang in there! :)

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J.C.

answers from San Diego on

According to some paperwork that I received from the hospital, a newborn can eat anywhere from 2-6 ounces in a single feeding. It can vary too. Were you not advised to pump and dump so that you can go back to breastfeeding? Is it too late now? My son spit up formula ALL the time and finally just quit accepting it. He went on a hunger strike for a day or so. I had an infection as well and I had the doctor put me on a lower level antibiotic and made sure that i kept replenishing my son's system with probiotics. Just a thought!

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