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Bottle Feeding: How Much, How Often

Your Bottle Feeding Routine
-- By Becky Hand, Licensed and Registered Dietician

Choosing commercially prepared formula to feed your baby is an important decision. What you feed your baby now provides the foundation for future health and development. Be sure to talk with your baby's doctor about the appropriate infant formula for your baby. Your baby's doctor is the best person to provide recommendations about your baby's nutritional needs. You should never change formula without first checking with your baby's doctor.

Feeding Time:
  • It is not necessary to warm formula before feeding it to your baby. If you prefer to warm your baby's formula, you can:
    • Hold the bottle under warm running tap water.
    • Heat it in a pan of warm water on the stove (do not let the formula boil).
    • Test the temperature of the formula by shaking a few drops of it on the inside of your wrist before feeding it to your baby. It should not feel hot.
    • CAUTION: Microwaves should never be used to warm bottles of formula. The formula warms unevenly. Babies have been seriously burned from formula heated in microwaves.
  • Choose a comfortable chair and hold your baby in your arms with her head higher than the rest of the body. Keep the bottle angled during feeding to help prevent your baby from swallowing too much air. The nipple should stay full with formula as your baby nurses. Relax and enjoy this special time with your baby. Your warmth, touch and eye contact will help your baby to feel secure and loved.
  • Avoid propping your baby in bed or in an infant seat with a bottle. This could cause choking. Also, when your baby falls asleep with a bottle in his mouth, the formula bathes the teeth and can promote tooth decay and ear infections. Propped bottles also deprive your baby of needed closeness with you.
  • Burp your baby to remove uncomfortable air bubbles. Babies usually need to be burped in the middle and at the end of feedings. Gently rub or pat your baby's back while holding your baby over your shoulder, or on your lap. Your baby's chest should lean slightly forward and be supported by your hand.
  • Young babies usually spit up a little after each feeding, especially while being burped. This is normal. If your baby spits up a large amount regularly, with force, check with your doctor. To limit spitting up, try to keep your baby calm and relaxed before and during feedings. Loosen the bottle cap a little after tightening it. Hold the bottle at an angle so that the entire nipple stays filled while feeding. Burp your baby soon after beginning a feeding, during the middle, and at the end of each feeding.
  • Usually your baby will not need extra water. Formula and/or breast milk provide plenty of fluid. Extra water may be needed to prevent dehydration if your baby is exposed to hot weather for several hours. Offer 2-4 ounces of plain tap water one or two times a day. Use cold water and let the water run a few minutes. Do not add sugar, honey, syrups, or other sweeteners. Do not feed more that 8 ounces of water in a day.
  • Rinse bottles and nipples with cold water immediately after feeding to make cleaning easier. Squeeze water through the nipple holes when cleaning and rinsing nipples.
Baby's Feeding Routine:
  • Plan to bottle feed on demand. Trying to impose a feeding routine will only frustrate you and your baby.
  • Let your baby decide how much to drink. It is fine not to finish a bottle. If your baby has six or more wet soppy diapers a day, seems content between feedings and has a steady weight increase, your baby is probably getting enough. If not, check with your doctor.
  • Formula-fed babies usually take 20 to 30 minutes to finish a bottle.
How Much Formula?

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Member Comments About this Article
"Powdered formula is not sterile and can lead to serious and sometimes fatal illness in infants. Please use hot water (over 70 degrees C or 158 F ) and allow the formula to cool before feeding baby. Or use the pre-mixed kind that is sterile. If you choose or have to bottle feed please follow the directions on the can- they recommend using hot water not for the bacteria in the water but to kill the bacteria in the formula.

Here is a link from the CDC
http://www.cdc.gov/features/cron
obacter/

h..." -- TERESAPREGGO
"It is not typically recommended to feed cereal from a bottle unless medically recommended for issues such as reflux. It sounds like overfeeding could be a risk and further discussions with your medical provider may be beneficial." -- TONKA_14
"I have a little man who is three months old now and he seems to eat soo much. I have tried to breastfeed exclusively but it's not working out that way. At one or two feedings a day he will eat probably 5oz from the breast (this is a guess for that's what I express from both breasts while at work at a time) and then another three to five of formula. I called the doc and he suggested I start him off whith the rice cereal in the bottle 1Tbsp per 4oz of formula or breastmilk no more than twice a da..." -- NEUWNA_KRIS
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About The Author
Becky Hand
Becky is a registered and licensed dietitian with almost 20 years of experience. She teaches prenatal classes and counsels individuals, helping women eat right and stay fit before, during and after their pregnancies.
Becky Hand

 


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