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Infant Feeding - 0 - 4 months

 

 

Ideal Food Feeding Pattern Artificial Feeding
Click here Breast feeding
Introduction to bottle
Night feeding
Introduction
Modification to the formula
Sterilisation
Intervals of feeding
Technique of feeding
Contraindications

 

FEEDING PATTERN

Breast feeding

Stomach capacity has never been given much importance while telling a mother how to feed her baby. This results in mothers either force feeding or getting unnecessarily worried about baby not taking enough.

Stomach capacity(0 – 4 months): 30 – 86 ml (6-14 tsp.)

No top feeding / Supplementary foods at all as:

  • Breast milk alone can supply all requirements
  • Solids given close to breast feed can reduce the absorption of nutrients from milk
  • Ability to move food and chew does not develop before 3 - 4 months
  • Poor head control and cannot hold neck up for swallowing
  • Food digestion is poor as stomach is small (30 - 86 ml)

Foods:

Exclusive Breast feeding on demand without water, honey or any other liquids at least till 3 months of age.

Introduction to bottle

At 3 months of age, one bottle feed can be introduced in the daily schedule apart from exclusive breastfeeding to make the baby accustomed to the bottle and not reject it later. To ensure that baby does not give up breast feeding, in the initial phase, bottle is to be given towards end of breast feeding, if mother feels breast milk is not enough. The child can alternatively be fed 20 – 30 ml warm, strained orange /mosambi juice only along with ½ teaspoon of sugar.

Care should be taken that the bottle has been sterilized.

Night feeding

Till the age of 3 months, the baby is breastfed on demand. After the age of 3 months, if the baby wakes up at odd hours at night after being fed satisfactorily according to the schedule during the day, warm water (20 – 30 ml) with ½ teaspoon sugar can be fed to the baby in a sterilized bottle so that he sleeps off. In this way, the baby will slowly adjust to no milk feeds at night. Also, the baby will slowly get used to bottle feeding.

But, cow’s milk should not be introduced through bottlefeeding at least till 4 months of age.