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Many parents agree – the first six months of your baby’s life can be the hardest. Making sure your baby is eating enough and gaining weight is your top priority. However, some parents worry if their baby is eating enough because they can’t see the exact amount their baby is drinking while chest/breastfeeding.

The good news is, it’s OK to not know exactly how many ounces your baby is drinking because the best way to know baby is eating enough is to check weight gain and count diapers. Below are pointers to help you understand your newborn and help them achieve a healthy growth.

HOW MUCH SHOULD MY BABY GAIN?

  • Newborns will often lose a few ounces the first weeks of life, but by day 10 they will regain it. As Erin Corrigan, the Clinical Nutrition Manager at Nicklaus Children’s Hospital explains, “chest/breastfed babies tend to gain weight quickly in the first 3-4 months and then their rate slows down a bit, while formula fed babies may continue at a higher rate of weight gain. In general, expect your baby to double in birth weight in the first 5-6 months and triple it by 1 year.”
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First, weigh yourself. Then, while holding your baby, step on the scale again. Subtract your weight from your weight while holding baby. The difference is your baby’s weight!
Newborn baby being weighed on a scale

DIAPERS

The more milk your baby drinks, the more wet and dirty diapers they will have.

WET
Day 1
Day 2
Day 3
Day 4
Day 5+

POOPS
Day 1
Day 2
Day 3
Day 4
Day 5+
  • For the first 4 to 6 weeks, your baby may have 4 to 10 stools per day. As baby gets older, stools can drop to 1 or less each day.

THREE TIPS FOR SUCCESSFUL BREASTFEEDING

Mother breastfeeding baby in striped blanket, indoors
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Dirty Diaper Count

The more often your baby drinks, the more milk you make. If you’re worried about milk supply, add more feedings or use a breast pump.

Heart shape with a semi-transparent overlay

Feeding time

Don’t follow a schedule — instead feed on demand. Babies will nurse more often than usual during growth spurts.

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Latching

Correct positioning and latch-on is key for success. Make sure your baby is awake while feeding and their mouth is open wide when latching on.

FEEDING CUES

Babies can regulate their appetite. So, they know how much to eat. They are also great at “telling” you when they are hungry. Feeding cues are the signs your baby gives to “tell” you they are hungry or full.

HUNGRY

  • Turns head towards you
  • Moves hands toward mouth
  • Makes sucking or lip-smacking sounds
  • Makes feeding/swallowing sounds
Baby sucking fingers under pink blanket
Baby breastfeeding, close-up with soft lighting

FULL

  • Pushes away from nipple
  • Spits out nipple
  • Slows down and stops drinking
  • Falls asleep

HOW OFTEN SHOULD MY BABY EAT?

For the first 6 months of life, feeding is usually on demand and led by your baby. Fatima Gonzalez, Lactation Consultant explains, “Go by your baby’s feeding cues, not by watching the clock, as each baby is different.”

Newborn – 1 month:

  • ✓ Expect to feed your baby every 1-3 hours or 8-12 times in 24 hours.
  • ✓ Newborns drink tiny amounts at first – this will gradually increase.
  • ✓ A baby less than 1 month old should not be sleeping through the night; you might need to wake them up to feed.
Mother breastfeeding baby in a nurturing embrace
Parent holding infant, nurturing moment in bright room

2-6 months:

  • ✓ Baby gradually drinks more per feeding.
  • ✓ Expect 8-10 feedings in 24 hours.
  • ✓ Only breastmilk or formula should be given to baby until around 4-6 months of age.
  • ✓ At 4-6 months, they might show signs of being ready to start solid foods: sits upright, shows interest in your food, has good head control.

WHEN TO WORRY?

  • If your baby continues losing weight after the first week of life.
  • Feedings take longer than 1 hour.
  • Your baby is very sleepy.
  • Baby has less than 6 wet diapers/day after day 7.
  • Baby refuses to chest/breastfeed or seems fussy and colicky and won’t feed longer than a few minutes.
Crying baby held close to caregivers chest

If you are concerned with your baby’s weight gain or they show any of these signs, call your pediatrician. Ask your WIC office for breastfeeding help.

REFERENCES:

1. Bunting, DK, Mills J, Ramsey E, Rich S, Trout S (2013). Texas Children’s Hospital Pediatric Nutrition Reference Guide (10th ed.). Houston, TX.
2. (Centers for Disease Control and Prevention) http://www.cdc.gov/growthcharts/who_charts.htm# The WHO Growth Charts. Accessed November 7th, 2015.
  1. Bunting, DK, Mills J, Ramsey E, Rich S, Trout S (2013). Texas Children’s Hospital Pediatric Nutrition Reference Guide (10th ed.). Houston, TX.
  2. (Centers for Disease Control and Prevention) http://www.cdc.gov/growthcharts/who_charts.htm# The WHO Growth Charts. Accessed November 7th, 2015.