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Overview of Feeding of Newborns and Infants

By

Deborah M. Consolini

, MD, Thomas Jefferson University Hospital

Reviewed/Revised Sep 2023
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Newborns normally lose a little weight right after birth, but those who lose more than 5 to 7% of their birth weight in the first week have undernutrition Undernutrition Undernutrition is a deficiency of calories or of one or more essential nutrients. Undernutrition may develop because people cannot obtain or prepare food, have a disorder that makes eating or... read more Undernutrition and may have a feeding problem Feeding Problems Common feeding problems in infants and young children include gastroesophageal reflux, gastroenteritis, too much food, too little food, and dehydration (fluid loss). Some feeding problems resolve... read more . Newborns should return to their birth weight in about 2 weeks if they are breastfed and in about 10 days if they are formula-fed. After that, they should gain about 20 to 30 grams (1 ounce) each day for the first few months. Infants generally weigh twice their birth weight by about 5 months of age.

Normal newborns have active reflexes that help them find the nipple and feed. These are the rooting and sucking reflexes. In the rooting reflex, when either side of their mouth or lip is stroked, newborns turn their head toward that side and open their mouth. This reflex enables newborns to find the nipple. In the sucking reflex, when an object (such as a pacifier) is placed in their mouth, newborns begin sucking immediately. These reflexes allow newborns to start breastfeeding Breastfeeding Breast milk is the ideal food for newborns and infants. Although babies may be fed breast milk or formula, the World Health Organization (WHO) and American Academy of Pediatrics (AAP) recommend... read more Breastfeeding right away, so doctors recommend placing the newborn at the mother's breast immediately after birth. If this is not done, feedings are begun at least within 4 hours after birth. Formula feeding Formula Feeding In the hospital, newborns are usually fed shortly after delivery, then ideally on demand thereafter. During the first week after birth, babies take ½ ounce to 2 ounces at a time, gradually increasing... read more Formula Feeding is also an option.

Most babies swallow air along with the milk. Babies usually cannot burp on their own, so a parent needs to help. Babies should be held upright, leaning against the parent's chest, with their head against the parent's shoulder, while the parent pats them gently on their back. The combination of patting and pressure against the shoulder usually leads to an audible burp, often accompanied by spitting up of a small amount of milk.

The time to start solid foods Starting Solid Foods in Infants The time to start solid food depends on the infant's needs and readiness. Generally, infants need solid foods when they are large enough to need a more concentrated source of calories than breast... read more depends on the baby's needs and readiness. The World Health Organization (WHO) and American Academy of Pediatrics (AAP) recommend exclusive breastfeeding Breastfeeding Breast milk is the ideal food for newborns and infants. Although babies may be fed breast milk or formula, the World Health Organization (WHO) and American Academy of Pediatrics (AAP) recommend... read more Breastfeeding for about 6 months, with solid foods introduced after that. Other organizations suggest parents introduce solid food between 4 months and 6 months of age while continuing breastfeeding or bottle-feeding Formula Feeding In the hospital, newborns are usually fed shortly after delivery, then ideally on demand thereafter. During the first week after birth, babies take ½ ounce to 2 ounces at a time, gradually increasing... read more Formula Feeding . Signs that a baby is ready for solid foods include good head and neck control, ability to sit upright when supported, interest in food, opening their mouth when offered food on a spoon, and swallowing food rather than pushing it back out. Most babies start to show these signs by 6 months of age. Introducing solid foods before 4 months of age is not recommended.

NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
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