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Dr. Andrew Rynne
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Should I give formula milk for a 2 month old child?

Answered by
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8101 Questions

Posted on Mon, 1 Sep 2014 in Child Health
Question: I have delivered a baby boy on 18th XXXXXXX 2014 through c section. Now my baby is 8 weeks 1 day old. I am breastfeeding him, however my milk is sometimes not sufficient for my baby. So i tried feeding him formula milk(Nestle Lactogen), but he started vomiting profusely. So, i stopped giving him formula and switched to cow's milk(at least one feed per day) and he is fine with it. But i found out that cow's milk doesn't provide enough nutrients for him. So, I want to feed him formula milk, what should I do ? I have even tried diluting the formula than prescribed, still no luck. Please suggest.

Also, please advise what should be the average height and weight of my 2 month old baby boy.
Follow up: Dr. Sumanth Amperayani 15 minutes later
Also, please advise what should be the average height and weight of my 2 month old baby boy.
Answered by Dr. Sumanth Amperayani 18 minutes later
Brief Answer:
Suggestions of infant feeding

Detailed Answer:
Hi... I congratulate you for your baby boy. To be XXXXXXX with you according to - WORLD HEALTH ORGANIZATION (WHO) - MOTHER'S MILK IS THE BEST FOR THE BABY TILL 6 MONTHS OF AGE.

But as you have decided to give formula milk, I think we should have good reason for us to ahead with formula milk. I have few questions for you and few suggestions.

Questions -
1. What is the birth weight and what is the current weight?
2. What is the birth length and what is the current length?
3. How long does each breast feeding last (duration)?
4. How long does the baby sleep or stay calm or playful after your breast feed?
5. How many times was he passing urine (I want you to answer this keeping in mind your baby's urine out put when he was only on your feeds excluisively (without formular or cow's milk))
6. Is he passing stools daily or is there any skin rash around the anus?

Suggestions -
1. Formula milk should never be diluted.
2. Never use bottle.
3. Feed only with spoon or paladey if you are giving formula feeds.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sumanth Amperayani 1 hour later
Hello doctor...even I want to breast feed my baby for at least 6 months, but as I mentioned earlier, my milk doesn't seem to be enough for my baby, that's the reason I switched to formula milk.
1. Birth weight was 3.3 kg and the current weight is 5.08 kg(as on 6th Aug 2014)
2. Not sure about the birth length as they didn't measure it in the hospital where I delivered and what is the current length is 53 cms as on 6th Aug 2014.
3. Each breast feeding lasts upto 5-7 minutes. However I stop feeding him at each breast when I feel the flow is less and it becomes difficult for the baby to suck
4. Baby sleeps up to 2 to 5 hours and stay calm or playful up to 1 to 2 hours after breast feed
5. He passes urine about 9 to 11 times
6. He passes tool daily or maximum after 36 to 40 hours and there is no rash around the anus.

As you said formula milk should not be diluted, then what should I do ? Because I feel he is not able to digest the formula if fed as instructed. Spoon feeding is also bit difficult because he spits most of the milk. So I use bottle instead. Please suggest/advise.
Answered by Dr. Sumanth Amperayani 51 minutes later
Brief Answer:
Suggestions on feeding

Detailed Answer:
Coming to your queries one by one -

1. He is having excellent weight gain 29g/day.

2. Weight is at 50-75th centile and length is at 5-10th centile - that mean it is superb. The meaning of centiles is that if a baby is between 5th to 95th centile in either length or weight - means the baby is doing extremely well.

3. With this information in mind, I wan to tell you that he doesn't not any formula or outside milk other than your's. Every time the baby cries is not for feeding only - their only mode of expression at this age is - cry - for whatever they want like - seeing the mother/ smelling mother/ need some caressing/ want to play/ want to see somebody around him etc. So please don't think that every cry is for feeds. Then you might ask, how to find this out. Its simple, when you feel he' s crying immediately after feeds or if it is too early for a feed but he is crying, just take him in to your lap and caress him...if he stops crying its not hunger cry as it doesn't disappear just like that.

4. But if still feel the baby needs more feeds - As he is not tolerating formula well, the only solution ahead of you is that - go ahead with cows milk but as you are only supplementing his feed with cow's milk and not dependent completely on it - your doubt about enough nutrients doesn't arise.

I wish your kid a bright future. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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