From the Guidelines
An 8-day-old baby weighing 2.7kg should consume approximately 405-540 ml of milk per day, divided into 8-12 feedings, with a preference for breast milk or iron-fortified infant formula. To implement this:
- Feed the baby every 2-3 hours, including during the night.
- Each feeding session should last about 15-20 minutes.
- Use expressed breast milk or formula appropriate for newborns, as recommended by 1.
- Monitor wet diapers (6-8 per day) and dirty diapers (3-4 per day) to ensure adequate intake. This recommendation is based on the general guideline that newborns require 150-200 ml of milk per kg of body weight per day, as supported by the most recent study 1. It's also important to note that cow's milk and other low-iron milks should be avoided until the baby is at least 12 months old, as suggested by 1 and 1. However, since these studies are older, the most recent and highest quality study 1 is prioritized for this recommendation. Always consult with a pediatrician for personalized advice, especially if there are concerns about weight gain or feeding issues.
From the Research
Milk Intake for Neonates
- The appropriate milk intake for an 8-day-old neonate weighing 2.7 kilograms is not directly addressed in the provided studies.
- However, study 2 discusses the importance of daily neonatal weight monitoring to prevent neonatal hypernatremic dehydration while breastfeeding, but does not provide specific guidelines for milk intake.
- Study 3 assesses the reliability of test weighing in estimating milk intake in infants, but concludes that test weighing is an unreliable method due to the imprecision of infant weighing scales.
- Study 4 develops an accurate test weighing technique for preterm and high-risk hospitalized infants, but does not provide information on the appropriate milk intake for an 8-day-old neonate.
- Study 5 evaluates the efficacy of an infant formula based on hydrolyzed rice proteins in terms of growth and tolerance, but does not address milk intake for neonates.
- Study 6 examines the literature on weighing breastfed babies in the United Kingdom, but does not provide specific guidelines for milk intake.
Weighing and Milk Intake
- Study 3 suggests that test weighing is not a reliable method for estimating milk intake in infants due to the imprecision of infant weighing scales.
- Study 4 develops a test weighing technique that can accurately assess breastmilk intake after a breastfeeding session, but this study is focused on preterm and high-risk hospitalized infants.
- Study 2 recommends weighing newborns at least on day two, four, and seven, and referring them to clinical pediatric care if their weight loss increases below -2.5 SDS, but does not provide specific guidelines for milk intake.