How Much Formula or Milk Does My Baby Need?

How Much Formula or Milk Does My Baby Need?

The answer depends on age and size. In general, a newborn will only take 10-15ml (1/3-1/2 ounce) every 2-4 hours for the first few days. After a few days of age, then they will usually take about 1-2 ounces a feeding. They need to eat every 2-4 hours until they regain their birth weight. They are expected to do this by 14 days of age.
I do not recommend feeding more than 2 ounces a feeding until about 2 months of age, more than 4 ounces per feeding until 4 months of age. After that, they can take up to 6-8 ounces a feeding. They need formula or breast milk, a minimum of 24 ounces a day, maximum of 32 ounces a day-for all ages.
Babies should only drink breast milk or formula, from birth to 6 months of age. Nothing else.
At 6 months of age, they can have up to 6 ounces of juice a day, after they get their 24-32 ounces of milk or formula. Only then, if they are still thirsty, should they be given water.
At 1 year of age, they should have whole milk (not 1%, 2%, skim, almond milk, rice milk, etc.) until they are 2 years old, in order to get the recommended amount of fat and calories in their diet. After 2 years of age, they can drink whatever milk the family drinks. Note: The AAP recommends whole milk until 3 years of age. There is no recommendation for formula beyond the first birthday, but breast feeding can be continued.
These are general rules and there are exceptions based on individual circumstances, etc.

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Arsenic In Rice Baby Cereal

Arsenic In Rice Baby Cereal?
A study in JAMA Pediatrics found that babies in New Hampshire, who ate baby rice cereal have much higher levels of Arsenic in their urine compared to babies who didn’t eat rice foods.
Arsenic is a metal in the ground and can be found in plants. Plants grown in areas with high Arsenic would contain more of that metal than plants grown on low Arsenic soils. Arsenic is a toxin, similar to Lead.
If you want to avoid the risk of your baby getting Arsenic from rice cereal, then you can switch to oatmeal or barley baby cereals. This is a single study and more information is needed.

The FDA has recently reported that 47% of rice products do not meet the recommended levels of Arsenic.

The American Academy of Pediatrics recommends giving babies less rice cereal and more  of other grains sucha as oatmeal and barley cereals.

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Tired of Waiting Months for a Doctor Appointment?

Tired of Waiting Months for a Doctor Appointment?
We can see your child for a physical exam in less than a week from now! This week, I heard two other Pediatricians (at other clinics) tell patients that the wait to schedule a physical was 2-4 months away.
I saw this first hand before I started my own clinic 19 years ago. That is why we keep our clinic, “Small Enough To Care.” Don’t lose out on registering for kindergarten, scout camps, etc.

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Teething Symptoms

What are Teething Symptoms?

Parents regularly ask, “Is (insert symptom here) due to teething?” Now, we finally have a study that answers that question.

The study in Pediatrics says that being cranky, rubbing gums, drooling and fever of 100.4 or less are caused by teething. Other symptoms, such as decreased appetite, diarrhea, blisters and sores around the mouth, are not from teething.

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Blind Iditarod Musher’s Advice

“We have a choice. We can either sit back and say, ‘I’m blind, I’m deaf, I’m in a wheechair, I have a short attention span’ and feel sorry for ourselves and say, ‘Poor me.’ Or we can just decide, this is what we are going to do, and if we have to work a little harder to get it done, so be it.”
Rachel Scdoris

Rachel is a musher who is blind and participated in the 2005, 2006, 2008 and 2009 Iditarods.Rachel

Deseret News Mar 1, 2016.

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Harmful Effects of Marijuana Use

Harmful Effects of Marijuana Use

1. Addiction (9% of users overall, 17% of users who begin use in adolescence, 25-50% of daily users)
2. Altered brain development.
3. Poor educational outcome (increased likelihood of dropping out of school)
4. Lower IQ among more frequent users during adolescence.
5. Diminished life satisfaction and achievement.
6. Paranoia and psychosis (in high doses)
7. Altered judgement (increasing risk of sexual behaviors and transmission of sexually transmitted diseases)
8. Impaired motor coordination (interferes with driving skills and increasing risk of injuries)
9. Impaired short-term memory (interferes with learning and retaining information)

from “Adverse Health Effects of Marijuana Use” by Volkow ND, et al NEJM June 2014 and Contemporary Pediatrics Feb 2016.

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Zika Virus- What to Know

microcephaly

Baby with microcephaly

This is what a baby looks like when the mother gets Zika virus while pregnant. The virus is spread by mosquitoes. You don’t even have to come into contact with anyone that is sick.

The Cause

The Zika virus infection passes from the pregnant mother to the baby in the womb. The infection damages the baby’s brain. The brain doesn’t grow and doesn’t work normally. If the baby survives, then he/she has a very small brain and head and is severely mentally and physically handicapped. This is called microcephaly. The child can never have a normal life.
Brazil has thousands of these babies born now, compared to less than 200 in the previous year.

Now in the USA

The Zika virus has been confirmed in the continental United States, Hawaii and Puerto Rico.

How to Avoid Zika Virus

For prevention, you can do this:
1. CDC has issued interim travel guidance related to Zika virus for 14 countries and territories in Central and South America, and the Caribbean. Out of an abundance of caution, pregnant women advised to consider postponing travel to areas where Zika virus transmission is ongoing. The following countries are included in the travel alert: Brazil, Colombia, El Salvador, French Guiana, Guatemala, Haiti, Honduras, Martinique, Mexico, Panama, Paraguay, Suriname, Venezuela, and the Commonwealth of Puerto Rico.

2. If you have to travel, then use mosquito repellent with DEET or mosquito netting when you sleep.

3. If you are sick, then contact your gynecologist to see if you need testing for Zika virus.

For more information about Zika virus and pregnancy, contact your local health department or physician.

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Zika Virus Pregnant Women Travel Warning

Pregnant Women Travel Warning
The CDC has issued interim travel guidance related to Zika virus for 14 countries and territories in Central and South America, and the Caribbean. Out of an abundance of caution, pregnant women advised to consider postponing travel to areas where Zika virus transmission is ongoing. The following countries are included in the travel alert: Brazil, Colombia, El Salvador, French Guiana, Guatemala, Haiti, Honduras, Martinique, Mexico, Panama, Paraguay, Suriname, Venezuela, and the Commonwealth of Puerto Rico.

There are now also confirmed cases in the continental United States  and Hawaii.

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Eating at Night Means Less Sleep

16 month old babies who ate more calories at night, slept 3 hours less. In both groups, they ate about the same amount of calories in the afternoon. Those who ate 46 calories at night slept 13 hours, and those who ate 166 calories slept 10 hours. 98% of the calories were from milk.

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Utah Teen Birthrate Drops 50%

The birthrate to Utah teens 15-17 years of age dropped by half from 2007 to 2014. Congratulations girls and boys.

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