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Lisa, MSN, FNP-BC, CCRN, Nurse Practitioner

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My ped..much solids should she be getting and how much milk

Resolved Question:

My ped suggested that my daughter at 9 months needs to gain more weight i would like to know how should i feed her and how much solids should she be getting and how much milk she should be taking. Like a schedule would help thanks

At this point, your child should be eating 8 ounces of formula or breast milk every 4-6 hours. You should strive for around 32 ounces of formula per day. You can supplement with cereal, such as rice cereal. This will help her gain and feel full. Also, you can supplement baby food, such as vegetables, throughout the day. At this point, milk should be avoided in children less than a year. Their little gastric tracts are too immature to handle cow's milk. If she is a picky eater or loses interest easily, try interacting with her at mealtimes. This can help keep the infant stimulated and eating. I hope this helps. If you want to provide me with your daughter's usual daily intake, I could take a look and maybe make some recommendations. I hope this helps. Lisa

she hates drinking formula she wakes up about 7 has a 5 ounce bottle then at 10 has a 4 ounce bottle with cereal then around 1pm she eat mashed potatoes blend with carrots, meat and bananas then at 4 will have a 5 ounce bottle. Around 8pm she will have cereal with yogurt. then 2 am she will have about 4 ounces of milk. i cant get anymore milk in her she just wont take it.

Is it milk or formula that she is taking around 2 am? If milk, is it breast or cow's milk? Also, does she seem to eat her formula and cereal mix better than just the straight formula? When do you put her down for bed?

Edited by Lisa, MSN, FNP-BC, CCRN on 12/14/2009 at 2:35 AM EST

At this point, she is only taking about 18 ounces of formula. She really needs more formula. Getting her formula intake up closer to 32 ounces will really help her gain weight. She will gain more weight eating formula than she will with the foods offered. If she's taking formula mixed with cereal better, you can try increasing the formula amounts and adding cereal to each bottle. This may make her fuller and consume less formula; however, if she prefers the mixture, she may actually start taking more formula if mixed. At this point, it is worth trying. Also, rather than starting with the cereals, potatoes, yogurt, carrots, at 1 and 8, I would try to get some formula down her first, and then she can try to eat. At this point, she needs more formula. If she isn't taking it well, you may just have to increase the frequency. For example, if she takes 5 ounces at 4, you may want to try a few ounces at 6 pm and then again at 8 pm. Also, if she continues to have a weight issue, she may need an additional feeding during the night, such as midnight and 4 am. Formula has a higher caloric intake and will help her gain weight. If you can get her formula intake up, I think you'll see that she'll start to gain weight more easily. I hope this helps. Unfortunately, some children are very particular. It may be a bit of a struggle and a bit inconvenient, but getting her formula intake up should be the number one goal. Also, if she really dislikes the formula she's taking, you could consider using a different type or brand. If you have additional questions or concerns, please let me know. Lisa

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