Hi, this is my first time posting on this board.
Welcome to the board! :)
That equation your ped gave you was what you use to calculate how much formula to give babies. Breastmilk fed babies don't need that much. Some will drink 30+ ounces, but the average amount of BM a baby will drink is 24 ounces (about an ounce per hour), and the amount they drink doesn't necessarily increase with weight and age like it would for a formula fed baby. A lot of peds just aren't very familiar with EPing.
My baby drank around 28 ounces for the first few weeks. Over the last year, her average intake has been around 26 ounces. Sometimes she'll go as low as 16/17 ounces, or as high as 30 ounces, depending on how many solids she's willing to take, whether she is teething, etc.
Kudos for EPing all this time despite your many obstacles! The hospital staff told me that pumping was a waste of my time, so I understand how disheartening that is. I'm glad you found this board. :)
Mom to Ashley Elizabeth, born 11/3/09
I totally forgot, here's a link to the Beginner's Guide to help you learn more about how much BM babies drink. There's also a lot of other helpful info in there about EPing.
My daughter is also drinking around 26 ounces at 6 months, and has been since around 3 months.
My LO is also 16 weeks old and she eats 24oz approximately per day of bm. I agree with Jenn...those rates are for formula babies not bm babies. My LO could never put away 30 oz a day I dont think!
I don't have a lot of advice for you, but I am in the same boat.
Even when I was supplementing with formula, my ped never put an upper limit on how much my baby should drink. He said "baby is the boss" and wanted me to let her drink as much as she wanted. We use Playtex drop ins, and used a slow flow nipple to keep her from drinking too much too quickly. Maybe if you make you baby take a lot of breaks by giving him a paci or your finger to suck on, he'll be more willing to take little breaks. You can also burp him frequently to make him take breaks. Making him eat slowly and take a lot of breaks will help you make sure he doesn't overeat. My baby always drank more ounces at a time than what most other babies her age on my playgroup board did, but most of the time she didn't spit up what she ate. The fact that your little guy is spitting up the whole bottle means he probably is overeating.
I have seen recommendations for other good slow flow bottles on this board (maybe Tommee Tippee was one?), and have seen recommendations for how to get your breast milk to have more fat. You could try searching both of those in the box at the top of the page, or maybe the ladies who know more about those topics will notice this here and give you more advice.
If you post this in a new thread, you'll probably get more feedback because more people will notice it, but I'm sure you'll still get more good advice even if you don't. Good luck!
I went through the same cycle: nurse, pump, supplement. It gets so exhausting!
At the beginning I was using the Tippee bottles, then tried the Nuby bottles and found their flow way too fast. Had luck for a week with Nuk bottles but my LO figured them out quickly. The Medela slow flow nipples were better but what has worked best was cheap Playtex nipples (standard size, not the
Thanks for the advice!
You are definitely not alone.
Spitting up can be caused by eating too much too fast but sometimes it is just normal and will go away over time as the digestive system matures. One thing that helped us
In response to the original post about how much a BF baby should eat, it is definitely variable depending both on the mom and the baby. Formula (unless you are using a special high calorie type) is 20 cal/oz. The range for breastmilk is 13-35 cal/oz, with an average of 22 cal/oz (ref. Kellymom.com). The range depends both on the mom, her recent diet, the time of day, etc. That is why moms who BF (or EP) are advised to "feed on demand". Of course, that is hard if your baby never seems to stop eating! As long as your baby is gaining weight appropriately and having wet and dirty diaper, they are probably getting enough.
Personal experience, I have EPed for 2 children now (well, still pumping for the 9 month old!). My first (daughter) ate 30-35 oz per day from about 1 month to 10 months (when her intake dropped due to increasing solid consumption - she really wasn't interested in solids until then). My second (son) peaked at about 25 oz per day at 1 month, and stayed there until about 7 months. He now won't take more than 20 oz per day, sometimes only 15 (he took to solids VERY excitedly, in contrast to his sister), and that includes "sneaking" milk into his cereal - he just really doesn't like to drink from bottles anymore, even with very fast flow nipples it is a battle to get him to drink milk, but he would eat solids all day. Both had similar birth weights (7 lbs for DD, 6 lb 13 oz for DS - but DD was probably fluid overloaded since I had an IV and pitocin and an epidural with her since I didn't go into labor right away after my water broke, but had no IV or pain meds with DS due to barely making it to the hospital before he was born), and at 9 months weighed the same at their checkup (18 lbs - though this puts DS lower on the percentiles since he is a boy). So that is an example of 2 babies growing VERY similarly on very differnt BM intakes. Don't know if my diet has changed that much, they just have differnt metabolisms, or what!