How many times should a 3 month old poop
Your Baby's Growth: 3 Months (for Parents)
Reviewed by: Cristy A. Wong, MD
en español El crecimiento de su bebé: 3 meses
Most babies continue to grow in weight and length this month.
How Much Will My Baby Grow?
The first few months of life are a period of rapid growth. Your baby will gain about 1 to 1½ inches (2.5 to 3.8 centimeters) in length and 1½ to 2 pounds (681 to 907 grams) this month. These are just averages — your baby may grow somewhat faster or slower, and is likely to have growth spurts.
Your baby can go through periods of increased hunger and fussiness. This increase in hunger means your baby is going through a period of fast growth (a growth spurt). If you breastfeed, you might find your baby wants to eat more often (sometimes every hour!) during certain times of the day. This is often called "cluster feeding." Formula-fed babies may want to eat more often or will drink more formula than usual during feedings.
You'll learn to see the signs that tell you that your baby is hungry or when your baby is full. You will know your baby is hungry when she seems restless, cries a lot, sticks out her tongue or sucks on her hands and lips. You will know your baby is full when she is no longer interested in feeding or just falls asleep at the end of a feeding session. Remember, babies' tummies are very small and they need to be burped after feedings to release gas that can cause discomfort.
Your doctor will measure your baby's weight, length, and head circumference and track his or her growth on a standardized growth chart (there are different charts for boys and girls). Your baby might be large, small, or medium-sized. As long as this growth pattern stays consistent over time, chances are your baby's progress is just fine.
If your baby is born prematurely, keep in mind that growth and development should not be compared with that of a full-term child. Preemies will need to be followed more closely and may need to be weighed more often during the first months to make sure they are growing properly. They have some catching up to do!
Should I Be Concerned?
If your baby is not growing at the expected rate, or the growth rate slows, your doctor will want to make sure your baby is getting enough to eat.
The doctor may ask you about:
- How many feedings a day your baby gets. At 3 months old, a breastfed baby may feed 8 times in a 24-hour day; formula-fed babies usually eat less frequently, about every 4 hours.
- How much your baby eats at each feeding. A baby generally nurses for at least 10 minutes, should be heard to swallow, and should seem satisfied when done. At this age, bottle-fed babies may eat up to 6 to 7 ounces (177–207 milliliters) at each feeding.
- How many bowel movements your baby has each day, and their volume and consistency. Most babies will have 1 or more bowel movements daily, but it may be normal to skip 1 or 2 days if consistency is normal. Breastfed babies' stools should be soft and slightly runny. The stools of formula-fed babies tend to be a little firmer, but should not be hard or formed.
Most of the time, a baby's growth will be tracked over the next few months during routine well-baby visits. But if your doctor is concerned about your baby's growth, he or she will want to see your baby more often.
What's Next?
Your baby will continue to grow in length and weight at a steady rate. By 4 months, most babies have doubled their birth weight.
Reviewed by: Cristy A. Wong, MD
Date reviewed: January 2019
Your Child's Checkup: 4 Months (for Parents)
Reviewed by: Elana Pearl Ben-Joseph, MD
en español La revisión de su hijo: 4 meses
What to Expect During This Visit
Your doctor and/or nurse will probably:
1. Check your baby's weight, length, and head circumference and plot the measurements on a growth chart.
2. Ask questions, address concerns, and offer advice about how your baby is:
Feeding. Breast milk or formula is still all your baby needs. You can give iron-fortified cereal or puréed meats when your baby is ready for solid foods at about 6 months of age. Talk with your doctor before starting any solids.
Peeing and pooping. Babies this age should have several wet diapers a day and regular bowel movements. Some may poop every day; others may poop every few days. This is normal as long as the poop is soft. Let your doctor know if it gets hard, dry, or difficult to pass.
Sleeping. At this age, babies sleep about 12–16 hours a day, including naps. Most babies have a stretch of sleep for 5 or 6 hours at night. Some infants, particularly those who are breastfed, may wake more often.
Developing. By 4 months, most babies:
- turn their head to the sound of your voice
- make sounds like "oooo" and "aahh" (cooing)
- make sounds back to you when you talk
- smile and chuckle (not yet a full laugh)
- look at you, move, or make sounds to get or keep your attention
- look at their hands with interest
- hold a toy when placed in their hand
- hold head steady when held
- push up onto their elbows/forearms while on their tummy
- use their arms to bat at toys
Talk to your doctor if your baby is not meeting one or more milestones, or you notice that your baby had skills but has lost them.
3. Do an exam with your baby undressed while you are present. This will include an eye exam, listening to your baby's heart and feeling pulses, checking hips, and paying attention to your baby's movements.
4. Update immunizations. Immunizations can protect infants from serious childhood illnesses, so it's important that your baby get them on time. Immunization schedules can vary from office to office, so talk to your doctor about what to expect.
5. Because postpartum depression is common, your baby’s doctor may ask you to fill out a depression screening questionnaire.
Looking Ahead
Here are some things to keep in mind until your baby's next routine checkup at 6 months:
Feeding
- Breast milk or formula is still all your baby needs.
- Most babies are ready to eat solid foods at about 6 months, though some babies may be ready sooner. If your doctor recommends introducing solids:
- Share your family history of any food allergies.
- Start with a small amount of iron-fortified single-grain cereal mixed with breast milk or formula. You can also start with a puréed meat, another iron-rich food.
- Use an infant spoon — do not put cereal in your baby's bottle.
- If your baby is pushing a lot out with the tongue, they may not be ready for solids yet. Wait a week or so before trying again.
- Wait until your baby successfully eats cereal from the spoon before trying other solids. Introduce one new food at a time and wait several days to watch for a possible allergic reaction before introducing another.
- If breastfeeding, continue to give vitamin D supplements. Breastfed babies may need iron supplements until they get enough iron from the foods they eat.
- Pay attention to signs that your baby is hungry or full.
- Do not give juice until after 12 months.
- Do not prop bottles or put your baby to bed with a bottle.
Routine Care
- Many babies begin teething when they're around 4 months old. To help ease pain or discomfort, offer a clean wet washcloth or a teether. Talk to your doctor about giving acetaminophen for pain.
- Clean your baby's gums with a wet, clean washcloth or soft toothbrush.
- Sing, talk, read, and play with your baby. Babies learn best by interacting with people.
- TV, videos, and other types of screen time aren't recommended for babies this young. Video chatting is OK.
- Continue to give your baby plenty of supervised "tummy time" when awake. Create a safe play space for your child to explore.
- Limit the amount of time your baby spends in an infant seat, bouncer, or swing.
- It's common for new moms to feel tired and overwhelmed at times. But if these feelings are intense, or you feel sad, moody, or anxious, call your doctor.
- Talk to your doctor if you're concerned about your living situation. Do you have the things that you need to take care of your baby? Do you have enough food, a safe place to live, and health insurance? Your doctor can tell you about community resources or refer you to a social worker.
Safety
- To reduce the risk of sudden infant death syndrome (SIDS):
- Always place your baby to sleep on a firm, flat mattress on their back, and not on the stomach or side, in a crib or bassinet without any crib bumpers, blankets, quilts, pillows, or plush toys.
- Breastfeed your baby, if possible.
- Let your baby sleep in your room in a bassinet or crib next to the bed until your baby's first birthday, or for at least 6 months, when the risk of SIDS is highest.
- Avoid overheating by keeping the room temperature comfortable. Dress your baby for the room temperature and don't overbundle. Don't cover your baby's head while they're sleeping. Watch for signs of overheating, such as sweating or feeling hot to the touch.
- Consider putting your baby to sleep sucking on a pacifier. If your baby rejects the pacifier, don't force it. If the pacifier falls out during sleep, you don't have to replace it. If you're breastfeeding, wait until breastfeeding is established before introducing the pacifier.
- Don’t let your baby fall asleep on a product that isn’t specifically designed for sleeping babies, such as a sitting device (like a car seat), a feeding pillow (like the Boppy pillow), or an infant lounger (like the Dock-a-Tot, Podster, and Bummzie).
- Don’t use products or devices that claim to lower the risk of SIDS, such as sleep positioners (like wedges or incliners) or monitors that can detect a baby’s heart rate and breathing pattern. No known products can actually do this.
- Make sure that all sleep surfaces and products you use to help your baby sleep have been approved by the U.S. Consumer Product Safety Commission (CPSC) and meet federal safety standards.
- Don't use an infant walker. They're dangerous and can cause serious injuries. Walkers also do not encourage walking and may actually hinder it.
- While your baby is awake, don't leave your little one unattended, especially on high surfaces or in the bath.
- Keep small objects and harmful substances out of reach.
- Always put your baby in a rear-facing car seat in the back seat. Never leave your baby alone in the car.
- Avoid sun exposure by keeping your baby covered and in the shade when possible. Sunscreens are not recommended for infants younger than 6 months. However, you may use a small amount of sunscreen on an infant younger than 6 months if shade and clothing don't offer enough protection.
- Protect your baby from secondhand smoke, which increases the risk of heart and lung disease. Secondhand vapor from e-cigarettes is also harmful.
- Be aware of any sources of lead in your home, including lead-based paint (in U.S. houses built before 1978).
These checkup sheets are consistent with the American Academy of Pediatrics (AAP)/Bright Futures guidelines.
Reviewed by: Elana Pearl Ben-Joseph, MD
Date reviewed: June 2022
norm, how many times a day, color
So many experiences are connected with how a newborn baby "walks big". Mom is worried about the frequency of the stool, its color, consistency. So how do you determine if the crumbs are all right with digestion? Perhaps he needs help?
Many mothers know that it is very important to monitor the baby's stool, and during the examination, the pediatrician is always interested in how the baby walks in a big way. This information is one of the most important points in diagnosing the health of the crumbs. Unfortunately, quite often mothers mistakenly interpret the completely natural and safe states of the baby. And because of these mistakes, they can start unnecessary treatment and worry about the baby for no good reason. So let's figure out how a baby's chair should look like and when to worry and when not. nine0003
Immediately after childbirth
When the baby is in the mother's tummy, he receives all the necessary substances and trace elements through the umbilical cord. The digestive system of the crumbs does not work, but his stomach is not empty. The baby sucks his fingers, opens his mouth and thus swallows a small amount of amniotic fluid. When the baby is born, this substance will be in his intestines and will gradually come out as the baby is attached to the chest and his digestive system begins to work. nine0003
So, the first stool of the baby is meconium: dark, plasticine-like feces. So the baby recovers the first day or two. Sometimes it gives him discomfort: the baby worries, cries, pushes, before he manages to go big. However, this is not always the case - many children recover easily, only slightly pushing.
If everything is in order with the baby, he was put to the breast in time and fed on demand, then his stool gradually changes. On the third or fifth day, the baby has the so-called "transitional stool", partly consisting of meconium, which is still in the gastrointestinal tract, partly from digested colostrum and milk. As a rule, streaks appear first in the meconium mass, then the feces gradually turn yellow. By the end of the first week, the baby's stool usually acquires the features of a normal infant: yellow, rather liquid. nine0003
When should you worry? If the baby did not go down in a big way in the first two days, it is necessary to consult a doctor. There are children with individual characteristics who will continue to do this less often than most babies. However, the cause of the stool retention should be determined by the doctor. If the crumbs have some kind of problem with intestinal patency, help will be needed immediately, but you should not diagnose your baby without a doctor.
We are at home
On the third or fifth day, the mother receives milk, and the baby has a fairly stable stool by the end of the first week. The literature sometimes says that the stool of newborns is "creamy", and this confuses mothers, who begin to suspect that something is not right with the crumbs. In reality, the stool of a healthy baby is liquid and not always homogeneous. The normal color of feces is yellow and its shades. You may notice lumps, a little mucus - it's not scary. Do not be afraid if the baby's feces have a greenish tint for up to three months due to the immaturity of the liver enzyme systems and the characteristics of bilirubin metabolism, such a condition has the right to be and also does not require treatment. nine0003
Many mothers sometimes worry that the baby's stool "suddenly" becomes watery and the baby walks in a big way with abundant gas, a sharp sound. Doctors in this case often suspect lactase deficiency. In reality, things usually go like this. In the period from 3 weeks to a month and a half, the baby has frequent growth spurts, so at certain moments the baby literally “hangs on the chest” to help the mother produce more milk. Within a day or a few, the baby needs to breastfeed more often and longer than before, and the mother begins to suspect that there is not enough milk. As a result, she often begins to shift the baby from one breast to another, and the baby receives mostly "forward" milk, which comes at the beginning of feeding from each breast. This milk is rich in carbohydrates and proteins, the baby is actively growing from it, however, the stool is liquid and gassy because of this milk (sometimes the “result” looks frothy if the baby is held over a pot or basin when he needs to clear out, and the mother can observe the consistency chair). In this situation, there is no need to panic - just the baby does not need to be constantly shifted from one breast to another, fearing that he is starving. Give the baby the opportunity to get "hind" milk, rich in fats, which will not cause flatulence and stay longer in the intestines. nine0003
In this situation (when the baby suddenly begins to clearly suck more milk), the mother may feel insecure and start drinking lactic teas. From this, more carbohydrates again begin to flow into her milk and the baby's stool becomes more liquid and with gases.
Similar problems due to "front" milk occur in the case of improper attachment to the breast, as a result of which the baby swallows the air and interrupts feeding itself, or simply cannot get "hind" milk. The best way out in this situation is to consult with a breastfeeding specialist to correct the application technique and stop panicking that the baby "does not have enough milk." nine0003
In short, don't worry if your baby has problems with this type of stool. Of course, the flora of his intestines is unstable, it is just beginning to be established - it takes at least three to four months. Your task is simply to feed the baby on demand and correctly and not to rush to treat him for imaginary diseases.
Delayed stool
Mothers worry not only about the appearance of the stool, but also because of its periodicity. How often should the baby "do things"? Normally, the baby walks in a big way several times a day, usually after feeding. However, in some children, the norm may be a chair and once a day, and even once every few days. Typically, these children have an anatomically weak anterior abdominal wall and intestinal motility. Such a periodicity of the stool can be considered the norm, if the baby still walks more regularly, the stool is of normal consistency and, in general, the baby is cheerful and cheerful and does not suffer from colic. It's not worth worrying. However, if the baby is allergic, then you need to do everything possible so that he goes to the toilet at least once a day. Atopic dermatitis is much more severe if the baby does not empty the intestines often enough - consult a doctor about this. nine0003
Babies also have physiological delays in stool at the age of one and a half to five months. Here it is important to monitor the condition of the baby. If he experiences discomfort, you should consult a doctor. Children can hold back their stools for psychological reasons, just as adults sometimes cannot go to the toilet if they are nervous. Do not panic because of a one-time problem, but if the problem persists or recurs, consult your doctor.
However, in babies there are not just "delays" of the stool, but also real constipation. Constipation is called not only when the baby does not go to the toilet at all, but also feces "peas", overdried, when a bowel movement is difficult. What could be the reason? nine0003
Regular constipation is usually caused by improper feeding of the crumbs. However, this condition can also occur if the mother does everything right, but she has her own health problems, for example, with the thyroid gland. Medications can also be the cause of constipation. For example, intestinal weakness is provoked by all kinds of sedative mixtures and drugs, which are often prescribed to children by neurologists at an early age. Even cough medicines or tooth gels can cause constipation. In any case, the doctor should deal with this. You should not give your baby medicines and laxatives on your own, or act on it mechanically with an enema or gas tube. It is better to discuss with the doctor the issues of feeding, drug treatment and the lifestyle of the baby - so you can understand the problem. nine0003
Weaning time
Of course, when you start to introduce complementary foods, the baby's stool pattern changes. First of all, you need to remember that the task of the first complementary foods (at 5, 6 months) is not to feed, but to help adapt to new tastes, to new food. Give the baby complementary foods in the amount of "lick" and only gradually move on to doses "with a marigold" or "half a teaspoon". Recall that you need to introduce one product into the diet of crumbs so that you can understand how and what the baby reacts to. Quite often, as soon as we give the baby “with a fingernail” some food, it is not digested - we find the product in the feces almost in its original form. Within one or two days, this is normal, the baby’s body has not figured out the new component in the stomach, but if this continues on the third day, the product must be removed from the diet, since it is obvious that the baby is not yet ready to accept it. You need to take a break for a week or two, without offering the baby anything but the breast, then try again with another product. nine0003
The baby's body can also react more violently, for example, with loose stools and abdominal pain, and sometimes with allergies. In this case, you also need to cancel the product and keep the baby breastfed so that the gastrointestinal tract calms down.
When you introduce protein to your baby, he may react with constipation. To avoid this, you need to remember simple rules. Proteins require more liquid, so if this is your baby's first food (for example, cottage cheese), give him more breast milk. If you started introducing proteins when the baby is already drinking liquid, provide him with a drink. Do not worry about the fact that the introduction of new products has to be postponed - nothing terrible will happen to the baby. And be especially calm about the opinion that at 6-7 months the child needs to be given meat products so that he grows well. Not all children are able to absorb such a protein; for many, even a homogenized meat product at this age will lead to constipation and overload the kidneys. Let the baby eat breast milk for a longer time and receive vegetables and fruits as complementary foods - this way you will avoid many problems with the stool. nine0003
In general, mothers' concern about baby's stool is quite justified: after all, this is an important diagnostic symptom that allows you to understand a lot about the baby's condition. However, it must be remembered that not all situations require intervention, and most problems can be solved simply by correcting feeding mistakes. Do not rush to treat the baby and resort to medication, start with a diet.
Text: Anna Babina
Consultant: Olga Ivanovna Tkach, pediatrician, Center for Traditional Obstetrics
How many times should a newborn poop
03/25/2021 Reading time: 6 minutes 240094
nine0062 Contents of the article:- Frequency and nature of stool in a breastfed child.
- Frequency and nature of stool in a formula-fed child.
- What can affect stool frequency and consistency?
Even the most squeamish girls with the birth of a baby become tireless researchers of the contents of a dirty diaper.
- Isn't it a lot? But not a little? Isn't it rare? But not often? Is the color normal? Is the consistency good? Is it supposed to smell like this? - young mothers are ready to discuss these subtleties at any time, regardless of the enthusiasm of the interlocutor. They can be understood. nine0003
On the one hand, the newborn does not know how much - eat, sleep and, in fact, dirty the diaper. Therefore, there are few topics for discussion at first, but I want to talk. On the other hand, it is indeed possible to draw conclusions about the state of health of the infant from the answers to these specific questions.
The frequency and nature of the stool in a breastfed child.
In the first two or three days after birth, the baby leaves the original stool - meconium. If a young mother does not know about this, she may be frightened by a sticky dark mass that is difficult to wash off. When a woman has milk, the baby's feces brighten, acquire a mushy texture and a milky, slightly sour smell. nine0003
In the first month and a half, the baby can poop after each feeding.
If, up to 4-6 weeks of life, he poops less than once every 24-36 hours, this may mean a lack of nutrition. It is necessary to control weight gain. On average, for the first weeks of life, it should be 125-150 g.
As regards consistency and color, the stool should be mushy, bright yellow to greenish in color.
This is important!
If the baby eats with appetite, adds well, behaves actively, then the shade of the contents of the diaper is not so important. Anxiety should be caused by an admixture of blood in the stool, streaks of mucus, blisters and a sharp putrid smell. This should be reported to the pediatrician immediately. nine0049
After a month and a half, the baby may begin to poop less often. For many mothers, this is a source of serious concern. If the baby does not poop for a day, two, three, anxiety covers. But this condition for a breastfed baby is most often the norm. If the child behaves as usual, and the stool after the delay is soft and moves away effortlessly, then everything is in order.
A hard, shaped stool should alert you, crying and straining strongly during defecation are signs of constipation. nine0003
Recent studies from the American Academy of Pediatrics suggest that, with normal health and behavior, a baby aged 4-6 weeks and before the introduction of complementary foods may pass stools even once a week or less often. But be attentive to the condition of the baby and still consult a doctor before ignoring a ten-day stool retention in crumbs.
With the introduction of complementary foods, the baby's stool will become more formed, but should still retain a soft texture. nine0003
This is important!
When the baby begins to receive complementary foods, he should defecate at least once a day. If the baby has signs of constipation - rare or formed hard ("sheep") stools, difficult bowel movements - you need to consult a doctor to find and eliminate its cause.
Frequency and nature of stool in a formula-fed child.
A newborn on artificial feeding, even in the first weeks, can poop once a day. nine0003
After one and a half months, formula-fed babies should have a bowel movement daily.
The stool consistency of formula-fed babies will be firmer than when breastfed, but should still remain soft. Hard, shaped stools in infants, regardless of the method of feeding, are a sign of constipation.
The color may depend on the type of mixture. It is usually yellow or dark yellow. Too bright or very dark shades, a pronounced green color is a deviation from the norm, you need to consult a doctor. nine0003
What can affect stool frequency and consistency?
Nutrition. The frequency and nature of the baby's stool is primarily influenced by the type and quality of the food he receives. For babies, it is important that the mother's diet is balanced and varied, so that she does not smoke or drink alcohol. If the child is allergic - so that the mother does not eat foods that cause an allergic reaction. Properly selected milk formula is important for babies on artificial feeding. If these conditions are not met, it will immediately be noticeable in the stool of a newborn. nine0003
Functional disorders. In newborns, malfunctions in the gastrointestinal tract may occur not due to illness, but due to the immaturity of the body - both the gastrointestinal tract itself and the nervous system. That is, a healthy baby without errors in nutrition can still experience constipation or diarrhea.
Infectious diseases. Often, it is by the nature of the stool of a newborn that one can notice that an infection has entered the body. Rapid loose stools, foam, an unpleasant odor will immediately indicate the onset of the disease. nine0003
Taking medications.