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• Cleaning bottles and nipples

  1. Turn off stove and allow water to cool

  2. Carefully pick up sterilized bottles

  3. Place on clean paper or drying mat

  4. Allow to dry completely

  5. Store properly for later use
• Tools and materials for cleaning

  • Bottles to be sterilized
  • Large pot with 1/2 to 3/4 water
  • Dish soap
  • Bottle brush
  • Tongs or similar to remove bottles
  • Dish drainer or clean towels/cloth
  • Storage/container
• Procedure for cleaning bottles and nipples

  1. Remove bottles and nipples from packaging, remove decals/items

  2. Boil bottles, nipples and accessories for at least 5 minutes

  3. Allow to air dry on clean towel

  4. Separate bottle parts, rinse under warm water

  5. Place small parts in dishwasher rack, run dishwasher

  6. Fill sink with hot soapy water, soak bottles and nipples, rinse and air dry
• Sterilization

  • Bottles can be sterilized by boiling, specialized appliance or microwave container
  • Modern plastic bottles are difficult to sterilize in boiling water
• Preparing milk formula

  1. Gather all necessary supplies

  2. Read formula instructions

  3. Measure water first, then add powder

  4. Cover bottle and gently shake

  5. Wipe any spills
• Breastmilk provides complete nutrition for growing babies, but sometimes it may be necessary to supplement with formula
• Combining breastmilk and formula


  • Feed baby breastmilk first, then mix formula and give separately
  • Use filtered/distilled water to mix powdered formula, never use breastmilk instead of water
• Check expiration date on any formula used, and do not use expired formula
• Prepared formula can be kept in the refrigerator for up to 24 hours
• Feeding infants formula milk

  1. Have several bottles and nipples ready

  2. Wash hands and ensure bottles are clean and sterilized

  3. Choose formula, mix properly with boiled and cooled water

  4. Fill bottles with breastmilk if not using formula
• Warming bottles

  • Heat bottle in bowl of warm water, not microwave
  • Test temperature on wrist before feeding
• Feeding position

  • Hold baby at 45 degree incline
  • Support head in crook of elbow
• Feeding process

  1. Place nipple in baby's mouth

  2. Hold bottle at 45 degree angle

  3. Burp baby after every 2 oz
• Feeding amounts and schedule

  • Newborns: 2-3 oz every 4-5 hours
  • 1 month old: 4 oz every 4 hours
  • 6 months old: 6-8 oz 4-5 times per day
• Burping a baby


  1. Bing and patting their back

  2. If baby stops eating or becomes fussy, that's a sign to burp them
• Feeding newborns formula

  1. Feed 2-3oz (59-89ml) every 4-5 hours

  2. When baby is small, they won't be able to consume much liquid at a time

  3. Start by feeding 2-3 fluid ounces (59-89ml) every 4-5 hours for the first few weeks
• Ask doctor


  If you have questions about how much your baby should be eating
• Feeding 1 month old baby

  1. Increase amount to 4oz (120ml) every 4 hours

  2. As they grow, babies will start eating more
• For the next several months, your baby will likely need to eat every 4 hours
• When they are about 6 months old, they'll be ready for larger, less frequent meals
• Remember

  All babies are different, so ask your doctor about your baby's individual needs
• Feeding 6 month old baby

  Feed 6-8oz (180-240ml) 4-5 times a day
• Consult your doctor

  With questions about your baby's feeding schedule
• Talk to your doctor


  About your baby's individual needs
• Babies are wonderful, but it's normal to feel a little nervous when caring for them
• Don't panic if your baby isn't eating the specified amounts or appears to be not hungry every few hours
• You and your doctor are the only ones who know what is right for your baby
• Take your baby for check ups as often as your doctor suggests
• Don't be afraid to call the office whenever you have questions
• Breast milk or infant formula

  The only nourishment needed by most healthy babies until they are 4-6 months old
• Recommended amounts of breast milk or formula by age

  • 0-3 months: 18-23 ounces
  • 4-6 months: 28-40 ounces
  • 7-9 months: 24-36 ounces
  • 10-12 months: 18-30 ounces
• Cow's milk or other dairy products should not be given until at least one year of age
• Your baby's kidney cannot handle the high protein and mineral content of cow's milk well until that age
• Cues that your infant is hungry

  • Opening mouth
  • Putting hand in mouth
  • Making sucking noises
  • Crying
• The sole diet of an infant from birth to at least 4 months should be only breast milk or iron fortified formula
• Any other forms of milk or solids should not be introduced as they can cause problems for the developing infant
• It is much safer to wait until your infant is at least 4 months and only if she is developmentally ready
• Stages of infant development and introduction to solids

  • Birth to 4 months: Suckles, roots for nipple
  • 6-7 months: Sits with support, follows food with eyes, begins to swallow thickened food
  • 6-8 months: Hand to mouth movement, moves tongue to side, controls position of food in mouth, controls swallow, up and down chew
  • 7-10 months: Bites, rotary chew, moves food from side to side in mouth, forms lips to cup, grasp develops
  • 8-10 months: Sociable, greater interest in solid foods, drinking from cup improves, thumb and fingers (pincer grasp) develops
• Additional nutrient needs by age

  • Birth to 4 months: None
  • 6-7 months: Iron
  • 6-8 months: Vitamin A, Vitamin C
  • 7-10 months: B vitamins, Protein, Trace elements
• Foods to offer by age

  • Birth to 4 months: Only breast milk or iron fortified formula
  • 6-7 months: Iron fortified infant cereal (rice, oats)
  • 6-8 months: Strained or mashed vegetables, fruits, infant juice (diluted with water, begin teaching baby to drink from cup)
  • 7-10 months: Variety diet (allow baby to feed self with hands), finger foods (dry cereal, toast squares, crackers, soft tortilla, cooked vegetables, soft fruit wedges)
  • 8-10 months: Mashed or chopped foods from family meal, ground or finely chopped meats, fish or poultry, cottage cheese, egg yolk (whole egg at 1 year)