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BREASTFEEDING & BOTTLE FEEDING INTAKE FORM PATIENT INFORMATIONReferred by: ___Infants Name: ___ DOB: ___ Age: ___M/FParent/Caregiver 1 NAME___ DOB___ Occupa on ___ Parent/Caregiver 2 NAME___ DOB___
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How to fill out breastfeeding amp bottle feeding

01
Gather necessary supplies: breast pump (if applicable), bottles, nipples, formula (if using), and storage bags.
02
Begin breastfeeding by ensuring a proper latch. Position the baby comfortably and help them latch onto the breast.
03
Alternately, prepare a bottle by sterilizing it and ensuring it is clean. If using formula, follow the instructions for mixing the correct ratio with water.
04
If bottle feeding breast milk, ensure it has been stored properly and warmed to a suitable temperature before feeding.
05
Hold your baby in an upright position during bottle feeding to mimic the natural breastfeeding experience.
06
Monitor your baby’s cues for hunger and fullness during both breastfeeding and bottle feeding.
07
After feeding, burp the baby to help prevent gas.

Who needs breastfeeding amp bottle feeding?

01
Newborns who require nourishment for healthy growth and development.
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Mothers who choose to breastfeed as a natural method of feeding.
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Parents who need to supplement with formula or pump for various reasons, including returning to work.
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Babies who cannot latch properly or have specific medical needs.
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Families looking to provide a balanced feeding approach for their child.
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Breastfeeding is the process of feeding an infant with milk directly from the mother's breast. Bottle feeding involves feeding an infant with milk from a bottle, which can contain either breast milk or formula.
Typically, healthcare providers, pediatricians, or breastfeeding consultants may file breastfeeding and bottle-feeding records to monitor the infant's growth and feeding patterns.
To fill out breastfeeding and bottle feeding records, caregivers should document the times of feeding, the duration of breastfeeding sessions, the amount of formula or breast milk given in bottle feedings, and any observations regarding the infant's feeding behavior.
The purpose of breastfeeding and bottle feeding is to provide essential nutrition to infants, ensuring they receive the necessary vitamins, minerals, and antibodies for healthy growth and development.
Information that must be reported includes the amount and type of milk consumed, the timing of feedings, whether the feeding was breast or bottle-fed, and any notes about the infant's response to feeding.
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