00:01
When we think about what the baby's
actually able to really take in,
knowing the baby's stomach size really
helps to really make this make sense.
00:10
So let's take a look.
00:11
So around day 1,
the baby's stomach is
about the size of a cherry,
which is really tiny.
00:18
So now think about how much milk
you would put inside a cherry.
00:21
It's not very much.
00:23
Day 3, we're about
the size of a walnut.
00:25
Around one week, the baby's stomach
is the size of an apricot,
and about one month the
size of a large egg.
00:32
So you think about the
potential for overfeeding happen
that could if we try to give the
baby a really large bottle of milk.
00:39
So unlike the breastfed baby,
where we're doing supply and demand,
the baby may continue
to eat and overeat.
00:45
And that can cause a lot
of problems with digestion,
so we have to be mindful of
what the baby might need.
00:52
So let's take a look
at the caloric intake
and what's in breast
milk and in formula?
So the caloric density for
breast milk and infant formulas
is typically the same
around 20 kcal/ounce.
01:05
If however, the baby's a preemie
or maybe has trouble growing,
then in formula preparations,
sometimes the kilocalorie per ounce amount
can go up to 24 kcal/ounce.
01:18
Remember that colostrum has a slightly
lower fat content than mature milk.
01:22
Well, now it makes sense when we
think about the caloric intake.
01:26
It's only about 17 kcal/ounce as
opposed to mature milk which is 20.
01:33
Oh, poop!
Let's talk about it because
we need to know about it.
01:37
Let's break it down.
01:39
And let's think about
what poop looks like
based on what the baby is
eating and what they're doing.
01:44
We'll start with meconium.
01:45
So meconium is sticky and it's
green, maybe sometimes black.
01:51
And it's sticky that I say it was
sticky, because it's so so sticky.
01:55
But meconium is actually
accumulated intestinal cells, bile,
and all kinds of things that are
formed while the baby's in utero.
02:03
So then when the baby's born,
it's time to get all of that out.
02:07
So they poop it out.
02:08
And it sticks to everything.
02:10
The same sticky, meconium is
sticky, it's also very normal,
then we think about
transitions tool.
02:16
So this is where things
kind of get interesting.
02:19
So sometimes what you'll notice is the
meconium is going to be mixed with stool
that is sort of yellow,
so you'll get a little bit of both.
02:26
And this happens
about day 2 or 3.
02:28
Remember, we got to take something
in in order to get something out.
02:32
So as we begin to do that
and as we begin to increase
the amount of formula or breast
milk at the babies taking in,
you're going to see
the stool transition.
02:41
Okay, so if we have a
baby that is breastfed,
what you're actually going to see are
things that look like sesame seeds.
02:48
Now, clearly the baby is not
eating anything with sesame seeds,
but somehow when the breast milk is
broken down, that's what it looks like.
02:56
Who knew?
Formula stool on the
other hand is more form
so it's a little bit mushier than
we see with breast milk stools.
03:05
So what's different?
Well supposedly,
formula stool smells worse.
03:10
I think all poop smells bad.
03:12
And so I really don't want to get into
a competition of which one is worse
and it's not really
a selling point.
03:18
But that's what they say.
03:19
So formula stool is going to look
different than breast milk stool
because it doesn't
have those seeds in it.
03:26
So more mush less seed.