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Q : Is it alright to replace the night feed with formula for 6 months old baby? Currently my baby girl has started her solid and drinking breast milk. Planning to replace her night feed because i found that her weight had dropped from 50% percentile to 25% percentile.

A :
Most infant formulas are matched to provide the same amount of calories as breast milk, although the composition may vary slightly. 1 ml of infant formula provides about 0.67kcal to the baby, the same as breast milk. So simply replacing your baby’s night feed with formula may not be the answer to your problem. There are other formulas that may provide additional calories but these are usually prescribed under special circumstances, for example, babies who were born premature in the past or who have certain nutritional issues. Shifts in growth centiles may sometimes be a normal phenomenon, especially in the first 6 months of life. Does your baby have any other problems such as vomiting or diarrhea? Has your baby been falling sick frequently, resulting in a loss of appetite? It would be important for you to visit your paediatrician who would go through a proper growth and developmental assessment as well as review her growth charts before giving you a formal recommendation.

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About the Author
Dr Leo Deng JinDr Leo Deng Jin had entered NUS medical school in the year 2000 with the initial aim of becoming an ED physician. However, it was his exposure to paediatric patients during his medical school years that helped him decide to take up a traineeship in Paediatric Medicine.

Read more about him.

Dr Leo Deng Jin
Paediatrician
Thomson Paediatric Centre

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