# Day 22: Feeding, week four > How much and how often babies eat as the month ends, how a full baby tells you, and the difference between spit-up and vomiting. - Series: Your first month, day by day (https://chorevia.com/learn/first-month), day 22 of 120, week 4 - Canonical URL: https://chorevia.com/learn/first-month/day-22 - Last reviewed: 2026-10-18 - Publisher: Chorevia (https://chorevia.com) - Cite as: Chorevia. "Day 22: Feeding, week four." Last reviewed October 18, 2026. https://chorevia.com/learn/first-month/day-22 This guide is general education that summarizes published research and guidance from groups like the American Academy of Pediatrics, the CDC, and the WHO. It isn’t medical advice, and every child develops on their own timeline. Your pediatrician knows your child; if something feels wrong, call them. In an emergency, call 911. Feeding is still most of your day. By the end of the first month the amounts have grown, and the rhythm often loosens a little. Today: what's typical now, how your baby says "full," and the spit-up question everyone asks. ## Heart Feeding is where your baby learns that needs get met. Through feeding and comfort, they learn who helps them feel safe ([AAP](https://www.healthychildren.org/English/ages-stages/baby/Pages/Emotional-and-Social-Development-Birth-to-3-Months.aspx)). That lesson lands whether the milk comes from a breast, a bottle, or both. Many families use formula or a mix, for good reasons. The closeness is the same. ## Head Your baby already tells you when they're done. On a bottle, getting fidgety or easily distracted during a feed usually means full ([AAP](https://www.healthychildren.org/English/ages-stages/baby/formula-feeding/Pages/amount-and-schedule-of-formula-feedings.aspx)). Early hunger still looks like lip smacking, sucking motions, rooting, and squirming, and crying is a late sign ([AAP](https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/How-Often-to-Breastfeed.aspx)). Watch for the early cues, let your baby set the pace, and stop at the first signs of fullness. ## Body Breastfed babies still usually feed 8 to 12 times in 24 hours ([AAP](https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/How-Often-to-Breastfeed.aspx)). Formula-fed babies work up to 3 to 4 ounces every 3 to 4 hours by the end of the month ([AAP](https://www.healthychildren.org/English/ages-stages/baby/formula-feeding/Pages/amount-and-schedule-of-formula-feedings.aspx)). Then there's what comes back up. Spit-up flows out easily, often with a burp, and doesn't upset your baby; vomiting is forceful and usually uncomfortable ([AAP](https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Why-Babies-Spit-Up.aspx)). The AAP says about half of babies are "happy spitters" who aren't bothered by it, and many are better by 7 months, once they sit well ([AAP](https://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Reflux+%28Spitting+Up%29)). Hiccups often come from overeating or a little stomach acid, and they bother parents more than babies ([AAP](https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/baby-burping-hiccups-and-spit-up.aspx)). ## Try today ### The narrated feed - **Time:** One daytime feed - **From the guide:** [The narrated diaper change](https://chorevia.com/learn/newborn#the-narrated-diaper-change) 1. Settle in where your baby can see your face. 2. Say what's happening, quietly: "Here it comes. Big gulps. Let's switch sides." 3. When your baby pauses, you pause. Offer a burp if they squirm. 4. Watch for fidgeting or looking away, and end the feed there instead of coaxing more. 5. If they coo or stare at you afterward, answer back. **Make it work:** Skip this at night. Keep the lights low and try not to rouse your baby during feeds and changes ([AAP](https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/getting-your-baby-to-sleep.aspx)). ## Watch for - **Normal:** easy spit-up after a feed, sometimes a lot of it. **Call your pediatrician right away** if spit-up turns forceful or projectile or has blood in it ([AAP](https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Why-Babies-Spit-Up.aspx)). **Go to the ER now** for green spit-up or vomit ([AAP](https://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Reflux+%28Spitting+Up%29)). - **Normal:** a baby who drifts off or turns away when full. **Call your pediatrician right away** if your baby vomits more than once, not just spit-up ([Nationwide Children's](https://www.nationwidechildrens.org/conditions/health-library/newborn-warning-signs)). - **Normal:** a feed that takes a while, with breaks. **Call your pediatrician right away** for a weak suck or poor feeding ([Nationwide Children's](https://www.nationwidechildrens.org/conditions/health-library/newborn-warning-signs)). ## For you If you're breastfeeding and it's going well, this is about when a pacifier becomes an option. The AAP says you can offer one once breastfeeding is established, which usually takes about 3 to 4 weeks; offering it at naps and bedtime helps lower the risk of SIDS. Give it when you're sure your baby isn't hungry, don't force it, pick a one-piece pacifier, and never tie it to the crib or around your baby's neck or hand ([AAP](https://www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Pacifiers-and-Thumb-Sucking.aspx)). Your breasts can feel full, tender, or uncomfortable even if you aren't breastfeeding ([Office on Women's Health](https://womenshealth.gov/pregnancy/childbirth-and-beyond/recovering-birth)). A tender, red, warm area on one breast is a call to your provider ([MedlinePlus](https://medlineplus.gov/ency/patientinstructions/000624.htm)). And if feeding hurts or worries you, ask early, not after another hard week. If you're the partner: feeding is hers or shared, but burping, the diaper after, and settling can be yours every time. ## Sources - American Academy of Pediatrics. "Emotional and Social Development: Birth to 3 Months." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/Pages/Emotional-and-Social-Development-Birth-to-3-Months.aspx - American Academy of Pediatrics. "Amount and Schedule of Baby Formula Feedings." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/formula-feeding/Pages/amount-and-schedule-of-formula-feedings.aspx - American Academy of Pediatrics. "How Often to Breastfeed." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/How-Often-to-Breastfeed.aspx - American Academy of Pediatrics. "Why Babies Spit Up." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Why-Babies-Spit-Up.aspx - American Academy of Pediatrics. "Reflux (Spitting Up)" (symptom checker). HealthyChildren.org. https://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Reflux+%28Spitting+Up%29 - American Academy of Pediatrics. "Baby Burping, Hiccups & Spit-Up." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/baby-burping-hiccups-and-spit-up.aspx - American Academy of Pediatrics. "Getting Your Baby to Sleep." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/getting-your-baby-to-sleep.aspx - Nationwide Children's Hospital. "Newborn Warning Signs." https://www.nationwidechildrens.org/conditions/health-library/newborn-warning-signs - American Academy of Pediatrics. "Baby Pacifiers & Thumb Sucking: What Parents Need to Know." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Pacifiers-and-Thumb-Sucking.aspx - Office on Women's Health. "Recovering from birth." U.S. Department of Health and Human Services. https://womenshealth.gov/pregnancy/childbirth-and-beyond/recovering-birth - MedlinePlus. "Going home after a C-section." National Library of Medicine. https://medlineplus.gov/ency/patientinstructions/000624.htm