Breastfeeding
and Diaper Record
Use this convenient sheet to record your baby’s feedings and diapers changes. Be sure to take it with you to your baby’s first
pediatrician visit. Reminder: Breastfeed 8 - 12 times in 24 hours a minimum of 10-15 minutes on each side.
Day#1 Birth Time: Day #3 Birth
Minimum: Wet: 1t02 Dirty: 1-2 Minimum: Wet: 3 Dirty: 3
Feeding Diaper Change Feeding Diaper Change
‘Minutes at Breas | Forma Minutes at Breast | Formula
Date | Tine Stare [MESES BESS) Tore | wet | Stoo! Dae | Tine sured |e Ran | Amn | Wet | St0t
Day #2 Day #4 ie suppy in by end of day 4)
Minimum: Dirty: 2 Minimum: Dirty: 3-5
Feeding Diaper Change Feeding Diaper Change
‘Minus af Breast | Formula Minvies a Breast | Formula
ate | Time sires FER EET Kormine | Wet | Stool Date | Time tne | MOUS BS Hormone |_Wet_| Sto!
217062x 0406
Continued on Reversea Breastfeeding
SOUTHWEST GENERAL HEALTH CENTER
rarworing win University Hospitals HoalthSystem and Diaper Record
Use this convenient sheet to record your baby’s feedings and diapers changes. Be sure to take it with you to your baby’s first
pediatrician visit. Reminder: Breastfeed 8 — 12 times in 24 hours a minimum of 10-15 minutes on each side,
(Wet: 6-8 Dirty: 3-5 continues for 4 weeks).
Feeding [Diaper Change Feeding [Diaper Change]
‘Minuia Breast | Forma stot ‘Minutes a Breast | Formula
due | Tine sires Pt ean | aroun [We Da [Tine suned [ERT ane amu | Wet | Sot
Feeding Diaper Change] Diaper Change
‘Minus af Beast | Formula Breast | Formula
Dae | Time Surted Fa | pag | amount | Wet | Stoo Date Bane Amu | Wet | Stoot
{ij
217062 0406
Continued fom Front