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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 Reverse a 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

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