I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. Contact me on Practo or WhatsApp chat. Contact number: 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology

You can increase feeds as per baby’s hunger cue..also you should try breastfeeding..as many babies are not able to tolerate formula feed..give feeds by katori spoon..no bottle feeding.

infant born at 32 weeks, now weighing 2.5 kg at 1 month old, and asks whether to increase Similac NeoSure formula from 30ml to 45ml.The current volume of 30ml every 2 to 2.5 hours provides approximately 288–360ml daily, which aligns with standard post-NICU fluid guidelines of 150–180 ml/kg/day for a 2.5 kg baby.A transition to 45ml should only be made if the baby is consistently showing cues of hunger after draining the 30ml, or if a pediatrician explicitly advises it based on growth trajectory.Premature infants have sensitive digestive systems, and abrupt volume increases can cause feeding intolerance, vomiting, or excessive reflux.

At 2.5 kg, preterm babies need around 150–180ml/kg/day — that's roughly 375–450ml total daily. If baby finishes 30ml and still seems hungry, increase to 35–40ml first, then 45ml — go up 5ml at a time every 2-3 days. Keep trying breast before formula each feed — even small amounts help. Confirm feed volumes with your neonatologist at next visit.

Hi Breast milk will increase only if you try to breast feed every time before giving formula. Try not using feeding bottle for giving formula, bcoz it will further hamper breast feeding (nipple confusion). You should increase the formula milk amount on basis of your baby’s need. Make 60 ml and feed him. Let him decide the volume of feed to be taken

Hello If the baby is finishing feeds well, is not vomiting /spit ups,has good urine output, and is gaining weight appropriately, you can gradually increase the feed volume to 35-40 ml based on hunger cues, tolerance, urine output.Regular weight monitoring and follow-up with your pediatrician are important..

Increase formula feeds to 40 to 50 ml every 2.5 to 3 hours. The general rule of thumb is to increase the feed by 5  to 10ml per feed  weekly, provided the baby tolerates the volume and is showing hunger cues.  Please visit your neonatologist regularly. He may soon be shifted to full term formula

For a baby born early and still catching up on weight, formula amounts are usually raised gradually based on weight gain and feeding cues, not a fixed jump to a new number.

Increase it gradually.

At 2.5 kg, the target total intake is approximately 150–180 mL/kg/day. If your baby is finishing 30 mL comfortably and still showing hunger cues, you can gradually increase feeds by 5–10 mL at a time( e.g., to 35–40 mL), rather than jumping directly to 45 mL. .

There is no specific rule like that You need to try and slowly increase the feed as per how your baby is accepting

Can increase to formula milk accordingly as per tolerance and acceptance

Based on your baby’s current weight (2.5 kg), 30 mL every 2–2.5 hours may now be slightly less than the usual requirement. If your baby is feeding well and not vomiting or having abdominal distension, you can gradually increase to 35–40 mL per feed, and then to 45 mL per feed as tolerated over the next few days. Monitor urine output, feeding tolerance, and weight gain. Regular weight checks with your pediatrician are important to ensure adequate growth.