Infant feeding concern

Template

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FeedingChoose oneFirst line

ConcernsChoose any

WeightChoose one

HydrationChoose one

DispositionChoose one

Oral examChoose one

PlanChoose any

Breastfeeding planChoose any

Bottle planChoose anyNot in the note with these choices

Additional planChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling

Feeding takes practice for both baby and caregiver, and support makes a difference. Recommended supportive care with an emphasis on feeding on demand, watching hunger cues, and tracking wet diapers and stools. Return precautions given including poor feeding, fewer wet diapers, unusual sleepiness, fever, persistent vomiting, breathing trouble or color change with feeds, weight loss, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

Discussed the need for emergency evaluation today, and the caregiver will take the baby now. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Infant feeding concern
Breastfed
• Weight gain appropriate
• Well hydrated with adequate wet diapers
• Home with close follow-up
• Normal oral exam and suck
• Reviewed feeding frequency, volumes, hunger cues, and expected wet diapers and stools
• Follow up in 2-3 days to recheck weight and feeding

Feeding takes practice for both baby and caregiver, and support makes a difference. Recommended supportive care with an emphasis on feeding on demand, watching hunger cues, and tracking wet diapers and stools. Return precautions given including poor feeding, fewer wet diapers, unusual sleepiness, fever, persistent vomiting, breathing trouble or color change with feeds, weight loss, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Feeding type
Oral exam or frenulum
Lactation, supplement, pumping, paced feeding, LactMed, WIC

Return precautions in the template

poor feedingfewer wet diapersunusual sleepinessfeverpersistent vomitingbreathing trouble or color change with feedsweight loss

Sources

AAP Clinical Practice Guideline for Diagnosis and Management of Faltering Weight. Pediatrics 2026;157(4):e2025075764
AAP Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics 2022;150(1):e2022057988. Recommendations read
Thomas J et al; AAP Section on Breastfeeding. Identification and Management of Ankyloglossia and Its Effect on Breastfeeding in Infants: Clinical Report. Pediatrics…
Shaw BA, Segal LS; AAP Section on Orthopaedics. Evaluation and Referral for Developmental Dysplasia of the Hip in Infants. Pediatrics 2016;138(6):e20163107.…
Krowchuk DP et al. Clinical Practice Guideline for the Management of Infantile Hemangiomas. Pediatrics 2019;143(1):e20183475. Highlights and selected KAS read
AAP Clinical Report: Prevention and Management of Positional Skull Deformities in Infants (Laughlin, Pediatrics 2011;128(6):1236). Retired February 2018 (not…

Few formal guidelines cover this topic, so the template also leans on expert opinion.