Daily Feeding & Output Log

Date: ____________________ | Baby’s Weight: ____________________

Monitoring Goals:

• Feedings: Aim for 8–12 feedings in 24 hours.

• Output: Minimum of 3+ heavy wet diapers and 3+ stools (once milk is in and depending on age of baby).

• Phototherapy: Record "Time On" and "Time Off" to ensure maximum exposure.

Daily Totals

• Total Feedings: ________

• Total Ounces (if bottle): ________

• Total Pumped Amount: ________

• Total Wet Diapers: ________

• Total Stools: ________

Red Flags: Call Provider Immediately if:

• Baby is extremely difficult to wake for feedings.

• Baby has a high-pitched cry or is inconsolable.

• The skin or whites of the eyes look significantly more yellow/orange.

• Baby has fewer than _____ wet diapers in 24 hours.

CALL 911 IF BABY HAS TROUBLE BREATHING AND/OR  FACE COLOR APPEAR  BLUE OR GRAY

DATE & TIME OF BABY’S BIRTH________________________     

Time

Total

Breastfed

Pumped Milk

Formula

Pee

Poop

Time

Total

Breastfed

Pumped Milk

Formula

Pee

Poop