I/O Chart BW kg Date

Age
INPUT OUTPUT
Time Oral - BF Oral - bottle Oral - solid Poo Pee
00:00
01:00
02:00
03:00
04:00
05:00
06:00
07:00
08:00
09:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
Oral - BF Oral - bottle Oral - solid Poo Pee
Total
e

Vomit

Vomit
Note:
1) BF = breast feeding. Note Left / Right side if necessary. Could be count in minutes (e.g. R x 20mins) or volume (e.g. 30
2) Bottle = bottle feeding. Count in volume (e.g. Aptamil 30ml)
3) Solid = solid food. Use this column after baby start solid food. (e.g. apple puree 30ml)
4) Poo = record the nature and amount of poo found on diaper. + = small amount, ++ = moderate amount, +++ large amo
5) Pee = record the nature and amount of pee found on diaper. + = small amount, ++ = moderate amount, +++ large amount (e.g. +).
6) Vomit = record the nature and amount of vomit if indicated.+ = small amount, ++ = moderate amount, +++ large amou
7) BW = body weight
Grow chart availble on Internet, prepare by RCPCH
http://www.rcpch.ac.uk/child-health/research-projects/uk-who-growth-charts/uk-who-growth-chart-resources-0-4-years/uk-wh
Development Milestone, prepare by NHS, UK [last update July, 2013]
http://www.nhs.uk/Tools/Pages/birthtofive.aspx
Development Milestone, prepare by CDD, US [last updated March, 2014]
http://www.cdc.gov/ncbddd/actearly/pdf/checklists/all_checklists.pdf
Development Milestone, prepare by DH, HK (Chinese version) [last updated 2011] ->choose age group ->
http://www.fhs.gov.hk/tc_chi/health_info/class_life/child/child.html
* Please note every child is unique and his/her growth and development stage may differ form others. The above inform
Please consult doctor if necessary
 x 20mins) or volume (e.g. 30ml)

erate amount, +++ large amount (e.g. green soft stool +)

ount, +++ large amount (e.g. +). Baby usually pass straw colour clear urine, specified the abnormalities if indicated.
erate amount, +++ large amount (e.g. undigested milk +/ clear fluid 10ml)

hart-resources-0-4-years/uk-who-0

e age group ->兒 童 發 展

orm others. The above information is for reference only.