Signs Your baby is feeding well

Wondering how to tell if your baby is getting enough breast milk?  

Here's a list of signs that your baby is feeding well:

• Your baby has a good latch and feeding doesn't hurt.
• Your baby is feeding eight or more times a day after the first 24 hours. Night time feedings are to be expected.
• You see your baby sucking and swallowing. You will hear a "ca" sound during the feeding.
• In the first few days of life your baby has one to three wet diapers per day. By day four to six, as your milk supply increases, your baby should have five or more wet diapers a day. Baby's urine should be pale yellow.
• Your baby has three or more bowel movements a day in the first few weeks. After the first four to six weeks it's common for bowel movements to happen less often - sometimes only once every few days. As long as the bowel movement is loose and the baby has wet diapers, this is normal.
• Your baby is satisfied and content after most feedings.
• Your baby has returned to his/her birth weight by about two weeks.
• Your breasts are full before feeding and soft after feeding. After several weeks, it is normal to have soft breasts all the time and still have lots of milk.
• Your baby is gaining weight (you'll notice the baby's sleepers are starting to get tight!)

The best way to produce lots of milk is to breastfeed more often. This is called supply and demand. Supplementing with formula may make breastfeeding more difficult

Concerns

Call your healthcare provider, public health nurse, or 8-1-1 right away if your baby:

• Does not have:

• • 1 or more wet diapers with clear, pale urine on day 1
  • 2-3 wet diapers each day, with clear, pale yellow urine on days 2-3
  • 3-5 wet diapers each day, with clear, pale yellow urine on days 3-5
  • 4-6 wet diapers each day, with clear, pale yellow urine on days 5-7
  • Many wet diapers each day, with clear, pale yellow urine on days 7-28
• Does not have at least 2 or more bowel movements each day after 4 5 days of age (for the first few weeks)
• Is not interested in feeding and often goes without feeding for 4 5 hours in the first few weeks

If there’s a pink or rusty-orange stain in your baby’s diaper after the fourth day, feed her more often. Contact your health care provider if the stain continues, if your baby’s pee is bloody or the colour of cola, or if there’s little or no pee for 6 hours or longer.If you are wondering about how much milk your baby needs,  remember that your newborn's stomach is very small.

Resources & Links:

Breastfeeding

Growth and Development, Newborn

PSBC Breastfeeding my Baby: http://www.perinatalservicesbc.ca/Documents/Resources/Breastfeeding/BreastfeedingMyBabyGuide.pdf

VIDEO: Admission to Postpartum - Keeping Your Baby Skin-to-Skin

VIDEO: Baby's Feeding Cues and Behaviours

VIDEO: Breastfeeding Positions

VIDEO: Hand Expressing Milk

VIDEO: Latching Your Baby