More breastfeeding questions

I have a couple of breastfeeding questions that I hope some of the more experienced mommies can answer, or at least let me know that I am not crazy for worrying about these things. I am driving myself and DH crazy with my worrying and the lactation consultant has been helpful, but I just feel like there is so much I don't know.


1) I was told that Celia needs to empty one breast every three hours and at every feeding I need to pump the breast that she just nursed from. She is eating every 2 hrs during the day and staying on for 15 to 30 mins. Even when she eats for a long time, I can still pump out 1/2 to 1 ounce of milk after she is done. There is no way her little, 4-week early tummy can eat 1.5 to 2 ounces of milk to empty a breast. How do I know that she is getting enough of the hind milk if she isn't emptying a breast?

2) Celia is a nipple napper. She latches on and sucks on and off until she begins to pass out between 15 and 30 mins. into the feeding. If I didn't pull her off, she would just stay there indefinately with a nipple in her mouth. I was basically told that when the baby was full, she would pull away satisfied. Instead, Celia is unconscious and I am prying her little mouth off my boob when her sucking tapers off. How do I know if she is full or just too tired to finish? Is there a way?

3) During the day, Celia wakes up almost every two hours like clock work and sometimes snacks in between big feedings. I am thrilled that she is waking up and asking to nurse on her own. Up until last night, we had been setting an alarm clock at night for nursing. However, last night we learned the hard way that she doesn't wake up at night to nurse. Four hours after we all went to bed, I woke up and had to wake her up and make her nurse. Three hours later, I had to wake her up again to make her nurse. I felt so gulity for letting her go so long without nursing. Is four hours too long for a 2 week old baby to go overnight without eating?

call me too much to type one handed lol 978 249 6839

i am still learning all about breastfeeding. so i am anxious to see what others have to say about your questions. i was just asking april a question similar to your first question about hind milk. your last question about every 4 hours: according to my lactation specialist she said at night he can go 4 hours and then wake him up and feed him, but not to let him go any longer than 4 hours. jake is 1 week 3 days now.

during the day she said feed every 2 to 3 hours.

hope that helps.

http://www.kellymom.com/bf/normal/newborn-nursing.html

Nursing your newborn — what to expect in the early weeks
This information is also found as part of the professional Breastfeeding Logs.

By Kelly Bonyata, BS, IBCLC

The First Week
Weeks two through six
Additional information
The First Week
How often should baby be nursing?

Frequent nursing encourages good milk supply and reduces engorgement. Aim for nursing at least 10 - 12 times per day (24 hours). You CAN'T nurse too often--you CAN nurse too little.

Nurse at the first signs of hunger (stirring, rooting, hands in mouth)--don't wait until baby is crying. Allow baby unlimited time at the breast when sucking actively, then offer the second breast. Some newborns are excessively sleepy at first--wake baby to nurse if 2 hours (during the day) or 4 hours (at night) have passed without nursing.

Is baby getting enough milk?

Weight gain: Normal newborns may lose up to 7% of birth weight in the first few days. After mom's milk comes in, the average breastfed baby gains 6 oz/week (170 g/week). Take baby for a weight check at the end of the first week or beginning of the second week. Consult with baby's doctor and your lactation consultant if baby is not gaining as expected.

Dirty diapers: In the early days, baby typically has one dirty diaper for each day of life (1 on day one, 2 on day two...). After day 4, stools should be yellow and baby should have at least 3-4 stools daily that are the size of a US quarter (2.5 cm) or larger. Some babies stool every time they nurse, or even more often--this is normal, too. The normal stool of a breastfed baby is loose (soft to runny) and may be seedy or curdy.

Wet diapers: In the early days, baby typically has one wet diaper for each day of life (1 on day one, 2 on day two...). Once mom's milk comes in, expect 5-6+ wet diapers every 24 hours. To feel what a sufficiently wet diaper is like, pour 3 tablespoons (45 mL) of water into a clean diaper. A piece of tissue in a disposable diaper will help you determine if the diaper is wet.

Breast changes

Your milk should start to "come in" (increase in quantity and change from colostrum to mature milk) between days 2 and 5. To minimize engorgement: nurse often, don’t skip feedings (even at night), ensure good latch/positioning, and let baby finish the first breast before offering the other side. To decrease discomfort from engorgement, use cold and/or cabbage leaf compresses between feedings. If baby is having trouble latching due to engorgement, use reverse pressure softening or express milk until the nipple is soft, then try latching again.

Call your doctor, midwife and/or lactation consultant if:

Baby is having no wet or dirty diapers
Baby has dark colored urine after day 3
(should be pale yellow to clear)
Baby has dark colored stools after day 4
(should be mustard yellow, with no meconium)
Baby has fewer wet/soiled diapers or nurses less
frequently than the goals listed here
Mom has symptoms of mastitis
(sore breast with fever, chills, flu-like aching)




Weeks two through six
How often should baby be nursing?
Frequent nursing in the early weeks is important for establishing a good milk supply. Most newborns need to nurse 8 - 12+ times per day (24 hours). You CAN'T nurse too often—you CAN nurse too little.

Nurse at the first signs of hunger (stirring, rooting, hands in mouth)—don't wait until baby is crying. Allow baby unlimited time at the breast when sucking actively, then offer the second breast. Some newborns are excessively sleepy—wake baby to nurse if 2 hours (during the day) or 4 hours (at night) have passed without nursing. Once baby has established a good weight gain pattern, you can stop waking baby and nurse on baby's cues alone.

The following things are normal:
Frequent and/or long feedings.
Varying nursing pattern from day to day.
Cluster nursing (very frequent to constant nursing) for several hours—usually evenings—each day. This may coincide with the normal "fussy time" that most babies have in the early months.
Growth spurts, where baby nurses more often than usual for several days and may act very fussy. Common growth spurt times in the early weeks are the first few days at home, 7 - 10 days, 2 - 3 weeks and 4 - 6 weeks.
Is baby getting enough milk?
Weight gain: The average breastfed newborn gains 6 ounces/week (170 grams/week). Consult with baby's doctor and your lactation consultant if baby is not gaining as expected.

Dirty diapers: Expect 3-4+ stools daily that are the size of a US quarter (2.5 cm) or larger. Some babies stool every time they nurse, or even more often--this is normal, too. The normal stool of a breastfed baby is yellow and loose (soft to runny) and may be seedy or curdy. After 4 - 6 weeks, some babies stool less frequently, with stools as infrequent as one every 7-10 days. As long as baby is gaining well, this is normal.

Wet diapers: Expect 5-6+ wet diapers every 24 hours. To feel what a sufficiently wet diaper is like, pour 3 tablespoons (45 mL) of water into a clean diaper. A piece of tissue in a disposable diaper will help you determine if the diaper is wet. After 6 weeks, wet diapers may drop to 4-5/day but amount of urine will increase to 4-6+ tablespoons (60-90+ mL) as baby's bladder capacity grows.

Milk supply?
Some moms worry about milk supply. As long as baby is gaining well on mom's milk alone, then milk supply is good. Between weight checks, a sufficient number of wet and dirty diapers will indicate that baby is getting enough milk.

In no way am i brushing you or anyone off.. I want to asnwer your questions quickly so you can get relief fast. I checked my trusty web site... and here are the asnwers i would have given you. Still feel free to call me.. I am home all day and dont mind answering them anytime of the day. Your questions are normal.. and dont worry about driving dh crazy.. we need a reason to do it every so often..but dont drive yoruself nuts.. you need that energy to make the milk and to spend with your baby.

thanks for info i will read up on this!