How to Know if Baby is Eating Enough

When bottle feeding, it’s easy to tell how much your baby is eating just by looking at the bottle. It can be a little harder to tell, however, if you are breastfeeding. There are ways of knowing exactly how much your baby is getting from the breast, but it probably isn’t necessary. You can tell baby is getting enough to eat by a few simple signs.

How Much Baby is Getting From the Breast

If your baby has special weight gain circumstances, such as prematurity, you may be asked to do a weight test to find out how much milk baby is getting from the breast. This involves weighing baby just prior to nursing, and then directly afterwards. The increase in weight will tell you how much milk the baby got during that feeding.

For most babies, however, this type of close measuring isn’t necessary or feasible. It requires a very sensitive scale, which can be purchased or rented from the hospital, but really isn’t necessary except in special circumstances.

Other Ways of Gauging Intake

There are some simple ways to tell if your baby is getting enough to eat when nursing. The first and most obvious is weight gain over time. Your pediatrician will weigh your baby every time you come in for a check up, and check it against previous weights on a growth chart. As long as your baby is gaining weight at a normal rate, there is likely nothing to worry about as far as eating habits.

If you can’t wait for a check up to find out if baby is eating enough, you can call your doctor’s office and ask to come in for a simple weight check. You won’t see the doctor, but a nurse will check your baby’s weight. Alternatively, you can watch for a few simple signs that baby is doing just fine.

A baby who is getting enough milk should have a wet diaper at least every 6 hours. The frequency of bowel movements is less important, especially in a breastfed infant. Because breast milk is used so effectively by your baby’s body, there is often little waste. A breastfed baby may go as long as two weeks between bowel movements. This is not a cause for concern unless there is some sign of discomfort or straining. Breastfed babies rarely become constipated, and as long as there are no other signs it’s not likely a sign of lack of food either. If you are concerned about how long baby has gone without a bowel movement, call your pediatrician.

Your baby will also give you signals of hunger and satisfaction. After a feeding, baby should appear sated and relaxed. If you see signs of rooting, fussing or sucking motions, baby might still be feeling hungry. Falling asleep or being easily distracted from the breast are signs baby’s tummy is full.

Your baby will eat different amounts at various feedings based on the time of day, baby’s mood and energy level, and other factors such as distractions. Don’t worry if baby comes off the breast before you think enough time has passed for a full feeding. Babies are very good at letting us know when they are hungry, and they also know when they are not hungry. Take your cues from your baby and you are unlikely to encounter any problems with the quantity of the feedings.

Nutrition in Your Breast Milk

Breast milk is an amazing liquid. It contains all of the vitamins, minerals, antibodies and more that your baby needs to grow and thrive. The only thing you need to do to make sure that your baby is getting everything needed out of your breast milk is to make sure that you are healthy. Your body will take care of the rest!

Eating a Healthy Diet

While you are breastfeeding, you need to provide your body with all of the nutrients it needs to do that important job of making the perfect baby food for your baby. This means eating a healthy, balanced diet that provides all of the necessary vitamins and minerals as well as the proper amount of calories from fat, protein, and carbohydrates.

Your body will take the nutrients it needs from your body’s stores in order to fill the breast milk with all of the incredible nutrition that your baby can’t get any other way. You will need to replace those nutrients every day. Make sure that the foods you choose are varied and include lots of fruits and vegetables, whole grains, and good protein sources. You should aim to follow the recommended daily amounts for servings from each food group. Try to get 6-9 servings of grains, 2-3 servings of protein, 3-4 servings of dairy, and 5 or more servings of fruits and vegetables. Avoid unhealthy choices such as those high in sugar or unhealthy fats.

Does Your Diet Affect the Nutrition of the Milk?

The answer is a little complicated. While breast milk has been shown to be remarkably nutritionally stable in spite of imperfect nutrition on the part of the mother, there are many ways in which your diet can affect your breast milk. Your body will continue to make nutritionally sound milk for your baby except in cases of extreme deprivation – however, your diet supports your body’s ability to make enough breast milk for baby’s needs.

Eating the right number of calories, keeping your body healthy with a balance of vitamins and minerals, and maintaining adequate fluid intake are all vital to keeping your production of breast milk steady. Remember that your body is working hard to make that milk – you need to give it a steady source of fuel.

There are some things you eat that can affect the composition of breast milk. Research has shown that the type of fat you consume can affect the type of fat most prevalent in your breast milk. Try to stick to healthy unsaturated fats to ensure baby is reaping the benefits these fats provide. The level of fat in breast milk is most affected by the fullness or emptiness of the breast. A highly engorged breast will have a lower fat content than an emptier one. However, as long as your baby nurses regularly, there is no need to worry about the amount of fat in the milk.

The best thing you can do for your baby’s health is to breast feed, and the best thing that you can do to help your body produce healthy breast milk is to be healthy yourself. As long as you are eating nutritious foods and drinking plenty of water, you shouldn’t have to worry about the content of your breast milk. Your body was made to produce that perfect food for baby, and it is very good at the job. All you need to do is support it!

Breast Pump Selection and Use

Breast pumps can be a huge help to any mom, whether you need to pump because you are working, or you just want the new father to be able to share in feeding duties. With a wide variety of pump types and price points, do your research ahead of time to make sure to choose the one that suits your personal needs.

Types of Breast Pumps

There are a number of different brands and types of breast pumps available. What to buy depends on how often you plan to pump. For those who are only planning to pump occasionally, a basic manual pump will probably do the job. This is a great choice if you only plan to pump when you are going out for the evening, for example, and need someone else to feed the baby. It’s also a great backup pump to have on hand or keep in the diaper bag should the need arise. Look for one with simple, one-handed operation.

Electric pumps come in several types as well, from single horn to double horn, some with a special let-down function that changes the speed of the pump automatically after the first few minutes. If you plan to pump a lot, all day at work for example, a double horn electric model is a good choice. Single pumps take twice as long, but are more affordable, so they are a better choice if you don’t plan to pump often.

Hospital grade pumps are more powerful and a good choice for anyone who needs to pump exclusively for their child, such as in the case of a premature baby who can not latch on yet. Some insurance plans will cover the cost of the pump rental, but if not it might be too expensive for anyone who doesn’t need that level of performance.

Personalizing Your Pump

Whichever pump you choose, you will want to make sure you have the right size breast shields for your nipples. All pumps come with a standard sized shield, but that doesn’t mean it will fit you. When you choose a pump, make sure that the manufacturer offers different sizes of shields, and follow their directions for selecting the size that will fit you. Improperly sized shields can cause discomfort when pumping, so get the right size.

Using Your Pump

Once you have chosen a pump and selected the correct size shields, you are ready to get started. Some pumps come with the parts pre-sterilized and ready for use in sealed packaging. Others will need to be sterilized before use. As every pump is a little different, follow the manufacturer’s directions for the use of the pump. To make the feeling a little more pleasant, you can rub a small amount of lanolin on the inside of the shields.

To get the most out of pumping, continue running the pump for a couple of minutes after the milk has stopped. There is often more than one let down in every session, so be sure you have drained the breast completely. However, keep in mind that pumping for too long can cause pain, so try to keep pumping sessions to around 15-20 minutes. With a single pump, this will take twice as long as you will have to do each side separately.

After pumping, wash all pump parts in hot soapy water. You don’t need to sterilize your pump parts every time if you wash them thoroughly, but plan to sterilize at least every second day.

Pumping can be a lot of work, but it can also free you to enjoy activities away from your baby or let your baby’s father take over some of the feeding duties while you get some rest!

Your Nutrition while Breastfeeding

Your days of watching what you eat aren’t over when your pregnancy ends. If you are planning to breastfeed, you will need to continue your healthy habits. Nursing your baby means that your body must provide all of the nutrition required for baby to grow strong. Your body is working hard to produce the milk, so you will need some extra calories to keep it going, but make sure you get those extra calories from healthy, nutritious foods.

What You Should Eat

A balanced diet from all four food groups is vital while you are breastfeeding. Be sure to eat a varied diet that will give you all of the necessary vitamins and minerals. You should already be used to eating well from your pregnancy, so you can simply continue those good eating habits into your nursing diet. Eat plenty of fruits and vegetables, lean protein sources such as poultry and fish, good sources of calcium, and whole grain options for lots of fiber.

You will probably find that in the early months of breastfeeding, you have a very good appetite. Most nursing moms will feel very hungry, and this is because the body needs a lot of fuel to keep producing that milk. A nursing mom requires about 500 calories more per day than a woman who is not nursing (and not pregnant). This means only another 200 calories above the extra 300 needed during pregnancy. Add a healthy snack or two to your daily intake to meet this need.

Adding extra fluids to your diet is a good idea while breastfeeding. It will keep you hydrated and help your milk production. Try to add several glasses of water every day.

What You Should Not Eat

The main difference between a pregnancy diet and a breastfeeding diet is that you won’t have to follow all of the same dietary restrictions you did while pregnant. Foods like sushi and eggs over-easy are no longer off the menu. Alcohol and caffeine, however, do pass into breast milk. You should continue to avoid them or consume them with great caution. Most experts recommend that you wait 2 hours after an alcoholic beverage before breastfeeding, but it’s best to skip it altogether. Caffeine is ok in moderation, but it may make baby jittery or affect sleep, so use it carefully.

Although you may have heard a lot about how certain foods can make your baby gassy or fussy, there is no reason to avoid foods such as those that are spicy unless you actually see a reaction in your baby. Most babies will not have a problem with these types of foods. A food that makes you gassy is not going to make your baby gassy, but there may be a food in your diet that baby is allergic to or simply sensitive to, which could cause gas. If you notice that your baby becomes gassy or fussy around 6 hours after eating a certain food, try eliminating it for a while to see if it helps.

Your breastfeeding diet should simply be a continuation of your healthy pregnancy diet, with a few minor changes. Just as in pregnancy, your body is feeding your baby, so keep that in mind when planning your diet. You should also continue taking supplements just as you did during pregnancy to make sure your body gets everything it needs.

Breastfeeding Basics

Breast milk is the best baby food for your newborns because it is full of healthy nutrition. Breast milk provides all the nutrients that a baby needs. So it is important to make sure that your baby receives enough breast milk.

How Often and How Long Should You Breastfeed?

Newborn infants should feed on cue in every 2 to 3 hours. They will usually breastfeed for about 10 to 15 minutes per breast at each feeding until they are satisfied. As the baby gets older, the baby will learn to feed more efficiently. Hence the feeding time will be shorter.

When a baby is ready to feed, they may show the following signs:

  • increased fussiness or agitation
  • tongue or lip movements
  • fists in mouth
  • open his mouth when the skin around his mouth, cheek or lips is touch
  • crying (late sign)

During the first 4 weeks, a newborn infant should be breastfed at least every 4 hours. If the infant is sleeping, he should be awakened to feed.

How Much is Enough

Counting the number of diapers produced by a newborn infant is one way of knowing if he is getting enough breast milk. A newborn baby should have 6 to 8 wet diapers after the first week of life.

Each breastfeeding session should last about 10 to 15 minute. The length of time spent at the breast is a good indicator that your baby is receiving enough breast milk. After feeding, breasts should feel softer.

Another way of checking if the newborn infant is receiving enough breast milk is by monitoring the weight gain of your infant. To ensure adequate weight gain, be sure to have your baby weighted properly after the first week.

Age Number of Feeds Stools Wet Diapers
1 to 2 Days About 8 to 12 times per day . The number of feed will incease each day . Dark green or balck meconium. 1 to 3 wet diapers.
3 to 4 Days 8 to 12 times per day

Every 2 to 3 hours

Day 3 stool may still be black.
Day 4 stoll will be lighter in color.
3 to 4 soaked diapers.
5 to 6 Days 8 to 12 times per day About 2 to 3 stools per day. Stool will be yellowish or seedy in color and texture. 6 or more heavy soaked diapers.
7 Days to 1 Month 8 to 12 times per day About 3 to 5 stools per day. 6 or more heavy soaked diapers.
1 to 4 Months 6 to 8 times per day or every 3 to 4 hours. They may begin to sleep through the night without feeding. 3 to 5 stools per day. Stool frequency varies between babies 6 or more heavy soaked diapers.

Breast Milk Express

Ideally, mother should always be available to breastfeed their babies when they are hungry. However, in reality certain situations that hinder breastfeeding are unavoidable. For such occasions, it is important to have a supply of milk that has been expressed from breast and is available for the baby whenever the baby is hungry.

Choosing a Breast Pump

Express breast milk would be easier with a breast pump. There are different types of breast pump available:

  • hand-operated breast pump
  • electric or battery-powered breast pump (for home use)
  • electric breast pump (for professional or hospital)

Hand-operated pumps and home use electric pumps are significantly less expensive than the professional- or hospital-grade pumps. However, they are not as efficient and powerful as hospital-grade breast pumps. Hospital-grade breast pumps can be rented from some hospitals, pharmacies or medical supply companies at minimal cost. Depending on how often you need to use a pump, get one which is best suit your need.

Steps for Success Breast Milk Express

  1. Make sure you wash your hands thoroughly with soap and water before pumping breast milk. Wash the breast pump with hot soapy water and air-dried the pump. Breast pump should be sterilized on daily basis.
  2. Find a quite place to pump. An article of clothing or a blanket that smell like baby may help let down the milk. Pumping should be done as often as a mother would breastfeed her infant.
  3. Pump each breast for approximately 10-15 minutes until the milk stops flowing.
  4. Collect milk in appropriate containers. Make sure the container is sterilized and it is labeled with date and time of expression. This will help to remember the order of the milk was pumped.
  5. The expressed breast milk should be stored in refrigerator or freezer. Frozen milk should be stored in small amount, for example 60 to 125 ml. Fresh milk can be stored up to 48 hours in the fridge whereas frozen can be store up to 6 months.
  6. Defrost frozen milk overnight in refrigerator or run under warm running water. Do not microwave or place breast milk in hot water because this will destroy its immunological components. Don’t forget to test temperature of the breast milk before feeding the baby.
  7. After the feeding, discard any unfinished breast milk.

Nutrition Needs for Mom during Breastfeeding

In general, a breastfeeding mom needs 400 to 500 extra calories per day for the first 12 months because the production of breast milk requires energy. However, if you have gained more weight than you should have during pregnancy, you can add more calories only when you really need them. Eat when you are hungry and stop when you are full.

Below is a chart that shows the nutrition needs of a breastfeeding mom.

Nutrients Breastfeedign Mom Source
Vitamin A, C, E You need more vitamin A, vitamin C, vitamin E than when you were pregnant. Vitamin A: carrots, sweet potatoes, apricots, pumpkins, mangos, milk, cheese

Vitamin C: kiwifruit, orange, grapefruit, mangos, strawberry, broccoli, tomato

Vitamin E: wheat germ, corn oil, olive oil, almonds, soy oil

B Vitamins The needs for B vitamins remain the same as they were during pregnancy.

Folate You need a little less folate than you were during pregnancy. Dark green vegetables such as spinach, broccoli, whole fortified grains
Calcium Your calcium needs remain the same as when you were pregnant.
Iron You need less iron. However if you have anemic, you may require additional iron. Please check with your doctor.
Fibre Your fibre needs remain unchanged.

Breastfeeding Positions

There are many ways you can hold your baby while breastfeeding. In whatever position you choose, your baby should have easy access to your breast and you should feel relaxed during breastfeeding. Below are four main breastfeeding positions which most women feel comfortable with.

- Cross Cradle Position

- Foot-ball Position

- Side-lying Position

- Cradle Position

Potential Issues with Breastfeeding and Their Solutions

Breastfeeding is the best way to feed your baby, but that’s not to say that the natural way always feels natural and goes without a hitch. There are problems many mothers face when starting to breastfeed their child and other problems develop down the road as new developmental stages develop.

A Poor Latch

The first problem many mothers face is a poor latch. When a baby doesn’t hold the nipple correctly in his mouth, it can be frustrating for the baby who can’t get the food he’s desperately seeking and exquisitely painful for the mother. A poor latch can result in painful breastfeeding and even extremes such as cracked and bleeding nipples.

A lactation consultant or pediatrician can show you the correct way to latch your baby onto the nipple if you are having trouble. Resolve latching issues as quickly as possible as this issue can spell the end to breastfeeding if both mother and baby are overwhelmed and frustrated. When latching, the baby should open his mouth wide to take in the nipple. Almost the entire nipple enters the mouth with the point of the nipple facing slightly up. If your baby latches incorrectly, break the seal his little mouth creates by slipping a pinky between your breast and his mouth and try again. Keep trying until you get it right, otherwise, you’ll be in serious pain and your baby might not get enough to eat.

Inverted Nipples

If your nipples pull in instead of pointing out, your baby might have a hard time getting latched on. You can help resolve this by using a nipple shield. This gives your nipple the shape the baby needs for a correct latch. As the two of you get more familiar with the process over time, you can remove the shield to see if he’s able to latch effectively without it.

Engorgement

When you don’t feed your baby fast enough, or when your body steps up milk production, your breasts will swell with milk until they are hard and painful. If they get too hard, your baby will have a difficult time latching on, but the only real solution is to have your baby nurse or to pump away the extra milk. If your baby can’t latch onto your engorged breast, express some of the milk using your palm to apply pressure on top of the breast. This might reduce the hardness. Once he starts feeding the pressure should continue to reduce. Pumping with a breast pump can reduce the engorgement as well, plus you get milk to store, which is always a plus.

Chapped Nipples

After a few days you might notice that your nipples are chapped and possibly cracking or bleeding. This might have to do with a poor latch if pressure is distributed wrongly, but if your latch is fine, it is more likely due to combination of conditions that causes chapped lips. Baby’s little mouth leaves your nipples wet and the abrasion on your bra or breast pad irritates and dries out the tender skin until it becomes chapped. When this happen, don’t use petroleum jelly as it isn’t safe for your baby. Instead use a product designed for this situation. Lanolin is a product that creates a heavy duty moisture barrier that is safe for baby. Once the chapping is resolved, you can prevent it by continue to use just a dab of lanolin or by allowing your breasts to air dry before putting on your bra after a feeding.

Mastitis

Mastitis is an infection of the breast tissue that can make you feel sick as if you are having a flu. Redness, heat, swelling and tenderness of the breast are signs of mastitis in a breast. It is normally only in one breast at a time, and you are safe to feed your baby while you have mastitis unless your doctor tells you otherwise. In fact it could be your baby who is causing the infection due to the contact of a foreign body.

Use warm heat on the affected area and have your baby nurse more often. Try to empty the breast completely. If this doesn’t work, see your doctor who will give you antibiotics and prescription. Do not ignore mastitis; it can lead to abbesses in the breast which might require surgery to drain together with very strong antibiotics.

The Health Benefits of Breastfeeding to Both Mother and Child

Breast milk is the perfect baby food for your baby. Breast milk is very easy to digest and it has all the nutrients that meet the needs of an infant for the first 6 months. Undoubtedly, breast milk is an unequalled source of nutrition for a baby. Breastfeeding not only offers a number of significant health benefits to an infant, it also provides several benefits for mom.

Breastfeeding offers many health benefits for the baby. The benefits to the baby from breastfeeding, may include, but are not limited to:

  • a decreased chance of developing allergies;
  • an improved fatty acid profile in the blood, which can prevent heart disease in later years;
  • improved immunity against ear infection, lower respiratory tract infection and diarrhea;
  • better bone health;
  • some protection against cancer;
  • protection against diseases such as inflammatory bowel disease.

The health benefits for women who breastfeed are:

  • experience close bonding and psychological well-being that breastfeeding provides
  • may experience less stress or anxiety during breastfeeding. This is due to the release of hormones such as oxytocin and prolactin, which provides calming effects
  • protection against developing diabetes and heart disease
  • a reduced risk of osteoporosis later in life
  • a decreased risk of breast, ovarian and endometrial cancers
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