Important things to know about your baby’s feeding patterns.
It is important that Moms stop worrying so much about breastfeeding routine and also stop looking at the clock, and start concentrating more on baby. A strict schedule is not needed, think of the way you eat during the day... Would you like it if someone took your snacks away?
Feeding Cues in Baby (when you know your baby is hungry)
• Rooting:Turning of the head towards the side or opening the mouth.
• Wriggling: Moving around.
• Sucking: Sucking on anything baby can, including their own hands.
• Fussiness: Being restless.
• Crying: This is the last sign of hunger. A parent should not wait until baby is crying as this can cause them to gulp while feeding.
Frequency of Feeds
This is from the time baby starts a feed until the next time baby starts a feed.
What is the average feeding frequency?
average newborns will drink between 8 – 12 times per 24 hours, but it
is also totally normal for a newborn to breastfeed every hour or once
every 4 hours. It is also normal if baby drinks more during certain
times and less at other times. Very few babies will adopt a specific
pattern (for example eating exactly every three hours).
Cluster Feeding in Connection with Feeding Patterns
This is when a baby feeds every half hour for a few hours at a time; they usually sleep for long periods of time afterwards. Cluster feeding usually occurs in the evening hours. Cluster feeding can also occur in children that are a few months of age, not only newborns.
Growth Spurts in Connection with Feeding Patterns
is a period of increased growth in baby. During this time a baby will
usually drink more often than usual. This is so that the mother can
build a bigger supply of milk for baby's increased needs during this time.
Time Baby Spends at One Nursing Session
babies take 5 or 10 minutes to finish whilst others may take 45 minutes
or longer. As a baby gets older, he/she may start breastfeeding for
shorter periods of time and also may start feeding at regular intervals.
Feeding a Newborn on Demand has its Advantages;
• Baby practices to nurse.
• The risk of jaundice in a baby that breastfeeds often, is less. Read more on Jaundice and breastfeeding.
• Feeding often will help Mom's uterus return to its normal size quicker and reduces the chances of hemorrhage.
• It prevents engorgement, which is common in the first few days. Read more on engorgement here.
• It establishes a good milk supply.
mother should not restrict the time baby spends on a breast. It is best
to allow baby to breastfeed until he/she has decided they have had
enough, and then change sides if necessary. Doing this will ensure that
baby receives the fattier hind-milk, which is the milk produced later on
in a feed. Read more on hindmilk/foremilk imbalance here.
Suck Swallow Ratio in Connection with Feeding Patterns
is how many times a baby sucks before swallowing. The most effective
milk transfer is when baby sucks once and then swallows once; 1: 1 ratio.
This is called "nutritive sucking". When a baby starts to suck for
comfort it is called "non-nutritive sucking" or "flutter sucking", this
usually has a ratio of 5:1 (five sucks and one swallow)
Is my Baby Getting Enough Milk? Yes, if...
• Baby is gaining weight;
• Baby seems satisfied after feeding;
• Baby is having the right amount of stools and urine nappies for their specific age;
• Mom's nipples are pain free, which means that baby is latching on well, for efficient milk transfer;
• There are signs of let down of milk;
• Baby does not show signs of dehydration.
Signs that Baby has Had Enough Milk (is satiated)
• Baby will fall asleep. Baby might stay attached or come off the breast on his/her own.
• Baby starts to comfort feed with a higher suck to swallow ratio as mentioned above.
Bowel Movements (stools)
babies may have a bowel movement immediately after, or even during a
feed. After a few months, this frequency becomes less and some breastfed
babies may have only one stool every 7 to 8 days. This is because
breast milk is so easily digested.
How Much Does My Baby Need to Drink?
newborn baby’s tummy can only hold about two tablespoons of fluid. This
is why a baby only needs a little colostrum, the first few days. As Mom's milk supply increases, so does baby’s stomach capacity. Colostrum
is also so much more concentrated than formula, or even mature breast
milk. This is why only small amounts are needed.
babies are also born with extra fluid in their cells, to compensate for
the small amounts taken in during the first few days of life. The extra
fluid leaves the body once it is not needed anymore.
Baby Spitting Up
up is mostly a laundry problem and not a health problem unless if baby is
not gaining weight, is not having a few wet nappies daily and if baby
seems unhappy most of the time.
Reasons Why Your Baby Might be Spitting Up…
Normal immaturity of the sphincter muscles that keep food from
returning up the stomach. This is the norm in most babies. Half of all
babies will spit up at least once per day.
• Overfeeding, if the baby is bottle-fed.
• Overactive let-down (fast flow of breast milk)
• Food sensitivities such as a sensitivity to cow protein through the mother's diet.
Baby should not be gagging, choking or projectile vomiting. These are signs of Reflux. (GERD) read more on acid reflux here.
Signs of a Let Down Reflex.
is the sensation a mother feels when her milk starts to flow. The flow
of milk is triggered by the hormone Oxytocin. A let down may occur a few
times during one feed.
• Some Moms feel a tingling
feeling or even a sharp pain or cramp in the breasts or armpits. Some Moms may not feel a let down at all.
• When milk starts to leak from the breast that baby is not drinking from.
• Swallowing sounds from baby.
• When milk becomes visible on baby’s mouth.
• Baby swallows more often (low swallow suck ratio)
Tracy Ann Behr, CBC, CLD, (CBI)
Resource: Course information through childbirthinternational.com on breastfeeding problems / feeding patterns.
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Site by BFeeding Mamma, Tracy Behr. Currently studying through Child birth International (CBC, CBD). Also an accomplished author and Mommy of two.