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3 week old baby how long between feeds


Breastfeeding FAQs: How Much and How Often (for Parents)

Breastfeeding is a natural thing to do, but it still comes with its fair share of questions. Here's what you need to know about how often and how long to breastfeed your baby.

How Often Should I Breastfeed?

Newborn babies should breastfeed 8–12 times per day for about the first month. Breast milk is easily digested, so newborns are hungry often. Frequent feedings helps stimulate your milk production during the first few weeks.

By the time your baby is 1–2 months old, he or she probably will nurse 7–9 times a day.

In the first few weeks of life, breastfeeding should be "on demand" (when your baby is hungry), which is about every 1-1/2 to 3 hours. As newborns get older, they'll nurse less often, and may have a more predictable schedule. Some might feed every 90 minutes, whereas others might go 2–3 hours between feedings.

Newborns should not go more than about 4 hours without feeding, even overnight.

How Do I Count the Time Between Feedings?

Count the length of time between feedings from the time your baby begins to nurse (rather than at the end) to when your little one starts nursing again. In other words, when your doctor asks how often your baby is feeding, you can say "about every 2 hours" if your first feeding started at 6 a.m., the next feeding was around 8 a.m., then 10 a.m., and so on.

Especially at first, you might feel like you're nursing around the clock, which is normal. Soon enough, your baby will go longer between feedings.

How Long Does Nursing Take?

Newborns may nurse for up to 20 minutes or longer on one or both breasts. As babies get older and more skilled at breastfeeding, they may take about 5–10 minutes on each side.

How long it takes to breastfeed depends on you, your baby, and other things, such as whether:

  • your milk supply has come in (this usually happens 2–5 days after birth)
  • your let-down reflex (which causes milk to flow from the nipple) happens right away or after a few minutes into a feeding
  • your milk flow is slow or fast
  • the baby has a good latch, taking in as much as possible of your areola (the dark circle of skin around your nipple)
  • your baby begins gulping right away or takes it slow
  • your baby is sleepy or distracted

Call your doctor if you're worried that your baby's feedings seem too short or too long.

When Should I Alternate Breasts?

Alternate breasts and try to give each one the same amount of nursing time throughout the day. This helps to keep up your milk supply in both breasts and prevents painful engorgement (when your breasts overfill with milk).

You may switch breasts in the middle of each feeding and then alternate which breast you offer first for each feeding. Can't remember where your baby last nursed? It can help to attach a reminder — like a safety pin or small ribbon — to your bra strap so you'll know which breast your baby last nursed on. Then, start with that breast at the next feeding. Or, keep a notebook handy or use a breastfeeding app to keep track of how your baby feeds.

Your baby may like switching breasts at each feeding or prefer to nurse just on one side. If so, then offer the other breast at the next feeding. Do whatever works best and is the most comfortable for you and your baby.

How Often Should I Burp My Baby During Feedings?

After your baby finishes on one side, try burping before switching breasts. Sometimes, the movement alone can be enough to cause a baby to burp.

Some infants need more burping, others less, and it can vary from feeding to feeding.

If your baby spits up a lot, try burping more often. While it's normal for infants to "spit up" a small amount after eating or during burping, a baby should not vomit after feeding. If your baby throws up all or most of a feeding, there could be a problem that needs medical care. If you're worried that your baby is spitting up too much, call your doctor.

Why Is My Baby Hungrier Than Usual?

When babies go through a period of rapid growth (called a growth spurt), they want to eat more than usual. These can happen at any time. But in the early months, growth spurts often happen when a baby is:

  • 7–14 days old
  • 2 months old
  • 4 months old
  • 6 months old

During these times and whenever your baby seems extra hungry, follow your little one's hunger cues. You may need to breastfeed more often for a while.

How Long Should I Breastfeed My Baby?

That's a personal choice. Experts recommend that babies be breastfed exclusively (without formula, water, juice, non–breast milk, or food) for the first 6 months. Then, breastfeeding can continue until 12 months (and beyond) if it's working for you and your baby.

Breastfeeding has many benefits for mom and baby both. Studies show that breastfeeding can lessen a baby's chances of diarrhea, ear infections, and bacterial meningitis, or make symptoms less severe. Breastfeeding also may protect children from sudden infant death syndrome (SIDS), diabetes, obesity, and asthma.

For moms, breastfeeding burns calories and helps shrink the uterus. In fact, breastfeeding moms might return to their pre–pregnancy shape and weight quicker. Breastfeeding also helps lower a woman's risk of diseases like:

  • breast cancer
  • high blood pressure
  • diabetes
  • heart disease

It also might help protect moms from uterine cancer and ovarian cancer.

Newborn Baby: Development and Milestones

Newborn Baby

Congratulations on your new baby! Now it's time to figure out parenthood: the feeding, the bathing, the diaper changing and oh… the sleeping! Relax, you'll get the hang of everything. Just don't freak out if adjusting to this new life doesn't "come naturally"—it can take a little longer for some than others. These first few weeks with your newborn baby are about resting, recovering and getting to know baby, as you and your partner figure out how to navigate life with this amazing new addition to your family!

In this article:
At birth
1-week-old baby
2-week-old baby
3-week-old baby
4-week-old baby

At Birth

Newborn development

Your newborn’s arms and legs are still curled in the fetal position—that's temporary. Their ways of communicating? Cries, grunts, sneezes and hiccups.

Average weight for a baby at birth is 7.1 pounds for girls and 7. 4 pounds for boys. Average length is 19.3 inches for girls and 19.6 inches for boys, according to the World Health Organization.

1-Week-Old Baby

1-week-old baby development

It’s normal for a baby to lose up to 10 percent of their birth weight in the first week of life—it’s just because they've lost the extra fluids they had at birth, so don’t get nervous by the dip in the scales.

At birth, baby’s head may have looked misshapen from their trip down the birth canal, but it should have rounded out within a few days. Baby’s skull has two soft spots, called fontanels. The umbilical cord is still attached, and you’ll want to keep the area dry until it falls off.

1-week-old baby milestones

You and baby are getting settled in at home and developing a new routine. Baby should have their first outing—if you both feel ready. A walk around the block in the fresh air is a much better idea than going somewhere crowded and germy.

1-week-old baby food

Breastfeeding: A one-week-old baby is feeding on formula or breast milk around the clock—at least every two to three hours—but sometimes it can seem like more than that! Some breastfed babies cluster feed, which means they feed really often in order to boost Mom’s milk supply. That’s normal; go with it. If you’re pumping breast milk, your baby will likely take about two or three ounces per feeding.

Wondering how long should a one-week-old baby breastfeed for? We know it’s hard, but don’t watch the clock while breastfeeding! First offer baby one breast, and make sure they're latched on well. If your newborn still seems hungry after that breast is soft and they seemed to finish off that milk, offer the other one. Baby will stop when they're full. At the next feeding, start with the opposite breast. It’s common for the feeding to take around 20 to 40 minutes but that’s not set in stone. Seems vague, we know, but that’s really how it works!

Formula-feeding: If you're formula-feeding, follow baby’s cues, but about two to three ounces of formula about once every three to four hours should be about right.

Worried baby’s not drinking enough breast milk or formula? Keep an eye on how many wet diapers they have: Baby should be wetting at least five to eight diapers per day.

What should I give a 1-week-old baby for constipation?

Doctors advise seeking a doctor’s care if a baby under a month old is constipated—not to treat it yourself. So make the call to the pediatrician right away.

Newborn feeding schedule

Image: Megan Rubey

1-week-old baby sleep

A one-week-old baby sleeps most of the day, waking every two or three hours to chow down (then, they're likely back to snoozing again.)

It’s hard to say how much sleep for a 4-day-old, or how much a 5-day-old or a 1-week-old baby should sleep, but it’s pretty typical to be about 16 to 20 hours per day. And they usually don’t sleep more than two to four hours at a time.

Waking happens around the clock because baby still hasn’t learned to differentiate between day and night. Try to keep things bright and playful throughout the day, and dark and relaxed at night, so baby (hopefully) starts to see the difference.

Always put your baby to sleep on their back, and make sure the crib is free of soft or fluffy bedding and other objects, to reduce the risk of SIDS.

Newborn sleep schedule

Image: Megan Rubey

2-Week-Old Baby

2-week-old baby development

By the end of the second week, baby should have about regained their birth weight. Notice a 2-week-old growth spurt? Babies tend to have a growth spurt around the end of the first week or beginning of the second week. You’ll know when it happens because baby will want to feed what feels like all. the. time.

2-week-old baby milestones

• Sometime within two to three weeks post-birth, baby’s umbilical cord will fall off, which means baby will be ready for their first real bath.

• How far can babies see at 2 weeks? Your newborn can see your face when you’re holding them close—babies’ sight at 2 weeks old is best from between 8 and 12 inches away.

• Okay, so there’s a lot of sleeping going on. You might wonder: "Do babies dream at 2 weeks old?" While, we can’t be sure what they’re dreaming about, experts believe they probably do.

2-week-old baby food

How often should a 2-week-old eat, and how much should they be eating? You’re on a constant loop, it seems, feeding baby when they cry. Luckily, babies tend to instinctively know when they need to eat. A breastfed baby should be nursing about eight to 12 times during a 24-hour period.

If you're formula-feeding, baby should continue to eat about two to three ounces every three to four hours.

2-week-old baby sleep

Wondering how much 2-week-old babies sleep? They tend to sleep around 16 hours a day, which seems like a lot but since they’re still waking around the clock, you’re still probably totally exhausted.

2-week-old baby schedule

Two-week-old baby activities can begin to include tummy time. Give baby just two or three short sessions per day of tummy time on the floor, so they get a taste of being on their stomach. Eventually, you can increase the time they spend on their tummy—it will help their arms and neck get stronger, and it could help prevent flat head syndrome.

Can a 2-week-old baby go outside? Yes! It’s up to you when you feel comfortable taking baby out, but we recommend it, as long as the weather’s not extremely hot or cold. Baby could use some fresh air, and you could probably use a short walk. If you’re concerned about strangers getting too close, consider wearing baby in a newborn carrier.

3-Week-Old Baby

3-week-old baby development

It’s common to experience a 3-week-old baby growth spurt, so be ready for a couple days with a whole lot of feedings!

Baby might be awake more often and alert than they were the first couple weeks. This sound like fun, but it’s also a shock that your former little sleepyhead suddenly cries so much! Here’s your chance to get to know baby better. Do the usual checks to figure out how to calm them: hunger, dirty or wet diaper, discomfort, gas, etc. The more baby sees you coming to their aid when they're crying, the more you two will bond. (There’s no such thing as “spoiling” a newborn!) Unfortunately, colic symptoms may appear around this time. Colic is when baby cries often, seemingly for no reason at all. Get the scoop on how colic is diagnosed and what to do if you have a colicky baby.

3-week-old baby milestones

• Baby’s sight at 3 weeks is still a little blurry. As baby tries to focus, you may notice their eyes looking crossed. That’s totally normal for this age—as long as both eyes are moving (one doesn’t seem stuck still) and there aren’t any windshield-wiper-like eye motions. Baby’s eyes should look much straighter by the time they're 6 months old. (If not, talk to the doctor.)

• Cool fact: Baby now recognizes your voice, your smell and how you look.

3-week-old baby food

The answer to the question: How much should a 3-week-old eat? Well, it’s not always so simple. Every baby is different, of course. Plus, don’t you have some meals when you’re starving and some when you want to eat light?

Pay attention to baby—they’ll communicate with you when they're hungry (crying, lip smacking, “rooting” or turning their head in search for a nipple), and they’ll stop eating when they're not.

Breastfeeding: How often should a 3-week-old baby breastfeed? Still about 8 to 12 times per 24-hour period. Right now, baby may still be waking every three to four hours at night, but if they starts sleeping longer (yay!), it’s okay to let them, so long as there are no issues with their weight gain. But be sure you’re still always fitting in 8 to 12 daily feedings.

A 3-week-old nursing schedule can’t be set to a clock—though if you love routine, you wish you could. Feed on demand. That means responding to baby’s signals when they're ready to cuddle up and nurse.

Formula-feeding: How much formula at 3 weeks should baby have? You might start bumping up baby’s formula servings to three to four ounces every three to four hours. Until the end of the first month, don’t let baby go more than five hours without a feeding. Yep, wake them up if you have to.

3-week-old baby sleep

Your 3-week-old still sleeps in spurts, but you may notice the spurts getting a little bit shorter. As baby begins to be awake for more hours in a day, continue to make daytime interactions more exciting and interesting than nighttime ones. By showing baby that being awake at night is kind of boring, you may set them up for future sleeping through the night.

How much should a 3-week-old sleep? A typical 3-week-old baby may sleep about 16 hours per day, but remember some babies are sleepier than others.

3-week-old baby schedule

For your 3-week-old, a regular “schedule” isn’t really realistic. (In other words, a typical 3-week-old baby schedule is no schedule at all.) You’re still getting to know each other! Plus the fact that they're a little more alert now might be tripping up your routine a bit. Follow baby’s cues for when they're hungry and tired, and you’ll be fine. It’s amazing how much your instincts will kick in and how much you’ll know what baby needs and wants when. When you don’t know, use trial and error. Every new parent does!

4-Week-Old Baby

4-week-old baby development

If you think there’s a 4-week growth spurt happening, you’re probably not imagining things. Doctors say somewhere around 3 to 6 weeks old, many babies start feeding more often in an effort to pack on some extra ounces. That means you’ll be at baby’s beck and call for a few days (aren’t you already anyhow?). Try to go with the flow (literally).

• How much should baby weigh at 4 weeks? Well, those spurts are paying off! The average weight of a 4-week-old baby (aka one-month old) is 9.2 pounds for girls and 9.9 pounds for boys, according to the World Health Organization. The average length is 21.1 inches for girls and 21.5 inches for boys.

• What can babies see at four weeks? Your face! Baby’s vision at 4 weeks old is still developing, so they can still just focus on things within a foot of her. Luckily, that means they get to gaze at you while you’re holding them. And baby is paying attention too. Feel free to make some silly faces to entertain them.

• Baby sight at 4 weeks favors high-contrast patterns, so now’s a good time to introduce a mobile or hanging toy with different black-and-white shapes.

• For a 4-week-old, tummy time is important. Some babies hate tummy time and basically cry throughout. Don’t let that discourage you, though. Baby needs to get used to it. Keep tummy time short (just a couple minutes or even seconds is okay for now), and try to make it fun by getting down on the floor with baby and chatting them up.

4-week-old baby milestones

Wondering what to expect from 4-week-old baby?

• Your newborn has been working on turning their head from side to side and may even start to lift their head for a second during tummy time.

• Baby keeps their hands in fists and brings them toward their face.

• Baby may even start to turn their head toward voices and noises they recognize.

4-week-old baby food

When you have a 4-week-old, feeding still takes up a huge chunk of baby’s day. These are some common feeding questions parents have during week four.

I’m formula feeding. How much should my 4-week-old eat? If you’re feeding formula, baby may have upped their intake to about four ounces every four hours.

I’m nursing. How often should a 4-week-old baby breastfeed? You should continue to feed baby every two to three hours, until they're content.

I’m pumping breast milk. How much milk should a 4-week-old drink? The amount of breast milk baby takes at each feeding has probably slowly increased over the past few weeks. If baby’s only drinking breast milk (no formula), they're probably taking about 25 ounces per day. Divide that by the number of times they feed and that’s approximately how much breast milk your newborn should get at each feeding. For example, if baby eats 10 times per day, they gets about 2.5 ounces per feeding.

4-week-old baby sleep

For a 4-week-old baby, sleep and waking still happens around the clock, though you may notice a larger chunk of it comes at night.

How long does a 4-week-old baby sleep? Four-week-old babies typically sleep about 15 to 16 hours per day. How it’s split up throughout the day depends on the baby; around three daytime naps is pretty typical, with eight-and-a-half hours of sleep probably come at night (with interruptions, of course!)

4-week-old baby schedule

Interested in a 4-week-old baby schedule? Don’t get too concerned with becoming a drill sergeant (or preschool teacher!). Baby still can’t really follow a clock and will keep tripping up your efforts to create structure.

Instead, try to create patterns throughout baby’s day that could one day evolve into a more set schedule. A common routine for a 4-week-old baby is feed, play, sleep, repeat. If baby’s day looks something like that, you’re already on your way to getting into a good daily routine.

Here’s an example of a schedule you might try to strive toward throughout the day:

Image: Megan Rubey

Newborn Baby Checklist and Tips

• Take baby to their first checkup at the pediatrician’s office, about three to five days after birth.

• Sleep when baby sleeps (as much as you can).

• Ask for help whenever you need it!

• Give baby tummy time—just a little bit for now. Three to five minute sessions, two times a day, is a good start.

Breastfeeding patterns - what to choose

— Polina Alexandrovna, what is the difference between breastfeeding, mixed and artificial feeding?

- The differences between breastfeeding from artificial and mixed clearly explain why feeding regimens differ.

- Normally, by what month should the feeding regimen be established?

- The diet is constantly changing. The older the child becomes, the larger portion of milk he eats, the smaller the frequency of feeding.

After childbirth, when the mother is lactating, the child also develops its own diet. In the first weeks, everything is quite chaotic and there is no regime as such, and the mother makes sure that the interval between breastfeedings is not more than 2.5 hours (it can be half an hour or two hours) and the child does not remain hungry. From about the second or third week, the baby has more or less regular intervals between feedings. We can say that the regime has been established. But this mode gradually changes as the baby gets older.

- What is the benefit - and what harm can be from feeding by the clock?

pros

  • The child knows when it's time to eat - the body adapts initially. It's no secret: certain enzymes are needed to digest food. When food enters the child's body regularly, his enzyme system and gastrointestinal tract adjust to the regime, and it is much easier for the child to digest food.
  • A mode of wakefulness and sleep is being formed - at every minute of time, the child understands what will happen to him.
  • Parents are not "hostage" to the baby, they have the opportunity to plan their free time - especially mothers, who always do not have enough time. The feeding regime and the regime of wakefulness and sleep make the situation very easy - at every moment the mother knows what awaits her.

Minuses

  • Mom keeps a feeding schedule, but doesn't stick to a sleeping schedule - and sets herself a trap. She can get into a situation where the baby is sleeping, and it's time to feed him. And it is not clear whether to wake the baby or let him sleep. If you choose a regimen, then it must be observed both in feeding and in laying down.
  • There are situations when it is difficult to feed the baby on time (for example, you are far from home and you do not have formula). But it is worth foreseeing everything, and there will be no problems. You just need to be able to plan everything correctly.

— How to painlessly accustom a child to an hourly feeding schedule?

For a child, the regimen is not something painful, and if we build a clear daily routine, then, believe me, it becomes comfortable not only for the mother, but also for the baby. This is absolutely normal. But in order to build a regimen, you need to understand what it should ideally be - you must plan what intervals between feedings you want to come to.

The next step is to evaluate where you are right now. For example, you would like to make the interval between feedings three hours, but the baby eats every hour and a half. Of course, if you just suddenly start to pause between feedings at three hours, nothing good will come of it - it will be very stressful for the child.

Therefore, you need to act smoothly:

  • determine point A, from which you are going, and point B, which you must come to;
  • gradually adjust to the mode that we would like to have ideally.

Transition diagram

Now the breaks between feedings are 1.5 hours, and we want 3 hours. We add five minutes each time so as not to injure the child, and at some point we take a break not at 1.5 hours, but at 1 hour 35 minutes, then at 1 hour 40 minutes and so on. The amount of food will also change a little.

- If we talk about night feeding with an hourly schedule, is it necessary to wake the baby when it's time to eat?

- Night feedings are normal for a child up to a year old.

Newborn has no division of day into day and night - there are approximate three-hour cycles. He woke up - ate - slept, woke up - ate - slept. And so every day. For a newborn baby, night feedings are the absolute norm.

For a 1 year old child Feeding 1-2 times a night is normal. But a child of a year may not eat at night.

In order to understand whether it is worth waking up and feeding the baby, you need to know how much he eats per day. Each child at each age has a certain norm - the amount of food that he should eat per day (we always count not per day, but per day).

  • If a child has eaten his norm during the day and sleeps at night, then he does not need to be awakened.
  • If child for day ate about 70% of his norm , then at night it is advisable to wake him up and feed him.

We always evaluate nutritional adequacy by weight gain.

  • If a child in one month has gained weight and height within the norm for his age, then he receives enough nutrition.
  • If a child does not gain weight and height , then he needs to be offered food more often at night so that he fits into the norm.

- If there are too many nighttime feeds on an hourly or on-demand basis, what to do about it?

- Night "snacks" do not always indicate the child's need for food. When a child asks for a breast at night, mothers mistakenly think that this is only hunger and nothing more. In fact, a child may worry at night due to a violation of the regime or the so-called negative association for sleep (when he can only fall asleep with a breast).

When there is no regime, the child "does not get enough sleep" of the daily allowance and there is a so-called accumulated fatigue, his nervous system is in a very strong excitation. In such a situation, nightly feedings every hour often indicate that the baby has a violation of the regime - it is difficult for him to get up, his nervous system is overexcited, he physically cannot fall asleep without his mother's breast.

Such night feedings can be identified easily:

  • the child wakes up every 40 minutes - 1 hour at night and asks for food, and during the day he usually eats every 3-4 hours - which means that he is unlikely to experience hunger;
  • the child eats very little at night - he kissed his breast or a bottle, ate 10-20 g and fell asleep. This means that the baby performed a certain ritual: he waited for his mother, satisfied the sucking reflex, and thanks to this he fell asleep - in such a case, he did not have a goal to eat.

With these night feeds, you need to pay attention to two factors:

  1. Sufficiency of nutrition - it is worth making sure that the child receives the required amount of food during the day, does not starve during the day and does not get at night the amount of food that should have been received during the day .
  2. Correct mode - you need to make sure that the child is all right with the mode, there is no accumulated fatigue and a negative association with sleep.

Is it normal for a child not to eat at night or very little?

“This reverse situation may or may not be the norm. It all depends on the age of the baby and on whether he receives enough food in the daytime feeding.

Newborn

It is not normal for a newborn child not to eat at night, he must eat every 2.5-3 hours. When breastfeeding, this is critically important - for the mother to establish lactation, and for the baby to replenish the reserves that he needs.

An unpleasant situation can happen in the first couple of months - the mother is glad that the baby sleeps well and does not wake up at night, and on weighing it is clear that the child not only gained a little, but did not add at all in one month, that is, he is clearly starving.

Newborn babies have this feature: if they receive very little food, they do not have the strength to ask. Therefore, it is extremely important to ensure that a newborn baby eats both day and night!

Infant

A child older than 1. 5-2 months adds weight and height within the normal range, eats all the amount of food he needs during the day, feels great, is not crying or irritated, and at the same time sleeps at night - let him sleep to his health. The most important thing is that he gains weight and height - these are the main indicators by which we can assess that the child has enough nutrition.

— If a mother prefers on-demand feeding, what is the most gentle way for her to organize it?

It is important to understand that one should not go to extremes.

First extreme:

the child sleeps for a very long time, the intervals between feedings are 5-6 hours. It seems to mom that everything is fine, but weighing shows that the child is underweight. Mom waited too long and missed the moment when the child simply stopped asking for food due to exhaustion.

Second extreme:

A 7-month-old baby eats every hour, that is, about 20 times a day. This is, of course, an abnormal situation.

When we talk about feeding on demand, we mean that there is a certain interval between feedings. It varies depending on age:

  • for a newborn baby it is about 2 hours;
  • for a child older than 1 month - approximately 3 hours;
  • closer to 4 months - 3-3.5 or 3.5-4 hours, each baby individually.

NORM - from 2 to 4 hours during the first year of a child's life, and you can deviate from this norm +/- for half an hour. If the intervals between feedings become very short (every hour) or very long (5-6 hours), we adjust them in order to stick to the norm and not go to extremes.

— If a child eats little, but often enough, then what regimen is more relevant for him?

- Little, but often - this is not quite normal. It is important to observe the daily amount of food. If a child consumes a daily norm that he needs by age, and at the same time eats little, but often, it means that either the mother does not have enough milk for the child to eat more and, accordingly, withstand long intervals, or the child is simply already used to it - He can't eat more at one time. In both cases, you need to try to slightly increase the intervals.

We can feed both on demand and on schedule - there is no fundamental difference here. But most likely, if we stay on demand, the baby will continue to feed every hour and his amount of food at a time will be quite small for his age. Therefore, you need to try to maintain a slightly longer interval between feedings and watch how much he will eat.

- There are situations when a child's regimen is disturbed for some reason - allergies, gastrointestinal upset. How soon can you return to your normal routine?

- By and large, the sooner you return to normal mode, the better. Do not worry too much if the child does not eat for several days according to the regimen, this will not affect your condition or the physical condition of the baby in any way. The most important thing is not through force and not aggressively, but very gently to return the child to the regime that he had. The clearer and longer the regime was, the easier it is to return to it.

— Why is it important to observe the feeding regimen?

— It is important to observe the feeding schedule:

  1. For parents — so that the mother is not a “hostage” of the child and understands what will happen in the near future, could plan something or leave the house. This, it would seem, is not so important for the child, but it is important for the general climate in the family, so that the mother feels relatively free, not “tied hand and foot” to her baby.
  2. For a baby - I am always for the regime and always urge parents to comply with it, because for a child everything should be predictable - he gets used to the order, is drawn into the regime and feels as comfortable as possible. Parents are comfortable when they know what will happen to them - and the baby is much easier when he knows that food or sleep is on schedule - his body begins to adjust accordingly.

— In what cases is it possible to move away from the usual feeding regimen?

— If it is possible not to deviate from the regime, then it is better not to deviate. But if this happened, do not worry, do not blame and do not reproach yourself, nothing critical will happen, even if the child does not eat according to the regimen for a couple of days. Just get back to your routine as quickly as possible and you'll be fine.

- Polina Alexandrovna, please give examples of the feeding regimen and daily diet for babies of different ages.

— There are a few things to consider when planning your baby's feeding schedule and diet.

  • The amount of food that the child should receive per day.

    Many mothers, unfortunately, mistakenly believe that the daily volume depends only on the age of the baby. But there is no universal portion, it is more in line with the weight of the baby. So, two children of the same age, but of different weights, will need different amounts of food per day. Therefore, it is quite difficult to find clear instructions on how many milliliters at a time a child should eat in each case.

  • Feeding frequency.

    In order to calculate the amount of food at one time, you need to know how much food you need per day and how many times the mother will feed the baby - that is, the frequency of his feedings. In this case, you should always focus on children's weight. I recommend scheduling meals with your pediatrician so that everything is tailored to your child's specific needs.

    • for a 2-month-old baby - 6-7 times a day and +/- 120-150 ml of breast milk eaten per feeding,
    • for a child 5-6 months - 5-6 times a day +/- 180-210 ml of breast milk eaten per feeding,

Feeding babies have larger servings, depending on weight and frequency of feedings. And you need to remember: complementary foods are not an additional amount of nutrition, it must fit into the daily norm, which corresponds to age and is redistributed between complementary foods and breast milk and / or mixture in different percentages.

A breastfeeding, formula-fed or formula-fed baby regimen is a great helper for mom and baby. The regime should not lead to additional difficulties in the family - sit with a stopwatch near the baby, wake him up at night when three hours have passed after feeding. If you adhere to the correct diet and sleep, then both the child and you will have an understanding of what will happen next at any given moment. This will make life easier for the whole family.

* Breast milk is the best food for babies. WHO recommends exclusive breastfeeding for the first 6 months of a child's life and continued breastfeeding after complementary feeding until age 2 years. Before introducing new products into the baby's diet, you should consult with a specialist. The material is for informational purposes and cannot replace the advice of a healthcare professional. For feeding children from birth. The product is certified.

Breastfeeding in the first month: what to expect

Not sure how to establish lactation and increase milk production? If you need help, support, or just want to know what to expect, read our first month breastfeeding advice

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The first weeks of breastfeeding are a very stressful period. If at times you feel like you can't handle it, know that you are not alone. Feeding your baby all day long is completely natural and helps produce breast milk, but can be quite tiring at times. Be patient, think about yourself and remember: after the first month, when milk production stabilizes, it will become easier.

How often should a baby be breastfed?

Babies are born with a small stomach that grows rapidly with the increase in milk production: in the first week it is no larger than an apricot, and after two weeks it is already the size of a large hen's egg. 1.2 Let the child eat as much as he wants and when he wants. This will help him quickly regain the weight lost after birth and grow and develop further.

“Be prepared to feed every two to three hours throughout the day. At night, the intervals between feedings can be longer: three to four or even five hours, says Cathy Garbin, a recognized international expert on breastfeeding. Some eat quickly and are satiated in 15 minutes, while others take an entire hour to feed. Do not compare your breastfeeding regimen with that of other mothers - it is very likely that there will be nothing in common between them.

At each feed, give your baby a full meal from one breast and then offer a second one, but don't worry if the baby doesn't take it. When the baby is full, he lets go of his chest and at the same time looks relaxed and satisfied - so much so that he can immediately fall asleep. The next time you feed, start on the other breast. You can monitor the order of the mammary glands during feeding using a special application.

Why does the child always ask for a breast?

The first month is usually the hardest time to breastfeed. But do not think that because the baby is constantly hungry and asks for a breast almost every 45 minutes, then you do not have enough milk.

In the first month, the baby needs to eat frequently to start and stimulate the mother's milk production. It lays the foundation for a stable milk supply in the future. 3

In addition, we must not forget that the child needs almost constant contact with his mother. The bright light and noise of the surrounding world at first frighten the baby, and only by clinging to his mother, he can calm down.

Sarah, mother of three from the UK, confirms: “Crying is not always a sign of hunger. Sometimes my kids just wanted me to be around and begged for breasts to calm them down. Use a sling. Place the cradle next to the bed. Don't look at the clock. Take advantage of every opportunity to relax. Forget about cleaning. Let those around you take care of you. And not three days, but six weeks at least! Hug your baby, enjoy the comfort - and trust your body."

Do I need to feed my baby on a schedule?

Your baby is still too young for a strict daily schedule, so
forget about breastfeeding schedules and focus on his needs.

“Volumes have been written about how to feed a baby on a schedule, but babies don't read or understand books,” Cathy says. - All children are different. Some people can eat on a schedule, but most can't. Most often, over time, the child develops his own schedule.

Some mothers report that their babies are fine with scheduled feedings, but they are probably just the few babies who would eat every four hours anyway. Adults rarely eat and drink the same foods at the same time of day - so why do we expect this from toddlers?

Offer your baby the breast at the first sign of hunger. Crying is already the last stage, so be attentive to early signs: the baby licks his lips, opens his mouth, sucks his fist, turns his head with his mouth open - looking for the breast. 4

What is a “milk flush”?

At the beginning of each feeding, a hungry baby actively suckles the nipple,
thereby stimulating the milk flow reflex - the movement of milk through the milk ducts. 5

“Nipple stimulation triggers the release of the hormone oxytocin,” Cathy explains. “Oxytocin is distributed throughout the body and causes the muscles around the milk-producing glands to contract and the milk ducts to dilate. This stimulates the flow of milk.

If the flushing reflex fails, milk will not come out. This is a hormonal response, and under stress it may not work at all or work poorly. Therefore, it is so important that you feel comfortable and calm when feeding.

“Studies show that each mother has a different rhythm of hot flashes during one feed,” Katie continues, “Oxytocin is a short-acting hormone, it breaks down in just 30-40 seconds after formation. Milk begins to flow, the baby eats, the effect of oxytocin ends, but then a new rush of milk occurs, the baby continues to suckle the breast, and this process is repeated cyclically. That is why, during feeding, the child periodically stops and rests - this is how nature intended.

The flow of milk may be accompanied by a strong sensation of movement or tingling in the chest, although 21% of mothers, according to surveys, do not feel anything at all. 5 Cathy explains: “Many women only feel the first rush of milk. If you do not feel hot flashes, do not worry: since the child eats normally, most likely, you simply do not understand that they are.

How do you know if a baby is getting enough milk?

Since it is impossible to track how much milk a baby eats while breastfeeding, mothers sometimes worry that the baby is malnourished. Trust your child and your body.

After a rush of milk, the baby usually begins to suckle more slowly. Some mothers clearly hear how the baby swallows, others do not notice it. But one way or another, the child himself will show when he is full - just watch carefully. Many babies make two or three approaches to the breast at one feeding. 6

“When a child has had enough, it is noticeable almost immediately: a kind of “milk intoxication” sets in. The baby is relaxed and makes it clear with his whole body that he is completely full, says Katie, “Diapers are another great way to assess whether the baby is getting enough milk. During this period, a breastfed baby should have at least five wet diapers a day and at least two portions of soft yellow stool, and often more. ”

From one month until weaning at six months of age, a baby's stool (if exclusively breastfed) should look the same every day: yellow, grainy, loose, and watery.

When is the child's birth weight restored?

Most newborns lose weight in the first few days of life. This is normal and should not be cause for concern. As a rule, weight is reduced by 5-7%, although some may lose up to 10%. One way or another, by 10–14 days, almost all newborns regain their birth weight. In the first three to four months, the minimum expected weight gain is an average of 150 grams per week. But one week the child may gain weight faster, and the next slower, so it is necessary that the attending physician monitor the health and growth of the baby constantly. 7.8

At the slightest doubt or signs of dehydration, such as
dark urine, no stool for more than 24 hours, retraction of the fontanel (soft spot on the head), yellowing of the skin, drowsiness, lethargy, lack of appetite (ability to four to six hours without feeding), you should immediately consult a doctor. 7

What is "cluster feeding"?

When a baby asks for a breast very often for several hours, this is called cluster feeding. 6 The peak often occurs in the evening between 18:00 and 22:00, when many babies are especially restless and need close contact with their mother. Most often, mothers complain about this in the period from two to nine weeks after childbirth. This is perfectly normal and common behavior as long as the baby is otherwise healthy, eating well, gaining weight normally, and appears content throughout the day. 9

Cluster feeding can be caused by a sharp jump in the development of the body - during this period the baby especially needs love, comfort and a sense of security. The growing brain of a child is so excited that it can be difficult for him to turn off, or it just scares the baby. 9 If a child is overworked, it is often difficult for him or her to calm down on his own, and the help of adults is needed. And breastfeeding is the best way to calm the baby, because breast milk is not only food, but also pain reliever and a source of happiness hormones. 10

“No one told me about cluster feeding, so for the first 10 days I just went crazy with worry - I was sure that my milk was not enough for the baby,” recalls Camilla, a mother from Australia, “It was a very difficult period . I was advised to pump and supplement until I finally contacted the Australian Breastfeeding Association. There they explained to me what was happening: it turned out that it was not about milk at all.

Remember, this is temporary. Try to prepare dinner for yourself in the afternoon, when the baby is fast asleep, so that in the evening, when he begins to often breastfeed, you have the opportunity to quickly warm up the food and have a snack. If you are not alone, arrange to carry and rock the baby in turns so that you have the opportunity to rest. If you have no one to turn to for help and you feel that your strength is leaving you, put the baby in the crib and rest for a few minutes, and then pick it up again.

Ask your partner, family and friends to help you with household chores, cooking and caring for older children if you have any. If possible, hire an au pair. Get as much rest as possible, eat well and drink plenty of water.

“My daughter slept a lot during the day, but from 23:00 to 5:00 the cluster feeding period began, which was very tiring,” recalls Jenal, a mother from the USA, “My husband tried his best to make life easier for me — he washed, cleaned, cooked, changed diapers, let me sleep at every opportunity and never tired of assuring me that we were doing well.

If you are concerned about the frequency of breastfeeding, it is worth contacting a specialist. “Check with a lactation consultant or doctor to see if this is indicative of any problems,” recommends Cathy. “Resist the temptation to supplement your baby with formula (unless recommended by your doctor) until you find the cause. It may not be a matter of limited milk production at all - it may be that the child is inefficiently sucking it.

When will breastfeeding become easier?

This early stage is very special and does not last long. Although sometimes it seems that there will be no end to it, rest assured: it will get easier soon! By the end of the first month, breast milk production will stabilize, and the baby will become stronger and learn to suckle better. 2.3 Any problems with latch on by this time will most likely be resolved and the body will be able to produce milk more efficiently so inflammation and leakage of milk will start to subside.

“The first four to six weeks are the hardest, but then things start to get better,” Cathy assures. It just needs to be experienced!”

The longer breastfeeding continues, the more benefits it brings, from saving on formula and improving sleep quality 11–13 to boosting your baby's immune system 14 and reducing your risk of certain cancers. 15

“When you feel like you're pushing yourself, try to go from feed to feed and day to day,” says Hannah, a UK mom. “I was sure I wouldn’t make it to eight weeks. And now I have been breastfeeding for almost 17 weeks, and I dare say it is very easy.”

Read the resource Breastfeeding beyond the first month: what to expect

Literature

1 Naveed M et al. An autopsy study of relationship between perinatal stomach capacity and birth weight. Indian J Gastroenterol .1992;11(4):156-158. - Navid M. et al., Association between prenatal gastric volume and birth weight. Autopsy. Indian J Gastroenterol. 1992;11(4):156-158.

2 Neville MC et al. Studies in human lactation: milk volumes in lactating women during the onset of lactation and full lactation . Am J Clinl Nutr . 1988;48(6):1375-1386. at the beginning and at the peak of lactation." Am F Clean Nutr. 1988;48(6):1375-1386.

3 Kent JC et al. Principles for maintaining or increasing breast milk production. J Obstet , Gynecol , & Neonatal Nurs . 2012;41(1):114-121. - Kent J.S. et al., "Principles for Maintaining and Increasing Milk Production". J Obstet Ginecol Neoneutal Nurs. 2012;41(1):114-121.

4 Australian Breastfeeding Feeding cues ; 2017 Sep [ cited 2018 Feb ]. - Australian Breastfeeding Association [Internet], Feed Ready Signals; September 2017 [cited February 2018]

5 Kent JC et al. Response of breasts to different stimulation patterns of an electric breast pump. J Human Lact . 2003;19(2):179-186. - Kent J.S. et al., Breast Response to Different Types of Electric Breast Pump Stimulation. J Human Lact (Journal of the International Association of Lactation Consultants). 2003;19(2):179-186.

6) Kent JC et al . Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics. 2006;117(3): e 387-395. - Kent J.S. et al., "Amount and frequency of breastfeeding and fat content of breast milk during the day." Pediatrix (Pediatrics). 2006;117(3):e387-95.

7 Lawrence RA, Lawrence RM. Breastfeeding: A guide for the medical profession. 7th ed. Maryland Heights MO, USA: Elsevier Mosby; 2010. 1128 p . - Lawrence R.A., Lawrence R.M., "Breastfeeding: A guide for healthcare professionals." Seventh edition. Publisher Maryland Heights , Missouri, USA: Elsevier Mosby; 2010. P. 1128.

8 World Health Organization. [Internet]. Child growth standards; 2018 [cited 2018 Feb] - World Health Organization. [Internet]. Child Growth Standards 2018 [cited February 2018].

9 Australian Breastfeeding Association . [ Internet ]. Cluster feeding and fussing babies ; - Australian Breastfeeding Association [Internet], Cluster Feeding and Screaming Babies; December 2017 [cited February 2018].

10 Moberg KU, Prime DK. Oxytocin effects in mothers and infants during breastfeeding. Infant . 2013;9(6):201-206.- Moberg K, Prime DK, "Oxytocin effects on mother and child during breastfeeding". Infant. 2013;9(6):201-206.

11 U.S. Department of Health & Human Services [Internet]. Surgeon General Breastfeeding factsheet; 2011 Jan 20 [cited 2017 Feb] - Department of Health and Human Services [Internet], "Breastfeeding Facts from the Chief Medical Officer", Jan 20, 2011 [cited Feb 2017]

12 Kendall-Tackett K et al. The effect of feeding method on sleep duration, maternal well-being, and postpartum depression. clinical lactation. 2011;1;2(2):22-26. - Kendall-Tuckett, K. et al., "Influence of feeding pattern on sleep duration, maternal well-being and the development of postpartum depression." Clinical Lactation. 2011;2(2):22-26.

13 Brown A, Harries V. Infant sleep and night feeding patterns during later infancy: Association with breastfeeding frequency, daytime complementary food intake, and infant weight. Breast Med . 2015;10(5):246-252. - Brown A., Harris W., "Night feedings and infant sleep in the first year of life and their association with feeding frequency, daytime supplementation, and infant weight." Brest Med (Breastfeeding Medicine). 2015;10(5):246-252.

14 Hassiotou F et al. Maternal and infant infections stimulate a rapid leukocyte response in breastmilk.

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