Newborn baby cluster feeding all night
Why Babies Do It and How to Manage It – Dreamland Baby
If you have a new baby who spends the entire evening or night attached to your breasts, never seeming satisfied no matter how many times you feed them, you’re probably wondering what’s going on. It's likely your baby is going through a period of cluster feeding...and it’s completely normal.
Cluster feeding is most common in younger babies and often presents itself in the evening and night hours. Here we’ll discuss more about what cluster feeding is, why your young infant requires so many feeds during a short time, and how to manage this exhausting time period with your hungry, little babe.
What is cluster feeding?Cluster feeding is when your breastfed baby nurses several times during a short window of time. With these back-to-back nursing sessions, it can feel like your baby is feeding non-stop. Formula-fed babies can cluster feed, too, but it is more common in breastfed babies.
There isn’t one reason that babies cluster feed, but it often signals the mother’s body to make more milk. If a baby isn’t getting as much breast milk as they need to get full, they will continue to nurse until they are able to get the nutrition that they need.
Growth spurts, as we write about here, are a time when a baby may be more apt to cluster feed. Typical ages during the infant stage that you may see these occur are 2-3 weeks, 6 weeks and 3-4 months. Older babies don’t generally cluster feed even when they are going through a growth spurt.
Are you looking for a better swaddle for your baby? Check out our weighted sleep swaddle as seen on Shark Tank.
Why do babies cluster feed so much at night?Cluster feeding can happen at any time, but it’s much more common in the evening and through the night. Probably not what you want to hear, right?! You can have a perfect day with your baby, where everything is following the “schedule” to a T, and all of a sudden 5 o’clock hits and your baby wants nothing else but to nurse.
Though it’s likely that your baby is cluster feeding due to a growth spurt or just requiring more milk from you to get full, it’s not always about nutrition. Babies also can be really tired in the evenings and nursing gives them comfort.
Though this isn’t true for all pairings, a baby may need to nurse from her mom more in the evening because she isn’t getting a full feeding from one session like she does at other times of days when the breasts are fuller. According to Lactiful, “A mother’s body typically produces more milk in the morning, and less as the day goes on. This is normal. Therefore, as evening nears it’s normal for baby to ask for more frequent feedings.”
Your baby’s need to cluster feed shouldn’t be a sign that you have a low milk supply. Instead nurse them as they need, and your body should respond by producing more milk over the course of the next several days.
Benefits of Nightly Cluster FeedingWhen you just fed your baby 30 minutes ago and they seem to be asking for the breast again, you may mistakenly think that hunger isn’t the issue. If your baby is upset and nursing calms them, then that’s your sign that they need to feed again. We know these back-to-back nursing sessions can be exhausting, but it’s important that you let them happen.
(If your baby still cries when you offer the breast, you may have a situation where your baby has colic. We recommend reading, “Helping a Baby With Colic: Identifying Symptoms and 10 Soothing Tips.”)
Encouraging cluster feeding when they need it will ensure your baby has enough milk. It will also allow your body to start producing the milk required to keep up with your baby’s nutritional needs going forward. Cluster feeding is temporary, so managing it in a way that keeps you both as relaxed through it as possible, the better.
7 Tips to Manage the Nightly Cluster FeedingsCluster feeding can run you ragged if you let it. And if you’re feeling overwhelmed by it, you’re not alone.
When you’re stuck in the phase where your baby is constantly latched to you it’s difficult to imagine a life beyond that where you have your body and more time back. But it is temporary - usually only lasting on and off for a month or two. In the meantime, the best thing you can do is accept that your baby will need to cluster feed and then focus on managing it in a way that allows you to stay relaxed through it as much as you can.
We’re not going to sit here and tell you to enjoy every moment, but we will tell you that setting realistic expectations for this time will set it up to be a much more positive experience.
1.) Expect It and Plan Ahead
Crossing your fingers and hoping this is the night that your baby decides to stop cluster feeding is only going to serve to let you down. It’s much better to go into your day expecting your baby to cluster feed as they have been and this will help you prepare for when that hour comes.
It’s much better to set realistic expectations for the situation so you don’t end up overwhelmed and frustrated. That way, instead of eyeing the clock and anxiously holding your breath, you can instead plan that time according to your baby’s needs. For example, if you know that your baby typically cluster feeds between 6 and 8, plan to set up shop on the couch during that time. Reframe this time as when you’re not able to get anything accomplished to a time you can just relax and provide comfort to your baby.
2.) Vary Your Breastfeeding Positions
Because your baby latches on so many times during a cluster feed, your nipples can take a beating. Not only do you want to be taking care of your breasts by using lanolin and nursing pads, but changing up the position you feed your baby in can help, too.
Changing nursing positions switches up the angle that your baby is taking your breast, meaning there’s less likelihood of a lot of irritation building in one spot. If you do find the pain to be unbearable, however, it’s important to reach out to a lactation consultant.
Side-lying breastfeeding is a great option. This allows you to lay in your bed to nurse, helping you to relax during these times when your baby won’t let you do anything else but nurse them.
3.) Keep Up with Baby's Bedtime Routine
The last thing we want is for you to feel guilty if you miss any steps of your bedtime routine. But it is important to do as much as you can between your baby’s feeds. This will continue to signal to your baby that nighttime is for sleeping, ensuring that when your baby’s cluster feeding period is over they’ll move right back into their old routine.
On top of that, your baby has come to expect their bedtime routine and it’s calming for them. Sticking with your baby’s bedtime routine is a great way to get them relaxed and ready for bed as you give them those last feeds of the day...which can extend the time before they’ll wake up to feed again.
To calm your baby at night we recommend:
- Swaddling in a Dreamland Baby Weighted Swaddle (or a Weighted Sack if your baby is already rolling over) - the all-over quilted weight of this unique sleep sack will induce feelings of calm for a baby as they top off their milk for the night and prepare for sleep
- Turning out the lights - the stimulation of light may keep your baby up and feeding, which is why we recommend doing later evening cluster feeds in your baby’s dark room
- Singing or using white noise - Utilizing music is a great way to calm your baby as we discuss in this article
Use a Dreamland Baby Weighted Swaddle or Sack to calm your baby during cluster feeds so they'll fall asleep faster and stay asleep longer.
4.) Try Baby Wearing
Your baby’s need to cluster feed isn’t always about getting more calories. Sometimes they just want to be close to you or have become overstimulated from the day. (It may even be that they need to be laid down for a catnap.)
If you’ve attempted cluster feeding but your baby still seems unhappy, you may want to try wearing your baby through the evening hours. If you utilize a carrier that positions your baby in a way that they can still breastfeed (the Baby K’Tan is great for this), this allows them to cluster feed at their leisure or pull off when they’re no longer hungry. Wearing your baby can get you through some tough evenings - it keeps your baby happy and you’re able to accomplish what you need to get done.
5.) Prep Dinner in the Morning
Your baby may be one of the many who insists on being at the breast starting in the early evening all the way until bedtime. This can make getting dinner ready difficult if that task falls on you. One of the best things you can do for yourself is to have dinner ready ahead of time.
Making Crock-pot meals in the morning that are ready to spoon out will make this time of day much less stressful - especially if you have other little mouths in the house to feed. At the very least, having everything chopped and ready to go will cut down your dinner making time, meaning you’ll have more time to be with your baby. This will help ensure you get fed, too - because if you’re not taking care of you first, it’s very hard to give the best care you can to your little one.
6.) Utilize a Dream Feed
If you have a baby who is frequently waking up at night to feed, utilizing cluster feeding sessions in the evening alongside a dream feed before you head to bed is a great way to help your baby sleep longer stretches at night.
Essentially, you'll feed your baby one last time right before you go to bed. This will likely mean getting them out of their crib and getting them to stir just enough that they'll take a full feed. That's the gist, but we have an entire post about how to dream feed here.
A dream feed will help top your baby off one last time before bed and will reduce the number of times they'll need to feed in the middle of the night.
7.) Take a Break
Even for the most flexible, easygoing moms, cluster feeding can be a lot. It's exhausting feeling like you're doing everything you can to satisfy your baby and they're still hungry. Remind yourself that it's temporary helps, but in the moment it feels like it will never end.
It's important that you give yourself a break, even if it's short. Pass your little one off to your partner and take a bath or go for a walk. You'll want to avoid giving a bottle simply because in order for your milk supply to increase as your baby requires, you'll need that breast stimulation from the cluster feeds. But try to utilize any spare time between feeds to let chores go and give yourself a little "me time" or take a little nap. This will go along way with staying positive even when your baby needs to feed multiple times in the evening or overnight.
How long does cluster feeding last?
Cluster feeding is normal behavior for newborns and typically happens during growth spurts. So while your baby used to feel satisfied in a more predictable pattern (around every 2-3 hours throughout the day), expect more back to back feedings at around 3 weeks old, 6 weeks old, 3 months and 6 months. Keep in mind that every baby is different, so these dates are not one size fits all. But as growth spurts occur, it means that their little brains and bodies are developing, and that extra feeding helps.
In terms of how long a cluster feed might last, well… you may start to feel like a feeding machine. It could be as much as every half hour and/or for longer periods of time, more frequently. But the more your baby eats, the more your milk supply will increase and eventually, things will feel more “normal” again.
What ages do babies cluster feed?
Babies usually cluster feed when they are experiencing a growth spurt. While every baby is different and reaches milestones in their own time, it’s likely that growth spurts happen at around 3 weeks, 6 weeks, 3 months, and 6 months. Growth spurts really can happen at any time and will usually last a few days each time.
How often do newborns cluster feed?
In those early days and weeks of parenting, it may seem like all you’re doing with your newborn is watching her sleep, poop, and eat… and that may actually be the case. A newborn eats at least every 2 hours or so, and spends a good 10-15 on each breast. This averages out to around 20-30 minutes per meal (this includes if you’re bottle feeding). So while not necessarily considered a cluster feed, your newborn will eat a LOT in the beginning as they grow, develop, and get used to life outside of the womb.
Why do babies cluster feed at night?
Some babies cluster feed at night not because they’re hungry, but because it’s comforting. Since feeding is also frequently a part of the nighttime routine, the combination of skin-on-skin contact, eating, and snuggling can be soothing to them which can help them fall asleep for a longer period of time.
Some parents feel that their milk isn’t coming in during evening hours as much as it did during the day, so babies may take longer to nurse. Don’t let this worry you! The more you nurse, the more your milk supply will increase so baby will get the extra milk they need.
Do babies sleep longer after cluster feeding?
Some babies may sleep longer after cluster feeding because they’re going through a growth spurt. This can feel exhausting – to both mom and baby! So a little extra zzz’s due to cluster feeding is a good thing.
When do you stop cluster feeding?
By the time your little one reaches the 6-month mark, chances are they’re done with cluster feeding. Remember, every baby is different and develops at their own pace, so don’t worry if she wants to keep cluster feeding for a few more weeks. Of course, if you’re concerned at all about how much, how little or how frequent she’s eating, please discuss with your pediatrician.
How do you break cluster feeding?
It’s important to remember that there’s a reason your baby is cluster feeding in the first place. It’s because the growth spurt they’re experiencing requires more food to help baby develop and grow. This can be stressful as you may start to feel like a feeding machine. Remember to give yourself a break, rely on your partner or friends/family for support, and practice self-care when you can. Cluster feeding typically doesn’t last past 6-months as older babies don’t generally cluster feed when they are going through a growth spurt.
See our other favorite posts for further reading:- Weighted Sleep Sack Safety and How It Will Help Your Baby Sleep
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Is your baby cluster feeding all night? Surviving cluster feeding
Home › Breastfeeding › Is your baby cluster feeding all night? Surviving cluster feeding
If you are breastfeeding a new baby, congratulations! I promise you’re doing great. But if you’re worried because it seems like your baby is feeding every hour at night, it’s okay. Your newborn is just cluster feeding.
Don’t worry, cluster feeding is not bad. In fact, most newborns (and even older babies) cluster feed at night. This is totally normal; in fact, it’s important to helping your little one grow. Cluster feeding usually stops after a few days.
Totally overwhelmed about how to nurse your little one? Make sure you grab Breastfeeding 101, my free quick start guide for you.
Disclosure: This article contains affiliate links. As an Amazon Associate I earn from qualifying purchases. You can read my full policy here.
However, if your baby’s all-night snacking is causing you to lose sleep, you may be wondering, How long does cluster feeding last? Will I be doing this forever? Don’t worry; there are ways to get extra rest and manage it so you stay sane.
Table of Contents
What is cluster feeding?
Cluster feeding is when your baby feeds almost constantly for a stretch of a few hours. You may feel like your little one is constantly on your boob.
If your newborn feeds for a little while, unlatches, maybe dozes, then gets fussy and wants to nurse again… only to do the whole cycle over and over again, that’s cluster feeding.
RELATED: Newborn breastfeeding – 12 tips
RELATED: 8 surprising facts about your newborn
Cluster feeding is frustrating not only because your little one wants to nurse constantly, but they also seem to be fussier during times that they’re cluster feeding. But don’t worry; everything is okay.
Why do babies cluster feed?
Babies cluster feed for all sorts of reasons. We’ll discuss some of them here.
Cluster feeding during a growth spurt
The most common reason for it (especially if you feel like your 3 week old is feeding every hour) is simply a growth spurt.
Your baby has periods of super rapid growth, both physically and mentally. And when they have these growth spurts, they have to get the extra energy from somewhere… That would be you, mama.
And while cluster feeding at 6 weeks or 9 weeks may be most noticeable (that’s because it coincides with a fussy developmental phase known as purple crying), it actually can happen at several times of your baby’s life.
RELATED: Purple crying: When your baby won’t stop crying
Breast capacity
Of course, your baby can cluster feed for other reasons too. You may simply have a breast structure where you have lower breast storage capacity. While you never “run out” of milk (milk is like a river, not a bucket; it’s always flowing), it might be that you run low more easily than some other moms.
Think of breast storage like two people working in the garden: Each has a water hose, and each has a bucket. Both of their hoses produce a gallon of water per minute. But one person has a one gallon bucket, while the other person has a 5 gallon bucket.
Both of them can take 10 gallons of water from to their garden in 10 minutes. The difference is, one person will have to make 10 trips to the garden, while the other person only makes 2 trips.
So whether you have a small breast capacity or a larger one, it’s okay. It just means your baby may nurse more often.
Baby is teething or sick
If your baby is unwell, they may nurse more often. First of all, they need to stay hydrated, so they need to nurse often. Secondly, you produce antibodies and white blood cells in your breast milk that are specifically designed to help them fight off germs.
Baby wants to connect
Simply put, breastfeeding is comforting for your baby. Breastfeeding causes you both to release oxytocin, the bonding hormone that calms you down and even relieves pain.
And if you work outside the home, your little one may take fewer bottles during the day, instead cluster feeding at night once you’re back together. Unfortunately, this behavior can be really hard to deal with when you’re already exhausted from work and baby.
Is cluster feeding bad?
As a new parent, it can be frustrating when your baby seems to want to feed non-stop. And if you aren’t confident in your breastfeeding ability, cluster feeding may really scare you: Is my milk drying up?
RELATED: Is my milk drying up? Help!
While cluster feeding it may seem like a problem, it’s actually an important part of your baby’s development.
RELATED: How to know if my breastfed baby is eating enough
By nursing frequently, your baby is sending signals to your body to increase milk production. And if your newborn is cluster feeding all night, that’s actually okay too.
Generally, your supply is lowest in the evening and night, so it makes sense that your baby would want to nurse more. Plus, your body produces the most prolactin (the hormone that boosts milk production) at night. That means night feeds are especially helpful for your milk supply.
In addition, cluster feeding often occurs before a growth spurt, where babies need extra nourishment to support their rapid development. So rather than viewing cluster feeding as a nuisance, try to see it as a natural part of your baby’s growth process.
How long does cluster feeding last?
Cluster feeding, where your baby wants to eat constantly for a few days, can be exhausting for both you and your little one. While it may seem like it will never end, the good news is that it typically only lasts 2-3 days. You may feel like you have a tiny piranha for a few days, but after that, your little one may actually sleep extra.
After this intense period of feeding, your milk supply will increase, but with your baby snoozing instead of eating, it has nowhere to go!
For this reason, your breasts may become engorged and tender. It is important to continue to breastfeed or pump regularly to avoid any discomfort or complications like a clogged duct or mastitis.
At the same time, don’t pump so much that you keep your supply up at this high level. Instead, only pump (or hand express) just enough to get relief. Acetaminophen can take the edge off of the worst engorgement pain, but make sure you mostly focus on emptying your breasts as needed.
When do babies cluster feed?
Although cluster feeding only lasts for 2-3 days at a time, that doesn’t mean it’s a one and done deal. Your baby will have these growth spurts at several stages of their development. Here’s the cluster feeding timeline.
Their first cluster feed will come quickly – at 7-10 days old. After that, you can follow the rule of 3 for cluster feeds and growth spurts: 3 weeks, 6 weeks, 9 weeks, then 3 months, 6 months, and 9 months. There will be another growth spurt right as your baby turns one.
RELATED: Breastfeeding a 1 year old
So if your 3 week old is nursing every hour, that’s totally normal. Exhausting, but normal.
How to cope with cluster feeding at night
Any parent of a newborn knows that cluster feeding is a common occurrence, especially at night. This can be frustrating for exhausted parents who are trying to get some rest, but there are some things that can be done to help cope with the situation.
Keep perspective
First, it is important to stay calm and realize that this is only a temporary phase. I know, easier said than done, but if you can remember that it will get better, it will help a lot.
Another important note if you have a partner at home with you: The two of you are on the same team. It’s easy to become short tempered with one another and blame each other for everything when you’re tired
Get help
While you’re likely the only one feeding your baby, you can get help in other parts of life. See if someone else can take care of older siblings’ bedtimes while you nurse.
If you have family or friends who are willing to bring you a meal or even have carry out deliver, that would be great. Even better would be if they made a double batch: One meal for now, and one to freeze for later.
Stay hydrated
You hear it all the time, but it’s true: Hydration is everything, especially when you’re nursing! It’s easy to forget to drink anything when you’re holding a baby all the time, but that’s why you should always have a giant water bottle on hand.
Be prepared
Set up a nursing station with your water, some snacks, a few burp cloths, and whatever else you may need. Snuggle down for the evening (until your bed time), find a favorite show to binge watch, and just relax.
RELATED: Must-haves for the fourth trimester
NOTE: If you are so tired that you are afraid you will fall asleep with your baby, do not stay in a recliner or on a sofa to try to keep yourself awake. If you fall asleep and your baby gets wedged in between cushions, it could be disastrous. It is safer to fall asleep with your baby on a flat, firm surface than on a couch or chair.
Consider how to co-sleep safely
It is much easier to handle the frequent wakings of a cluster feeding baby if you are room sharing with them. For many parents, the easiest thing is to have a co-sleeper beside the bed (these are my favorites).
RELATED: The best non-toxic co sleeper bassinets
I know bed sharing is a very controversial topic in the United States. With that said, if you are exclusively breastfeeding, there’s no smokers in your home, and you are free from the influence of drugs or alcohol, there are ways to co sleep with your child safely on a firm surface.
RELATED: Bed sharing safely with the cuddle curl
Tips for getting through the cluster feeding stage
If your baby is cluster feeding all night, remember that it’s a normal and developmentally appropriate behavior for your baby. It can be exhausting, but it won’t last forever. You can do this!
If you need some extra support, my Breastfeeding 101 quick start guide can help get you off to a great breastfeeding relationship with your baby. Remember – cluster feeding won’t last forever. Hang in there!
Samantha Radford has a PhD in Chemistry from Emory University (Atlanta, GA). She is an exposure scientist who focuses on maternal-child health. Samantha has years of research into learning about how chemical exposures affect both unborn babies and children, as well as how toxicants and medications are passed through breastmilk. Samantha also studies the effect of exposure to hormones induced by personal experiences, for example, cortisol in babies who are stressed or oxytocin in mothers bonding to their infants. Through the years, Samantha has expanded her academic and personal studies to how exposures to different parenting styles affect the mental and physical health of children as they grow to adulthood.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 increasing 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 chicken 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 the 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 routine, 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 feed, a hungry baby actively sucks on 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,” explains Cathy. “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,” Kathy 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 to breastfeed very often for several hours, this is called cluster feeding. 6 The peak often occurs in the evening between 18:00 and 22:00, just 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 adult help 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
“Nobody 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 Camille, 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 - 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 begin 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 ; Dec 2017 [ cited 2018 Feb ] - 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. Clin Transl immunology. 2013;2(4). - Hassiot F. et al., "Infectious diseases of the mother and child stimulate a rapid leukocyte reaction in breast milk." Clean Transl Immunology. 2013;2(4):e3.
15 Li DP et al. Breastfeeding and ovarian cancer risk: a systematic review and meta-analysis of 40 epidemiological studies. Asian Pac J Cancer Prev . 2014;15(12):4829-4837. - Lee D.P. et al., "Breastfeeding and the risk of ovarian cancer: a systematic review and meta-analysis of 40 epidemiological studies." Asia Pas J Cancer Prev. 2014;15(12):4829-4837.
until what age to feed a baby at night
Breast milk is the ideal food for babies, so every mother should strive to maintain breastfeeding for as long as possible. But if for some reason it is impossible, it is important to choose high-quality breast milk substitutes and the optimal feeding regimen, close to the natural rhythm of breastfeeding. The younger the baby, the more often he needs food. Newborn children need to be fed several times at night, older children, from about six months, once. After a year, children can already sleep at night without waking up for feeding.
Why do newborns eat at night?
In the womb, the baby receives nourishment through the umbilical cord continuously, without separation between day and night. After birth, the volume of the baby's stomach is very small, so he cannot get enough nutrients and vitamins and minerals at one meal. Therefore, the baby needs to eat often, in small portions, so that there is no regurgitation and digestive problems.
Another argument in favor of frequent feedings is a very intensive metabolism in an infant. This is necessary to provide the body with the necessary building blocks and energy during a period of very rapid growth and development. In the first year of life, growth processes are maximum in speed, and in order for a baby to triple its weight by a year and grow by 50% of its original height, it needs to eat often and a lot.
Proper nighttime feeding of babies
Even 20 years ago there was a recommendation to maintain a break at night (from midnight to six in the morning), not to feed the baby. This was explained by the fact that the stomach needs rest, and you need to “deceive” it with some water or give it a pacifier. But today it is already known for sure that the stomach is equally active both during the day and at night. In early childhood, circadian rhythms have not yet been formed and the digestive system works around the clock.
Today, doctors recommend feeding a newborn on demand - he himself determines when to eat and how much milk to suck out for feeding. In the first 2-3 months, a child can wake up up to 3-4 times a night (between 9 pm and 6 am) to attach to the breast, up to six months - up to three times, after six months - once, less often twice.
- When breastfeeding, it is recommended to feed the baby on demand, including at night, giving up the practice of "hungry" motion sickness, the use of pacifiers or water.
- For mixed-fed babies at night, breastfeeding should be preferred. This will also help stimulate lactation in order to increase the amount of milk secreted during the day.
- Formula-fed infants should be fed every 3 hours. Let's say a break of 4-5 hours if this is a child older than 3-4 months.
Until what age should I feed my baby at night?
Many parents think that as complementary foods are introduced, the baby no longer needs nighttime feedings, because he can be fed during the daytime. Yes, of course, the baby already receives more dense food - vegetable, cereal, meat complementary foods. But this does not mean at all that he will not want to eat at night.
In the daytime, children eat a variety of complementary foods, and at night they have a need to attach to the breast, to get enough of breast milk. After all, the number of attachments to the breast in the daytime gradually decreases, and babies can compensate for this by waking up at night to feed.
If a child is breast-fed, he may have 1 to 3 nightly feedings until the end of lactation (to fall asleep, actually at night, to calm down and fall asleep). If a child is on artificial nutrition, after a year, milk formulas are almost replaced by other products. Most often, children drink cow's milk or fermented milk products at night, special mixtures for children of the second year of life (“threes” or “fours”).
Most children under three wake up at least once during the night to eat. This is quite normal and does not require any radical intervention from the parents.
Should my baby be weaned from night feedings?
This issue is quite complicated and it is solved individually. Up to a year, if the child himself does not refuse night feedings, they should not be removed. After a year, this issue must be addressed individually, based on indicators of height and weight, the level of physical and neuropsychic development. If the baby was born prematurely or gained weight at the lower limits of the norm in the first year of life, it is worth leaving feeding in the second year so that the child receives more nutrients for growth and weight gain.
If a decision is made to wean a child from night feedings, one should not take radical measures, arrange battles with crying and tantrums. It is not worth practicing methods of the “cry and stop” type, they negatively affect the psyche, disrupt the baby’s sleep, provoke capriciousness, irritability. Night tantrums will not benefit other family members either.
To wean a baby from night feedings, it is necessary to create conditions when the child does not want to eat during the night.