Newborn baby feeding every hour
Is your newborn feeding every hour and not sleeping?
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If your newborn is never able to go 2 to 3 hours between feedings, your baby may be snacking all day instead of getting full feedings. Let’s talk about newborns and full feedings.
As a new mom, I thought “feed on demand” meant that I was supposed to feed Ella anytime she cried, no matter the reason. At every whimper, I’d offer a feeding - she would pop on, nurse a bit, and pop off. I didn’t realize that she was snacking instead of getting a full feeding.
In those early days, I didn’t know how to read my newborn’s sleepy cues and so I interpreted every cue as hunger. I didn’t have the tools to help her when she was tired. This was actually leading to poor feedings and a whole lot of snacking. She was feeding every hour and not sleeping.
Feeding and sleep are so interrelated, which is why I’m so glad to have lactation consultants and counselors on my team. I asked Blakely, an IBCLC on the Taking Cara Babies team, to talk about some of the most common questions surrounding snacking, full feedings, and sleep. I’d love for you to hear from Blakely before we dive into all of the details.
Why are full feedings so important for babies (and parents)?#
1. Full feedings lead to a baby who is content between feedings.
2. Full feedings allow for parents and babies to enjoy active awake time.
3. Full feedings help us respond to hunger needs appropriately instead of assuming every cry is a hunger cry.
4. Full feedings allow for adequate daytime calories which allows for more consolidated sleep at night. Let me show you this example:
5.
When nursing, full feedings help babies get the perfect balance of protein and fat that is vital for growth and development.
For breastfeeding Moms, those first few weeks are establishing your milk supply. Full feedings can help with this because the more milk that is removed, the more milk your body produces.
Is snacking the same as cluster feeding?#
Snacking and cluster feeding are different. There can be times during the day when your baby feeds closer together. This is generally in the late afternoon or evening and is often called cluster feeding. This can be normal for both nursing and bottle fed babies. The difference between cluster feeding and snacking is that snacking is happening all day, whereas cluster feeding happens closer together for a portion of the day.
How do I help my newborn stop eating every hour and prevent constant snacking?#
1. Know what hunger cues look like.
2. Help your baby stay awake while feeding.
Wondering how? Keep reading!
3. Try waiting 15-30 minutes before feeding. She often won’t be hungry enough to eat well if she just ate 45-60 minutes ago.
4. If you’re bottle feeding and struggling to get more than an ounce or two, consider going up a nipple size.
Should I put my newborn on a feeding schedule?#
No, you shouldn’t. Research shows that it’s important to follow hunger cues instead of a rigid clock schedule. It’s vital that we feed our hungry baby.
How do I keep my baby awake during feedings?#
1. Undress your baby and get her skin-to-skin with you. Skin-to-skin contact encourages sucking and helps keep your baby awake while feeding. This is great for both breast and bottle-fed babies.
2. Take a quick break and lay him down in the middle of the floor. Sometimes just being away from your warm body will wake him up a bit.
3. Try rubbing a damp cloth on her face and chest.
4. Do a diaper change before a feeding and again half-way through the feeding.
5. Ensure that your baby has a proper latch.
How much should my newborn be eating in 24 hours?#
I know that so many parents want a number, but the answer is truly different for each baby.
Some questions to ask yourself if you’re concerned that your baby is not getting enough are:
Is your baby content between feedings?
Is your baby gaining weight and staying on his growth curve?
Is your baby able to go 2-3 hours between feedings?
Talk with your pediatrician if you have any concerns.
How do I know if my newborn is full?#
When your newborn is taking full feedings, it can be easier to know if they are truly full after a feeding. Here are some cues that we see when a newborn is full:
Her hands are relaxed and open instead of curled into fists.
If you lift up his arm, it drops heavily instead of your newborn pulling it back towards his body.
Your baby is content at the end of a feeding and able to go 2-3 hours before the next feeding.
Please know that you might not see all of these each time.
How do I set up a routine with my newborn?#
My First Five Months Bundle will help you do just that: set up a flexible routine that is responsive to your baby's cues. I'll walk you through setting your days and nights up for success as you lay a healthy sleep foundation with no crying involved. Let me show you how to meet your baby right where he or she is developmentally and love the newborn stage.
Be sure to give yourself and your baby grace! You and your baby are both learning together. If your baby is simply not satisfied between feedings and can never go longer than two hours between feedings, please work closely with your lactation consultant and pediatrician. They are your best resource in navigating feeding struggles. My classes are designed to help you learn how to balance those feedings and sleepy cues to help your family thrive and enjoy the newborn stage.
Cara Dumaplin
I’m a mom of four, neonatal nurse, wife of a pediatrician, and a certified pediatric sleep consultant.
My passion is teaching parents how to help their babies sleep with the expertise of a nurse and the heart of a mama so they can reclaim the joy of parenthood.
What To Do When Baby Is Feeding Every Hour (& Not Sleeping!)
What's in this post...
Is your baby feeding every hour and not napping or sleeping well? Here’s how you can handle when your little one nurses nonstop.
First let me say, mama, that the newborn period can be rough.
You feel like you were a normal human just a few short weeks ago and now, well, you’re a walking milk producer and baby just won’t settle.
You’re exhausted, weary, and ready for your newborn to sleep.
➡️ The good news is this: with a few tweaks you can stop feeding every hour.
Here’s why your baby feeds every hour
If your baby feeds every hour, they are “snacking.”
Snacking means they are drinking enough fore milk (the less nutrient dense milk that lets down first) that they are filled up enough to doze off in mama’s arms.
Or, some babies, will stop feeding after a few minutes and just stare up at you with those Big Newborn Eyes👼.
Either case… baby is snacking instead of taking a full feed.
Read These While You’re At It
How to get your baby to stop feeding every hour
If you want your baby to take full feeds, the first thing you need to do is get them on a proper newborn breastfeeding schedule.
You aren’t going to become a slave to the clock, but you’re going to stop the snacking.
Instead of cluster feeding on purpose, right now, you’re cluster feeding by accident.
How do you do that?By only feeding baby every 2.5 to 3 hours and then, at those feeds, giving baby full feeds.
Newborns will naturally only need to feed every 2.5 to 3 hours if they’re taking full feeds each time.
If your baby has a habit of snacking, they will not be the ones to stop it, you’ll have to.
Newborn Feeding Chart
Use this simple printable chart to track your feeds to make sure baby is fed, your supply is up, and everyone is well.
Here’s how to keep baby awake during breastfeeding
When baby feeds for 5 minutes then nods off, you’ll need to swoop in and keep baby awake.
This will help baby get as much milk in as possible and will help them to take better naps.
- Rub baby’s cheek
- Rub baby’s hands or feet in circular motions
- Unswaddle baby (a must if you want to avoid day night confusion)
- Use a wipe or wet wash cloth to rub on baby during feeds
- Stop feeding and hold baby up, speaking to baby
- Take baby outside or somewhere that’s a change of scenery
- Make noise, get near siblings, talk to baby
- Keep the lights on
Read: Is Sleep Training a Baby Bad or Dangerous? Let’s Talk Facts!
The reason baby doesn’t sleep well when they feed every hour
Your little one will likely not take good daytime naps if they are not taking full feeds.
They aren’t full enough to stay drowsy and asleep as they transition sleep cycles.
When they transition from active to passive sleep (or vice versa) if they aren’t full and are hungry, instead of just continuing the nap, they’ll become fully alert and ready to feed.
And then, because they only took a short nap, when you feed again for 5 to 10 minutes, they’ll be lulled back into a sleep.
➡️ Continuing the cycle of accidental cluster feeding and an overtired baby.
Related Reads:
- The Biggest Baby Sleep Myth That Backfires Every Time (And Makes Over Tired Babies)
- The Ultimate Guide To Baby Sleep Times (Naps & Bedtime)
How to stop the cycle and get on a good routine
The first thing you need to do is to stop baby from snacking every hour.
Encourage full feeds.
If baby is older than 6 weeks and wants to feed after one hour, consider offering a pacifier (we use these stuffed animal ones) instead.
This may help baby get back to sleep for a longer nap, and will mean the next time you feed baby will be hungry enough to eat a full feed.
Do the best you can.
Baby has been in the snacking habit and may resist the change, but eventually you’ll see that you have a far less whiny baby on your hands when they have full tummies and are well rested.
Read: 8 Reasons You’ve Got A Whiny Baby And What To Do About It
Sleep Little Lamb
Create sustainable sleep habits for your little lamb so the whole family can sleep peacefully without the stress, drama, and tears.
Learn More
How to get your newborn to nap better
After you make sure that baby has full feeds, you’ll want to work on the napping…
I encourage you to read my full post on baby sleep here – Foolproof Baby Sleep Tips — Routines, Habits & Strategies.
@amotherfarfromhome Follow for more tips like this one! #newmommas #momstrugglesbelike #tipsformom #mommingit #sahmom #parentcoach #mommingallday #newbornbabytips ♬ Sunroof – Nicky Youre & dazy
Here is how to approach napping with your baby:
- Newborns should only be awake for around 45 to 90 minutes at a time (including feeding!) so your newborn routine and your newborn sleep schedule should have a nap after every single feed.
- Don’t rock baby to sleep in your arms and then try to put him in the crib because when he transitions through the sleep cycles he’ll realize he’s not in your arms… and he’ll wake up early.
Read: The Top 10 Indicators It’s Time to Sleep Train
- Establish a basic routine with your baby. You can follow this newborn routine here or modify it slightly.
- Put your baby to sleep drowsy but awake.
- Establish some wind down routines for your little one prior to nap.
- Focus on cluster feeding in the late evening hours which will help baby top up and sleep better throughout the night.
- Identify any sleep props your baby has (things that prevent him from transitioning and sleeping well on his own) and replace those with sleep associations.
28 Things To Do If Baby Won’t Sleep CHECKLIST
Here’s a handy dandy list of 28 things to try so baby will stop fighting sleep and sleep longer and later..jpg)
Recap and FAQ… How to get baby to stop feeding every hour and start sleeping
Why does my baby feed every hour?
Short answer… because you let him. Encourage baby to take full feeds and then baby won’t need to feed sooner than 2.5 or 3 hours between feeds throughout the day.
Perhaps even less at night.
Is ten minutes a full feed?
Probably not.
If baby will feed for ten minutes then nap and wake up to feed around 2.5 hours later, it might be.
My daughter fed no longer than 15 minutes per feed, but she could go 3 hours between feeds so, for her, it was a full feed.
Why does my baby want to breastfeed constantly?
If your baby wants to feed constantly, but never feeds that much, then it’s likely an association between feeding and comfort.
You can create other positive associations by cuddling, singing, rocking, baby massage, and other things that will help you to feel bonded to baby (so you can enjoy baby now!) but not be open for milk business all day.
Is feeding every hour cluster feeding?
Yes and no.
Cluster feeding is generally something a breastfeeding mother does on purpose in the late afternoon early evening period (feeding every 2 hours, say) to help give baby all the nutrients he needs so he will sleep later and longer.
Feeding every hour is more like an accidental cluster feeding and if baby isn’t having full feeds then it’s more like Comfort Nursing, not cluster feeding.
About those growth spurts…
Do babies feed every hour when they are going through a growth spurt?
If your baby is going through a growth spurt they will want to feed more often.
This helps your milk supply increase. It’s how you can know if baby is getting enough milk.
If baby is feeding every hour two and taking these feeds seriously – full feeds – then it’s likely a growth spurt or milk supply issue.
Or if baby is trying to feed every hour or two and only feeding for five minutes here or there, it’s not likely a growth spurt.
Why does my baby nurse for 5 minutes and then cry?
This could be a number of things.
Baby could have reflux or you could have hyper-lactation.
Baby could have uncomfortable gas.
Or baby could have a food sensitivity to something you’ve eaten. If this persists past a few days, I’d go in to the doctor and rule out the above causes.
Newborn Feeding Chart
Use this simple printable chart to track your feeds to make sure baby is fed, your supply is up, and everyone is well.
Milk supply?
Why does my baby always seem hungry and never satisfied?
This could be your milk supply. Here’s how to know if baby is getting enough milk.
Could be that baby is going through a growth spurt which means baby is more hungry.
Baby might be teething and eating is not comfortable so he’s not feeding well and in pain. Try pain management for babies who are going through teething.
Why is my newborn feeding for hours on end?
Short answer: they don’t.
They may stay at the breast for a long time, but that doesn’t mean they are actively feeding.
If your baby will take a pacifier you’ll see that they will also suck at the pacifier while sleeping.
Encourage your baby to be awake for feeds and then, after 30 to 45 minutes, take baby off the breast and let them take a nap in their own crib.
Sources:
- The importance of schedules and routines
- Routines minimize chaos which promotes resilience and regulation
- Routines indicators of predictable family life contributing to childhood development
::
The child asks for food every hour: feed according to the regimen or on demand?
Kizino Polina Aleksandrovna
pediatrician, perinatal psychologist
What should and should not be done if a newborn baby asks for food every hour? Polina Kizino, a pediatrician and leading expert of the Smart Mama online school, gives advice on breast milk and formula feeding, as well as on cluster feeding of an infant, which will help even experienced mothers.
— Polina Alexandrovna, why does the child ask for food every hour?
— A child needs frequent feedings at certain periods of his life and development. Here, the main problem is that often mothers do not distinguish between the child's need for food and his anxiety for other reasons. For them, a fussy baby is always hungry and needs to be fed. But acting by mistake, you can go beyond the norm.
— Is it worth keeping a baby's diet at all and how to avoid overeating?
— When breastfeeding, a baby can suck out different amounts of milk in different feedings and get hungry a little earlier or a little later, so a nursing mother needs to trust the baby more and follow his needs. The mixture stays in the baby's stomach a little longer than breast milk, and to avoid overfeeding, clear intervals between bottles are introduced. Mixed feeding will be something between breastfeeding and artificial feeding.
Overeating in a small child is rare.
In extreme cases, if so much is eaten that the stomach does not hold food, the baby will spit up an extra amount of milk or formula.
Read also
- How much and how often to feed the baby day and night, and whether to set feeding hours.
How often to feed a newborn
— Why is the baby constantly hungry? And what if he often asks for food at night?
— With night feedings, you need to be careful and careful. When a baby asks for food and is fed every hour, this is called cluster feeding. It is acceptable for one or two days, but if this happens for a long time, it is not normal.
The problem is that frequent "snacking" may be a constant violation of the regime, due to the fact that the baby does not receive enough attention from his mother. He may be full, but he needs to make contact with his mother, kiss her breast and thus relieve his anxiety. Therefore, you need to analyze the situation and try to understand why night feedings occur.
- Is it rational to reduce the amount of milk depending on the intervals between feedings?
— In the first month, you should not increase the intervals: on the contrary, you should try to stimulate lactation so that by the month it becomes mature. When a baby eats every three hours, and the mother suddenly takes a break, for example, at nine o'clock, this can affect the amount of milk later.
The baby is definitely growing. And if he received breasts at intervals of three hours quite regularly, then with the introduction of complementary foods, one feeding goes away, and the break becomes longer. With a systematic and gradual reduction in feeding, milk production adjusts to the rhythm of the baby's nutrition. The alternation of large intervals and frequent applications can negatively affect lactation. The body gets used to the lack of stimulation, and then it will be more difficult to increase the amount of milk in multiple feedings. Therefore, it is better to go to reduce breastfeeding gradually.
— Is feeding according to the schedule always a good thing?
- Feeding at the same time can be both a plus and a minus. Mom is calm, trying to adapt to the children's routine and understands what awaits her in the near future. The baby also adjusts to a certain routine, which gradually prepares him for complementary foods on schedule.
The disadvantages begin when the mother artificially tries to adhere to the regime, not relying on the needs of her baby and not “feeling” him. Even under a regime, allowance must be made for new circumstances. And if a child has a need for food, he does not need to refuse, especially a very small one who still does not know how to wait for physiological reasons.
— How to determine how much to give during one feeding?
- When breastfeeding, it makes no sense to calculate the volume, and it is difficult to measure it. On artificial feeding, the calculation is based on the age and weight of the baby.
Usually, the amount of food per day is calculated: it is divided by the number of feedings at the moment. For example, if a child eats every three hours, then the volume is divided by eight or seven, and for older babies - by fewer feedings. Each age has its own formulas and calculations.
Approximate amount of infant formula by age and frequency of feedings
— How can you tell if a baby is gaining weight?
- We discussed earlier that at each age there are average norms (range) of weight gain. But gains above the norm does not mean the threat of obesity. Physiological features, height-weight proportions of the baby are taken into account. Even if the weight gain prevails over the increase in height, it is still not necessary to restrict the child in nutrition. It is important to meet his nutritional needs and not replace the milk/formula with water or dilute the formula with more water to reduce its calorie content. When nutrition is adequate, and the correct feeding regimen and eating behavior has developed in the family, as the child grows and masters new skills, the child will begin to expend more energy, and the reserves accumulated in previous months will quickly be used up.
— When is it time for an overweight baby to see a doctor?
— Babies under one year old are seen by a pediatrician every month. At the appointment, the doctor can look at more pronounced weight gain and discuss whether the child is active enough for his age or needs stimulation. After all, it happens that babies are ready to crawl and roll over, and parents leave them to sit in a deck chair without the possibility of moving, or children spend a lot of time in a stroller, where they are also unable to realize their motor needs.
Don't forget about endocrine diseases that lead to obesity, although they occur very rarely. If necessary, the pediatrician will prescribe a consultation with an endocrinologist.
— What advice does the World Health Organization give about feeding children?
- WHO says baby should be breastfed on demand. He wants to eat every 40-60 minutes - you need to feed and not wait until he stops asking for a breast or the time between feedings is maintained.
However, a child's anxiety does not always indicate that he is hungry. Breastfeeding is not only about nutrition, but also about interaction. Sometimes breastfeeding becomes a satisfaction of the need not so much for food as for communication. If the child lacks attention, affection, care, then he can ask for a breast much more often, because at the time of feeding he has the opportunity to closely contact his mother.
— What are cluster feedings and why do they occur?
— Cluster feedings have been talked about relatively recently. These are situations when the baby is applied to the breast very often for some time, literally "hanging on the chest" to be with his mother.
Peculiarities of cluster feeding:
- are often observed in babies of the first month of life;
- may appear in two to three months or recur sooner;
- often coincide with growth spurts, when the baby's excitability increases, he learns new skills, receives a lot of information from the outside;
- usually last one or two days, and if it drags on, then it is necessary to analyze the sleep and wakefulness regimen, the presence of overvoltage, the adequacy of the child's nutrition and, if necessary, take measures;
- are not related to the mother's diet - however, in such a rather difficult period, it is desirable that the mother does not have aggravating factors in the form of a strict diet, which will negatively affect her well-being and mood.
A small child depends on his mother. When his level of anxiety rises due to certain changes in the body, he wants his mother to be around as often and as long as possible. Being on his chest for a long time, he calms down. This condition is normal for a child, and there is no need to wait for him to stop asking for breasts or asking for pens. You need to come to terms with the fact that there are such periods in the life of a baby, and organize your life in such a way that frequent cluster feedings do not interfere (slings and other carriers help).
Cluster feedings occur less often on artificial feeding, because the baby does not associate food with mother as closely as with natural feeding. Mom has other ways of interacting with her baby that compensate for communication during feeding. Feeding on such days usually takes place, but the baby spends more time in her arms, and the mother is more actively involved in his life and pays more attention to him.
It is impossible and unnecessary to feed the child chaotically all the time.
When breastfeeding, it is important to take into account the needs of the baby and try to choose something between a regimen and its complete absence. Artificial feeding is easier - the ideal regimen depends on the frequency of feeding in accordance with the age and weight of the baby. When a child begins to ask for food every hour, the first thing to decide is whether he is hungry or has some other need. There are times when a baby needs a mother and he needs more communication, a change in position, a feeding place. This is the norm, not a disease that needs to be treated. Mom needs to carefully observe her baby, learn to feel his needs, and everything will be in order.
*The ideal food for a baby is mother's milk. WHO recommends exclusive breastfeeding for the first 6 months. MAMAKO ® supports this recommendation. Before introducing new foods into your baby's diet, consult with a specialist.
* 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.
#advice for mom #breastfeeding
See also
Diet and menu for a one year old baby
#Food #transfer to common table
Shalunova Anastasia Ivanovna
member of the Russian Union of Nutritionists, Nutritionists and Food Industry Specialists
Formula-fed regimen
#Advice for Mom
Kizino Polina Alexandrovna
pediatrician, perinatal psychologist
Night feedings of a bottle-fed baby
#Advice for Mom
Kizino Polina Alexandrovna
pediatrician, perinatal psychologist
See all
View all
Night feedings of a bottle-fed baby
# Tips for mom
Kizino Polina Alexandrovna
pediatrician, perinatal psychologist
Formula-fed regimen
# Tips for mom
Kizino Polina Alexandrovna
pediatrician, perinatal psychologist
See all
View all
View all
Diet and menu for a one year old baby
# Lure # transfer to the general table
Shalunova Anastasia Ivanovna
member of the Russian Union of Nutritionists, Nutritionists and Food Industry Specialists
See all
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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
Share this information
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 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 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, exactly 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 sudden 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 assistance 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 anxiety - 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 - 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 will most likely be resolved by this time, 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 developing certain types of cancer. 15
“When you feel like you're pushing yourself, try to go from feed to feed and day to day,” advises 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.
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