Is My Breastfeeding Baby Getting Enough to Eat?

A new parent's biggest concern is often about how much or how often the baby nurses.

Here are some guidelines to help you know if your baby is getting enough:

Your newborn baby should nurse 8 - 12 times in 24 hours during the first 2 - 3 weeks.

Some feedings may be close together, even an hour or so apart. Other feedings will be less frequent.  Feeding do not need to be evenly spaced and are often not in newborn.  Wake your baby if he doesn't awaken to feed within 3 hours during the day. Night time feedings can be less frequent.

Remember, you are looking for 8 - 12 feedings daily. As your baby gets older, feedings may be less frequent.

Count the number of wet diapers your baby has. Six to eight wet diapers with pale yellow urine indicate an adequate intake. Your baby should also have several stools per day. Older babies may void and stool less. However, the urine should always be a light yellow color and the stool should be soft.

Babies generally lose a little weight in the first few days after birth and then begin to gain. This is a normal pattern.  Have your baby's weight checked a couple of times during the first 2 weeks, especially if you are concerned that your baby is not eating enough.  A check of his weight is the only sure way to determine adequate intake.

Signs of Hunger

Rooting
Mouthing movements
Tense appearance
Grunting, other sounds
Hand-to-mouth activity
Kicking, waving arms
Crying

Signs of a good latch-on

Relatively comfortable, latch-on pain subsides quickly
Lips at the breast at least 140O angle or greater
All or most of the areola in the baby’s mouth
Lips flanged

Signs of a good feeding

Hearing swallowing
Noticing that the breasts are softer after feedings
6-8 wet diapers per day 
Feeling strong, deep, "pulling", sucking
Seeing milk in your baby’s mouth
Leaking from the other breast or feeling of a "let-down" reflex
15 - 20 minutes vigorous sucking on each breast or 20 - 30
minutes on one side

Signs the Baby is Full

Drowsiness, sleepiness
Baby comes off the breast spontaneously
Relaxed appearance

You need to see your physician or a Lactation Consultant if:

1. Your baby has not begun to gain weight by his fifth day after birth or has not regained his birth weight by 2 weeks
2.  Your baby is not voiding at least 6 - 8 times per day
3.  Your baby is not having several stools per day

These signs can indicate inadequate feedings and can become a serious concern if not corrected quickly. You may wish to keep a written record of when your baby voids, stools and feeds for a few days so you can accurately report this to your health care provider.  Please seek help if your problem does not resolve quickly. Call your physician or make an appointment to see a Lactation Consultant.

Please remember that this is general breastfeeding information only and does not replace the advice of your health care practitioner.  If you have a problem that you are not able to resolve, seek the help of an experienced lactation consultant.