Home > Babies and Toddlers > Babies > Feeding Your Baby > Breastfeeding > Common Concerns During the Early Weeks of Breastfeeding

Common Concerns During the Early Weeks of Breastfeeding

Many nondemanding, sleepy babies do better with a few simple breastfeeding modifications. If the infant does not sustain suckling very long, it is preferable to restrict her nursing to only five minutes per breast. Babies generally take more milk nursing for a shorter duration at both breasts than nursing a little longer on one side only. An exception to this recommendation is the sleepy infant who cannot be enticed to take the second breast after being removed from the first side. In this case, letting the baby nurse longer on the first breast is preferable to interrupting nursing on the first side and then having the baby refuse the second side altogether.

If your baby sucks vigorously for only a few minutes and then stops, try arousing her and switching her to the other breast. You can keep her on the first breast as long as she swallows after every couple of sucks. When her swallowing slows down or she starts to doze off, remove her from the breast, try to bring her to a more wakeful state, and switch her to the other side. This "switch nursing" method will provide her with more milk than allowing her to drift off at the first breast.

Is My Baby Getting Enough Milk?
Even though you can't see exactly how much milk your baby takes while nursing, observant parents usually can tell whether breastfeeding is off to a good start. If your baby can latch on to both breasts well, nurses often with frequent audible swallowing, seems contented after feedings, wets six or more diapers, and has at least four yellow bowel movements each day, she is probably thriving. The following questionnaire developed at the Lactation Program in Denver has proved useful in distinguishing whether breastfeeding is off to a successful start or whether additional help is necessary. If you have any concerns, call your baby's doctor and arrange to have your infant weighed. Remember, if a problem is caught early, it is easier to solve.

Early Breastfeeding Screening Form
Please complete this screening form when your baby is four to six days old. If you circle any answers in the right-hand column, call your baby's doctor to arrange for further evaluation. The earlier problems are identified, the easier they are to correct. Ask your doctor to refer you to a lactation consultant who can observe your nursing technique and provide one-on-one assistance.

Do you feel breastfeeding is going well for you so far? Yes No
Has your milk come in yet? (That is, did your breastsget firm and full between the second and fourth post-partum days?) Yes No
Is your baby able to latch on to your breast withoutdifficulty? Yes No
Is your baby able to sustain rhythmic sucking for atleast ten minutes total per feeding? Yes No
Does your baby usually demand to feed? (Answer "No"if you have a sleepy baby who needs to be awakenedfor most feedings.) Yes No
Does your baby usually nurse at both breasts at eachfeeding? Yes No
Does your baby nurse approximately every two tothree hours, with no more than one longer interval ofup to five hours at night? (at least eight nursings eachtwenty-four hours?) Yes No
Do your breasts feel full before feedings? Yes No
Do your breasts feel softer after feedings? Yes No
Are your nipples extremely sore? (for example, causingyou to dread feedings?) No Yes
Is your baby having yellow, seedy bowel movementsthat look like cottage cheese and mustard? Yes No
Is your baby having at least four good-size bowelmovements each day? (that is, more than a "stain" onthe diaper?) Yes No
Is your baby wetting his/her diaper at least six timeseach day? Yes No
Does your baby appear hungry after most feedings?(that is, crying, sucking hands, rooting, often needinga pacifier?) No Yes
Do you hear rhythmic suckling and swallowing whileyour baby nurses? Yes No

Copyright © Lactation Program, Denver, CO. Used with permission.

Next: Page 3 >>

From Dr. Mom's Guide to Breastfeeding by Marianne R. Neifert. Copyright © 1998 by Marianne R. Neifert. Used by arrangement with Plume, a member of Penguin Group (USA) Inc.

To order this book visit Amazon.


Special Books for the Kids You Love
Celebrate 20 years of sharing love to the moon and back with the anniversary edition of Guess How Much I Love You, one of the world’s best-loved picture books. Plus, search our Book Finder for more great book picks. Brought to you by Candlewick Press.

Vote Now for the Children's & Teen Choice Book Awards
Voting is open now through May 3 for the Children's and Teen Choice Book Awards — the only national book awards program where the winning author, illustrator, and books of the year are selected by young readers. Encourage your child to vote for his favorites today!

Top 10 Math & Science Apps for Your Whiz Kid
Looking for the best math and science apps for kids? Check out these cool apps for all ages, which will grow your child's love of the STEM subjects (science, technology, engineering, and math).

Registered for Kindergarten — Now What?
Wondering what to do now that you've signed your child up for kindergarten? Try our award-winning Kindergarten Readiness app! This easy-to-use checklist comes with games and activities to help your child build essential skills for kindergarten. Download the Kindergarten Readiness app today!

stay connected

Sign up for our free email newsletters and receive the latest advice and information on all things parenting.

Enter your email address to sign up or manage your account.

Facebook icon Facebook icon Follow Us on Pinterest

editor’s picks