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How can you tell if your baby is getting enough milk?  Here’s what La Leche League International recommends you look for:

How can I tell if my baby is getting enough milk?

This may be the most asked question for La Leche League Leaders. It is understandable, since breasts are neither see-through nor marked off in ounces. Thank goodness there are other signs that indicate baby is getting enough milk.

Typically during the first few days, while the baby is receiving mother’s thick, immunity-boosting colostrum, he will wet only one or two diapers per day.

Once mother’s milk comes in, usually on the third or fourth day, the baby should begin to have 6-8 wet cloth diapers (5-6 wet disposable diapers) per day. (An easy way to feel the weight of a wet disposable diaper is to pour 2-4 tablespoons of water in a dry diaper.)

In addition, most young babies will have at least two to five bowel movements every 24 hours for the first several months, although some babies will switch to less frequent but large bowel movements at about 6 weeks.

A baby that is sleeping rather than feeding every 2-3 hours or is generally lethargic may need to be assessed by a health care provider to make sure that he is adequately hydrated.

These are additional important signs that indicate your baby is receiving enough milk:

  • The baby nurses frequently averaging at least 8-12 feedings per 24-hour period.
  • The baby is allowed to determine the length of the feeding, which may be 10 to 20 minutes per breast or longer.
  • Baby’s swallowing sounds are audible as he is breastfeeding.
  • The baby should gain at least 4-7 ounces per week after the fourth day of life.
  • The baby will be alert and active, appear healthy, have good color, firm skin, and will be growing in length and head circumference.

The physical act of breastfeeding is more than the quantity of milk that is supplied, as you will find once you hold your baby in your arms. Breastfeeding is warmth, nutrition, and mother’s love all rolled into one. Understanding and appreciating the signs of knowing when your baby is getting enough to eat is the one of the most important things a new mother can learn. If you have any concerns regarding your baby, they should be addressed with your health care practitioner.

If you do need to increase your milk supply after keeping track of wet diapers, bowel movements and weight gain, there are several options you can try to increase your milk supply. See our FAQ on “Increasing Your Milk Supply” and refer to our Web resource page on milk supply issues or further information. Keep in touch with your health care provider if your baby is not gaining well or is losing weight. In most cases, improved breastfeeding techniques will quickly resolve the situation, but occasionally, weight gain may indicate a health problem.

From How can I tell if my baby is getting enough milk? at the La Leche League International website. If you have any worries about whether your baby is getting enough milk.  please don’t hesitate contact one of the Leaders of this Group.

For an in-depth overview of milk supply, at the La Leche League International website you can listen to a podcast with Diana West, author of The Breastfeeding Mother’s Guide to Making More Milk, and co-creator of the helpful website Low Milk Supply.

ONLINE RESOURCES FOR WEANING OFF OF A NIPPLE SHIELD

  • Nipple Shields from Kellymom — an overview of what nipple shields are, and lots of ideas on weaning a baby off of a nipple shield.
  • Nipple Shields … Friend or foe? by Kathy Parkes, IBCLC an overview of pros and cons of using nipples in various situations.  Written for La Leche League Leaders.
  • Online resources for getting a good latch — Babies who are used to nipple shields often learn to latch on to the breast better when they take the lead.  You can find links about how to do this under the heading LET YOUR BABY GUIDE YOU TO A GOOD LATCH.  (We have an excellent video on this topic that you may borrow from our Group library.  For more info, please contact one of the Leaders.)

PLEASE NOTE:  Nipple shields have been shown to decrease the milk supply of women with  inverted or flat nipples. The nipple shields may keep the baby’s tongue from compressing the breast enough to get the milk flowing.   If you have inverted  or flat nipples, it is recommended that you only use a nipple shield under the supervision of a lactation professional.

Do you really need a breast pump? Many mothers (even working mothers) manage just fine without one.  Some links:

Some useful links on pumping more milk:

Two very interesting articles have been published recently that delve into the history and culture of breastfeeding.

Enjoy!

Here are some of the links on a variety of topics that we talked about at our meeting today.

VITAMIN D

WHO GROWTH CHARTS FOR BREASTFED BABIES

MILK STORAGE/BOTTLE FEEDING

TEETH/BITING

Getting a good latch and position is essential for comfortable, effective breastfeeding. For most mother-baby pairs, pain and discomfort melt within hours or days of finding a good position and latch.

But how to find that great latch? Your local La Leche League Leader is someone who will help you find the position and latch that work for you and your baby. Also, here are some great online resources for finding a good latch. Thank you to LLL Leaders Norma, Joni, and Joy for contributing these links.

POSITION AND LATCH BASICS

ANIMATED LATCH

VIDEOS

LET YOUR BABY GUIDE YOU TO A GOOD LATCH

SPECIAL SITUATIONS:

We are excited to offer a new option to all of you mothers nursing toddlers. We are creating a new Group, the Indianapolis Toddler Group, which will be a place to gather and support other mothers of nursing toddlers and older children. It is open to any woman who is interested in nursing a toddler, no matter what age your nursling is.

The first meeting will be held this Friday, September 19 at the First Mennonite Church (46th and Knollton Road) at 9:30 a.m. MAP. We will hold meetings there the third Friday of every month.

Some Toddler Meeting Topics Include:

The Advantages of Nursing a Toddler

What’s in it for mother? Dealing with mother burnout and finding time for yourself; tricks of the trade; setting priorities in nursing a toddler; advantages during an illness; communicating with a toddler; how toddlers assert their independence; and building the toddler’s self-esteem.

The Family and the Nursing Toddler

Finding time for everyone; sibling relationships; tandem nursing; sleep habits of a typical toddler; the family bed; fathering; father’s and siblings’ feelings about a nursing toddler; and toddler safety.

Challenges of Nursing a Toddler

Nursing patterns–what’s “normal”; how needs and wants change; setting limits on nursing or continuing nursing on demand; special situations–restaurants, church, traveling; using a code word for nursing; appropriate activities for toddlers; separation anxiety; potty training; loving guidance and how to shape behavior; temper tantrums.

The Nutrition and Weaning of a Nursing Toddler

Toddlers’ nutritional needs; eating habits; snacks; mealtimes; how long should I nurse? the weaning process; how to handle pressure to wean.

For more information, please visit the Indianapolis Toddler Group website or contact one of the Indianapolis Toddler Group Leaders.

We hope that you stop by to check out the toddler meetings and see if they are for you!

Warmly,

The Indianapolis Toddler Group Leaders

Sara, Marie, Natalie, and Cassidy

The LLL Family Picnic is coming up this Saturday, September 13 from 11 to 1:00 at Broad Ripple Park. This is such beautiful weather — it’ll be a great chance to enjoy the outdoors and catch up with friends old and new. There will be games for the children and a lot of fun.

Please bring a dish to share. Utensils provided. We’ll be in one of the picnic shelters.

$5 -$10 donation per family recommended (picnic shelters are not cheap)

I am pleased to announce that LLL of Indiana will be a major sponsor of

the Lactation Stations at the Indiana State Fair this year!! The Lactation Stations are quiet-ish areas with rocking chair where mothers can take a break to nurse their babies. Last year there was just one Lactation Station, but this year there will several in different parts of the Fairgrounds.  Look for our La Leche League’s name on a 20′ rolling billboard in the form of a fair shuttle  that circles the track many times a day. We will also be included on the t-shirts, the station signs and the print ads that will be appearing in Indy Moms Magazine!

Volunteers are needed at the Lactation Stations helping mothers the nursing mothers get situated!  Volunteers receive a T-shirt and free admission to the Fair.  It’s a fun way to support breastfeeding mothers right here in Indianapolis.  You can find information about volunteering at the website of the Indiana Mothers Milk Bank, which is organizing the Lactation Stations.

On a side note, it also looks like the Indiana Mothers Milk Bank has a shortage of milk right now — there’s so much demand for their milk, they need more mothers to donate. You can find more info if you click on the link above about volunteer information.

There are two events scheduled in Indianapolis to celebrate World Breastfeeding Week.  These events are informal family-friendly affairs open to anyone who supports breastfeeding.  So bring your kids and your breastfeeding friends have fun.

World Breastfeeding Week Mass Event Thursday, August 7 6:00 -6:30 in front of the State Museum on the downtown canal.   According to Katie Shutters, who is organizing the event, it “will be an informal meeting of all soon, new, old, and current breastfeeding families. We will talk and share as well as celebrate and raise awareness for breastfeeding everywhere.”

LLL World Breastfeeding Week 2008 Celebration Picnic, Saturday, September 13 in Broad Ripple Park in Indianapolis, 11 a.m.- 1 p.m..
Bring the whole family! Join La Leche League of Indianapolis for a celebration of breastfeeding families. Bring a dish to share. Drinks provided.
Suggested Donation: $5/$10 Per Family

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