Myrtle Hodge RN Lactation Consultant DrMDK.com
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Host: The greatest concern at the beginning by a new mother, is my baby getting enough breast milk and calories? What would you suggest they should look for, so that they wouldn't be so worried about that? Myrtle Hodge: We teach moms to look for -- to look listen and feel. Baby latches on properly to the breast, the baby suckles, that baby has a definite pattern of suckling, the baby takes a few sucks, what they do they suck-swallow-breath, suck-swallow-breath, suck-swallow-breath and it's a nice strong tug. Mum should feel that tugging, then she should listing for gulping that's telling her that there is an exchange of baby's drawing milk out of the breast and the baby is swallowing it into its stomach and then she would see if the baby is swallowing. She can look at the throat and see the baby is swallowing. So - and she looks at these things she looks, listens and feels and she observes a pattern and babies, I have observed this, babies take about ten to 20 bursts of suck-swallow-breath, suck-swallow-breath type of behavior and then they would pause, and will resume-- Host: If the kid urinates four or five six times, will that be a good sign, can we accept that? Myrtle Hodge: Urination is a good sign, but most importantly we tell moms to look for stooling in beginning because breastfed is digested in one-and-a-half-hours and most of it is digested, so a baby has very small amounts of stool, it's more water, even solid, they wet their diapers, it will be -- look for plain diapers and this idea of six or more wet diapers that comes later on in life, in the beginning you tell mom it's like one to two wet diapers a day they may have one stool and then it increases gradually. Then later on life some babies may not pass stools everyday, they maybe do it every other day, every third day or what else. So you have to look at your baby's pattern. Host: If you are really concerned - some pediatricians like to weigh the kid on a regular basis. Dr. : Yeah, we encourage mums when they leave hospital to get a week check, within the week that they leave hospital. Its a very good measurement, so they have something to go by and then they can follow the baby's weight gain which is approximately about an ounce a day, it will be close to two to three ounces a week they gain. One to two ounces per day, first month.