14 August 2011
Breast milk@breastfeeding@susu ibu.Cukupkah susu anda buat bayi anda?
How can I tell whether my baby's getting enough breast milk?
This is a common question among new breastfeeding moms. After all, you want to make sure that your baby's getting all the nourishment she needs and, well, you can't actually see how much milk your baby's drinking when you're nursing!
While most moms are able to provide their babies with all the milk they need, there are times when babies don't get enough. And when this situation isn't addressed, a baby can suffer from dehydration and failure to thrive, both of which are uncommon but serious.
Signs that your breastfeeding baby is getting enough nourishment:
Your breasts feel softer after nursing, because your baby has emptied some of the milk that was making them firm.
After a feeding, your baby seems relaxed and satisfied.
After gaining back her initial weight loss after birth, your baby continues to gain weight. (Most babies lose between 5 and 9 percent of their birth weight and then regain it by the time they're about 2 weeks old.) A rough guideline: In the first month, your baby should gain 5 to 10 ounces a week; in months 2 and 3, she should gain 5 to 8 ounces a week; in months 3 to 6, she should gain between 2.5 and 4.5 ounces a week; and from 6 to 12 months, she should put on 1 to 3 ounces a week.
In the first few days, when your baby is getting your thick, valuable colostrum,
she may have only one or two wet diapers a day.
After your milk comes in, though, your baby will wet six to eight cloth diapers a day, or five or six disposables. (Disposables can hold more liquid than cloth diapers.)
In the first month, your baby has at least three stools a day, and they lighten to a yellowy mustard color by the fifth day after birth. She may have less frequent bowel movements once she's a month old. In fact, it's not uncommon for breastfed babies to skip a day of bowel movements now and then. Once she's eating solid foods, at about 6 months, she'll probably become quite regular and go back to having at least one bowel movement a day
Are there warning signs that my baby might not be getting enough breast milk?
Watch for these signs if you're concerned about your baby's milk intake:
Your baby is continuing to lose weight. If your baby doesn't start regaining her birth weight after five days, or if at any time after that your baby starts losing rather than gaining weight, talk with her doctor.
Your baby is wetting fewer than eight cloth diapers or six disposable diapers in a 24-hour period after the five days following her birth.
After her first five days, your baby has small, dark stools.
Your baby's urine is very dark, like the color of apple juice. (If her urine is pale or clear, she's getting enough liquid; if it's more concentrated, it may be a sign that she's short on fluids.)
Your baby is fussy or lethargic much of the time. She may fall asleep as soon as you put her to your breast but then fuss when you take her off.
Feedings consistently take longer than an hour, and your baby just doesn't seem satisfied.
Your breasts don't feel any softer after nursing.
You rarely hear your baby swallow while nursing. (Some babies are very quiet feeders, so if all other signs are positive, don't worry about this one!)
If you're concerned that your baby isn't getting enough milk, don't hesitate to call your baby's doctor or check in with a nurse or lactation consultant. Typically, you'll feed your baby while the consultant observes you and gives you valuable tips for breastfeeding success.
How often will my baby nurse?
There's a very wide range for what's considered normal. Some babies like to nurse all the time — not just for nourishment, but for reassurance, too — while others nurse only when their tummies tell them to.
But here's what's typical after the first 24 hours, when your baby may be too sleepy to nurse much: For the first month, your baby may want to nurse every two to three hours, or eight to 12 times every 24-hour period. This might seem like a lot — and make you wonder whether she's getting enough at each feeding — but keep in mind that your new baby has a tiny tummy and needs frequent refills.
She may breastfeed eight or nine times a day in the second month, seven or eight times a day in the third month, and then start nursing more often in the fourth month — but for shorter periods of time as she becomes more engaged and distractible.
After 4 months, she'll start dropping in frequency again. By 6 months, she'll most likely be down to around five or six feedings every 24 hours. And there she may stay for as long as you continue to nurse her.
How much milk will my baby need if I pump breast milk for her?
If you pump your breast milk for your baby, you can follow these guidelines to know how much she'll need:
Up until a month of age, most babies will take 2.5 to 3 ounces of breast milk in a bottle, feeding about eight times a day, for a total of 20 to 24 ounces in 24 hours. After that, the average amount of breast milk until 6 months of age is around 26 to 28 ounces per day, divided into six to eight feedings. If solids are started earlier than 6 months, the amount of breast milk a baby takes will decrease.
Keep in mind that these are just rough guidelines — by no means do you need to try to get your baby to eat 28 ounces each day if she doesn't want to. (If your baby is exclusively breastfed, she should take in at least 25 ounces a day, though.)
"Don't hold back if your baby still seems hungry," says lactation consultant Jan Barger, "but don't stuff your baby because you think there's a certain amount she should be getting."
It's easy to overfeed a bottle-fed baby (with formula or breast milk), says Barger. While a breastfed baby can comfort at the breast while getting just a minimal amount of milk, or drink just enough to quench her thirst, a bottle-fed baby doesn't easily have that option. If your bottle-fed baby wants just a little milk, says Barger, she usually winds up getting much more because of how fast the bottle flows and the fact that it's hard for her to stop taking it.
To help your baby get just the right amount of milk, feed her slowly and take little breaks to give her a chance to let you know when she's had enough. In fact, if your baby seems to be gulping the breast milk quickly, help her catch her breath by taking a break every ten sucks or so. This is especially important during the first couple of months, until she learns to pace herself.
Most 7- to 11-month-old babies need a variety of solid foods two or three times a day, plus little snacks, along with four or five feedings of pumped breast milk a day. It's common for breastfed babies to decrease the amount of breast milk they take in as they increase their solid food intake.
And of course, you can continue to nurse past the first year if you and your child want to. Even though your toddler will get most of her nutrition from solid food, breast milk still provides calories, valuable immunities, vitamins, and enzymes.
P/s: untuk panduanku dan ibu2 yang menanti kelahiran anak dan yg sedang menyusu bayi.. :)
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