Friday, September 25, 2009

Reader Nursing Questions

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BEDTIME
  • Abby's Mom said...
    Val- I have a question about bedtime feedings. I currently feed my almost 5 month old at 7pm and then she has a bath and I read a short book to her. She is then put in bed around 7:30 to 7:45. My problem is that the feeding before that does not happen until between 4:30 and 5pm so she doesn't eat much at 7:00. But, I don't want to move that feeding any later because she needs to go to bed. Do I need waketime after her last feeding of the day or is it okay to reverse her bath and feeding so that she has a bath and then nurses right before I put her in bed? (She does not nurse to sleep so I would still be able to put her down awake)
    May 9, 2008 9:12 PM
    Plowmanators said...
    That is a great question. Two months ago, I would have said of course do it and leave it at that. I now have a word of caution. A BW friend of mine has a bbay a couple of weeks younger than Kaitlyn, so we were both weaning about the same time from nursing. She did things like you are proposing. She ran into difficulty weaning her son from that final nursing. She didn't nurse him to sleep or anything, but he had apparently become attached to it. I do bedtime where I feed, then pj's and story, etc. I didn't have any difficulties dropping feedings. My friend says she will do things a bit different with the next child.So I would say do like the bath and pjs, then nurse, then do something else. You could read a book, before too long you will be brushing teeth, etc. Just don't make nursing the last major event of the day.Also, I am guessing you have at least 5 feedings a day right now. Once you move down to 4 feedings, the feedings shouldn't be too close to each other.
    May 10, 2008 2:34 PM
    Abby's Mom said...
    Thanks for the word of caution. Trouble weaning is exactly what I trying to avoid. Abby WILL NOT drink from a bottle and we have tried EVERYTHING. So, my hope is that eventually (I am sure it will probably be closer to 12 months) she will learn to drink from a cup. Since I don't have the option to give her a bottle, I don't want anything else to delay the weaning process when it comes time. Thanks so much for the advice and yes I am actually still feeding 6 times a day on most days. (Mostly do to reflux, some feedings are very poor) Hopefully she will be ready to start solids soon (she will be 5 months in a few days) and we can get down to 5 and then eventually 4 feedings every day.
    May 10, 2008 7:16 PM
    Plowmanators said...
    You are most welcome. I would start offering her sippy cups of just water right now. I would try to make it seem as though it isn't a big deal to you. Just have it there for her to try if she wants. If you don't like sippys, then I would offer water in a cup quite often to get her used to drinking from whatever it is you want to wean to.Kaitlyn took a while to move down to 4 feedings a day, also, because of reflux. She went to 4 when she was close to 7 months, and we started solids at 4 months. You are good to wait for her to be ready for it :)
    May 12, 2008 1:57 PM

FULL FEEDINGS
  • juls1974 said...
    Hello, there! I'm new to this blog and to Babywise. I have a 4 week old and have TONS of questions about his sleeping/eating schedule. I will start with a basic one (forgive me if it's too basic): what defines a "full feeding" when nursing? Is it a length of time or just until the baby no longer wants anymore? I've been searching through the blog but haven't found the answer yet.
    September 5, 2008 8:19 PM
    Plowmanators said...
    juls1974, A full feeding is a feeding where baby takes all he needs to be full. This means you don't let him nurse for a few mintutes then fall asleep, wake up an hour later and eat a few more minutes, etc. You can tell if there is a full feeding if baby is happy afterward and if he can make it to the next feeding time.You can't tell just by time since some take longer times to eat than others, and they themselves change how long they take to eat over time. It is hard to tell at first, but you will get it. For a four week old, expect about 30 minutes for a full feeding, though some will take longer and some shorter.
    September 10, 2008 2:38 PM

INFECTIONS
  • sasa said... Thanks for your advice! He finally slept through the night last night, so it must have been the calorie thing-- two meals just might be my answer! Hopefully, it will continue. I'm looking forward to reading more of your blog. Any help for a breast infection? Or maybe it's a clogged duct? Must have come on because of the lack of sleep the last two weeks!
    May 6, 2008 10:28 PM
    Plowmanators said... Really watch the infection. I have had mastitis twice. The first time kind of caught be by surprise. The second time I knew it was coming before it got bad. I would start each nursing session on the side that is clogged until it clears up. You can also massage the spot while nursing to help get it out. If it gets really tender, red, or hot or if you feel flu-like symptoms, call your doctor right away. Mastitis can be really serious if left untreated.
    May 7, 2008 8:54 PM
NEWBORNS
  • The Devines said...
    Hi again! After our 10pm DF (which he is very sleepy for) our 7wk old LO is now waking at 1am and 4am (his morning start time is 6:30), at which points he only nurses for at total of 5 minutes on one breast and falls asleep. He is IMPOSSIBLE to nurse. What to do?1) Should I be trying to wake him to nurse (ie: cold cloth ect) or do I treat this as a DF?2) Could he just be waking because he has a dirty diaper? Should I just change him and rock him back to sleep?3) I can't believe I am going to ask this: Is he sleeping TOO LONG? Essentially from 7pm - 6:30?4) He is feeding well at 6:30 - does this mean that I should try to eliminate one of the night feeds (ideally the last one) and if so is CIO the only way seeing as though I can't exactly feed him less and less each night as he isn't taking much in the first place? Thank you SO much for all of your help. You are so valuable to the BW community of parents!
    January 5, 2009 9:35 AM
    Plowmanators said...
    Devines,1-You want to get a full feeding even out of a DF. 2-Definite possibility3-Probably not4-Since he is not really eating for that 4 AM feed, you can try to eliminate it. My guess would be he doesn't need it. There are the ideas in this post as well as CIO. Decide what you are most comfortable with. If he wakes with a dirty diaper at this time, I would change his diaper before CIO, though. You are welcome!
    January 8, 2009 2:56 PM
    The Devines said...
    Hey Plowmanator, Thanks for the advice, and I think I may have noticed from your recent post on reviewing "Happiest Baby on the Block" that you're pregnant again. If so, congrats!A quick question cause I'm still unsure of something, both from your answer and from Babywise as well:1. My 8-week old has a dreamfeed at 10. He then wakes up for a night-time feed at around 1am, and then another night-time feed at 4-5am. My question is: for the 1am and 4-5am night-time feeds, I'm unsure on whether or not he's allowed to wake and fall asleep at the breast during these. Should I be doing everything I can to keep him awake? Or everything I can to keep him asleept, i.e. treat these as dreamfeeds?Thanks, an again I appreciate all your time.
    January 10, 2009 3:13 AM
    Plowmanators said...
    Devines, I am pregnant, thanks! A dreamfeed doesn't mean you don't try to get a full feeding, it just means they aren't necessarily fully awake for this feeding. I personally do everything I can to get a full feeding in at each feeding, even in the middle of the night. Otherwise, there is no reason they would make it longer between feedings because they aren't getting a full feeding.
    January 16, 2009 11:11 AM
MILK SUPPLY
  • Becky said... I am dealing with milk supply issues. My son David is 4 mo. old and has started solids.He was sleeping through the night, and taking great naps during the day and now all of that is disrupted.I am having trouble with him getting distracted and wanting to get off the breast early (wanting to watch his brother play)I have tried to go into another room and that doesn't help. This has been going on for about a week, and I feel that my milk supply has been cut in half. David is very fussy on the left side to begin with(has always been), and now it almost feels like the left side is drying up, and there is not much milk on that side.He is on a 3 hr schedule, and does really well with that. He feeds, is awake, and then sleeps in that order every 3 hours. Now since he is not taking in enough at the feeding, by that time is is nap time, he is hungry, and will not sleep. Then at the 3 hour mark, he is hungry, cranky and tired, so he fusses for a minute at the breast (and nurses for a minute), and falls asleep. When he wakes up, its not time to eat, but he is hungry. This is compromising my milk supply also, so I have had to give him formula as a supplement and he takes about 8 oz of formula from a bottle.-- - Becky
    October 7, 2008 1:19 PM
    Plowmanators said... Becky, see this post: Nursing Woes :http://babywisemom.blogspot.com/2008/03/nursing-woes.html If you feel supply is not as good on the left side, try having it so he eats from the right first for feedings he is especially hungry (like the first one of the day). Also, look into your supply and make sure it is okay and it is not that your son has just gotten a lot faster (they usually do get A LOT faster at this age). If you plan to continue to supplement, try nursing first, then offering some formula to be sure he gets a full feeding. That should help him not be hungry at naptime.
    October 9, 2008 1:16 PM
    Becky said... Thanks! I tried to put him for a nap and he cried the whole time (because he was hungry) I got him up at the 3 hr mark and fed him and supplemented with formula. He fell asleep, so I woke him and changed his diaper, and put him down again. He slept for 1 1/2 hrs and woke, so I fed him again and he was awake for the rest of the night! He went to bed at 730pm and woke 2 times in the middle of the night. (usually sleeps through the night). Thanks for your help! Keep it coming!
    October 9, 2008 1:23 PM
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9 comments:

Charles said...

I have a question...I have a two week old that I have to wake up at each 3 hour eating interval and each night he sleeps two 4 or 5 hour sessions...This only allows me to get 7 feedings in and babywise suggests 8 feedings at the very least at this stage - should I go to a strict 2.5 hour schedule all day in order to keep the 8 feedings?? Thank you for your input.

Plowmanators said...

Charles, I would gauge that on how weight gain is going. If weight gain is good, you might be okay. If not, add a feeding in. You could do

7
10
1
4
6
8
10:30

then one night feeding. The two hour intervals at the end of the day are called "cluster feeding." Go with your gut on what is best.

Caitlin said...

I have a similar question to the one above, but about my 9 week old. Ideally, his wake time would be 8 am. This morning he actually made it there. If he continues to, however, that would only give him 6 feedings per day, at 8, 11, 2, 5, 8, and 10, since he is STTN and doesn't usually eat from 10 PM to 8 AM. Occasionally he does, so that's only 6 or 7 a day, and isn't he supposed to get 8?

Plowmanators said...

Caitlin, starting at 8 weeks, some babies can do 6 feedings a day. If 6 feedings is too few for him, he will let you know :)

thediapeediary said...

Before my baby turned 12 weeks old her average breast milk intake gradually increases from 2 ounces to 4-5 ounces. Presently I'm in 3-4 hours schedule and it seem that her feeding decreased to 2 ounces. She gave me cues that she doesn't want it and she refuse to feed when I offer the bottle again. At 12 weeks now she is 6 kilos 8 ounces in weight, she's very healthy and happy baby. Her sleep throughout the night is not an issue, she's doing fine with. I just wonder why her feeding decreased. Something wrong? thanks

alysastrei said...

Would much appreciate some needed advice. My 5 month old boy is exclusively breast fed. In the last few days he is strongly refusing to nurse but only at night. In the morning I produce plenty of milk but by the end of the day it seems there isn't much left. We recently dropped the dream feed and he is sleeping from 8:30 to 8:00, but I have been pumping at 10pm(formally dreamfeed time). Please help, is this a supply problem or are there other reasons he may be preferring a bottle at night? Tonight my pump wasn't working and it was quite a time...I should mention he has also cut his naps WAY back. Naps that were once two hours are now one hour or as little as 45 minutes. Our schedule was perfect for months and everything was so predictable and now it seems we've gone into a tailspin...help!

Megan and Gregg said...

Hi! Thank you for your wonderful blog. I have a question about overproduction of milk. My 4 month old will sleep 12 hours, but my breasts are SO full that I am in pain and can't wait to feed her. I've been waking her up, but decided to pump to see how much I got. I got 10.5 ounces. When I have pumped occasionally during the day I have gotten about 8 ounces. Any suggestions as to how I could let her sleep (and let myself sleep)? Do I need to try to decrease my supply? That scares me. The longest I've gone between feedings without waking is 9 hours. That means I have to get right into bed after nursing in order to try to get my 8 hours of sleep before my milk supply wakes me up : ) Thanks!

Qmommy said...

My 5 week old seems to be spitting up a little more and not sleeping as long for naps. I read in babywise, it might be because I'm overproducing milk and he is getting too much formilk and not enough hind. Suggestion is to reduce nursing time at each breast. I also have been pumping 4 oz after 6am feeding for my husband to give him that night at 3am. Could this pumping be telling my body to overproduce? If I try nursing shorter times on each breast, how long till my body knows to produce less so he will get right ratio of formilk and hindmilk? I guess that means he will probably be hungrier while we make this transition? Should I feed more often during the transition?

Valerie Plowman said...

If you suspect too much foremilk, I would pump a bit before she starts to eat and let your letdown come and go before she eats.

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