Question: Mai baby feed krta hu phir wo powder wala milk magta hai uska pait nahi bharta mere milk se mai bohot tension mai hu kya krna chaiye muje doctor ko dikhau kya
Answer: FIVE WAYS TO CHECK IF YOU HAVE ENOUGH MILK:
“I’m just not getting enough…’ Isn’t this the most common refrain from young mums who quickly put on their newborns on breast milk? Rather than worrying and wondering about whether your breastfed baby is getting enough milk, focus on the following five points:
1. NUMBER OF WET DIAPERS
A baby who is getting enough milk will have four to six wet diapers a day by the fourth day after birth (six to eight wet diapers if you’re using cloth – which hold less). To learn what a wet diaper feels like, put two tablespoons of water on a clean diaper. Cloth diapers will be more noticeably wet than super-absorbent disposables.
After the first month or so, your baby’s wet diapers will be even wetter – the equivalent of four to six tablespoons of water.
The colour of the urine also tells you whether she’s getting enough milk to keep her adequately hydrated.
2. NUMBER AND NATURE OF BOWEL MOVEMENTS
If lots of stools come out, lots of milk must have gone in.
In the first few days, your infant’s stools gradually change from the sticky black meconium stools to green, then brown. Within a day or two of mother’s milk `coming in’, they become `milk stools,’ which are yellow and seedy – the colour of mustard and the consistency of cottage cheese.
Between week one and week four, a baby who is getting enough hind milk will produce at least two-three yellow, seedy stools a day. Because breastmilk is a natural laxative, some breastfed babies produce a stool with each feeding, which is a good sign that your baby is getting enough milk. If your baby has only two or three bowel movements a day, expect to see a substantial amount in the diaper – more than just a stain.
After the first month or two, as the gut matures, the frequency of bowel movements decreases. At this stage, your baby may normally have only one bowel movement a day; some breastfed babies have one bowel movement every three-four days, yet are still getting enough milk (in this case, you’ll see other signs of adequate growth and weight gain). While urine output tells you that your baby is getting a sufficient quantity of fluid in the milk, stool output tells you about the quality of the milk, (ie, whether your baby is nursing long enough and well enough to trigger mother’s milk ejection reflex, which brings the creamier, high-calorie hind milk).
3. EVALUATING THE FEEDING
Usually, your breasts will feel fuller before and softer after a feeding. Changes in fullness will be less noticeable when your baby is older and your breasts become more efficient at producing the exact amount of milk your baby needs.
You will probably notice a milk ejection reflex a few minutes after the feeding begins. If you don’t feel any sensation in your breasts, watch your baby. Her sucking will strengthen and you’ll hear more frequent swallowing when the milk ejection reflex increases the milk flow. Other signs that affirm that your baby is getting enough milk include seeing a few drops of milk leaking from the sides of baby’s mouth and hearing her swallow after every one or two sucks. She should generally seem content during and after a feeding. If you feel your baby sucking vigorously, hear her swallowing through much of the feeding, notice your milk ejection reflex, and see your baby drift contentedly off to sleep, chances are she’s getting enough milk.
4. WEIGHT GAIN
Your doctor will check your newborn’s weight gain a few days after you leave the hospital, and perhaps again a week or two later.
Most infants, whether breastfed or bottlefed, will lose an average of five to seven per cent of their birth weight in the first days of life, due to the loss of excess fluid. How much yours loses depends on her plumpness and individual variations in fluid retention, as well as on how well she is nursing. When you and your baby share an uncomplicated birth and feed frequently with a good latch-on, your baby will loss less weight. If your baby gets off to a slow start at breastfeeding (either because of a medical complication or problems with latch-on), she may tend to lose more. If your baby is getting an adequate amount of milk, she will regain her birth weight by the 10th to the 14th day after birth. Some infants normally take a couple of weeks to regain their birth weight, especially if they lost a lot initially.
When you are discharged from the hospital, remember to ask the nurses to tell you your baby’s exact weight. This is a figure your doctor will want to know at your baby’s first check-up, since weight gain is measured from baby’s lowest weight, not the birth weight.
After regaining her birth weight, the average infant gains four to seven ounces a week, or a minimum of one pound a month. Some babies gain weight quickly in the first months after birth; others gain more slowly, but are still within the normal range.
5. TRUSTING YOURSELF
Breastfeeding is a confidence game and nothing undermines a mother’s confidence like being afraid her baby isn’t getting enough milk. If your baby is producing enough wet diapers and bowel movements and she is gaining weight, she is getting enough milk.
Feeding frequently (cluster feeding) or wanting to nurse soon after the last feed are not necessarily signs that your baby is hungry. Babies nurse for many reasons besides hunger. Your baby may just be seeking the closeness and comfort of breastfeeding, or may need a little more sucking to ease herself into sleep. Give lots of skin-to-skin or kangaroo care.
If the diaper count is telling you that your baby is getting enough milk, don’t worry about your milk supply. Nurse your baby frequently throughout the day. Be sure she is latched on and sucking well and then don’t worry.