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Breast-feeding: How to gauge success
Trust your instincts
You know your baby best. If you sense something isn't right, contact your baby's doctor — especially if your baby:
- Isn't gaining weight
- Isn't wetting six to eight diapers a day or having regular bowel movements
- Passes urine that's deep yellow or orange or stools that are hard and dry
- Is consistently fussy after feedings
- Seems sleepy all the time
- Has yellow discoloration of the skin and eyes (jaundice)
- Isn't interested in breast-feeding
- Spits up forcefully or more than a small amount at a time
Remember, every baby is unique. You might be surprised by your baby's feeding patterns. As long as your baby grows and develops normally, however, you can be sure that you're meeting his or her nutritional needs.
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- Share with women: What to expect in the early days of breastfeeding. American College of Nurse-Midwives. http://www.midwife.org/documents/ShareWithWomenWhattoExpect.pdf. Accessed May 4, 2011.
- Kleinman RE, ed. Pediatric Nutrition Handbook. 6th ed. Elk Grove Village, Ill.: American Academy of Pediatrics; 2009:29.
- Your guide to breastfeeding. The National Women's Health Information Center. http://www.womenshealth.gov/pub/BF.General.pdf. Accessed May 4, 2011.
- Gastroesophageal reflux in infants. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/gerdinfant/index.htm. Accessed May 4, 2011.
- Breastfeeding your baby. American Congress of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp029.cfm. Accessed May 4, 2011.
- Shelov SP, et al. Caring for Your Baby and Young Child: Birth to Age 5. 5th ed. New York, N.Y.: Bantam Books; 2009:94.
- Holt K, et al. Bright Futures Nutrition. 3rd ed. Elk Grove, Ill.: American Academy of Pediatrics; 2011:26.
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