After the baby is born, breastfeeding often receives such questions as “Isn’t milk enough? Is milk not so nutritious enough? Do you need to add formula?â€
Formula milk can not be added, but many parents and elders are not clear when to add formula. Even worrying about your baby's hunger may add too much formula too early. “There is a kind of hungry, and grandmother feels you are hungry.†Even some medical staff do not know enough about this.
Mothers who are planning on breastfeeding must be aware of the circumstances under which supplemental formulas are needed so that they can withstand pressure and increase the likelihood of exclusive breastfeeding.
When did you start to milk?
When pregnant, the mother's entering the house enters the preparatory period for the secretion of milk, and some expectant mothers may produce a small amount of milk after 16 weeks of pregnancy.
After the mother gave birth, she began to have colostrum, but it was possible that the amount of milk was small, but it gradually increased. The milking process that mothers and families anxiously wait for refers to the second period of milk production—the active period of milk secretion. At this time, the milk will increase significantly. Most mothers start milking 2 to 3 days after delivery, some mothers will be earlier, and some mothers will be 7 days later.
In comparison, the mother who made the first child will be slightly later and the amount of milk that begins will be less. Caesarean mothers will be slightly later to milk, but the amount of milk is not affected.
During the days before her mother's milking, will the baby be very hungry?
On the first day after the baby is born, breast-fed babies can eat 2 to 10 ml of breast milk every time they are breastfeeding. They eat once every 2 to 3 hours and eat 8 to 12 times a day. The average amount of late milk on the first day was 45 ML. The baby has at least 1 black-green stool and 1 urine.
It is normal to secrete such milk. It is enough for the baby to eat only so much. If moms know this is normal, they can confidently refute the people who question their milk supply.
The next day, baby will eat 3~15ML of milk each time, or eat 8~12 times. The baby has at least 3 dark green soft stools and 2 urinates.
On the third day, many mothers began to milk and felt more full breasts. Each time the baby can probably eat 15 ~ 30ML of milk, about 300ML a day. Your baby has 3 stools a day and 3 urinates a day.
On the fourth day, the baby can eat 500ML of milk on average, 3 to 5 yellow stools and 6 urine.
From the fifth day to the full moon, the mother’s milk volume will continue to increase until about 750 ML of milk per day.
How to know if milk is enough
The situation of feeding
After the baby joins the nipple, it may be faster to start sucking but it is normal to hear no swallowing sound. When the milk starts to gushed up, the baby's sucking frequency becomes smooth and slow, sucking once every 1 second, and swallowing 1 or 2 times per sucking. This efficient sucking and swallowing lasts about 15 to 30 minutes. After eating, you will feel the breasts become soft, the baby happy to loosen the nipples. If the baby sucks fast and fast, faster than once per second, it may not suck enough milk.
Some babies eat quickly and effectively, and they know enough breastmilk in less than 10 minutes. But if the baby falls asleep only after a few minutes, it may not be enough. Mothers must rely on touching small hands or small ears to supervise the baby to get full and sleep again.
Number of urinals
After 4 days of birth, the baby urinates at least 6 to 8 times a day and 2 to 5 yellow stools a day. Some babies will have less bowel movements in the first month after birth, and they will only get it once in a few days, but each time they have a lot, this is normal.
Weight change
Generally, the weight of the baby will be reduced to the lowest 48 to 72 hours after birth, and 5% to 10% of the baby's body weight will be reduced by ≥10% of the birth weight. If the weight loss exceeds 7%, you need to ask a doctor or lactation specialist to see what causes it. After the fifth day, the average baby can grow 20-30 grams per day and return to birth weight 10 to 14 days after birth. Then the baby grows about 120 to 210 grams per week.
What's wrong with milk?
If pregnant babies don't have enough milk, they need to find out why, instead of adding formula directly.
The doctor needs to understand your breastfeeding, your baby's history. She also needs to observe the situation where you are breastfeeding your baby, and observe your baby's lips and convergence. If there is a problem with breastfeeding, it may also require lactation experts to guide.
For a baby with a short tongue strap, about a quarter of the babies may experience breastfeeding difficulties, so doctors usually check for this problem. If you suspect that your baby's difficulty in feeding is due to a tongue tie, it may be transferred first to a lactation specialist for guidance. If the guidance does not work, you may need to perform a minor operation with a tongue-and-belt incision.
If the baby's mouth fits well, but you still don't have enough milk, the doctor may recommend you to breastfeed more often if you allow, or use a milk pump or hand to milk to promote milk secretion. Adding formula milk at this time may also affect the increase in milk.
Some drugs can also promote milk secretion, but because it is unclear whether they are really effective and safe for the baby, it is not recommended.
Under what circumstances need to add formula milkIf a baby loses weight more than 7% of his or her weight at birth 5 to 10 days after birth, or if dehydration occurs less than 3 times a day in urine or bowel movements, doctors are required to assess whether it is necessary to add formula.
If the doctor thinks it is necessary to replenish the formula, the mother will be advised to replenish the appropriate amount and minimize the impact on breast milk. Mothers still need to breastfeed at least 8 times a day, every 30 minutes, at least 8 times a day to promote the secretion of breast milk by hand or breast pump. Continue to observe the stool and ensure that the baby has bright yellow stools several times a day. If the amount of breast milk increases, formula milk is stopped.
Why is it not easy to add formula milk
Milk is not enough. It is very important to find the reason. The reasons for the lack of breastmilk in different mothers may not be the same. If breast milk is insufficient due to lack of sucking or breastfeeding problems, adding formula will not only solve the problem, but will also reduce the secretion of breast milk.
In addition, if your baby is at risk of an allergic disease, adding formula milk will increase your baby's risk of developing an allergic disease in the future.
If the baby needs to add formula milk for various reasons, the mother does not have to worry about it. The formula milk also enables the baby to grow up healthily. It is most important to ensure that the baby drinks enough milk. However, if your baby is a child at high risk of allergic disease, you need to consult your doctor about how to add formula and what formula to add. If exclusive breastfeeding for 4 to 6 months is not possible, the baby may need to drink a partially hydrolyzed protein formula to prevent future allergic reactions.
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