How do I know if my baby is gaining enough weight?

Having a new baby is stressful enough, but when the doubt of weight gain is suggested to a new parent the anxiety that happens is incredible.

New parents- are over whelmed with advice and information about what is “normal” vs what is “common”- with each term interchangeably used often mistakenly.

When a care provider says each day- they mean each 24hrs of time frame.

So how do you know if your baby is gaining “enough weight”?

What is a normal newborn weight gain?

See below for a quick cheat check for your baby so you can be reassured you are both doing just fine:

 

  1. Input=output- when a baby transfers competently at the breast you get wet and poop nappies.

First 24 hrs- 1 wet nappy

Day 2- 2 wet nappies

Day 3- 3 wet nappies

Day 4- 4 wet nappies

Day 5- 5+ wet nappies per day!

 

So how do you know what is a “wet nappy”- grab a nappy and pour 3 tablespoons of water in a clean dry nappy and feel how heavy it is- that is your comparison check.

Poop- before you have a baby never do you ever think how much you talk about poo!

A baby’s stools should transfer to a seeded yellow colour that is soft in consistency- between day 4-5 post birth.

Then if a baby is competent in milk transfer (emptying the breast to drink the fat content of milk), you can expect 3-4+ movements per day at least up to 10 weeks of age.

Again it is “common” for a breastfed baby to go for up to 10 days between a poop, but it is not “normal”, and in my practice as a IBCLC baby’s with delayed stooling are generally not transferring milk competently and feeding off mum’s let down.

2. Your breasts feel full before a feed and less full after a feed

-pop your finger on the end of your nose- this is a full consistency.

-pop your finger on your check- this is a less full consistency comparison.

I don’t like using the word “empty”- because your breasts are never actually empty of milk!

 

3. Your baby unlatches and appears satisfied, relaxed and content

Young babies do get milk drunk- nice and floppy, dreamy smiles, open hands- full of goodness= full tummy (for now).

 

4. Your baby wakes to feed every 2+ hours- is developing a rhythm of feeding, sleeping sprinkled with some short wakeful episodes.

-Newborns sleep a lot (15hrs / 24hrs)- so a rhythm can be eat, sleep, eat, awake, sleep, eat, awake, awake eat, sleep… circadian rhythms free run!

 

5. Your baby grows into and out of their clothes and car seat!

It might seen silly- but I when a mum comes to me concerned about weight I ask have you had to change clothing size or upsize a nappy?

A happy healthy baby- fills out their cheeks, and legs around their thighs.

6. What your care provider will be looking for?

  • A baby that losses up to 10% of their birth weight is considered acceptable.
  • A baby should regain their birth weight by the time they are 2 weeks old
  • 20-30g of weight gain per day till 3 months of age is acceptable.
  • A baby should double  birth weight by  4 months old.
  • Your baby will triple their birth weight by about 1 year old

Any concerns come see me!

Cluster Feeding- Its not just about hunger.

This week has been new born week and all the feels that go with establishing breastfeeding.

Two mums I have seen booked a consult because they thought and had been told that they needed to add in supplementation because their baby was hungry.. but what each baby was doing was CLUSTER FEEDING!

Both were very relived  to hear that they had enough milk, didn’t need to supplement and with support could now recognize what was going on.

So what is cluster feeding?

Cluster feeding is when your baby feeds continually/frequently over several hours and are ‘clustered’ together.

It tends to be in the late afternoon, early evening or early hours of the morning.

They eat very frequently or constantly for short sessions each time. Did I say constantly……. and frequently…#repeat and #repeat.

Nothing else is wrong, they show their usual hunger signs (constantly) and they are content when they are breastfeeding, but won’t stop crying until they are at the breast…cue cluster f##$#$%!

Why Do Baby’s Cluster Feed?

There are several thoughts why, but the most consensus is that they do it in the first few days to 2 weeks of age to regulate their maturing nervous systems, and with older bubs it is around developmental milestones for 2-3 days at a time.

-Some babies have a stronger need to suckle for comfort.

-Some baby’s are hungrier and need to fill up before sleeping for a longer period at night.

-Baby’s are tired at that time of night and find it harder to cope, so naturally need comfort and closeness of being at the breast.

-Milk supply can be lower in the late afternoon and breasts can definitely feel less full- but they are never empty. The more your breasts are drained the higher the concentration of fat in your breastmilk, so if a baby is cluster feeding they are getting more fat content.

 

What does it NOT mean?

Cluster feeding is normal.. it is not usually linked to low milk supply.

Cluster feeding is NOT a sign you need to supplement with formula.

A cluster feeding baby will be soothed during a breastfeed.  A unsettled baby from other causes usually can not usually be soothed by feeding or formula.

What are they benefits of letting your baby cluster feed?

-It will boost your milk supply.

-Your baby will sleep longer after a cluster feeding episode.

-Frequent feeding in the early evening may help to boost and maintain your milk supply for the following day.

-It will help your baby emotionally and neurologically regulate.

-It will increase your skin to skin time.

 

What are the risks of cluster feeding?

-If you have a poor latch it will increase nipple tenderness- check your latch, use nipple balms if you become tender.

-It is unpredictable!…but so are human beings.

-It can be exhausting- physically and emotionally. It is the time that many mums introduce a bottle- but a bub can’t cluster feed on a bottle, because it is normally not about hunger!

-It often will take your time away from your other children or household needs at that time period.

 

Tips to cope with cluster feeding.

Plan ahead- its is going to happen- note what time your bub starts to cluster feed and have the troops ready and organized!

Open conversation with your partner on expectations of your baby’s needs does helps to manage this time period.

-Have dinner ready, eat, pee and get comfortable. Feed the pets.

-Have a large bottle of water, snacks, the TV remote, a charged phone so you can relax during this time period.

-Have a basket of special items for your older child so that they can play with it when you are cluster feeding.

-If you are comfortable sit on the floor so you can read or play with your older child as well.

-Change breastfeeding positions regularly so you avoid getting nipple tenderness.

-If your baby is uncomfortable and fussy then change of scenery can also help. Learn to feed in a baby carrier so you can walk around.

Settling Techniques for Cluster Feeding

-Often a baby just wants to suck- offer your finger. Try not to use a dummy under the age of 3 weeks- the way they suck on a dummy is different in action to the breast and your finger.

-Dim the lights, turn up the white noise, reduce other stimuli, hum, sing, walk and rock your baby.

-Wrap tightly in a swaddle, hold in the centre of your chest with his head in the crook of your neck. Your heart beat sooths them.

-Take short breaks- give baby to your partner to do the above settling methods as often after a time period of cluster feeding they will be ready for sleep!

 

 

 

 

 

 

 

 

See Me Sleep Bedtime Affirmations!

I am SO excited and proud to announce the first product in my “See Me Sleep” bedtime range!

Bedtime for a child can represent the separation from you and be a trigger of anxiety and stress.

These gorgeous bedtime story affirmation cards, open up a journey to bedtime, and allow your child to connect with you, slow down, snuggle up and switch their brain from alert to snooze.

With 16 different snuggly characters your bedtime story now takes on a new direction and can change every night.

Break through those bedtime battles and sleep stealing fears using calm and connected conversation.

To purchase click here

 

A New Chapter is beginning- you and your baby DESERVE Special Help!

A new chapter was beginning, just like it is for you. So after working with newborn families for so many years I totally understand the essential service of post natal care.

Providing support that is holistic in nature, non- judgmental, and up to date in evidence is my priority.

New families need simple tools and strategies that you, your baby and your family feel comfortable with.

With all this in mind I have developed my Womb To World  Package to include a In Home Service on all the basics:

-Minimum 5 hour house visit.

-Feeding- Breast Feeding Support  or Bottle Feeding Support

-Sleep Requirements

-Settling Requirements

-All newborn care information for day to day approaches for you and your baby.

-Mumma and Papa Self Care Strategies for coping with the newborn transition from womb to world.

For Families – Newborn to 10 weeks.

 

What’s going ON with my newborns SLEEP???

https://www.youtube.com/watch?v=131iSBkFE4w&t=3s

Their circadian rhythms are so unforgiving under the age of three months.

So if you’re struggling to put your baby to sleep or they’re just not falling asleep, just stop, you know, give them a cuddle. They might be due for a feed. Just know that it’s about sleep pressure and sensory environment.

We can’t make our babies go to sleep. We can’t make them wee, we can’t make them poo. All we can do is provide the environments for them to be successful in that.

So their bedtimes often aren’t between 6pm and 8pm at night. Their bedtimes are often between 9 and 11pm at night.

Sometimes they’ll go to sleep, be asleep for a couple of hours, wake up at 830 or 9 o’clock, then give them a bath.

Don’t try and force anything earlier and just see if that helps. 😃 Would you like to learn more about your infants sleep, feeding and birthing?

Visit www.groovybabies.com.au

 

Does you baby have lip blisters?

See my latest blog on Lip Blisters (Friction Blisters) and what they might mean!

https://www.youtube.com/watch?v=Wk5sai7AYPE&t=5s

I just I just wanted to talk a little bit today about lip blisters.

Babies develop their suck swallow reflex or co-ordination from about 20 weeks in utero. Often in utero, they are sucking on their fingers and creating these little lip blisters, or what I call friction blisters.

And when they get out and they start to learn to breastfeed properly, if they do have a shallow latch or they’re compensating, they will be using their lips to suction on like that.

So they’re breastfeeding more like they’re trying to suck on the straw.

When you’re breastfeeding trying to suck on a shallow latch, then you’re going to compensate and use all these muscles around here so those lip blisters or friction blisters will be more pronounced.

The way that you can help your baby is by getting a deeper latch.

Keep watching in Part 2.wanted to talk a little bit today about lip blisters.

Babies develop their suck swallow reflex or co-ordination from about 20 weeks in utero. Often in utero, they are sucking on their fingers and creating these little lip blisters, or what I call friction blisters.

And when they get out and they start to learn to breastfeed properly, if they do have a shallow latch or they’re compensating, they will be using their lips to suction on like that.

So they’re breastfeeding more like they’re trying to suck on the straw.

When you’re breastfeeding trying to suck on a shallow latch, then you’re going to compensate and use all these muscles around here so those lip blisters or friction blisters will be more pronounced.

The way that you can help your baby is by getting a deeper latch.

 

Pumping and Feeding- keeping up to date to serve you!

There are so many pumps, flanges, teats, bottles and feeding tools available for new parents to choose from. Whether you are feeding from your breast/chest/bottle/cup/tube it can be a over whelming process that a IBCLC can help make your journey a smoother one!

Book a consult today to avoid confusion, spending way to much money on products and above all comfort, and confidence in feeding your baby #letmilkflow


 

Breast Pump/Flange Fit Consultation

 

Many feeding families don’t release that the wrong size flange combined with incorrect use of a pump will impact your milk supply and feeding journey!

Often it is assumed that there is low milk supply or something is wrong with the baby and how he/she is feeding.

It could be your flange fit that is impacting your breastfeeding journey and a proper fit flange is important for pain free and comfortable pumping.. and MOST importantly milk yield!

Commercial breast pumps usually come with 2 size flanges (24mm or 28mm) and mums assume that these are the correct size for them.

So just how it is important to have the correct bra size it is important to have the correct flange size!

So if you are pumping and experiencing pain, discomfort, nipple damage, swollen areola, low output, or still feeling full after pumping then a flange fit/breast pump consultation is for you!

BOOK HERE: https://app.milknotes.com/calendar/?id=1530

 

 

Feeding With Nipple Shields

Nipple Shields can be a breastfeeding and nipple life saver! They are used in a difficult breastfeeding/latching situation.

They are used commonly used with premature infants, with flat or inverted nipples, for infant anatomical variations (like a high palate), sore nipples or weaning back to the breast with bottle use.

Generally nipples shields are reached for when there is a underlying issue that needs further investigating by a lactation consultant.

When using a shield it is important that the size is correct but even more important that milk transfer is effective. Milk supply can sometimes take a little longer to flow from the breast thus feeding can take a little longer- Even with a shield sometimes latching can still be uncomfortable which warrants further investigation.

Using a shield?  Get some further support to make sure it is working well for you and your baby book here:

https://app.milknotes.com/calendar/?id=1530