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One of the most common worries new moms have about breastfeeding is how
to tell if their babies are getting enough milk. Since we don’t have
ounce markers on our breasts, we can’t directly judge how much milk is
actually leaving the breast. Fortunately, there are easy ways to tell
that your baby is getting what he needs.

Supply and demand
The breast is an amazing milk factory.
It bases how much milk to make on how much milk your baby removes. If he
takes a lot, your breast makes a lot. If he takes only a little, your breast
responds by making less milk. And your breast continues to make milk, even
during a feeding. Unlike a bottle, it is never truly empty, so there's
no reason to wait a set time period for your breast to "refill."
Signs of good breastfeeding
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Breastfeeding doesn't hurt! When your baby
is properly positioned at the breast, it makes it easy for him to get that
milk out. A poor position often causes pain while breastfeeding. Sometimes
a minor change in positioning makes a major change in comfort – and in
the amount of milk your baby can take from the breast. If it hurts, get
help.
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You can hear your baby swallowing while he
nurses. Listen for a soft "cah, cah" sound as he nurses. Try placing a
finger under his chin to feel him swallow. A typical swallowing pattern
starts out with a few quick sucks to get your milk to let down. Then the
sucking slows down with a swallow after every suck or two. Your baby may
rest for a bit, and then do the quick sucks again, followed by the slow
sucking pattern. This means that he has triggered another letdown – and
that your body is doing exactly what it is supposed to be doing! Those
later letdowns help get the fattier milk out that will help satisfy your
baby.
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Your baby relaxes as he nurses. A hungry baby
is usually pretty tense. His hands may be clinched into tight fists. As
he feeds, he begins to relax and his hands will open up.
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You relax as he nurses. One of the best by-products
of breastfeeding for moms is the daily dose of a hormone called prolactin.
Prolactin helps your body make milk, and has been nicknamed "the mothering
hormone." Prolactin relaxes you while you nurse, and helps you cope with
the demands of being a new mother. You may notice a wave of relaxation
that comes over you during a feeding, complete with yawns and glazed eyes!
That's prolactin at work.
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Your breasts soften during the feeding. Especially
in the early weeks, your breasts will feel full and hard at the beginning
of a feeding and then feel more like the skin under your arm at the end
of the feeding. That milk had to go somewhere! 3 Your baby comes off the
breast with a "drunken sailor" look. When your baby has had a good feeding,
he'll come off the breast (usually on his own) with a precious look on
his face of pure satisfaction – and often with milk running out of his
mouth! 3 Your baby is content between feedings. Notice that contentment
is at the bottom of the list and not at the top. A baby who is not getting
enough to eat will not have enough energy to do more than sleep. A baby
who falls asleep at the breast after only a few sucks is probably not getting
what he needs. Aim for at least 10 to 12 feedings every 24 hours.
In one end and out the other!
One of the easiest ways
to tell whether any milk is going in your baby is to look at what is coming
out the other end.
Wet diapers mean your
baby is getting enough fluid. Look for six to eight wet diapers per day.
If you are using disposables, try pouring 1/4 cup of water in a diaper
to see how it feels. You can also put a man's handkerchief inside the diaper
to tell when it is wet. The urine should be clear and pale – not dark and
strong smelling (signs of dehydration or infection).
Soiled diapers mean
he is getting enough calories. After the tar-like meconium passes, you
may see two to five or more bowel movements per day. Some babies will have
a BM after every meal – often right after you change their diapers! The
stool will be mustard-yellow and soft. The smell is not offensive, resembling
buttermilk.
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