Most moms new to breastfeeding find themselves worried, concerned, and asking themselves (and others), "is my baby getting enough milk?" After all, it isn't easy to just "know" that your baby is and to feel comfortable and confident that you are doing everything right. Add to that a few different breastfeeding beliefs on how and when you should feed your baby and you walk away feeling confused. But there are a few good ways to know that your baby is getting enough.
Feedings.
Each baby is different. However each baby should feed eight to twelve times in a 24 hour period. Feedings will be spaced out sporadically, but should happen every 2-4 hours including at night. While nursing can take place close together if your baby is nursing around the clock then chances are he or she isn't getting enough milk.
How It Feels and Sounds.
When the baby is latched on correctly and everything is going well you should feel a gentle tugging or pulling at your breast. It should not hurt, cause pain, or feel like a pinching. A good pull or tug is a sign that your baby is getting enough because they have a good latch. Negative feelings are often a sign that proper latch on has not occurred. You should listen for the baby swallowing every 2-5 sucks. This is a sign that he or she is getting a mouthful of milk. Some babies are very quiet eaters so if all signs are good don't worry if you can't hear your baby swallowing. Seeing milk in your baby's mouth is also a good sign.
Diapers.
Dirty diapers are a good indication of your baby's system. Counting wet diapers is a good place to begin. For the first five days of life your baby should have at least the same number of wet diapers as they number of days they have been alive. So, on day one they should have at least one wet diaper, day two at least two, and so on. After that they should have at least six to eight wet diapers in a 24 hour period.
Bowl movements are a little more complicated. The first few days the baby passes a substance known as meconium. It is dark, almost black, and rather tar like in consistency. The colostrum actually acts as a stool softener and helps to push meconium (which has built up in the system during the pregnancy out). After day three the stools should become lighter and looser. By day five they should be yellow and soft to runny. They can also be curdy or seedy. Breastfed babies should pass between two and three of these stools each day for at least the first month. After one month of age breastfed babies may decrease the amount of stool they pass and may only have a bowel movement occasionally, going as long as 14 days between them. For the first month bowel movements can help a mom gauge to see if her child is getting enough milk.
Health.
A well fed baby will have several health related aspects that a mom can use to help gauge whether or not their baby is getting enough milk. The first is activity. While newborn babies aren't really "active" they should have periods where they are awake and alert. They should wake up for feeding and should spend some time looking around as well as feeding. While it isn't exact most newborns need about 16 hours of sleep a day, though they may sleep a lot one day and be awake a lot the next.
In addition to being active a well fed baby will also be one that isn't dehydrated. This is because breast milk provides all water as well as nutrients that a baby needs. Signs that your baby may be dehydrated include going more then six hours without a wet diaper, darker urine that has a strong smell, a dry parched mouth and lips, or there are no tears while the baby is crying. These are signs that dehydration maybe a problem. If you think your baby is becoming dehydrated you should call his or her doctor and talk to them about your concerns.
Healthy skin tone is also a good sign of adequate nutrition. Your baby should have a an even skin tone with a healthy glow. Color changes, blotchiness, or discolorations can be a sign that your baby isn't getting enough milk.
Your Baby Seems Satisfied.
Watching your baby for ques showing her hunger and her satisfaction is a good idea. You can find out when your baby needs to eat and when he or she is done. If your baby stops feeding and seems to be satisfied it is most likely because he or she is satisfied.
Weight Gain.
While many of us don't have the equipment for accurate weight measurements of a newborn, it is something we should pay attention to and part of why well visits with the doctor are important. With adequate nutrition your baby will thrive and gain weight. If your baby is growing as it should then you have nothing to worry about.
Most breastfeeding moms are worried about whether their baby is getting enough milk, but they don't have to be. Most breastfed babies are getting enough and doing well. If you feel like you are having problems talk with your baby's doctor or a lactation consultant to get more advice. Your baby's doctor will be able to know if your baby is healthy and doing well. A lactation consultant can watch you feed your baby and know if your baby is in a good position and is latched on well. This will help you know if your baby is getting enough.