Every Hour or Every Cry? Decoding Your Baby's Breastfeeding Schedule
A Guide
When you bring home that bundle of joy, every coo, cry, or fuss can seem like a decoding mission. "Are they hungry again? Didn't I just feed them?" As days turn into nights and nights seem endless, you might find yourself questioning: How often should my baby be nursing?
Why Nursing Frequently Matters
Milk Supply: Nursing frequently, especially during those early weeks, helps establish and maintain a robust milk supply.
Preventing Engorgement: Frequently draining the breasts helps you avoid breast pain. Preventing engorgement also helps to prevent ductal narrowing (formerly known as clogged ducts) and mastitis.
Bonding: Breastfeeding is more than just nutrition. It's a bonding experience between parent and child.
Growth Spurts: Babies experience several growth spurts in the first year, and during these times, they require more calories and might nurse more frequently.
Developmental Leaps: Babies experience lots of developmental leaps and milestones during the first year, and during these times they also require more calories and might nurse more frequently. Did you know that the brain uses more glucose when a person is learning new things?
Nutritional Needs: Breast milk is easily digestible, so babies process it quickly and get hungry often. Babies also nurse when they are thirsty and most people feel thirsty much more often than they feel hungry.
Clock Watching vs. Cue Catching
First and foremost, while breastfeeding schedules may be intended to provide a framework, newborns aren't wristwatch wearers. Instead of watching the clock, it's essential to catch cues. If you’re putting your baby on a feeding schedule that they aren’t sticking to, it isn’t the baby that needs to change, it’s our expectations. Your baby has just gone from receiving all their nutrients continuously through their umbilical cord to intermittent feeding - it takes quite a bit of time for their metabolism to adjust to this! Strict feeding schedules are often the cause of breastfeeding problems like lower milk supply, slow weight gain, ductal narrowing (formerly known as clogged ducts), and mastitis. Letting your baby lead on when to feed is the ideal approach to infant feeding in the vast majority of cases. Babies show signs of hunger to let you know when to feed them. Look out for:
Sucking on their hands or smacking their lips.
Turning their head towards whomever is holding them.
Becoming more alert or active, moving around, or stretching.
Stirring, becoming fussy, or crying.
Responding to early signs ensures that you're feeding them before they become too agitated. Many times once a baby is crying very hard, it can be more difficult to get them to nurse, so calm first then try again.
The Feeding Marathon
For the first few months, a baby should nurse approximately 8-12 and maybe even up to 14 times in a 24-hour span. It might seem like a lot, but frequent feedings are essential for establishing a robust milk supply and providing your baby with adequate nutrition. Plus, a newborn's tummy is tiny, so they take in lots of small feeding and digest their meals quickly and are ready to refuel sooner than you'd think!
More Benefits of Baby-Led Feeding
We already talked about how baby-led feeding can help to prevent certain breastfeeding problems, but here is another thought. Cluster feeding gets a bad reputation, but if you lean into baby-led feeding, we often notice that babies cluster feedings together during one part of the day and, therefore, may have one or two longer intervals between feedings at another part of the day. Sometimes this longer interval is 3-5 hours depending on the kid. Whenever this longer interval is, that is your time to sleep! If you were feeding on an every 2-3 hour schedule like is often recommended, you would never get a break.
Sleep Intervals and Wake Windows
There is no evidence for the use of prescriptive sleep intervals and wake windows. In my opinion, the people who are teaching a one-size-fits-all approach to infant sleep don’t understand physiological infant feeding and are taking advantage of parents during a very vulnerable era of life to make a quick buck. The amount of time that a baby sleeps between feedings varies greatly depending on so many factors that it can’t possibly be predicted, except maybe by that baby’s parent through long-term observation of patterns. How long a baby sleeps, how long a baby eats, and how long a baby stays awake depends on factors like feeding efficiency, age, developmental stage, health status, breast milk storage capacity, milk supply, and more. Since we’re dealing with factors from two people, even the same parent’s different children may have different patterns.
Beyond the Newborn Stage
As babies grow, feeding patterns will evolve. By the time they're a couple of months old, they might start stretching the time between feedings. Still, even older babies have days where they seem hungrier and want to feed more frequently. Trust their cues and your instincts!
What If My Baby’s Patterns Don’t Match What Is Typical?
If you're practicing baby-led feeding a.k.a feeding on-demand, but your baby is not waking enough to eat a minimum of 8 times in a 24 hour period, try waking your baby up enough to get them over the hump of 8 feedings. There are lots of reasons why some babies are very sleepy, but if they are too sleepy to eat well, it may be an indicator that it’s time to seek help from an International Board Certified Lactation Consultant (IBCLC). If you’re baby is eating more than 12 times daily for lots of days in a row, this may be another indicator that things aren’t going as expected and you should also reach out to an IBCLC Lactation Consultant for assistance.
Embrace the frequency, and remember, each feeding session is not just about nourishment but also a moment of connection. While it can be exhausting, especially in the early days, it is temporary. As you observe and respond to your baby’s cues, you’ll become more attuned to their cues, needs, and patterns. Before you know it, they'll be on to solid foods and giving you a whole new set of cues to decode!
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