by Jennifer Levitsky Kasoff


Babies give visual cues when they're hungry. The last thing they do is cry.
How to Tell if Your Infant Is Eating Right
Once your baby is latched onto your breast, watch to make sure her sucking is effective and that she is getting enough milk to satisfy her appetite. "You should see her jaw and cheek move up and down vigorously, and you should be able to hear her swallowing," Lawrence says. "You may also see a little milk dribble out of the side of your baby's mouth."

Controlling your flow may be a bit of a challenge as you and your baby establish a nursing pattern. If your breasts are so full that it's making it hard for your infant to latch on or if your milk is flowing too fast at the outset, you may want to express a bit of milk before your baby starts to nurse. To do this, wash and dry your hands, then place one on top of your breast and the other beneath it. Press gently toward the areola to express the milk into the sink or into a bottle for freezing. Or, use a breast pump (see page 62). Repeat on the other side, if necessary.

The length of time for each feeding will vary with every baby and her mood, but most infants work up to 20 minutes or so at each session. Be sure to empty one breast before moving to the second, Bromberg Bar-Yam advises. This is important because the initial milk is watery and satisfies baby's thirst. The milk at the end is called the hind milk, which contains more fat and calories. "If you switch breasts before getting to the hind milk, your baby won't get enough nutrition," she says.

Always offer the second breast after emptying the first. If your child doesn't seem hungry for her "second helping," don't fret. Begin nursing with your other breast at the next feeding. (To remember which side they're supposed to start on next time, some women find it helpful to move their watch onto that wrist.)

Your baby will signal that she's full by slowing down her sucking or spontaneously releasing your breast, which will start to feel soft. If your newborn nods off while she's still latched onto your breast, Swift has a suggestion: Try gently placing your pinkie finger in between the baby's gums and your breast, which will break the suction.

To check that your newborn is getting enough milk, look for at least six wet diapers and three stools per day during your child's first month. Your pediatrician will also weigh your baby to confirm that she's thriving. Your newborn should be examined by a doctor three to five days after going home from the hospital. Be sure to ask questions at this visit if you're having any trouble nursing. Lactation consultants are on call at many hospitals and birthing centers to help. Or, your health professional may direct you to a support group such as La Leche League. Be patient and go easy on yourself. Nursing your infant is a loving, intimate act, and you'll cherish the time together as your child grows bigger and stronger.

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