How do I know if my baby is getting enough breast milk?

It is important to know the signs that your baby is getting enough breast milk, because as well as its importance health wise, the insecurity surrounding this is the most common reason for parents starting the slippery slope of top-up bottles.

Occasionally top-ups are necessary, but most of the time babies are getting all the milk they need straight from the perfect source - you! So, what are the signs:

1. At least 6 good wet nappies in a 24-hour period, with clear or pale coloured urine
2. In the first 6-weeks there should be at least 3 mustard colour poos in 24-hour period.  After 6-weeks poos may be less frequent.
3. You can hear frequent swallows when your baby is feeding, and breast becomes softer and lighter as you feed
4. Baby’s hands are relaxed whilst feeding, and s/he does not pull on and off (as baby may do if trying to stimulate milk flow)
5. Baby has alert periods and wakes to feed. They can be fussy at certain times of day, but are not lethargic.
6. Weight gain of at least 150 grams per week in the first few months (this rate of growth will decrease after 3-months when you should be seeing at least 100 grams per week).  Length and head circumference should also increase

There are many reasons that your baby will seek to suckle at the breast that is not about hunger.  Breastfeeding is the most instinctive and comforting thing for them to do if they are having trouble settling.  It is a very valid reason for them to nurse, and you should allow them to without fear that the frequency is a sign of poor supply.

If you put a bottle teat in your baby’s mouth, they will instinctively suck. Drinking a bottle of milk post breastfeed is not a sign that they did not get enough at the breast - its just what they will instinctively do.

If all the above signs are present, you can be confident that your little one is getting enough breast milk, and you should just follow your baby’s cues and your instinct regarding feeding.

 If your supply is low there is so much that can be done to increase it, and you should talk to a Lactation Consultant (IBCLC) who can support you to meet all your breastfeeding goals.