Several signs will tell you that your baby is receiving enough breast milk.
- Your baby is wetting enough nappies
– Before the milk comes in, which can happen 2 to 4 days after birth, you should see 1 to 2 wet nappies and stools that are green and slightly sticky, containing meconium.
– From day 3, your baby should be wetting 3 disposable nappies (slightly more if you use cloth nappies) and producing 2 to 3 soft stools ranging from khaki green to yellow in colour within 24 hours.
– By the end of the first week, you should count 5–6 heavy wet nappies and at least 3 large stools per day.
- if your baby surprises you by producing very few stools, keep an eye on their wet nappies. Some healthy babies who are gaining weight well go through phases where they only produce one particularly full nappy every few days. These babies must be at least 3 weeks old, wetting 6 nappies per 24 hours, passing wind without effort, showing no signs of illness (no fever, baby is smiling), and have a soft tummy. If you can answer yes to all of these, rest assured your baby is not constipated — and expect a very full nappy when it does arrive. An exclusively breastfed baby is, in fact, never truly constipated. If in doubt, check with your paediatrician that your baby is not unwell.
If you notice that your baby is wetting fewer than 6 nappies in a 24-hour period, start by significantly increasing the number of feeds you offer. If the situation does not return to normal within 48 hours, seek advice from an IBCLC lactation consultant, who will assess your situation in detail.
- Your baby is gaining enough weight
All babies lose weight after birth. A loss of less than 7–8% of their birth weight during the first four days is considered normal.
How much weight should a healthy baby gain?
– Just after the milk comes in, which can happen 2 to 4 days after birth, and up to the first 2 months, a breastfed baby girl is expected to gain an average of 200 g per week and a baby boy 250 g.
– After the first two months, an average gain of 150 g per week (give or take, depending on whether it is a girl or a boy) is a good sign of healthy progress.
You do not need to weigh your baby every day or have scales at home. Your baby's weight curve should be monitored by your paediatrician, who will also check that their height and head circumference are developing well together. A newborn loses between 5 and 10% of their birth weight during the first week and regains it within 2 weeks at most.
- Your baby is feeding enough
The number of feeds typically observed in healthy babies ranges from 6 to 18, with an average of 11. That is a far cry from the 5 meals your next-door neighbour recommends! Our little ones also tend to organise their feeds in their own way, randomly spread across 24 hours. What can you do about it? Not much, really. When someone suggests you fully empty one breast before offering the other, feel free to ignore it — it is unnecessary and practically impossible.
- Your baby swallows regularly
Another sign of a good latch and adequate feeding is swallowing. You should expect to see your baby swallow with each suck. They then go through a few moments without swallowing while remaining attached to the breast, before swallowing again as a new wave of milk arrives in their mouth.