Q. How often should a newborn be nursed?
A. You should nurse a newborn no less than 8 times a day, depending upon how long he sleeps between feedings at night. If he can go four hours between feedings, then you will probably feed him twice between 11pm and 7am. If you feed him right before he goes to bed, then you may only have to get up one time during the night.
Q. How often should an older baby be nursed?
A. Depending upon the age of your child, you should be feeding him every 3-4 hours during the day. As your child gets older, they will nurse less, but they will be eating more during each nursing. If you are going to nurse after your child is over 6 months old, you should not nurse less than 5 times a day. If your milk supply is decreasing, then you may need to add a nursing or two to your day to help increase your milk supply.
Q. How do I go about dropping a feeding as my baby gets older?
A. The most common change that moms need to make is going from a every 3 hour to every 4 hour routine, dropping a feeding in the middle of the night, or dropping a late-night feeding.
Most of the time you will know when your baby is ready to change their eating habits by a change in their sleep patterns. A baby that has been on an every 3 hour routine normally takes 3 naps a day and if they eat every 3,5 to 4 hours then they may drop the last nap of the nap or shorten one of the other naps considerably. Babies are usually ready to do this at around 3 months of age.
Most babies drop the feeding in the middle of night by themselves at around 6-14 weeks old. You will know that they are ready when you awake in a panic in the morning wondering why your baby did not get you for a feeding. The baby will require more food during the day though, and if you are breastfeeding, your breasts may feel full for a few days, but it is well worth it!
The late night feeding is usually the hardest to let go of. Some parents think that if they do not feed the baby right before bed that the baby will awake in the middle of the night. If you don’t think your child can do without the late night feeding, then push it back in 15-minute increments until you are feeding him at the time you would like to. If the last two feedings of the day seem too close together, don’t worry. It will all work itself out and you both will be much happier for it!
If you baby is not napping well during her first few months of life, you may want to try to cut back on the time she is awake by 15 minute increments. If she is getting overstimulated, then she will fight sleep and be difficult to get to nap. The way to prevent this is to watch her “sleepy” cues to make sure that you put her down when she is beginning to get sleepy.
Some parents believe that letting their child cry will harm him or her. Fifteen or twenty minutes of crying will not harm your child physically or mentally. Babies will learn to self-soothe and fall asleep by themselves, but only if you let her. It is very important that babies learn to fall asleep by themselves so that they can self-soothe if they awake in the middle of the night. Otherwise, you may have a child that will not sleep through the night for years.
Regular sleep patterns are intermeshed with regular eating patterns, so let us look at the stages of a baby’s life:
* Newborn: Your newborn will sleep anywhere from 16 to 20 hours a day, including the naps that he takes between feedings. When your baby has been fed, let him stay awake for a short while and then put him down before he becomes overstimulated.
* Two months: At two months and older, your child should be allowed to try to self-soothe during their naptimes and bedtime. Crying is normal when you put your baby down, but it is okay. If he cries for longer than 10-15 minutes, then go in and check on him. Don’t get him up, but pat his bottom or lightly rub his back until he calms down.
* 3-6 months: At around 3-6 months, your baby will stop taking one of his naps. Usually it is the third nap or late afternoon nap that they do not need as much. He may be a little fussy and may want to take a little nap, but you need to try to keep him up if you want him to go to bed at a decent time and sleep soundly through the night.
* 16+ months: When your child is between 16-20 months, they usually quit taking the morning nap in favor of a longer nap in the afternoons. Babies this age usually sleep between 10-12 hours a night and take a 2-3 hour afternoon nap.
Ground Rules about Naps
1. You decide when the nap starts and ends, not the baby.
2. When your baby is older than 4 months old, she will wake up crying if she hasn’t slept enough. She might have a dirty diaper, be in a position that is not comfortable, or cold/hot. Fix the problem and encourage her to go back to sleep. Babies that have enough rest wake up happy, talking, and in a good mood.
New parents face many problems and issues that they are expected to understand and deal with immediately. Unfortunately, newborns do not come with an instruction book so here are a few topics that you may need to know about.
* Bathing your baby: Until your baby’s umbilical cord falls off one to two weeks after their birth, only give her sponge baths. A cotton ball or cotton swab dampened with alcohol can help to dry the umbilical stump or follow your pediatrician’s directions. After the stump falls off, you can give him a bath in a sink or shallow tub.
* Caesarian delivery: A caesarian is usually performed to make delivery safer for you or your baby. C-sections can be done for many different reasons including stalled labor, complicated labor, problems with the baby that may make delivery difficult, or other problems. It does not matter if you deliver vaginally or by a caesarian section, you are still a mother with a beautiful new blessing.
* Circumcision: Many doctors agree that there may be some benefit to circumcision, but it may not be absolutely necessary. It may help to lower the risk of urinary tract infections and eliminates just about any chance of penile cancer. Circumcision does not cause long-term emotional problems for your child.
* Crib death (SIDS): Many studies have been done regarding SIDS. Although the cause of SIDS has not been definitely defined, there are some correlations that have been made between SIDS and the following things:
Ø Male babies are more likely to die from SIDS than females
Ø Prematurity makes it more likely
Ø Minority children are affected by it more often than non-minorities
Ø More children of young, single mothers die from it
Ø Children who live in a home with one or more smokers are more likely to be affected
Some people say that sleeping with your baby can reduce the risk of SIDS, but the American Academy of Pediatrics disagree with this statement and go on to say that there is a greater risk of SIDS in babies who co-sleep.
Back sleeping is what most pediatricians recommend for babies to decrease the SIDS risk. The reason for this is widely debated between health experts. If you have concerns, talk to your pediatrician.
