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Breastfeeding (What's considered normal? (Kent (2006) says for 1-6mths…
Breastfeeding
What's considered normal?
Feeding off one or both sides
Variable volumes
8-12 feeds/day
Night feeding
Kent (2006) says for 1-6mths:
14% from both at each feed
58% sometimes both, sometimes one
28% always feed from only 1 breast at each feed
Breast only completely drained once/day
64% babies feed 1-3 times/night
Night BF's were largest feed of 24hr period (20% of total 24hr intake)
No of BF's/day ranged from 6-18
Volume at each BF ranged from 30-135mL
All exclusively fed BF babies from mothers w milk production between 500-1350mL were thriving
Individual breastmilk intake does not vary much between 1&6mths of age
Signs of an issue
Clicking sound while on breast
Infant pulling at breast early into feed
Ongoing and unmanaged pain on attachment (after 2-3 wks)
Assessment of adequacy
Contentment
Clustering at end of day is normal
Between feeds
Outputs
Urine
5 well soaked disposable
Faeces
2/d for </=8wks - good palm full
Can be 7-10days after this but should be great amount
Growth
150-200g wt gain 1st 3mths
100-150wt gain 4-6mths
Regain birth wt by 2wks
Breastmilk composition
