Use this record when you breastfeed and when your baby needs a diaper change during the first week. This will help you keep track of how well your baby is breastfeeding. English/Spanish
1. Circle the hour closest to when your baby starts each breastfeeding.
2. Circle the W when your baby has a wet diaper.
3. Circle BM when your baby has a bowel movement.
It is okay if your baby has more wet diapers or more bowel movements than the goal for the day. You can write in additional W or BMs. If your baby has fewer wet diapers or bowel movements than the goal for that day, call your breastfeeding helper or the baby's health care provider.
Expect a BM to be at least the size of a tablespoon. Diapers should be very obviously wet by day two or three.
- Hold your baby skin-to-skin as much as possible. This calms a fussy baby, wakens a sleepy baby and helps you see a baby's early feeding cues (wiggling while asleep, fluttering eyelids, bringing hands to mouth, or sucking on hands). Crying is a late cue and baby needs to be calmed first.
- Feed on cue, 8 to 12 times in 24 hours. Your baby may feed several items in a row and then sleep for a stretch of time. Practice makes perfect for both moms and babies!
- Baby's body should be completely facing you with baby's ear, shoulder and hip in a straight line.
- Hold skin-to-skin, chest to breast, baby's chin lifted, leading latch, nose in line with your nipple.
- Keep baby close to you, supporting the shoulders and back. Brace baby's hips close against your body.
- If there is any pinching or pain, bring the baby closer to your body. If this is not better, re-latch for optimal
comfort. If your baby does not latch comfortably in the first few tries or gets fussy, return to skin-to-skin holding. If unable to latch, hand express, pump and feed the baby expressed breast milk. Use formula if necessary.
- Mouth wide open
- Tongue over the gum line
- Lips rolled out
- Comfortable and feeling like a tug, a pull or a draw
- Allow baby to finish the first side then offer the second. Baby may only nurse on one side.
- Massage and compress the breast during feeding to increase milk flow.
- Listen for frequent swallows.
- Keep track of how many wet/dirty diapers your baby has in the breastfeeding record log.
- Massage and hand express.
- Apply expressed breast milk to your nipple and areola. Let air dry.
- Expose to air for 10 to 20 minutes.
- Wear shells as instructed. Do not use while sleeping.
- Use Lansinoh three times a day sparingly on damaged skin only.
- Use salt water solution after feeding if needed. Rinse and pat dry. Apply expressed breast milk.
- Use reverse pressure to lessen any areolar swelling.
Frequency of pumping
- Apply warm compress, massage and hand express before pumping to increase milk flow.
- Pump 8 to 10 times every 24 hours.
- Double pump 12 to 15 minutes or single pump 15 minutes on each side.
- Not necessary at this time.
- Supplement – give any amount of pumped milk and enough formula, if necessary, to total ____.
Recommended follow up
- Pediatric provider
- Outpatient lactation visit (call the Warm Line at 1-800-711-7011)