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Women & Infants
 
Pregnancy Planner
Having a Baby - Breastfeeding
Breastfeeding Record

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.

Feeding frequency

  • 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!

Position

  • 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 buttocks against your side.
  • 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 is not latched in five minutes, stop. Pump and feed the baby expressed breast milk. Use formula if necessary.

Latch

  • Mouth wide open
  • Tongue over the gum line
  • Lips rolled out
  • Comfortable and feeling like a tug, a pull or a draw

Duration

  • 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.

Monitor output

  • Keep track of how many wet/dirty diapers your baby has in the breastfeeding record log.

Nipple/breast care

  • 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.

Supplementation

  • Not necessary at this time.
  • Supplement – give any amount of pumped milk and enough formula, if necessary, to total ____.

Recommended follow up

  • Pediatric provider
  • OB/CNM
  • Outpatient lactation visit (call the Warm Line at 1-800-711-7011)
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