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How to Breastfeed
Benefits of breastfeeding last a lifetime
Questions about breastfeeding
Thawing frozen breast milk
Baby-led latching
Breastfeeding positions
Storing breast milk/thawing frozen breast milk
Expressing breast milk
How to express breast milk by hand
Getting started
Tips to help breastfeeding
Caring for nipples that are sore
General breast care
Caring for breasts that are hard
How to tell if your baby is getting enough breast milk

Caring for breasts that are hard

  • If your breasts become hard your baby may have trouble breastfeeding.
Caring for breasts that are hard
 

Get help right away if you:

  • cannot soften your breasts or are having problems breastfeeding.
  • have a red and painful area on your breast.
  • have a fever.
  • are feeling sick.

See where to get help for phone numbers to call for breastfeeding help.

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How to tell if your baby is getting enough breast milk

Signs that your baby is breastfeeding well
You will see:

1. Deep and Slow Sucks

  • At the start of the feed your baby will have shallow and quick sucks. When your milk starts to flow the sucks should become deep and slow. There should also be a pause during the suck when your baby’s mouth opens the widest. Your baby is drinking milk during this pause. There should be at least 10-20 minutes in total of this “deep and slow” type of suck at each feed.

    You will:
  • feel your breast being pulled with no pain.
  • hear your baby swallowing (e.g., a quiet exhaled "kaa kaa kaa").
How to tell if your baby is getting enough breast milk How to tell if your baby is getting enough breast milk
How to tell if your baby is getting enough breast milk  

2. Wet Diapers and Stools

Baby’s Age
Wet Diapers Each Day
At all ages urine should be clear to pale yellow
with almost no smell
Stools Each Day
1 day old At least 1 wet diaper (a wet diaper feels like at least
2 tablespoons or 30 ml of water poured on a dry diaper)
At least 1-2 sticky dark green/black
stools (meconium)
2 days old At least 2 wet diapers At least 1-2 sticky dark green/black
stools (meconium)
3 days old At least 3 heavy wet diapers (a heavy wet diaper feels like at least 2-3 tablespoons or 30-45 ml of water on a
dry diaper)
3 or more brown/green/yellow stools
4 days old At least 4 heavy wet diapers 3 or more brown/green/yellow stools
5-6 days old and older At least 6 heavy wet diapers 3 or more large, soft, yellow, seedy stools
(a large stool is the size of a quarter or
larger). Baby should not be passing any
meconium at this age
6 weeks to 6 months At least 6 heavy wet diapers • 3-4 per day or 1 large, soft, yellow seedy
stool per week

• After 6 weeks some breastfed babies may have 1 very large yellow stool every 1-7 days. This is normal as long as the
stool is soft like toothpaste, or seedy, and watery, and your baby is healthy. It is
also normal for some breastfed babies to
have many stools each day.

 

3. Weight gain

  • Breastfed babies may lose 7% or less of their birth weight in the first 3-4 days after birth.
  • Most breastfed babies then gain at least 4-8 ounces (112-224 grams) a week in the first 3 months.
  • Your baby should return to her birth weight by 10-14 days of age.
  • Then your baby gains 21/2-41/2 ounces (85-142 grams) a week from 4-6 months.

4. Other signs that your baby is getting enough breast milk

  • Your baby has a loud cry.
  • Your baby’s mouth is wet and pink.
  • Your baby’s eyes look alert.
  • Your baby moves actively.
  • Your baby comes off the breast looking relaxed and sleepy.
  • Your breasts feel softer and less full after breastfeeding.

GET HELP RIGHT AWAY IF YOUR BABY IS NOT SHOWING SIGNS OF BREASTFEEDING WELL

 

Please download the Breastfeeding your Baby Booklet.
(PDF, 8 pages, 835 KB).
This booklet and information on How to Breastfeed has been reprinted with permission from Toronto Public Health.

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