<We had realized that poor weight gain in breastfed babies in our
practice was related to poor feeding patterns e.g. prolonged feeds, often
using only one breast at a feed, and an irregular feeding pattern. The
weight gain improved enormously when these patterns were improved. A
regular stable pattern (approximately 3 hourly during the day, often
longer gaps at night) using both breasts at each feed, approximately 10
minutes each side, much improved weight gain. We now see babies who gain
up to 1lb (and sometimes more than this) a week in the early weeks. >
*******************
Jean quotes from an article about peer support and brings up the information
about time and space of feedings.  I have a hard time seeing this as correct.
I know, research, etc. but experience tells me otherwise.  Babies tend to
fuss and show hunger cues long before 3 hrs.  And ten minutes on each side may
mean a fussy  baby even sooner due to the over full breasts in the first place.
So, what age are they talking about?  Also, does that mean again, that all
the experience is wrong and the information of "don't feed the baby more than
every three hours and there is no reason to nurse more than 10 minutes on each
breast" nonsense my moms are hearing actually has a research source?

It seems to me that allowing the baby to determine hungry and satiety makes
more sense (assuming all is well and supply/latch/intake are all good) than
watching a clock.  Why would they have seen more weight gain by scheduled feeds
and limiting time at the breast?

Just curious,
Pam MazzellaDiBosco, IBCLC, CD(DONA), CCCE
Birthing & Beyond, Inc.
Florida, USA

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