I always say something like "it is really recommended that (insert
appropriate modifier here--small/new/sleepy/whatever) babies nurse at
least every two hours during the day and at least every three hours at
night".  If baby is gaining well, then I might say 4 hours at night.  Is
baby sleeping with mom?  I don't think the baby would sleep that long at
night if they were sharing sleep.  You don't say how the baby's diapers
are?

I am really coming to believe that engorgement does not have to happen,
that it's a result of scheduled and way too few feedings...

Joylyn

Donna Kimick wrote:

>Had a phone call today from a mom that has a two week old that was three
>weeks preemie.  Baby was 4 lbs now over 5 lbs.  Nurses and latches well - but mom
>has to wake her up every three hours during the day.  The Ped told her not to
>wake baby at night to nurse - "let her sleep" this baby is sleeping from 11pm
>til 8 am or so.  Mother is not pumping during night and wakes up engorged
>(really??).  Since I am still new at this - my advice was to follow her instincts
>(she called because she felt that long night sleep was too long) I told her to
>either pump during the night or wake up baby after 4 -5 hours ( I think even
>sooner is better)  I didn't want her to "not" listen/trust doctor - but is
>this normal ??  for a preemie ? Any advice is appreciated - just remember I am an
>intern and learning lol - my LC (mentor ) is away and I spoke to this mom at
>10PM today - I will of course discuss tomorrow with IBCLC partner. Thanks  and
>I am learning so much from you all :)
>
>Donna Kimick
>Intern LC / Lactation Assistant
>
> Donna
> <A HREF="http://www.homemakersidea.com/2002/online/2002ideabook/index.htm">The Homemaker's Idea Co. ® 2003 Art of Beautiful Living   </A>"There's no Place
>Like Home"
>
>
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