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From:
Tricia Shamblin <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 8 Feb 2017 02:32:12 +0000
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I was reading Nils Bergman's recent article that states that newborn's physiology suggests a feeding schedule closer to hourly when awake.https://www.evergreenhealth.com/WorkFiles/Bergman_2013_Stomach_Capacity_Feed_Interval.pdf

I see this too with cluster feeding in the first few days. Had a patient this week whose baby fed 7 times in 10 hours and then was sleeping for 4 hours on day 2. In the past I've said that if baby sleeps more than 3 to 4 hours attempt to wake baby, but I'm now questioning this. I feel this mother really needed sleep. Baby had 10 feedings in previous 24 hours. What do you think? Should we advise to wake baby? 
Trying very hard with staff to get away from "breastfeeding every 2 to 3 hours." But when I tell them to do gentle waking if baby sleeps more than 3 hours, I feel like we are right back in the same place with unnecessarily waking a sleeping baby that has been feeding well. Would love to hear others thoughts and what they do.
Tricia Shamblin, RN, IBCLC

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