The Term Infant with Problems: The "I don't have enough milk" syndrome

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The Term Infant with Problems: Topics
Table of Contents
Pre module evaluation
Early Jaundice
Breast Milk Jaundice
Poor Weight Gain
Multiple Births
Hypoglycemia
Transient Illness
Congenital Anomalies
Physiologic Supplementation
Post module evaluation
References

A number of women discontinue breastfeeding in the first two weeks of life before their first visit to their child's doctor because they are concerned that the infant is nursing every two hours, seems to cry and be hungry and they think this is because they don't have enough milk. When these babies come to the doctor, if they are still breastfeeding they will have excellent weight gain. These are babies who are demanding to be fed and their mothers are meeting their demands. These mothers need reassurance that their breastfeeding is going well. They are being very successful and as the baby gets older their time between feedings will lengthen out a little bit.

Infants need to suck and some infants need to suck more than others. Some infants will be perfectly content to nurse for 30 to 45 minutes during a feeding whereas other infants will nurse for ten minutes on the first breast, ten minutes on the second breast and then fall asleep and be very content. The nursing time for some infants may be a manifestation of their need to suck and their need for closeness with the mother.



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