Is my baby getting enough milk?
You can tell your baby is getting enough milk from steady nappy output (5+ wet, 2+ dirty a day by day 5), regaining birth weight by around 14 days, 8–12 feeds a day with audible swallowing, and a baby who seems content after most feeds.
Learning how to understand and recognise a newborn's feeding cues and what normal newborn feeding patterns look like can help you have a realistic expectation of feeding your baby. Whether you are bottle feeding, breastfeeding, or combination feeding, you might expect to see some or all of these behaviours from your baby.
The essentials
- Nappies
- Expect 5 or more wet nappies and 2 or more yellow, seedy poos a day by day 5, on average. Urate crystals (red staining in the nappy) can be a sign of dehydration if they appear after the first few days of life. If your milk is delayed coming in, you may see slightly fewer wet or dirty nappies by day 5 – please consult a health professional for further guidance.
- Weight gain
- Babies typically lose weight in the first week or so of life, then should regain their birth weight by around 14 days. If your baby loses more than 10% of their birth weight, consult a health professional – they will carry out physical checks on your newborn for signs of dehydration and advise you appropriately.
- Feeding well
- Look for feeding frequency of 8–12 feeds (or more) per 24 hours, which is normal, steady sucking and swallowing sounds during feeds, and a baby who seems content after most feeds – not every time, but most.
- Red flags
- Get help if your baby has fewer than 5 wet nappies a day after day 5, no poo in 24 hours after the first week, is always sleepy and hard to rouse, or has a painful, ineffective latch.
- Breasts feel softer after a feed
- Once the initial engorgement subsides, your breasts may feel softer or 'empty' after a breastfeed – this is a good thing, and it tells you your baby is emptying the breast when feeding. After a few weeks your breasts should feel more soft and comfortable; that doesn't mean your supply is dropping, just that you and your baby have regulated it.
- Can't pump much milk
- Pumping output isn't an accurate indicator of your supply – how much you're able to pump in one session isn't necessarily how much milk your baby receives at a feed. Babies are always more effective milk extractors than pumps, and it's normal to need two, three, or more pumping sessions to get enough for one bottle feed.
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This guide is informed by current evidence and clinical practice. Individual circumstances vary — it isn’t a substitute for advice from your own midwife, doctor or lactation consultant.
