Is My Baby Getting Enough Milk?
First of all I love everything Amalah! During my pregnancy I turned to your calendar on a weekly basis and have been a loyal lurker of your blog for years. My wonderful son was born in February and the months have flown by. After baby P was born, I resigned from my position and have been loving my work-occasionally-at-home mom lifestyle. I have been exclusively breastfeeding and when P was 6 months old I started making his babyfood using your “lazy-mom” method.
A couple of months ago, I got a call from my old job. My previous boss had quit and they desperately needed me to fill in on a part time, temporary basis. After some negotiation, my husband and I decided that I should take the offer and work 25 hours a week for the next couple months. We have a great network of grandmas* that are all happy to watch P and it has been going pretty smoothly, I just miss spending more time with him, and I can’t wait to be back at home.
I’m starting to get a little concerned about P’s eating schedule and thus the email today. Before I took the job, I would nurse P about 4 to 5 times a day. Our schedule went a little like this:
Wake Up – Nurse – Solid Food Breakfast a little later – Nap – Wake Up – Nurse – Solid Food Lunch a little Later – Nap – Wake Up – Nurse – Solid Food dinner a little later – Nurse (maybe) – Bed for the night.
Here and there when he was extra fussy or I just felt like he needed it, I would nurse him. He usually sleeps through the night but occasionally he would wake up sometime before midnight and I’d nurse him and then he would go back to sleep.
Now that I’m at work, I nurse him first thing in the morning and at night, but he takes bottles of breastmilk mixed with formula (7 – 8 oz) after his naps. Except when he doesn’t. Sometimes he just refuses one of the bottles completely, other days he will devour both bottles like they are going out of style. Part of my concern maybe that it has been a couple months since our well baby 6 month check up, so I don’t have a good gauge of how his weight gain is going, but I’m constantly worrying about this!
Yesterday his grandma forgot the after morning nap bottle all together, so he went several hours without any milk. When I picked him up, I was surprised to see the unused bottle, and my mom had thought it was supposed to be for later, so there was some miscommunication there. She was like “he ate a great lunch tho!” grrr.
So the question – a) Does that seem like enough milk? and b)any advice on getting the grandma’s to pay attention to his schedule? I typed the entire day up for my mom and she has it on her fridge, and I usually give here a quick blurb about everything when I drop off P.
HELP! I keep pushing this back telling myself its not a big deal, but a part of me just isn’t sure. Baby P is very happy on all accounts and is right on target with most of his milestones (at 8 months he’s army crawling everywhere, pulling up a little, babbling away and laughing at his own little jokes.)
Thanks so much!!!
Flustered First Time Mom
*I realize this sounds like a lot of random old ladies, but really it is my mom, my husband’s mom and my husband’s step-mom, who are all in their mid-50′s.
Here’s the thing about babies: They let you know if they are hungry. Even once you’re past the nursing-exclusively stage and trying to cobble together a well-balanced diet of breastmilk/formula/solids, babies are really, really excellent at self-regulating their intake and letting you know if something is “off.” They don’t eat out of boredom or because it’s typed up on a schedule…they eat because they are hungry.
So if your son was consistently not getting enough milk during the day, he’d likely make up for it with more-frequent wakings at night to nurse. If he was getting actually malnourished or losing weight, he’d reserve all that energy he’s using to crawl and babble and just…seem extra quiet and maybe a bit lethargic and you’d KNOW. You’d just know.
By eight months, there really is no set-in-stone amount of milk and/or baby food that ALL BABIES MUST GET EVERYDAY. It varies soooo much. Some babies are still nursing every two hours like clockwork while others happily go every four…or more. Some are wolfing down cube after cube of baby food with a side of bagels and corn on the cob while others are still only interested in cereal mixed with breastmilk.
Here’s a decent overview/guideline piece on this, and how much it varies. In the sidebar, you’ll find specific milk guidelines for nursing and formula. Between 6-8 months, babies nurse every three to four hours. But by 9-12 months (and I’m guessing your son might be getting close to the nine-month mark?), babies space nursing sessions out by four or five hours. For exclusive formula feeders, the goal is at least 24 ounces a day — that’s three 8-ounce bottles. If your son is getting two or three bottles, plus morning/evening nursing sessions, I’d say you’re more than hitting the average of what he “should” be drinking. (And again, every baby is different, and every DAY with every baby can be completely different.)
So there’s nothing really jumping out at me in your letter that sounds crazy out of the ordinary. If your son doesn’t want the bottle, or isn’t asking for the bottle, chances are he doesn’t need that bottle.
Perhaps the 8-ounces-of-milk-in-one-sitting is actually replacing two of your former nursing sessions? I know the mornings when I hand Baby Ike over to a sitter he eats MUCH less frequently than when he’s with me — part of it’s the comfort factor, of course. But part of it is that I don’t believe he gets as much milk from me per feeding as he does in a full bottle. So he spaces the bottles out much further than nursing sessions.
The only cause for POSSIBLE concern is if the grandmas are actually replacing entire bottles with SOLIDS. Like, maybe the morning pre-nap bottle gets skipped sometimes, no biggie, but then lunch should START with breastmilk/formula, and not baby food. You never want to offer solids before breastmilk or formula at this age (and until 12 months). If you think that’s happening, then yes, definitely stress to whoever is caring for him each day that he MUST get that bottle before lunch. After the bottle, they’re free to offer him as much solid food as he likes.
But the pre-nap, in-between-meals bottles? Eh. I wouldn’t worry about scheduling them so strictly. (I actually find it CRAZY IMPRESSIVE that your baby is so good at putting himself to sleep without a bottle or nursing, and might be a wee bit jealous, you lucky thing.) Maybe he’s too busy right now working on pulling up to stop and eat, but in a couple days he’ll hit a mini-growth-spurt and make up for it. Or he’s just making the move from being a baby who eats round-the-clock and weaning himself onto a more toddler-like schedule of morning/night nursing and three meals a day. Again, there isn’t a one-size-fits-all rule here, and I remain convinced that it’s best to let baby lead the way and takes his cues re: feeding.
If you (understandably) find yourself continuing to stress out about this, there is NO LAW that says you MUST wait until his next well-baby visit to get a weight check done at the doctor’s office. NONE. You would absolutely not be the first mother to ask for one, and any decent pediatrician’s office should be more than willing to schedule five minutes of a nurses’ time to weigh your son and plot the number on his growth chart to reassure you that everything is okay.
And lastly! Because this is Me and My Thing and it would not be a very Amalah-like column if I didn’t mention it: Eight months old is a FABULOUS AGE to start baby sign language. Like, the BEST, because the little mimics pick it up so quickly and it’s like, BEHOLD TWO-WAY COMMUNICATION THAT IS NOT UNGODLY SCREAMING! HUZZAH! Teach him (and the grandmas!) the signs for milk and more. That way, you’ll know for sure that he’s actually getting milk every time he actually wants/needs it, and that the skipped bottles are because he’s setting the schedule, and not because Grandma isn’t paying attention.
Photo credit: Thinkstock