breast feeding (indicators of effective breastfeeding)
Last reviewed 01/2018
The following signs indicate that the baby is successfully feeding:
- audible and visible swallowing (1)
- swallows may be less audible until milk comes in day 3-4 (2)
- swallows may be less audible until milk comes in day 3-4 (2)
- baby's cheeks are round (not hollowed or sucked in) (3)
- initial rapid sucking pattern which changes to slower sucks with pauses
and soft swallowing
- the infant is calm, the arms and hands are relaxed
- the mouth is moist
- regular soaked nappies
- on days 1-2 - 1-2 or more
- on days 3-4 - 3 or more, heavier
- day 7+ - 6 or more, heavy
- baby feeds for 5 -30 minutes at most feeds
- at the end of the feed the baby lets go spontaneously or does so when the
breast is gently lifted
- the baby is content after most feeds (1,2)
Indicators of effective breastfeeding in the woman are:
- softening of their breast during the feed
- breast and nipples are comfortable
- nipple shape is the same as when feed began or slightly elongated
- feeling relaxed and sleepy (1,2)
Reference:
- 1. National Collaborating Centre for Primary Care (NCCPC) 2006. Postnatal care. Routine postnatal care of women and their babies
- 2. Oxford Radcliffe NHS Trust 2008. Breastfeeding assessment form. UNICEF UK Baby Friendly Initiative
- 3. World Health Organisation (WHO) 2000. Mastitis. Causes and management