Jump to content

Should I still be waking DD to feed overnight?


  • Please log in to reply
10 replies to this topic

#1 indigo~

Posted 29 November 2012 - 08:42 AM

DD is 11.5w but only 5w corrected age as premmie. For weeks now I have had to wake her for the first overnight feed of the night.

I was letting her go no more than 4 hrs between feeds overnight on advice from special care when she was discharged. In the past week I have stretched this out to 5 to 5.5 hrs and have still needed to wake her.

She will then usually wake herself after3-4 hrs for the following feed. She doesn't sleep much during the day other than catnaps in my arms.

Just wondering if I should continue this or let her sleep? She's still only little, approx 4.2kg. It hasn't really bothered me as I would need to get up to express anyway as the boobs feel overly full after 5 hrs.

How do mums cope with full boobs when their bubs do start to sleep through? Do the boobs adjust or do you need to keep expressing? My supply is not great and I have to comp feed with EBM or formula top ups around 3 times a day.

Thanks

#2 Mrs Dinosaurus

Posted 29 November 2012 - 09:09 AM

I'm not sure about waking to feed, I would go on advice of the midwife, MCHN as a premmie she may well need waking still.

As for the boobs - yes, they adjust - some quicker than others. I put a towel under me in bed as I always leaked, it takes me a few nights to adjust but dropping my day feeds takes me loads longer to adjust to!

All the best original.gif

#3 Copper and May

Posted 29 November 2012 - 09:20 AM

I think I would wake her after 4 hours overnight, as she is still very little and her tummy is only as big as her fist and why pump all that good milk away, when your baby will take it. Mums are given extra energy during the months after birth, or so I am told. Is it the oxytocin or something that makes you calm. unsure.gif

#4 lucky 2

Posted 29 November 2012 - 09:42 AM

Oxytocin is usually a feel good hormone, there are the exceptions though.
As for waking, I'd talk to your LC or CHN, theoretically if a baby is well, feeding well, great output, growing normally then you do not have to control feeds, ie if baby can control intake/feed frequency and thrive then you can let baby feed to need.
Since your baby was a prem I'd think it is better to be safe than sorry and get advice from you health provider.
I don't think being 4+ kg is an issue if she feeds well, is is 5 weeks old adjusted and some babies of this age can have longer sleeps.
Check if it's ok for your baby though.
QUOTE
How do mums cope with full boobs when their bubs do start to sleep through? Do the boobs adjust or do you need to keep expressing? My supply is not great and I have to comp feed with EBM or formula top ups around 3 times a day.

Most mums don't have to worry about babies sleeping too much at this young age!
Since you have a undersupply I'd be up expressing for sure, if you didn't need to feed.
If baby does feed well then it might be good to have baby feeding regularly overnight, that might help supply.
Are you seeing a LC? If not is sounds like a good idea considering your supply issue.
All the best.

#5 indigo~

Posted 29 November 2012 - 10:18 AM

Thanks for the replies.

The local MCHN is also a LC and she suggested letting DD sleep and see how she goes. My gut instinct is to continue waking to feed though. Her next paed check up is mid Dec so I may keep going as I am and ask the paed what he thinks.

Re my supply, the MCHN/LC said that my supply is probably as good as it will get as I've been on motilium (and fenugreek and nursing tea) for around 10w now and bub BF all day long (every 1-2hrs, sometimes less than 1hr!) so can't increase frequency or express more than I am. I will usually only express now after her first overnight feed (getting 30-50mls) otherwise there would be nothing left for bub at her next feed.

When she's super hungry, I'll put her on each boob 3 times and she'll still be cracking it for more. That's when I'll offer a bottle top up and she takes it greedily and then looks so satisfied afterwards, poor chook.

Her weight gain is great though - last weigh in had put on 420g in 10 days so up 12% over that period. Makes me wonder if she really needs the top ups or just likes to feel full? She feeds so frequently during the day that she only gets smaller volumes. The overnight feeds are when she gets a good amount as they have longer to fill (plus prolactin higher).

#6 lucky 2

Posted 29 November 2012 - 10:35 AM

If you feel brave enough give your MCHN/LC's suggestion a go.
This means that you do a little controlled experiment, see what happens and if she does wake naturally and continues to have an excellent output and growth then the experiment is a success! If not then you go back to waking her.
I'd suggest that your MCHN/LC is best placed in understanding how your baby feeds and how to manage her intake and breast feeding, that is her expertise.
You are doing really well, if you do a couple of night trial how can it hurt if your baby remains well and you continue to have healthy breasts and nipples (ie not getting blocked ducts).
I understand what you are saying re ? supply is optimal, you have done everything to build it.
When bub is in the fussy phases how about keep switching sides, ie more than 3, I used to have to give up to 8 sides for dd as she would fuss and carry on. It helped increase her intake and my supply.
Sounds like you are getting excellent care and advice.
All the best.

#7 mandala

Posted 29 November 2012 - 07:00 PM

I would be tempted to try not waking her. That first sleep of the night is the deepest, and quality sleep is also important for growth. You might also find that if you are more rested, your supply improves.

My baby was also a little thing, and would have been around 4kg at 6 weeks. 420g in 10 days is fantastic!

At that stage I had oversupply - my undersupply started later. However I did have a few nights were I was woken up by painfully full breasts. I would get up, run the hot tap in the basin to get a warm, wet flannel, and put it on my breasts before hand expressing just enough to be able to get back to sleep.

#8 MrsSmith247

Posted 29 November 2012 - 07:14 PM

I woke my DD til about 4 months. She was born full term but quite little and I've always had a very volatile supply. Above all else, my instinct was it was best. It was more a dreamfeed for both of us than an actual wake up.

Do whatever you feel is best.

#9 indigo~

Posted 15 December 2012 - 09:00 PM

Hi again. Just an update from me and a follow up question.

I've been letting bub sleep and she goes for around 5.5-7.5 hrs some nights before waking. (Still not sleeping during the day but that's another issue.) She's now 14w or 7.5w corrected.

I've been getting up around 5.5-6 hrs from last feed to express but I've only been taking off 20-25 ml per boob just till they're not rock hard anymore.

Just wondering if I should be removing more or even draining them? I haven't as I can't predict when bub will wake up and I've wanted to leave enough for a decent feed.

I'm worried about affecting my supply as I've worked so hard to increase it.  I haven't had to give any formula top ups for over a week now. What should I be doing to maintain supply?

Thanks!

#10 lucky 2

Posted 15 December 2012 - 09:29 PM

Hi, thanks for the update original.gif .
QUOTE
I'm worried about affecting my supply as I've worked so hard to increase it. I haven't had to give any formula top ups for over a week now. What should I be doing to maintain supply?

It can be a helpful to have a weight taken when you make a change in diet (ie drop formula) and then get a weight taken, say, a week later and see how the growth is.
If baby continues to have a good output, ie plenty of pale wee and soft yellow poos (ie 2 or more each 24 hrs) and growing on breast milk alone then you do have the right amount of milk production.
And if your breasts remain free of blocked ducts and are comfortable then this is also a good sign that bfing if going well.
From what you have written things sound good but it would be safest to have a visit and weight check with your CHN.
All the best.

#11 ScarfaceClaw

Posted 15 December 2012 - 09:41 PM

I stopped waking DS well before 4kg! I think he was still under 3kg and  we went to demand feeds from about 8 weeks. He was probably waking 5 hourly overnight and 2-3 hourly feeds during the day.

Best way to maintain supply is to feed, and if baby is putting on weight and making lots of wet nappies you are likely to be doing well.
You may also notice a growth spurt coming up where they feed more frequently, that helps build supply too, esp if you don't comp feed, just offer the breast freely.

Good luck, this can be such a confusing time!




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Wondersuit heaven: Bonds & Disney launch exclusive collection

Bonds and Disney fans with babies to buy for will be celebrating this news. Bonds and Disney have just released collaboration Wondersuits.

Town welcomes first baby in 28 years

Since the 1980s, the Italian town of Ostana had not seen the birth of a single baby.

Great-great-grandma delivers great grandchild in her own home

''I've delivered calves, lambs, dogs and cats, but nothing like this.'' This 'Super Gran' calmly peeled the amniotic sac over her great-grandson's head before discovering the umbilical cord was wrapped around his neck ... twice.

How to start teaching your kids road safety

It's something that can be taught as early as possible and reinforced as they get older and more mobile - even from toddlerhood.

Just announced: Bugaboo Cameleon³ Classic+ Collection update

Meet the brand new understated chic model from Bugaboo.

The emotional moment a mum hears her late son's heartbeat

It's been two and a half years since Heather Clark's seven-month-old son Lukas passed away.

Nine reasons why you have 'brain fog'

One minute your productivity is skyrocketing and the next you're sitting there trying to focus – just like that you draw blank, your brain, mush.

I had a caesarean and it was beautiful

Guess what? Despite not pushing him out, I cried, and my heart skipped, and I felt the rush of love and pride when I saw him for the first time.

Microcephaly still a mysterious condition around the world

For parents, having a child with microcephaly can mean a life of uncertainty.

7 baby firsts you won't see on milestone charts

Here are a few 'other' baby firsts you may not have been expecting, but you'll want to be ready for.

Why it's important to vaccinate on time

My son was born on the 1 July 2014. It's a fabulous birthday, don't you think? Not only does the first of July ring in a new financial year, but it also means we've hit the year's half way mark.

Naturopath treatment allegedly left baby "days from death"

A naturopath whose treatment of a baby boy allegedly led to the infant being severely ill has pleaded not guilty to charges against her. 

Andy Murray's emotional speech to pregnant wife after Australian Open

A teary-eyed Andy Murray promised pregnant wife Kim he'd be on the next plane home after his turbulent two weeks at the Australian Open came to an end.

This toddler and his duck BFF will melt your heart

A small boy in the US has struck up a quacking good friendship with an unlikely companion ... his pet duck. 

Great news for coffee drinkers - caffeine is good for your heart

Researchers have found that, contrary to prior belief, caffeine does not cause health-threatening heart palpitations.

I always wanted children - but I've found other ways to be maternal

I've always been one of the most maternal women I know.

When only one parent wants to know the gender

For some couples you either both want to know the gender of your unborn baby, or you don't. For others, it's not that simple.

'No jab no play' could hurt disadvantaged children, experts fear

Tough new "no jab no play" laws could hurt children who have not been immunised due to family dysfunction, poverty, or poor access to medical support, experts warn.

Zika virus: Airlines offer refunds to pregnant women

Airlines and cruise companies across the world are offering refunds or travel credits to pregnant women who are scheduled to visit countries struck by the devastating Zika virus.

#meditateonthis: Mums fight back against PND ignorance

Not all women will require medication, but many will. And there isn't and shouldn't be any shame in that.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Penny Wong

'The most hurtful argument in the marriage equality debate'

Labor frontbencher Penny Wong is used to to hearing arguments against same-sex marriage. But for Australia's most prominent gay politician, one hurts more than others.

Does exercise have to be fun to work?

Some things in life are inherently served with a big scoop of fun: balloons, bubbles, cupcakes to name but a few, but exercise?

Hair dye gives woman second-degree burns

She wanted a fresh colour for 2016, but instead she got chemical burns.

Kelly Slater saves mum and toddler from 'freak wave'

A Perth family has thanked US surfing "legend" Kelly Slater after the star saved a mother and a young toddler from "a freak wave" in Hawaii.

Apple recalls millions of power adapters

Tech giant instigates massive international recall of power point adapters due to risk of electric shock.

Toddler's adorable alphabet goes viral

It's impossible not to share this little boy's excitement  about the alphabet.

Tot's nighttime waking saves family's life

Like all tired parents, Monique and Kyle Ruppel were looking forward to the day their 15-month-old daughter Celia would start sleeping through the night. 

Australian mum gives birth to quintuplets

An Australian mum who has shared the ups and downs of carrying quintuplets has welcomed her five babies into the world.

Dad of four girls faints at gender reveal for fifth baby

It was all too much excitement for this dad.

The simple way you can help your baby's language development

The way parents respond to their child's babbling can shape how their infants communicate.

Zika virus is 'spreading explosively': WHO

The World Health Organization announced that it will convene an emergency meeting about Zika.

National database recommended for child protection cases

Baby Ebony was repeatedly failed by the agencies tasked with her protection before her horrific death at the hands of her father, South Australia's deputy coroner says.

Hospitals put babies at risk by ignoring policy on elective caesareans

Thirty-eight weeks or 39? Non-medical factors are pushing women to have elective caesareans earlier than official guidelines - and hospitals are playing along.

Police help deliver baby on busy roadside

Two police officers delivered more than a traffic fine by the side of a busy Melbourne road yesterday.

1D's Louis Tomlinson shares first photo of baby

One Direction's Louis Tomlinson has posted the first picture of his baby boy, Freddie, on social media.

 

FREE TICKET

Free first aid demonstrations daily

Get your free ticket to the Essential Baby & Toddler Show and save $20 - register online now!

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.