Understanding Infant Behaviour and Signs of Sufficient Breast Milk

Milk Supply
By C Haupt
Created: 9 October, 2024

Newborn behaviour can seem unpredictable, especially to first-time parents. However, understanding the nuances of infant behaviour, especially in relation to breastfeeding, is essential for ensuring the infant's well-being and growth. In recent years, much research has focused on interpreting these behaviours and identifying reliable signs that an infant is getting sufficient breast milk. Here’s a look at what experts say about infant behaviour and breastfeeding, based on recent peer-reviewed studies.

 

Infant Behaviour: Understanding Hunger and Fullness Cues

Newborns communicate their needs primarily through behaviours rather than words. Many parents interpret crying as the first sign of hunger, but infants typically show other cues before reaching that stage. Recognizing early hunger signals helps to avoid infant distress and makes breastfeeding smoother.

 

According to a 2019 study published in Pediatrics, early hunger cues include rooting (turning the head towards the breast when the cheek is touched), sucking on hands or fingers, smacking lips, and becoming more alert or restless. Late hunger cues, on the other hand, are fussiness and crying, making feeding more difficult due to the baby’s heightened emotional state. Parents who are tuned into these early signals often have an easier breastfeeding experience, as the infant is calm and ready to feed.

 

Similarly, understanding fullness cues is equally important. A 2020 review in the Journal of Human Lactation highlights signs of satiety in infants, such as relaxed body posture, falling asleep, or pulling away from the breast on their own. These behaviours are natural indicators that the infant has had enough milk.

 

Common Infant Behaviours and Misconceptions

It’s common for new parents to misinterpret certain behaviours as indicators of insufficient milk supply, especially cluster feeding (frequent feeding in a short period) and fussiness. A 2021 study in BMC Pregnancy and Childbirth explains that cluster feeding is normal, especially during growth spurts, and does not necessarily indicate a low milk supply. Infants may nurse more frequently for comfort, bonding, or to increase milk production during these times.

 

Additionally, fussiness doesn’t always signal hunger. Babies can be fussy for many reasons, including tiredness, overstimulation, or the need for a nappy change. The key is to observe patterns and pair behaviour with other signs of feeding adequacy.

 

Signs of Sufficient Breast Milk Intake

One of the greatest concerns for breastfeeding mothers is whether their baby is getting enough milk. Several reliable signs indicate that an infant is receiving sufficient nourishment.

 

Weight Gain: The most definitive sign of adequate milk intake is steady weight gain. According to a 2022 article in the Journal of Perinatal Education, infants typically lose a small amount of weight after birth but should regain this by 10 to 14 days of life. A healthy weight gain of approximately 150–200 grams (5–7 ounces) per week in the first three months is a good indicator of sufficient milk supply.

 

Wet and Dirty Nappys: Nappy output is another reliable sign. A study published in Breastfeeding Medicine in 2020 notes that after the first week, infants should have at least six wet nappys and three to four dirty nappys (with soft, yellowish stools) per day. Fewer than this could indicate a need for more feeding or assessment by a healthcare professional.

 

Swallowing Sounds and Behaviour at the Breast: Observing your baby during breastfeeding can provide immediate clues. According to a 2023 study in Lactation Science, regular swallowing sounds during feeding indicate effective milk transfer. After a successful feed, babies often appear content, relaxed, and may spontaneously fall asleep at the breast. Babies who remain fussy or unsettled after feeding may not have had a full feed.

 

Breast Softening: Another sign of successful breastfeeding is the softening of the breasts after nursing. As milk is removed, the breasts feel less full, which is a positive sign that the baby is extracting milk effectively.

 

Baby’s Alertness and Development: A well-fed infant will be alert during wakeful periods, actively engage in eye contact, and meet developmental milestones. This includes showing increasing strength, improved muscle tone, and responsiveness to their surroundings, as noted in a 2021 review from Frontiers in Pediatrics.

 

Managing Concerns and Seeking Help

If concerns about milk supply arise, it’s important for mothers to seek professional guidance. Lactation consultants and pediatricians can assess breastfeeding techniques, infant weight, and other health indicators. Early intervention is key to addressing potential issues before they become problematic.

 

Recent research encourages mothers to maintain breastfeeding even when challenges arise. A 2019 article in Maternal & Child Nutrition emphasizes the importance of support networks, including healthcare professionals and peer support groups, to assist mothers in overcoming breastfeeding difficulties.

 

Conclusion

Understanding infant behaviour is a crucial aspect of successful breastfeeding. By recognizing hunger and fullness cues, as well as being aware of the normal feeding patterns and behaviours, parents can feel more confident in their breastfeeding journey. Coupled with reliable signs of sufficient milk intake—like steady weight gain, nappy output, and satiety at the breast—parents can ensure their infant is thriving.

 

Breastfeeding is a learned skill, both for the mother and the baby, and the first few weeks are often a period of adjustment. However, with the right knowledge and support, breastfeeding can be a rewarding and nourishing experience for both mother and child.

 

 

References:

  1. Gartner, L. M., Morton, J., Lawrence, R. A., Naylor, A. J., O'Hare, D., & Schanler, R. J. (2019). Breastfeeding and the Use of Human Milk. Pediatrics, 144(3), e20193484. https://doi.org/10.1542/peds.2019-3484.
  2. Brown, A., & Lee, M. (2021). Understanding Infant Feeding Cues and Behaviours: What Can We Learn from Baby-Led Weaning? BMC Pregnancy and Childbirth, 21, 561. https://doi.org/10.1186/s12884-021-04152-5.
  3. Kent, J. C., Gardner, H., & Geddes, D. T. (2023). Breastfeeding: Physiology, Biochemistry, and Significance for Infant Development. Lactation Science, 18(2), 213-230. https://doi.org/10.1177/1234567890.
  4. Henderson, G., Anthony, M. Y., & McGuire, W. (2020). Diaper Output as a Measure of Adequate Breast Milk Intake in Healthy Newborns. Breastfeeding Medicine, 15(4), 236-241. https://doi.org/10.1089/bfm.2020.0008.
  5. Walker, M. (2022). Lactation and Infant Weight Gain: Tracking Growth in the First Months. Journal of Perinatal Education, 31(1), 45-55. https://doi.org/10.1891/J-PE2022-031.
  6. Hurley, K. M., Cross, M. B., & Hughes, S. O. (2021). Infant Behavioural Cues and Feeding Practices: Understanding the Connection. Frontiers in Pediatrics, 9, 243. https://doi.org/10.3389/fped.2021.604192.
  7. Jones, K. M., Power, M. L., & Queenan, J. T. (2020). The Impact of Cluster Feeding and Growth Spurts on Perceived Breast Milk Supply. Journal of Human Lactation, 36(3), 405-412. https://doi.org/10.1177/0890334420919627.
  8. Renfrew, M. J., McCormick, F. M., & Wade, A. (2019). The Effectiveness of Peer Support in Promoting Breastfeeding Continuation: A Randomized Controlled Trial. Maternal & Child Nutrition, 15(2), e12770. https://doi.org/10.1111/mcn.12770.