Re: random feedings
Congratulations on the brand-new baby!
I'm glad you are keeping a careful eye on this situation. You want your baby nursing frequently in order to clear out her jaundice and to maintain your milk supply. Ideally, a newborn would be nursing at least 10-12 times a day, and I think that the closer you can get to that target, the better. So here's what I would do:
- Keep a very careful eye on her jaundice. If her bili levels are climbing or she becomes even more sleepy, it might be time to talk about phototherapy or even supplements (preferably of breastmilk, delivered via cup, syringe, or finger feeder- or even bottle if that's the only way she'll take it).
- Let baby spend lots of time in the sun! UV light in the sunshine will break down the bilirubin.
- Attempt to wake her to eat every 2-3 hours during the day and every 3 at night.
- Don't get too concerned about occasional longer stretches of sleep- those are normal as long as baby is nursing enough overall.
- Try to offer both breasts at every feeding.
- Keep a careful eye on diaper output. If you're having trouble counting wet diapers, tuck a square of tissue paper in front of the baby's genital area. When she pees, it will be visibly wet.
- As a last resort, pump to make up for missed feedings and to create supplements. But don't over-pump, as that can create a problematic oversupply. Taking 1-3 oz at a time should be enough to make up for a missed feeding, with a baby this age.
- Don't give baby a pacifier or swaddle her- both those things can make babies sleep more soundly than they should.
- Keep baby as awake as possible at the breast- tickle her feet or rub against the grain of her hair using your hand or a cool damp washcloth, strip her down to a diaper or single light layer before nursing, keep a fan blowing in the room where you're nursing. If baby starts to doze off too rapidly, take her off the breast, burp her/change her diaper, and switch her to the other breast.
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"