For months now, you’ve read my thoughts on breastfeeding.
But there was a problem – we didn’t have a baby yet.
That all changed on Saturday, June 18, when our daughter, Hava, was born.
Less than 20 seconds after she arrived, she was placed on my wife’s chest to begin the bonding and feeding processes. The doctors and nurses at Georgetown University Hospital in Washington, DC, had seemingly unlimited hands trying to make this happen as soon as possible.
Within minutes, Marisa tried to get Hava to feed. This was not a huge success.
That was the pattern for the rest of Saturday, with feedings that got an A for effort, but not so high a grade on execution.
Late Saturday night, however, all heck broke loose with the two words new parents hate most (if they know or understand what they are): Cluster Feedings.
Newborns should eat 8-12 times per 24 hour span. The cluster-feeding phenomenon shortens the length between feedings to a schedule that looked like this.
Cry (5 minutes)
Eat (10 minutes)
Cry (5 minutes)
Eat (10 minutes)
Repeat ad nauseum for the entire night.
The key to getting through this is understanding what’s happening.
According to our lactation consultants and really patient nurses, there is a hormone that triggers these feedings early on in the baby’s life because they need food. Sometimes there is a gap between the baby’s demands and the mom’s supply (which she is building), especially in the early going. Unfortunately, cluster feedings often happen at night.
We found that mindset is VERY important in helping keep us calm in an otherwise frustrating situation.
Want to know how dads can help during these cluster feedings?
Cluster feedings are no fun for anyone involved. But Dads can go a long way to making them easier to deal with for mom and baby.
In response to Mike’s experience with cluster feeding, we turned to Heather Kelly -- Bravado’s trusted breastfeeding brain and resource -- for some sage advice and clarification regarding this often-misunderstood phenomenon.
An International Board Certified Lactation Consultant (IBCLC), Heather has been affiliated with the Elizabeth Seton Childbearing Center and is a member of the Manhattan Lactation Group, a private practice group of four consultants in New York City. She also serves as a lactation consultant for Realbirth, NYC’s premier pre- and post-natal education center.
Read on to see how our resident expert weighs in on cluster feeding…
Demystifying Cluster Feeding: What’s Normal… What’s Not
"Cluster feeding" can be a daunting term to a new mother and her partner. By definition, cluster feeding means that baby is constantly at the breast: nursing and snoozing and crying…and nursing and snoozing and crying…and hiccupping and nursing and nursing and nursing and nursing---you get the idea. It is important, however, to manage cluster feeding before it becomes unbearable and before the mother is in too much pain or is too exhausted to continue. In order to understand the behavior of cluster feeding fully, it is important to separate out the two different time periods during which newborns may cluster feed.
When a baby is born and goes to the breast right away, he gets the potent and healthy colostrum from the mother's breast. His needs on Day 1 post-partum may be very low---a few swallows may be fine for him. But newborn babies are in a tremendous state of flux for the first several days of their life; while a newborn baby may need only a few swallows on Day 1, his needs quickly increase to the extent that by Day 7 post partum, he may need 3-4 ounces, every three hours---that's 24 ounces of milk within a 24-hour period! Meanwhile, at the mother's end, around Day 3 post-partum, she is just beginning lactogenesis and her milk is "coming in."
In an ideal world, the baby's increasing needs and the mother's increasing supply of mature milk coincide and dovetail nicely, so that the baby's increasing daily needs are satisfied with whatever increased volume the new mother is producing on each consecutive day after the birth. However, nature---while miraculous and wonderful---does not always hit the mark with perfect timing in these early days. Many newborns' needs increase before the mother's volume of milk does, and as a result, they may appear fussy at the breast and may persistently feed in the early days post-partum, in an attempt to bring in the mature milk and increase its volume. In primitive societies, this is easily solved by handing the newborn baby off to a fully-lactating woman to get a full feeding. However, we no longer live in these times of "cross-nursing." Sometimes, when the gap is too big between a baby’s demands and his mother’s milk coming in, we need to supplement and have the new mother begin pumping to bring in the supply faster. This type of cluster-feeding is short-lived, and can easily be solved within the first week of nursing with some knowledgeable guidance.
Once nursing is established---within the first couple of weeks of the baby's life---cluster feeding can crop up from time to time, even daily for certain periods. It is important to be informed about the difference between "normal" cluster feeding and problematic cluster feeding. What does it mean when we say, "once nursing is established"? Typically what this means is that the baby is capable of getting a full feeding from the breast (with no supplement needed), that he is having plenty of stools and wet diapers a day, is gaining weight and---in general---is giving the new mother discreet breaks between feedings; that is to say, each feeding has a beginning, a duration and---most importantly---an end. When nursing is properly established according to these guidelines, there will be occasional periods of persistent feeding (where you can't "put the baby down" and he seems to constantly be at the breast), which typically occur from 4:00 pm onwards.
If the baby persistently feeds around the clock and is fussy at the breast constantly, this may indicate that he is not able to access a full feeding at the breast. It is important to take note of the frequency of these cluster feeding periods so that you can determine if they are an early sign of a breastfeeding problem, or within the norm of young infant behavior. If you sense that the baby is not getting enough at each feeding, consult with your pediatrician or a local Board Certified lactation Consultant for a care plan.
New fathers can help mothers tremendously during normal periods of cluster feeding; holding the baby, walking with him and trying to soothe him between feedings or giving a bottle if the feeding has been going on for hours, are all valuable contributions that a new father can offer to help give mom a break. If a bottle is given, the mother just needs to make sure that she pumps to drain the breasts for that particular feeding. Remember to cherish these early weeks and months; although they may be trying, they are ultimately short-lived and transient.