How do you know if your baby is getting enough milk? With bottle-fed babies, it's simple: Just count the ounces she eats. With breastfeeders, however, it’s trickier, and you'll want to determine if you have a low milk supply. Here are four steps to help you find out:

  • Do you have enough breastmilk? Your breasts should feel heavy when you wake up. They may occasionally leak and you should be able to hear your baby gulping at least at the beginning of the feedings.

  • Is your baby serene after a meal? Well-fed babies get blissful and relaxed after a nursing.

  • Does your baby pee enough? During the first days, infants don’t urinate very often. But once the milk comes in, they pee 5-8 times a day, and the urine is clear or light yellow. If you’re just seeing a few wet diapers a day and the color of the pee is dark yellow, consider it a red alert and call your pediatrician to check for a problem.

  • Is your baby gaining enough weight? Moms—and grandmas—often worry that their child is too skinny. Babies usually lose 8-12 ounces over the first few days of life, but thereafter gain 4-7 ounces per week. But there’s no need to guess if your infant is gaining enough weight, simply put her on a scale…at the doctor’s office. (Most home scales are so inaccurate they’ll drive you crazy!)

Note: One last clue in checking your supply is after you are done with a feed, offer a bottle of pumped milk or formula to see if your baby gulps it down. But be careful when giving bottles before breastfeeding is well established. It can alter a child’s sucking and make her suddenly reject the breast. In fact, to avoid nipple confusion it’s best to give no more than one bottle a day, even after the nursing is well established.

But of course, you'll want to discuss these signs and any concerns you have about milk supply with your doctor or an experienced lactation consultant and your child's pediatrician.

About Dr. Harvey Karp

Dr. Harvey Karp, one of America’s most trusted pediatricians, is the founder of Happiest Baby and the inventor of the groundbreaking SNOO Smart Sleeper. After years of treating patients in Los Angeles, Dr. Karp vaulted to global prominence with the release of the bestselling Happiest Baby on the Block and Happiest Toddler on the Block. His celebrated books and videos have since become standard pediatric practice, translated into more than 20 languages and have helped millions of parents. Dr. Karp’s landmark methods, including the 5 S’s for soothing babies, guide parents to understand and nurture their children and relieve stressful issues, like new-parent exhaustion, infant crying, and toddler tantrums.

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Disclaimer: The information on our site is NOT medical advice for any specific person or condition. It is only meant as general information. If you have any medical questions and concerns about your child or yourself, please contact your health provider.