Lorna C. Aliperti, APRN, IBCLC
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How Much Milk?

Breast milk Intake and Weight Gain

Although the purpose of nursing is to feed the baby, quantification of how much milk is involved is often not addressed in parent teaching. Since many studies of breastfeeding indicate that most women stop because they don’t believe they have enough milk, it seems to me that it would help to know how much milk they really need.

Discussion about how long and how often to breastfeed are really attempts to insure adequate infant intake. Such advice is often contradictory and confusing, and is actually useless unless the rate of milk transfer is known.

More is now known about normal parameters of breastfeeding:

In general, after the first week or so, babies take approximately 24 ounces a day (the range is 20-30). Since the average (and there are many variations) feeding is close to three ounces, most babies feed roughly eight times a day. The length of time that a baby is satisfied after a feeding is usually an indication of how much is taken. A baby who nurses every 3 hours is likely to be taking in close to 3 ounces at a feeding. The interval between feedings is a better indication of how much the baby has taken than how long the feeding lasts. In fact, very long feedings (over 45 minutes) often mean the baby isn’t removing the milk effectively.

Normal weight gain. In general, babies are expected to regain their birth-weight by 10 days to two weeks and gain at least 4 and preferably close to 7 ounces a week after that. An ounce a day after two weeks is often considered optimal. After the third or fourth month this slows down to four to five ounces per week from four to six months. Most babies double their birth weight by six months.

Cathy Grammon

The service and products were great. Lorna was especially helpful during that first difficult week. She gave me the moral support I needed to keep going.

Cathy Grammon

Elizabeth Gallo

Lorna is professional, knowledgeable and caring. She saw me and my baby through some of the toughest weeks of breastfeeding. I felt comfortable calling her whenever I needed help and she was always there. Without her expertise and support I highly doubt we would be nursing as happily as we are today. She was an indispensable asset to me.

Elizabeth Gallo

Abbey Fox

I can’t thank you enough for everything–your encouragement, patience and enthusiasm–without you this would have been over LONG ago. Harrison thanks you as well!

Abbey Fox

Eliza Miller

Lorna’s help was invaluable in breastfeeding my twins. She helped me through the early days of dealing with tiny, sleepy babies, sore nipples, engorgement, and oversupply, and I found myself calling on her again in later months as I had recurring plugged ducts and milk blebs. Her advice was always practical, easy to follow and yielded immediate postiive results. Today I’m still nursing my fourteen-month-olds–thank you Lorna!

Eliza Miller

Susan Kunin

Lorna, I sincerely thank you. You made what was a difficult beginning, one of the most wonderful things I have ever done. You are caring, knowledgeable and always there for moral support. I have recommended you to many new moms, and they all have similar success stories. I truly appreciate everything you have done for us.

Susan Kunin

Jonathan Sollinger, M.D., Willows Pediatric

I have frequently referred patients to Lorna and been very pleased with the results. She responds quickly, the moms like her, and she is flexible and knowledgeable in her treatment of both mother and baby.

Jonathan Sollinger, M.D., Willows Pediatric

Henry M. Rascoff, MD, Riverside Pediatrics

There are extremely few specialists to whom I refer patients that I hear 100 percent glowing remarks about. You are at the very top of that short list, and the one and only lactation consultant whose name crosses my lips when a private referral is needed. Thank you so much for the superb care you provide.

Henry M. Rascoff, MD, Riverside Pediatrics

Marlene Ferguson

Lorna was a godsend. Michael was losing weight and no one at the hospital was able to help him to latch on. She got him started breastfeeding and then showed me how to do it myself. He’s now gaining an ounce a day.

Marlene Ferguson

Kathryn Laird

I really appreciate your help, Lorna. Things started turning around after your visit. Although I had already reduced my milk intake, eliminating all remaining dairy had an enormous impact on Avery’s issues, and really solved our colic problems pretty much right off the bat. One thing that was very telling is that about a month later, I had about 24 hours where I decided I’d try milk again, and we had sour cream, cheese and whatnot…We had a miserable 24 hours and I actually threw away three bottles that I had pumped because it was just so bad. I immediately went back on soy milk. Thanks again.

Kathryn Laird

Amy Mora

Lorna, you are wonderful. You saved my child from having to go on formula. I was able to continue breastfeeding. (I had yeast and it was horrible!)

Amy Mora