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My daughter-in-law who lives with me has an 8 days old son & the visiting midwife suggested 3 hourly feeds with a minimum 2-1/2 hour gap if he is really hungry. I always timed feeds from the start of the feed, but my daughter-in-law thought it was from when the feed ended. I've got numerous books that seem to mention every other factor but not this one. Would love you to clarify. Many thanks, Norma  

Answer
Dear Norma,

First, congratulations to you on your new grandson, to your daughter-in-law on giving him the best start in life by breastfeeding him, and again to you for being involved in his care!

I'm surprised that the midwife made such specific recommendations as to the timing of your grandson's feeds. Generally, the prevailing practice these days is to feed on demand, which involves judging the baby's hunger cues and then feeding him, rather than going by the clock. In the first few weeks the feeding schedule can vary considerably, with a baby sometimes wanting to nurse an hour or an hour and a half after the last feed, and at other times going for three or even four hours.

In my book (see below), I point out signals of hunger, like rooting around for the nipple, sucking on his fist, or making small sounds -- before the baby starts to cry vigorously. He is likely to nurse better if he can be fed before he gets VERY hungry and frustrated. I hope that these suggestions will help you and your daughter-in-law be a little more relaxed about timing and better able to "read" the baby's cues.

Good luck!

Sally

Sally Wendkos Olds
Author, THE COMPLETE BOOK OF BREASTFEEDING: Eiger & Olds, 3rd edition 1999, published by Workman Publishing & Bantam Books, and available in most public libraries, bookstores & La Leche League chapters.  

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Sally Wendkos Olds

Expertise

What do you want to know about breastfeeding? I can tell you what`s good for the baby, what`s good for the mother -- and the father, how it`s related to a woman`s sexuality, how working moms can nurse, how to overcome obstacles, and lots more. As the author of THE COMPLETE BOOK OF BREASTFEEDING and author or coauthor of 8 other books and more than 200 articles about child and adult development, I can offer sound, sensible advice on breastfeeding, child care and family issues.

Experience

I nursed my 3 daughters and am the grandmother of 5 breastfed children. My book THE COMPLETE BOOK OF BREASTFEEDING (written in consultation with pediatrician Marvin S. Eiger, M.D.) was first published in 1972, and in 1999 came out in an updated 3rd Edition by Workman Publishing & Bantam Books. It is now a classic, with over 2 million copies in print. I am now revising this book for a fourth edition, consulting with pediatrician Laura M. Marks, M.D. This new edition will be published September 2009. I welcome any and all suggestions for the new edition. I coauthored college textbooks A CHILD'S WORLD: INFANCY THROUGH ADOLESCENCE, and HUMAN DEVELOPMENT; both are leading texts in their fields and have been read by 2 million students. I am the coauthor of HELPING YOUR CHILD FIND VALUES TO LIVE BY and RAISING A HYPERACTIVE CHILD, and author of THE WORKING PARENTS' SURVIVAL GUIDE & THE ETERNAL GARDEN: SEASONS OF OUR SEXUALITY. My newest book, A BALCONY IN NEPAL: GLIMPSES OF A HIMALAYAN VILLAGE, published in 2002, tells the story of the way of life in a remote village in Nepal, where all the women breastfeed! My book, SUPER GRANNY: COOL PROJECTS, ACTIVITIES, AND OTHER GREAT STUFF TO DO WITH YOUR GRANDKIDS, will be published March 2009. I speak often to professional, parent and general audiences and make many radio and TV appearances.

Credentials I received my B.A. in English Literature from the University of Pennsylvania, where I minored in Psychology, was elected to Phi Beta Kappa and graduated summa cum laude.

Other points of interest I have received national awards for my writing, and am a former president of the American Society of Journalists & Authors. I am listed in the World Who's Who of Women, International Authors & Writers Who's Who, and Contemporary Authors, and am a member of several professional and civic organizations. I believe: that all parents are working parents; that parents employed outside the home need special support; that mothers' well-being is crucial to their children's welfare; and that the family is the best institution in the world and the one for which we are least prepared. My thrills come when parents or kids tell me they were helped by my writing or speaking or just understanding. To find out more about me, go to

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