以前PED跟我们提到过宝宝要经历几个Growth Spurts，宝宝可能会比较FUSSY，吃奶可能会剧增等等，可惜我当初没有细问，在网上看到不少地方提到，贴出来希望JMs能做到心中有数，宝宝一旦比较闹腾，也好知道这可能是原因之一。并将应对FUSSY的办法挑一些贴在这里。ENJOY YOUR BABY！
宝宝生长突进期(Baby Growth Spurts)
Most babies go through several growth spurts (also called frequency days) during the first 12 months.
If there is a rule that would help moms survive growth spurts with a smile, it would have to be, "Don't Watch The Clock!" Don't watch the clock for how long baby has been nursing. Don't watch the clock for how long it's been since baby last wanted to nurse. Don't watch the clock for how many times you've been awakened that night to nurse.
Growth spurts happen. They happen with all nursing dyads. Some babies protest more about them and others seem to sail through them with the greatest of ease. Some books will tell you they happen at so many weeks or months. They may tend to, but the truth is, they can happen anytime.
● What is a growth spurt?
During a growth spurt, breastfed babies nurse more often than usual (sometimes as often as every hour) and often act fussier than usual.
The increase in baby's milk intake during growth spurts is temporary. In exclusively breastfed babies, milk intake increases quickly during the first few weeks of life, then stays about the same between one and six months. As solids are gradually introduced after six months, baby's milk intake will gradually decrease.
Physical growth is not the only reason that babies may have a temporary need for increased nursing. Babies often exhibit the same type of behavior (increased nursing with or without increased fussiness) when they are working on developmental advances such as rolling over, crawling, walking or talking. Mom's milk is for growing the brain as well as the body!
● Signs of a Growth Spurt
＊ Baby is nursing often or almost nonstop
＊ A baby who was previously sleeping through the night is now waking to nurse several times
＊ Baby will latch and unlatch, fussing in between
These signs are all signals to the mom's body to "MAKE MORE MILK NOW!" Our bodies listen very well if we will merely respond to the baby's needs. The extra suckling will stimulate your body to make more milk.
● Often Observed After a Growth Spurt
＊ Baby sleeps extra for a day or two
＊ Mom is a bit fuller than usual for a day or so
＊ Baby calms down at the breast
＊ You may see an increase in wettings with the increased supply baby is drinking
Growth spurts seem to throw new moms for a loop. Just when they thought they were beginning to understand their baby's signals, they abruptly changed. The frequent requests to nurse can be confusing as well as the frequency with which growth spurts happen within the first few months. The key is purely and simply to go with the flow (pun intended!) If you respond to your baby's signals to nurse during a growth spurt and do not interfere with them in any manner, your body will quickly respond and increase supply. Typically it happens within 24 to 48 hours. Sometimes growth spurts seem to drag on for a week. This would be a good time to make sure you're drinking plenty water.
Don't allow a growth spurt to rob you of your confidence in nursing. Instead, allow it to instill confidence in your ability to read your baby's cues. Your confidence will be further rewarded as your supply increases and your baby settles back down into a happy breastfeeding baby again, with a smart mommy who knew that sometimes baby really does know best and our job is to listen.
● When do babies have growth spurts?
Common times for growth spurts are during the first few days at home and around 7～10 days, 2～3 weeks, 4～6 weeks, 3 months, 4 months, 6 months and 9 months (more or less). Babies don't read calendars, however, so your baby may do things differently.
Growth spurts don't stop after the first year - most moms notice growth spurts every few months during the toddler years and periodically thereafter on through the teenage years.
● How long do growth spurts last?
Growth spurts usually last 2～3 days, but sometimes last a week or so.
● What is the best way to handle a growth spurt?
Follow your child's lead. Baby will automatically get more milk by nursing more frequently, and your milk supply will increase due to the increased nursing. It is not necessary (or advised) to supplement your baby with formula or expressed milk during a growth spurt. Supplementing (and/or scheduling feeds) interferes with the natural supply and demand of milk production and will prevent your body from getting the message to make more milk during the growth spurt.
Some nursing moms feel more hungry or thirsty when baby is going through a growth spurt. Listen to your body -- you may need to eat or drink more during the time that baby is nursing more often.
★ ★ ★ Tips on Comforting a Fussy Baby ★ ★ ★
● What is normal baby fussiness?
Whether breastfed or formula fed, during their first few months, many babies have a regular fussy period, which usually occurs in the late afternoon or evening. Some babies' fussy periods come so regularly that parents can set their clocks by it! The standard infant fussiness usually starts at about 2 to 3 weeks, peaks at 6 weeks and is gone by 3 to 4 months. It lasts on "average" 2 to 4 hours per day. Of course, there is a wide variety of normal.
To distinguish between "normal" and a problem, normal usually occurs around the same time of day, with approximately the same intensity (with some variation); responds to some of the same things each time, such as motion, holding, frequent breastfeeding, etc.; and occurs in a baby who has other times of the day that he is contentedly awake or asleep. Normal fussiness tends to occur during the time of the day that the baby usually stays awake more, the most common time is in the evening right before the time that the baby takes his longest stretch of sleep.
● What causes babies to be fussy?
If you feel that your baby's fussiness is not normal, it's never a bad idea to get baby checked by the doctor to rule out any illness. A common cause of fussy, colic-like symptoms in babies is foremilk-hindmilk imbalance (also called oversupply syndrome, too much milk, etc.) and/or forceful let-down. Other causes of fussiness in babies include diaper rash, thrush, food sensitivities, nipple confusion, low milk supply, etc.
Babies normally fuss for many reasons: overtiredness, overstimulation, loneliness, discomfort, etc. Babies are often very fussy when they are going through growth spurts. Do know that it is normal for you to be "beside yourself" when your baby cries: you actually have a hormonal response that makes you feel uncomfortable when your baby cries.
● Comfort measures for fussy babies (many fit into several different categories)
＊ Burp baby
＊ Change his diaper
＊ Undress baby completely to make sure no clothing is "sticking" him
＊ Hold baby
＊ Carry baby in a sling
＊ Give baby a back rub
＊ Carry baby in the "colic hold" (lying across your forearm, tummy down, with your hand supporting his chest)
＊ Lay baby across your lap & gently rub his back while slowly lifting & lowering your heels
＊ Lay baby tummy-down on the bed or floor and gently pat his back
＊ Massage your baby
＊ Swaddle baby
＊ Dim lights and reduce noise
＊ Play some music (try different styles and types of voices to see which baby prefers)
＊ Sing to baby
＊ Turn on some "white noise" (fan, vacuum cleaner, dishwasher)
5．Rhythmic motion / change of pace
＊ Nurse baby in motion (while walking around or rocking)
＊ Give baby a bath
＊ Rock baby
＊ Hold baby and gently bounce, sway back and forth or dance
＊ Put baby in a sling or baby carrier and walk around inside or outside
＊ Put baby in a baby swing (if he's old enough)
＊ Take baby outside to look at the trees
＊ Take baby for a walk in the stroller
＊ Go for a car ride
＊ Set baby in a baby carrier (or car seat) on the dryer with the dryer turned on (stand by him, as the vibration can bounce the seat right off the dryer onto the floor)
One of the most interesting things I've seen in the research regarding infant fussiness is that almost anything a parent tries to reduce fussiness will work, but only for a short time (a few days), and then other strategies need to be used.
If you nurse and it doesn't seem to help, then try other comfort measures. If you pick him up or nurse him, and baby is content, then that was what he needed. If it works, use it!
● Cluster Feeding and Fussy Evenings
It is very common for babies to be fussy and nurse very often in the evenings, particularly in the early months.
1．Cluster feeding, also called bunch feeding, is when babies space feeding closer together at certain times of the day and go longer between feedings at other times. This is very common, and often occurs in the evenings. It's often -but not always- followed by a longer sleep period than usual: baby may be "tanking up" before a long sleep. For example, your baby may nurse every hour (or even constantly) between 6 and 10 PM, then have a longish stretch of sleep at night - baby may even sleep all night.
Cluster feeding often coincides with your baby's fussy time. Baby will nurse a few minutes, pull off, fuss/cry, nurse a few minutes, pull off, fuss/cry... on and on... for hours. This can be VERY frustrating, and mom starts wondering if baby is getting enough milk, if something she is eating is bothering baby, if EVERYTHING she is doing is bothering baby... It can really ruin your confidence, particularly if there is someone else around asking the same questions (your mother, your husband, your mother-in-law).
2．This behavior is NORMAL!
It has nothing to do with your breastmilk or your mothering. If baby is happy the rest of the day, and baby doesn't seem to be in pain (as with colic) during the fussy time - just keep trying to soothe your baby and don't beat yourself up about the cause. Let baby nurse as long and as often as he will. Recruit dad (or another helper) to bring you food/drink and fetch things (book/remote/phone/etc.) while you are nursing and holding baby.
3．Does this mean that baby needs more milk than I can provide?
No. Don't give baby a bottle -- supplementation will only tell your body that you need LESS milk at this time, and that will not help matters. Also, keep in mind that formula fed babies experience fussy periods in the evening, too -- fussy evenings are common for all young babies, no matter how they are fed. The Academy of Breastfeeding Medicine spells this out in their supplementary feeding guidelines:
“There are common clinical situations where evaluation and breastfeeding management may be necessary, but supplementation is NOT INDICATED including... The infant who is fussy at night or constantly feeding for several hours.”
4．Why do babies fuss in the evening?
One frequently-heard explanation for baby's fussiness in the evenings is that milk volume tends to be lower in the evening due to the natural cycling of hormones throughout the day. However, Dr. Peter Hartmann, a breastfeeding researcher, has said that in the women he has studied, milk volume is not low at this time of day. Even if milk volume is lower in the evening, fat content is typically higher in the evening (particularly if baby is allowed to control this via cue feeding), so the amount of calories that baby is getting should not be significantly different. Milk flow can be slower in the evening, which may be frustrating for some babies.
Doctors often attribute evening fussiness to baby's immature nervous system (and the fussiness does end as baby gets older, usually by 3-4 months). However, Dr. Katherine Dettwyler (who does research on breastfeeding in traditional societies) states that babies in Mali, West Africa and other traditional societies don't have colic or late afternoon/evening fussiness. These babies are carried all day and usually nurse several times each hour.
So perhaps none of these explanations is a complete answer to baby's evening fussiness. For many babies, the fussy time seems to be characterized by a need to have small quantities of milk at frequent intervals, combined with lots of holding, cuddling and movement. Babies who are offered as much expressed milk or formula as they will take by bottle [note: this practice will decrease your milk supply!] often behave in exactly the same way in the evenings. Baby takes a small amount and dozes (and fusses), then a little more, and so on. Perhaps babies "remember" mom being very active during her pregnancy at these times, and want to be held, rocked, and nurtured constantly again.
Perhaps babies simply need to nurse more often at this time -- rather than consume more milk.
5．Soothing techniques for the fussy times
＊ Wear baby in a sling or baby carrier. This will free one or both hands for other tasks (fixing dinner, caring for other children) while you hold, soothe and nurse your baby.
＊ Change of pace. Let dad have some "baby time" while mom takes a shower or simply gets some time to herself to relax and regroup after a long day.
＊ Go outside. Relax baby (and mom too) with a walk, or just sit and enjoy the outdoors. Try this a little before baby's regular fussy time.
＊ Soothe with sound. Sing, hum, talk, murmur shhhh, listen to music, or use 'white noise.' Try different types of sound, different styles of music and singers with different types of voices.
＊ Soothe with rhythmic motion. Walk, sway, bounce, dance, swing, or even try a car ride.
＊ Soothe with touch. Hold or bathe baby, try baby massage.
＊ Reduce stimulation. Dim lights, reduce noise, swaddle baby.
＊ Vary nursing positions. Try side lying, lying on your back to nurse with baby tummy to tummy, etc.
＊ Nurse in motion (while rocking, swaying, walking, etc.).
＊ Combine rhythmic motion with soothing sounds.
＊ Avoid scheduling, even more so in the fussy evening hours.
● I'm worried about spoiling my baby
Your baby will not be spoiled if you hold him and nurse him often - quite the opposite, in fact. Studies have shown that when babies are held often and responded to quickly, the babies cry less, and the parents learn to read baby's cues more quickly. A young child's need for his mother is very intense - as intense as his need for food. Know that your child really needs you. It is not about manipulation or something you can "fix" with the right discipline. Often a baby who is perceived as fussy is simply a baby who needs more contact with mom (and is smart enough to express this need) and is content once his needs are met. See the links below to read more about spoiling.
Caring for a fussy baby can be very stressful! Give both yourself and baby some extra TLC. Surround yourself with supportive people, de-stress in other areas if possible (for example, minimize housework), and tell yourself you are doing a great job. It is very difficult to feel good about yourself as a parent when you have a fussy baby. Don't be too alarmed if your efforts seem to have no positive effect - they are. When you stay with your baby to try to provide comfort you are beginning to teach your baby that he can count on you and that he is loved.