Breastfeeding Basics for Beginners 101: Breastfeeding on Demand

Breastfeeding on demand is simply watching your baby, following his or her cue’s and feeding them when they show signs of hunger. A pretty simple concept that seems to have been lost in society’s rush to make children grow up and fit into our busy schedules. Breastfeeding on demand meets your babies needs quickly and easily. Breastfeeding on demand is the way nature intended us to feed our babies.

Looking to nature for inspiration

Humans are mammals and part of the definition of being a mammal is “secretion of milk by females for the nourishment of the young”. Nature shows us two different types of nursing mammal mothers; spaced feeders or continual feeders. For example, Rabbits are spaced feeders. Rabbits leave their babies in a nest while the mother is away for many hours at a time. They leave their young alone so that the mother can forage and feed herself while keeping the young safely tucked away. Rabbit babies can survive without eating for extended periods and won’t starve to death because they are spaced feeders. The young suckle quickly and efficiently and Rabbit milk is 18.3% fat and 13.9% protein

By contrast, other mammals keep their babies with them all the time. The baby and mother stay close together so they can nurse frequently. These babies are allowed to initiate mealtime and the milk their mothers make is less caloric compared to the spaced feeders. For example, a cow is intended to be a continual feeder. Cows produce milk that is typically 3.7% fat and 3.4 % protein. Because of the lower fat and protein levels baby cows need to nurse more frequently than baby rabbits. Makes perfect sense to me.

Breastfeeding on demand = Continual feeder

In most mainstream industrialized societies, humans are taught to be spaced feeders. Babies are frequently “parked” in cribs or cradles and get fed after intervals of 3-4 hours. Society teaches us to be spaced feeders but your body and your baby know better. Human breast milk fat and protein content vary greatly based on a wide variety of factors, but on average human milk is relatively low in fat (3.8%) and protein (1%), and human infants suckle at the slow pace typical of continual feeders.


Your brand new baby has strong instincts to survive and if you trust yourself you will hear your maternal instinct speaking to you. Listen to it! It’s safe to trust your body, trust your baby and trust your instincts.

It’s interesting to note that feeding on demand and following the babies cue is the normal strategy of humans living in non-industrial society. In this survey  of non-industrial societies anthropologists found that breastfeeding on demand was the rule. In every society for which information about the infant feeding schedule was available (20 out of 25), people fed their infants on cue.

Benefits of breastfeeding on demand

To meet your babies ever-changing needs you should breastfeed “On Demand”, whenever your baby shows the desire to nurse. Your new baby will want to nurse frequently, a minimum of every three hours, but always remember every baby is different. Some babies want to cluster feed, or nurse again 30 minutes after finishing their last snack. Different babies have different needs, and even the same baby’s needs change over time.

One day your baby may be very active and need more fuel for his or her activities. Or, your baby may need to breastfeed more frequently because it’s hot outside and they need more fluid. Babies also need to eat more when they going through a growth spurt. It’s even possible they are fighting off a virus and so they need more breast milk, more frequently. Feeding on a schedule doesn’t take any of these changing needs into consideration, but breastfeeding on demand allows you to easily meet all those needs and more.

The Fourth trimester

When your baby is first-born their stomach is only the size of a cherry. Their tiny tummies can only hold 5 -7 ml or 1 – 1 ½ teaspoons. During the first 48-64 hours of life and breastfeeding your breasts produce colostrum. This easily digestible liquid is full of unique disease-fighting antibodies called immunoglobulins that strengthen your baby’s immune system. 

Being a brand new Mother can feel overwhelming but, being a brand new person is hard too. Everything they have ever known has completely changed. Mother’s heartbeat is the most familiar sound in this new, bright, busy world so it’s really no surprise they want to hear it frequently.

“During the month following birth, baby tries to regain his sense of organization and fit into life outside the womb. Birth and adaptation to postnatal life bring out the temperament of the baby, so for the first time, he must do something to have his needs met. He is forced to act, to “behave.”. If hungry, cold, or startled, he cries. He must make an effort to get the things he needs from his caregiving environment. If his needs are simple and he can get what he wants easily, he’s is labeled an “easy baby”.; if he does not adapt readily, he is labeled “difficult.” – Dr. William Sears.

Babies are not really behaving in a way that makes them easy or difficult. Crying is just your babies way of asking for their needs to be met! You can meet many of your baby’s complex needs through breastfeeding on demand.

How long has ItzBeen?

To help establish and maintain a successful breastfeeding relationship you should offer baby your breast at the first signs of hunger. There is no need to watch the clock or set a schedule. In the early days of being a new Mom I was bleary eyed and sleep deprived and its normal if you are too. Lots of new Moms survive on little more than fruit, water, hormones, love and anxiety. It’s easy to lose track of night or day. It’s also easy to lose track of how long it has been since you nursed, changed a diaper, or how long your baby has been asleep.

While it’s not overly important to control all those intervals, it can be helpful to keep track, especially when the time is running together. I loved using the ‘ItzBeen Pocket Nanny’ to help me know if it had only been 20 minutes since the last time we nursed or if it just felt like it. All you have to do is push a button and it starts counting up to let you know just how long “ItzBeen’. Genius and very helpful.

Breastfeeding on demand as a relationship and trust builder

Babies, especially newborns frequently and commonly want to nurse for many reasons other than hunger. Comfort and needing security are also valid reasons to nurse. Breastfeeding on demand is a wonderful way to nurture the bond between mother and child

Too many people worry that you will spoil a baby so they tell new mothers that once your baby has been fed, burped and changed that his or her needs are met. Humans, however, are born with complex needs and desires individual to each unique baby. Babies are more than just digestive systems. All human babies want and need human contact because babies thrive on human connection. Spend as much time as you can holding and loving your newborn baby. Get to know each other during the fourth trimester. You are establishing a relationship that will last a lifetime.

Remember that your baby is crying to communicate with you. They are not manipulating you, they are just asking to have their needs met. One of the best ways to meet their needs is through breastfeeding. When in doubt just whip it out!

When your baby nurses then your body understands that there is demand for milk so, it will produce the supply that you need. The more demand your baby has your body will respond by producing more supply. While you are actively lactating and breastfeeding, your body is always producing milk. Your milk ducts are constantly refilling. Even if it feels like you just nursed there is already more milk waiting in your breasts and it is impossible to over feed a breastfed baby

Breastfeeding on demand has lifelong benefits

By feeding your baby on demand and following their hunger cues you will be helping them learn to self-regulate how much they eat. Learning early not to overeat will protect them against childhood obesity and related health risks later in life.

There are so many wonderful benefits to breastfeeding on demand but please understand it’s not always sunshine and roses. The most common complaint of mothers that breastfeed on demand is feeling touched out. Remember, it may be hard, but this stage won’t last forever. If you need a break, hand your baby to a trusted loved one or put him or her in a safe place and step back to breathe.

A baby’s trust grows deeper the more often and the quicker that you meet his or her needs. Ignore every single person who tells you otherwise because they are wrong. You are the mother, you know this! Trust yourself! You can do it! I believe in you!

Still to come… Breastfeeding in public and troubleshooting common breastfeeding problems. In case you missed them be sure to check out the first three installments of this series: What is breastfeeding all about?, Who should breastfeed and Why?, and How to breastfeed . 

 

Resources:

Argov-Argaman N, Mandel D, Lubetzky R, Hausman Kedem M, Cohen BC, Berkovitz Z, Reifen R. 2017. Human milk fatty acids composition is affected by maternal age. J Matern Fetal Neonatal Med 30(1):34-37.

Bergmeier HJ, Skouteris H, Haycraft E, Haines J, Hooley M. 2015. Reported and observed controlling feeding practices predict child eating behavior after 12 months. J Nutr. 145(6):1311-6.

Brown A and Lee M. 2012. Breastfeeding during the first year promotes satiety responsiveness in children aged 18-24 months. Pediatr Obes. 7(5):382-90.

Daly SE, DiRosso A, Owens RA and Hartmann PE. 1993. Degree of breast emptying explains fat content, but not fatty acid composition, of human milk. Exp Physiol 78: 741-755.

Dinkevich E, Leid L, Pryor K, Wei Y, Huberman H, Carnell S. 2015. Mothers’ feeding behaviors in infancy: Do they predict child weight trajectories? Obesity (Silver Spring). 23(12):2470-6.

Disantis KI, Collins BN, Fisher JO, and Davey A. 2011a. Do infants fed directly from the breast have improved appetite regulation and slower growth during early childhood compared with infants fed from a bottle? Int J Behav Nutr Phys Act. 8:89.

Disantis KI, Hodges EA, Johnson SL, and Fisher JO. 2011b. The role of responsive feeding in overweight during infancy and toddlerhood: a systematic review. International Journal of Obesity 35: 480–492

Gubbels JS, Thijs C, Stafleu A, van Buuren S, Kremers SP. 2011. Association of breast-feeding and feeding on demand with child weight status up to 4 years. Int J Pediatr Obes. 6(2-2):e515-22.

Gray L, Miller LW, Philipp BL, Blass EM. 2002. Breastfeeding is analgesic in healthy newborns. Pediatrics 109: 590-593.

Gray L, Watt L, Blass EM. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics 105(1).

Gross RS, Mendelsohn AL, Fierman AH, Hauser NR, Messito MJ. 2014. Maternal infant feeding behaviors and disparities in early child obesity. Child Obes. 10(2):145-52.

Hausman Kedem M, Mandel D, Domani KA, Mimouni FB, Shay V, Marom R, Dollberg S, Herman L, Lubetzky R. 2013. The effect of advanced maternal age upon human milk fat content. Breastfeed Med. 8(1):116-9.

Hester SN, Hustead DS, Mackey AD, Singhal A, and Marriage BJ. 2012. Is the macronutrient intake of formula-fed infants greater than breast-fed infants in early infancy? Journal of Nutrition and Metabolism: 891201.

Iacovou M and Sevilla A. 2013. Infant feeding: the effects of scheduled vs. on-demand feeding on mothers’ wellbeing and children’s cognitive development. Eur J Public Health. 23(1):13-9.

Illingworth RS, Stone DHG, Jowett JH and Scott JF. 1952. Self-demand feeding in a maternity unit. Lancet 1: 683-687.

Innis SM. 2014. Impact of maternal diet on human milk composition and neurological development of infants. Am J Clin Nutr. 99(3):734S-41S.

Institute of Medicine, National Academy of Sciences. 1991. Nutrition during lactation. Washington, DC: National Academy Press.

Jackson DA, Imong SM, Silpraset A, Preunglumpoo Ruckphaopunt S, Williams AF, Woolridge MW, Baum JD, and Amatayakul K. 1988. Circadian variation in fat concentration of breastmilk in rural Northern Thailand. British Journal of Nutrition 59: 365-371.

Jani R, Mallan KM, Daniels L.2015. Association between Australian-Indian mothers’ controlling feeding practices and children’s appetite traits. Appetite 84:188-95

Jenness 1974. Biosynthesis and composition of milk. Journal of investigative dermatology. 63: 109-118.

Kersting M and Dulon M. 2001. Assessment of breastfeeding promotion in hospitals and follow up survey of mother-infant pairs in Germany: The Su-Se study. Public Health Nutrition 5(4): 547-552.

Khan S, Hepworth AR, Prime DK, Lai CT, Trengove NJ, Hartmann PE. 2013. Variation in fat, lactose, and protein composition in breast milk over 24 hours: associations with infant feeding patterns. J Hum Lact. 29(1):81-9

Konner M. 2005. Hunter-gatherer infancy and childhood: The Kung and others. In: Hunter-gatherer childhoods: Evolutionary, developmental and cultural perpectives. BS Hewlett and ME Lamb (eds). New Brunswick: Transaction Publishers.

Li R, Fein SB, Grummer-Strawn LM. 2010. Do infants fed from bottles lack self-regulation of milk intake compared with directly breastfed infants? Pediatrics. 125(6):e1386-93.

Mandel D, Lubetzky R, Dollberg S, Barak S, Mimouni FB. 2005. Fat and energy contents of expressed human breast milk in prolonged lactation. Pediatrics. 116(3):e432-5.

Mihrshahi S, Battistutta D, Magarey A, Daniels LA. 2011. Determinants of rapid weight gain during infancy: baseline results from the NOURISH randomized controlled trial. BMC Pediatr. 11:99.

Prentice AM and Prentice A. 1988. Energy costs of lactation. Annual review of nutrition 8: 63-79.

Prentice A, Prentice AM and Whitehead RG. 1981. Breast-milk concentrations of rural African women I. Short-term variations within individuals. British Journal of Nutrition 45: 483-494.

Rocquelin G, Tapsoba S, Dop MC, Mbemba F, Traissac P, Martin-Prével Y. 1998. Lipid content and essential fatty acid (EFA) composition of mature Congolese breast milk are influenced by mothers’ nutritional status: impact on infants’ EFA supply. Eur J Clin Nutr. 52(3):164-71

Rodgers RF, Paxton SJ, Massey R, Campbell KJ, Wertheim EH, Skouteris H, Gibbons K. 2013. Maternal feeding practices predict weight gain and obesogenic eating behaviors in young children: a prospective study. Int J Behav Nutr Phys Act. 10:24

Saxon TF, Gollapalli A, Mitchell MW, and Stanko S. 2002. Demand feeding or schedule feeding: infant growth from birth to 6 months. Journal of reproductive and infant psychology 20(2): 89-99.

Severn Nelson EA, Schiefenhoevel W, and Haimerl F. 2000. Child care practices in nonindustrial societies. Pediatrics 105: 75-79.

Szabó E, Boehm G, Beermann C, Weyermann M, Brenner H, Rothenbacher D, Decsi T. 2010. Fatty acid profile comparisons in human milk sampled from the same mothers at the sixth week and the sixth month of lactation. J Pediatr Gastroenterol Nutr. 50(3):316-20.

Tilden CD and Oftedal OT. 1997. Milk composition reflects pattern of maternal care in prosimian primates. American Journal of Primatology 41: 195-211.

Tylka TL, Lumeng JC, Eneli IU. 2015. Maternal intuitive eating as a moderator of the association between concern about child weight and restrictive child feeding. Appetite 95:158-65.

Ventura AK, Inamdar LB, Mennella JA. 2015. Consistency in infants’ behavioural signalling of satiation during bottle-feeding. Pediatr Obes. 10(3):180-7.

Wojcik KY, Rechtman DJ, Lee ML, Montoya A, Medo ET. 2009. Macronutrient analysis of a nationwide sample of donor breast milk. J Am Diet Assoc. 109(1):137-40.

Woolridge MW. 1995. Baby-controlled breastfeeding: Biocultural implications. In: Breastfeeding: Biocultural perspectives. P. Stuart-Macadam and KA Dettwyler (eds). New York: Aldine deGruyter. Woolridge MW and Baum JD. 1992. Infant appetite-control and the regulation of breast milk supply. Children’s hospital quarterly 3:133-119.

Woolridge MW and Fisher C. 1988. Colic, ‘Overfeeding,’ and Symptoms of Lactose Malabsorption in the Breast-Fed Baby: A Possible Artifact of Feed Management. Lancet 13: 382-384.

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