Andrea,
Congratulations on your new baby! First of all, take a moment to take a deep breath. Trust your instincts and watch for your baby's cues.
Baby's pretty much sleep all day and all night. And wake up to eat or because they need their diaper changed.
I'm assuming that there wasn't any concern of his weight, otherwise the doctors and nurses would have let you know of any concern. If you're not sure, don't be afraid to call the pediatrician or lactation specialist.
Feed him as often as he wants. That means you have to know how to tell when he's hungry. Watch for early feeding cues (not at clocks). If he opens his mouth and turns his head from side to side, brings his hands to his mouth, or if he's in a deep sleep, you may notice that he'll go into a lighter sleep with rapid eye movement. His eyes will be closed, but you can tell that they are moving under his eyelids.
Keep in mind that crying is one of the last signs of hunger.
If you're not sure whether or not he's getting enough, look to him again (not at clocks). After you feed him, does he look satisfied? If he wakes up shortly after you put him down, he might not have had enough to eat. You want to have him empty one side before offering the other. That's to ensure that he gets the fulfilling "hindmilk."
You also want to look at how many times he pees and poops. He should pee at least 7-8 times a day and poop at least 1 time a day (could also poop with EVERY feeding).
I was in school when I had my first. So sleep was essential to me. I would nurse her at night only to find that I was waking only when it was time for the next feeding and she needed help latching on. As long as baby is healthy and his airway is clear, it shouldn't be a problem if you dose off during a feeding. That must be one of the reasons babies and moms can breastfeed while laying down. :)
In regards to giving him a bottle, that depends on you breastfeeding goals. Giving him a bottle will affect your milk supply. And giving him formula will affect his digestive system. So before you continue with those things, get a little more information on the risks and benefits and see if it's still something you want to consider.
Good luck with everything and make sure that you are comfortable with the choices you make. That you and your husband are making those choices for the best for your family.
Here's a little something from breastfeedingmadesimple.com
THE “NATURAL LAWS” OF BREASTFEEDING
Nancy Mohrbacher, IBCLC and Kathleen Kendall-Tackett, Ph.D., IBCLC
Today, most new mothers breastfeed their babies. But women often find breastfeeding more challenging than they expected. Mothers may experience sore nipples, engorgement, or low milk supply. Because of these challenges, many mothers quit breastfeeding in the first few days or weeks.
In 2003, a little more than 70% of American mothers began breastfeeding. But by three months, only 50% were breastfeeding and by six months this number dropped to 36%. Why do women give up on breastfeeding despite recommendations from the American Academy of Pediatrics to breastfeed for at least one year? Often times, it is because women don’t know how to work with their inborn abilities; what we’ve called the “natural laws” of breastfeeding. Based on the latest research, the natural laws can help you sort through conflicting breastfeeding advice and meet your breastfeeding goals.
Law #1: Babies are hardwired to breastfeed
Mothers often think breastfeeding is something they do to their babies. Actually, breastfeeding works best when babies and mothers are active partners. At birth babies have reflexes that cause them to instinctively push themselves up to the breast and latch on without any help at all. Just like all newborn mammals, our babies are born with the skills they need to feed. And the more their inborn hardwiring is understood and used, the more smoothly breastfeeding tends to go.
Law #2: Mother’s body is baby’s natural habitat
Mothers often wonder why newborns get so upset when they are set down. What moms don’t realize is that babies instinctually react this way. When newborn mammals are left alone, their survival instinct kicks in and they react in a way to bring mom back. Human babies have a similar response; when left alone they instinctually “know” that they must be re-united with their mothers. So they cry and protest. Their little bodies release stress hormones, which shuts down digestion and growth. In contrast, when they are with their mothers, they relax, allowing their bodies to grow. Touching and holding promotes healthy relationships and normal growth. When babies are not touched or held, they have physical and emotional problems, often for the rest of their lives.
Law #3: Better feel and flow happen in the comfort zone
Many mothers believe that painful cracked and bleeding nipples are a normal part of breastfeeding. Thank goodness this is not true! Nipple trauma often means that the baby needs to take the breast deeper into his mouth. When the baby is latched on well and the nipple is in the baby’s “comfort zone” (near where the roof of the mouth turns from hard to soft) breastfeeding should not hurt. When a mother is in pain, most likely all she needs are some minor adjustments to make breastfeeding comfortable (see www.BreastfeedingMadeSimple.com for more).
Law #4: More breastfeeding at first means more milk later
In the first few days after birth, a mother’s body is fully capable of providing everything her baby needs. Her first milk—colostrum—is available in just the right amounts. By breastfeeding long and often in the first weeks, a baby sets her mother’s milk supply for now and for later. Giving formula during this time decreases a mother’s milk supply and puts a baby at risk for later health problems.
Law #5: Every breastfeeding couple has its own rhythm
Mothers often wonder whether it’s best to feed their babies on demand or on a schedule. One factor they rarely mention, though, is the size of their babies’ stomachs. At first, a baby’s stomach is as small as a marble. This means that babies need to feed often and it is unreasonable to expect them to follow a schedule in the early days. When babies grow and their stomachs can hold more milk, they will often have more regular feeding patterns. When babies’ feeding is rigidly scheduled, especially in the early weeks, they become stressed and they may stop gaining weight.
Law #6: More milk out equals more milk made
With the latest research, we have a clearer picture of what affects milk supply, and it’s not fluid intake, diet, or rest. One vital factor is the number of times per day that you drain your breasts. The more often and fully you drain your breasts, the more milk you produce. Another factor affecting milk supply is how much milk a mother’s breasts can comfortably hold, because drained breasts make milk faster and full breasts make milk slowly. Anyone who tells you that you need to let your breasts “fill up” before feeding has got it all wrong!
Law #7: Children wean naturally
When it is time to wean, many mothers are told to just stop breastfeeding, bind their breasts, and wait until the milk (and pain) is gone. But this is the most difficult weaning possible. What most mothers don’t know is that weaning doesn’t have to be traumatic. All children will eventually outgrow breastfeeding, even if you do nothing.
In summary, the seven laws of breastfeeding can help make breastfeeding the simple and joyful experience it was meant to be. To learn more, visit our Web site: www.BreastfeeedingMadeSimple.com.
Nancy Mohrbacher, IBCLC and Kathleen Kendall-Tackett, Ph.D., IBCLC are authors of Breastfeeding Made Simple: 7 Natural Laws for Nursing Mothers (October 2005, New Harbinger Publications). Article to appear in Cleveland Family, Fall 2005.