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It is really not necessary to burp all breastfed babies. Many babies will bring up burps all on their own. If you notice that you are spending ten minutes or so after each feed, and are you are still not "successful," it probably isn’t necessary to burp your baby after he nurses. Actually, in cultures where babies are held upright in their mother’s arms, or in a sling or pack throughout the day, babies are nursed frequently and do not need to be burped.
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Many babies will cry, fuss, pull off the breast, etc. if they need to burp. Try to burp between breasts and after a feeding, but don’t worry if baby does not burp and is content. Breastfed babies overall don’t take in as much air during a feeding as bottle-fed babies do, so usually don’t need to burp as often. If baby has been crying before she nurses, or is so hungry that she nurses "frantically" or if mom has a fast let-down, baby could be taking in more air and may need to be burped more often.
Burping is usually only necessary during the first few months, though it may extend longer. Once your baby is moving more freely, she will be able to relieve the gastric gas herself. This usually will occur between the 4th and 6th month, but may be shorter in some children and longer in others.
If baby has a hard time burping, try burping more often during a feeding. The best burping position is one that applies firm pressure to the baby’s tummy. Placing baby over the shoulder way up so that there is pressure on baby’s abdomen often works well. Walking around while doing this might distract her long enough to get a good burp. You may even want to lie baby down on her stomach and burp her that way.
Is it necessary to burp my baby?
This depends on your individual baby. Some babies swallow more air during feeding than others, so they may need burping more often. Bottle fed babies tend to swallow more air than breastfed babies. It is not always necessary to burp a breastfed baby, but his would depend on your individual baby. Bottle fed babies generally need burping. As a guide, try to burp your bottle fed baby mid way and at the end of her feed.
If your baby is swallowing a lot of air during feeding the reason may be that she’s not latching-on to your breast deeply enough (see Breastfeeding basics for more on latch-on) or the bottle feeding nipple may not be suitable (see Feeding equipment for tips on choosing a feeding nipple) and/or she may be feeding too quickly (see How long should bottle feeding take?)
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PREVENTING NIPPLE CONFUSION
It is easier to prevent nipple confusion than to fix it–though it is a problem that can be solved, should it occur (see below). Breastfed babies should not be given artificial nipples during the first three to four weeks when they are learning and perfecting their breastfeeding skills. Avoiding artificial nipples means avoiding pacifiers as well as bottles. Supplements, if medically necessary, can be given in ways that don’t involve artificial nipples. (See Alternatives to Bottles.)
Will it be more difficult to introduce the bottle later? Many mothers, because they are going back to work or because they eventually plan to get out for a few hours by themselves, want their breastfed babies to accept feedings from bottles. They have heard stories of babies who adamantly refused anything but the breast. Getting baby to accept a bottle at age two or three months may take some patience, but most babies will catch on after a few tries. (Babies can also be fed with alternatives to bottles when mother is gone.) While introducing the bottle at one or two weeks of age may insure that baby accepts the bottle later, you’re taking a risk. Some babies easily go back and forth between breast and bottle, but many others do not. Don’t jeopardize your breastfeeding relationship when it has barely begun.
UN-CONFUSING THE NIPPLE-CONFUSED BABY
When a baby who is getting bottles begins to balk at taking the breast, nipple confusion is probably at the heart of the problem. Here’s how to re-teach a baby what to do at the breast:
Babies often act puzzled or uncertain when they are re-introduced to the breast. Be patient. Praise your baby for every tiny step she takes back to breastfeeding. It may take a few days to woo baby back to the breast, but you can do it.
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