Newborns should be nursed whenever they show
signs of hunger, such as increased alertness or activity, mouthing, or rooting.85 Crying is a late indicator
of hunger.86 Newborns should be nursed approximately 8 to 12 times every 24 hours until satiety, usually 10 to 15 minutes on each breast.87, 88 In the early weeks after birth, nondemanding babies should be aroused to feed if 4 hours have elapsed since the
last nursing.89, 90 Appropriate initiation
of breastfeeding is facilitated by continuous rooming - in.91 Formal evaluation
of breastfeeding performance should be undertaken by trained observers and fully documented in the record during the first 24 to 48 hours after delivery and again at the early follow - up visit, which should occur 48 to 72 hours after discharge.
The clock can also help you make this distinction — if it has been two to four hours since your baby's
last feeding (depending on your baby's typical pattern and whether she is breastfed or bottle fed) her fussing is likely a
sign of hunger.