Brief Answer:
If the baby is exclusively breastfed you need not worry if the baby is full

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query and understand your concerns. Let me assure you that it is absolutely normal if you do not hear the burping sound. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. The extra air taken causes distention and hence colics. Proper burping will ensure its escape and the milk will not regurgitate back from the stomach to the food pipe, thus providing relief.

Let me emphasize on the fact that breast milk is the best possible milk for a baby and there can be no alternatives for the same. Most formula milks are cow milk based and hence difficult to digest. Moreover they make the child more prone to complications and infections. Mother's breast milk is produced on the demand of the baby. Hungrier the baby, more vigorous is the suck. More is the suck, more is the amount of breast milk produced. Giving formula automatically reduces the demand of the baby and thereby the production of breast milk. All you need to do is to switch back to exclusive breast feeding and the production will increase automatically. All you need to do is to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate.

It is absolutely normal for the baby to sleep in between. The child can feed 20 hours a day and that is perfectly normal.

Feel free to write back.

Regards

---

Brief Answer:
No need to wake her up

Detailed Answer:
I am so sorry for the inadvertent delay in responding. No, she does not need to be woken even if she does not wake up after 3 hours. If urinary frequency is normal you need not worry.

Regards

---