Mother and Baby

Breastfeeding a newborn: What to expect during the first few weeks

Breastfeeding your newborn can be a wonderfully fulfilling, bonding experience and is the start of your incredible journey getting to know your baby.

Yet with everything so new, things might not always run smoothly – especially given the surprising impact your labour can have on feeding. Luckily help is at hand!

Geraldine Miskin, an independent breastfeeding specialist, gives Mother&Baby her expert advice and her easy guide to newborn breastfeeding. 

‘The first two weeks of breastfeeding require a great deal of patience and open-mindedness as it is such a unique time in the breastfeeding,’ says Geraldine Miskin. 

‘It’s a steep learning curve as both mum and baby are learning an entirely new skill. It feels like it should instantly come naturally but often takes a little time and practice for many babies. Feeding frequency and feeding patterns vary considerably, which is why I encourage new mums to focus on the practical and physical elements of feeding.’

The first feed

So what can you expect the first time you feed your new baby?

‘Babies will often want to feed within the first hour after birth,’ says Geraldine. ‘I would encourage as much skin-to-skin time with baby lying comfortably on your chest until she is motivated to feed.

The first feed is such a stand-alone and beautiful feed, one that should be enjoyed without expectation. Some babies like to feed on one side, some both. Some babies will feed for five minutes and others will feed for 40 or more. It’s impossible to say what will happen.’

The length of your labour can impact those special first newborn feeds. ‘Your baby may feel tight and uncomfortable if your labour was short and powerful or long and drawn out,’ says Geraldine.

‘This can make their little heads more sensitive and often babies prefer to feed more from one side than the other. This is very normal and if you find that this happens, feed baby across your lap on one breast.

When you want to offer baby the other side, keep baby lying as she is and just slide her over to the other side and more into the rugby or underarm hold.

As baby will be lying on the same side for both breasts, latching and feeding should be more comfortable.’

The first few weeks:

Congratulations, you’ve done your first feed! Now when’s the next one?

Firstly, Geraldine recommends trying to have a sleep after the first feed.

‘I typically suggest that this stretch be around six hours to allow both mum and baby to catch their breath, catch up on a little sleep and recharge. However, if baby is hungry and wants to feed instead of sleeping, it is important that baby gets access to the breast as much as possible.’

After that quick recharge, move on to feeding your baby at least every four hours for the next 48 hours.'

‘Following that, feed every three hours (day and night) until your baby regains any lost birth weight, usually around day 14.’ And don’t worry if it seems your baby wants to be on your breast all the time.

This is totally normal because feeding isn’t just about nutrition.

‘Some babies will want to feed for hunger, but some babies seem to feed for comfort and others – often babies with the most eventful labours – want to feed more frequently, almost as though to release residual birth tightness and tension,’ says Geraldine.

‘If babies are feeding, for this reason, they seem to feed often despite clearly getting a lot of milk and often mums report nipple tenderness.’ See our newborn breastfeeding Q&A, below, for more on this.

Prepare for ups and downs

In those early days and nights, there are lots of ways you can establish feeding but don’t worry if you have small hiccups along the way. This ‘fourth trimester’ is all about getting to know your baby and her preferences.

‘All mums and babies are different and that there is no one-size-fits-all feeding plan or pattern, position or time that will work for all babies,’ says Geraldine.

She does, however, have one golden rule that will help you and your baby: ‘Offer her both breasts at each feed from the start. This allows her to access milk freely from both sides easily, without having to work too hard for milk.

This not only makes the feeds more efficient and compact, but it also fills the baby's stomach quickly so that you can both rest.’

Your breastfeeding FAQ's answered:

 

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1) How can I tell if my baby is feeding well?

‘The length of the feed is not indicative of a good or a bad feed. Instead what you want to monitor is how often your baby is swallowing.

The more your baby sucks before swallowing, the harder your baby is working and the longer your feeds will take.

The other thing that is happening here is that your baby's stomach doesn't fill up as her stomach is constantly draining – so if the milk flow into baby's stomach is as slow as the milk emptying from her stomach, your baby will want to feed constantly.

The less your baby sucks before swallowing, the easier it is for baby to get milk, the shorter your feeds will be and the more weight your baby will gain.

Your baby's stomach fills up quickly because the speed of milk flowing into baby's stomach is faster than the milk flowing out of baby's stomach. And this means baby is satisfied and easy to settle.’
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2) Help, my nipples are SO painful!

‘Breastfeeding really shouldn't hurt.

If it does, get help, and try nipple shields to avoid the need for formula top-ups.

However, top up if you need to and if all else fails, pump both breasts as often as you would be feeding to bring in your full supply until you get bub back onto the breast.’
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3) My baby is asleep. Should I wake her up to feed?

‘New babies don't know that they have to wake for feeds so I would wake baby to feed if she hasn't woken on her own.

There are three crucial reasons to wake baby up for feeds:

1. The more often your baby feeds, the more colostrum she drains and the more quickly your milk comes in. When your milk comes in, it feels like such a relief and often you relax into feeding baby more easily. It is so satisfying to hear your baby gulp your milk down!

2. More feeds will give her more colostrum, which has laxative properties. This helps your baby get rid of the excess bilirubin (a yellow substance that the body creates when it replaces old red blood cells) so that she doesn't become too jaundiced. This then helps your baby be more alert and more focused during feeds.

3. The more often your baby feeds, the more calories she’ll get and the less weight she’ll lose. The quicker your baby regains any lost weight, the sooner you’ll feel confident about breastfeeding and being more baby-led for your night time feeds.’
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4) What’s the most comfy position to feed if I’ve had a C section?

‘Sitting upright might be uncomfortable after a C section. Instead, try feeding leaning back, lying down or even standing up. These techniques can help:

Underarm position:

Support your baby’s body with a firm cushion so she is in line with your nipple.

Place the soft ball of your hand on baby’s upper back with your fingers evenly spread on her lower cheek and over her ear.

Then bring your baby on to the breast by applying gentle pressure to her upper back with the ball of your hand.

Lying down position:

Lie on your side with one arm under your head and your knees slightly bent. Then lie your baby on her side facing your breast, with her upper lip in line with your nipple and her lower arm underneath the breast to raise it.

Place your free hand on baby’s upper back.

When baby gapes, bring him on to the breast by applying gentle pressure to his upper back with your hand. Tuck her bottom close to you to free her nose from your breast.’
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5) Latching on doesn’t come easily – what can I do?

‘This is normal in assisted births and emergency C sections: forceps births can lead to babies latching but not sucking and C section babies can be very sleepy, meaning they don’t open their mouth to latch.

One technique is ‘pinch and pop’, which lets you mould your breast into a shape that makes it easier for your baby get onto your breast quicker.

To do it, use your thumb and index fingers to create a ‘V’ shape then place your thumb and index finger at 3 o’clock and 9 o’clock, as far from the nipple as possible.

Pinch your thumb and index finger together to bunch up your breast and then aim your nipple towards the roof of her mouth so she has an off-centre latch. Let baby do a few sucks then carefully let go of your breast.’
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6) What can I do about my low milk supply?

'Wake baby to feed frequently so that your breasts get stimulated and your milk volume increases quickly.

Make sure you feed from both sides at each feed so that baby gets all milk available for as little effort as possible. And massage your breast whilst your baby is feeding to encourage milk flow and make it easier for baby to access.

Also avoid certain food and drink including caffeine and peppermint as they can affect your milk supply.’

Written by Louisa Pritchard

Meet the expert: Geraldine Miskin is an independent breastfeeding specialist, author of Breastfeeding Made Easy and founder of Miskin Maternity.

Now read:

5 tips for getting baby latched on to the breast

The best positions to use when breastfeeding your baby

 
 
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