TO THE BRAND NEW MOTHER:
1. Nurse the baby in the LDR room or Recovery Room.
2. Keep baby close to insure unsupplemented feedings every 2-3 hours for at least 20-30 minutes per feeding if the baby is willing (newborns can be sleepy and may not get into it for a few days.
3. Avoid sore nipples by attending to any latch-on problems right away. Sore nipples are not due to long and/or frequent nursing. Get early help from lactation consultant, both in hospital and at home.
4. Promptly attend to any engorgement with hot packs, frequent feedings, and manual or pump expression if needed.
5. Eat a balanced, nutritious diet and drink adequate fluids for good milk supply and replacement of your nutrient stores.
6. Avoid artificial nipples or pacifiers until breastfeeding is well established (3-4 weeks).
7. Nap as much as possible- quicker recovery, energy to make breastmilk.
8. Seek out informed, supportive sources of advice; avoid unsupportive, negative people. Ignore myths, rules, and generalizations about breastfeeding.
9. Before “the milk comes in” you are producing a different form of breastmilk called colostrum. Don’t confuse this with a lack of providing for baby. You are giving your antibodies and immune system to your baby!
1. It is never Too Soon to feed your baby. If 5 minutes pass and your baby starts nursing again, consider it the beginning of a new feeding.
2. Baby can lose 10% of their birth weight and regain it in 2 weeks. Not a sign of poor feeding.
3. Sucking is not always a sign of hunger. If they are comforted by breastfeeding, nurse them.
4. For the first 1-2 days after coming home, baby should produce a minimum of 4 wet and/or soiled diapers in 24 hours. On the 3rd day and after, baby should produce a minimum of 6-8 wet and/or soiled diapers in 24 hours.
5. Nurse a maximum of every 3 1/2 hours. You set the maximum time between feedings, your baby sets the minimum.
6. A lack of “letdown” sensation (tingling as in an area being “asleep”) does not signify a lack of milk production.
7. If bothered by breast tingling or leaking, firm pressure on the breast or nipple can help. A good fitting nursing bra is important.
8. Engorgement is the swelling of the breast tissue with extra blood and fluid. Apply warm, moist heat before a feeding or pumping. The engorgement should subside after 2-3 days.
9. Sore nipples may indicate an improper latch-on.
CONSULT LACTATION CONSULTANT FOR ANY PROBLEMS; seek help before small problems become big ones!