The early weeks of pregnancy are fragile—and confusing. Here, the answers to your questions.
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You’ve read breastfeeding books, visited chat rooms, taken classes and made the (very smart) decision to nurse your new baby. You’re ready, right? Mentally, yes, but once your baby makes his entrance, you’re faced with the prospect of actually doing it—maneuvering his tiny, floppy head onto your swollen breast and coaxing him not only to latch on, but to draw enough of that liquid gold into his body to sustain himself for the next hour, the next day, the next six months. We’re here to help, with expert tips to get you through those first hours in the hospital and first days at home.
1. Don’t delay Put your baby to your breast as soon as he’s born. “The majority of newborns have a small ‘window of opportunity’ of about one-and-a-half hours after birth when they’re alert and ready for a feeding,” says Sue Tiller, R.N., I.B.C.L.C., an international board-certified lactation consultant in Centreville, Va., and author of Breastfeeding 101: A Step-by-Step Guide to Successfully Nursing Your Baby (TLC Publishing, 2005). “After that, most newborns fall into a sleepy pattern for the next 18 to 24 hours, which makes it more difficult for them to breastfeed.”
Even if your baby doesn’t actually latch on and nurse, you’re both benefiting from this early opportunity to bond, says Christina J. Valentine, M.D., R.D., medical advisor for neonatal nutrition at Columbus Children’s Hospital in Ohio and director of its lactation program. “Immediate postpartum skin-to-skin contact is important,” she explains. “The baby stays warmer, his heart rate and respiratory rate stay more stable, and the bonding helps ensure success with lactation.” Unless your or the baby’s health is compromised, all this applies even if you’ve had a Cesarean section, Tiller says. “Most medications you might receive do not preclude breastfeeding.”
2. Just say no (to the nursery, that is)
“Rooming in” not only promotes bonding, it also allows you to nurse as often as you and your baby want, which is key to building a good milk supply. You also will be able to observe your baby and start recognizing his feeding patterns and cues early on—important information to gather in the hospital, rather than when you’re at home, with no nurse in sight.
“A baby’s feeding cues are very subtle in the beginning, and if parents aren’t aware, they may miss them altogether until the baby is crying and frantic,” Tiller explains. “Miss the cues and you go into a downward spiral.” Signs to watch for: bringing the hands to the mouth; chewing on the fists; turning the head from side to side; and smacking the lips.