August 3, 2018

Early breastfeeding success starts in the hospital.


Did you know that your hospital breastfeeding experience after your baby is born can impact your success? Here are some tips to help get breastfeeding off to the best start:


1. Ask for your healthy baby to be placed skin-to-skin on your chest right after delivery.

We call this the “Golden Hour.”  Our nurses can check your baby while you get to hold and bond.  We suggest that your baby stays skin-to-skin with you until the first breastfeed is completed or at least the first hour. Prepare your family that they might need to wait an hour or so before they hold the new baby. After all, you did the hard work and you should get to enjoy your baby first. This will mean that the baby will not be weighed until later. We say the “weight can wait.”


2. Feed your baby when she starts to root, smack her lips or gnaw hands.

You can’t breastfeed too often or too long. The more times you put your baby to breast the more milk you will make!


3. Ask for that first bath to wait.

Unless there is an infection reason to bathe your baby, it helps the baby keep a higher temperature, have better blood sugar and cry less if that bath waits at least 6 to 8 hours (if not longer).


4. Try to keep your baby in your room with you.

Most procedures and exams can be done in your patient room. Surprisingly, research shows that new moms do not get more sleep by sending the baby back to the nursery. It is a good idea to have a support person stay with you to help but if you don’t have any help be sure to discuss your preferences with your nurses. They are there to support you and honor the decisions you make for you and your baby.


5. Breastfeeding should not hurt!

If you are having pain, it often means that the baby is not latched on properly or it could be an issue with the baby’s mouth. Make sure to tell your healthcare team so they can help you.


6. It is normal to worry that you don’t have enough milk.

Remember that your baby’s tummy is small. Your baby will have a weight check every day in the hospital, and your healthcare team will discuss if your baby should ever need anything other than your breast milk. If you choose to give formula when your baby doesn’t really need it, then it can make your breast milk supply decrease.


7. In our hospital, we do not recommend pacifiers for healthy babies.

Pacifiers given too early may interfere with breastfeeding.  We suggest that you give a pacifier 2-4 weeks after delivery when breastfeeding is going well.


8. Before you go home, make sure that you know how to call your lactation consultant.

Check out the Nashville Breastfeeding Coalition or call the Tennessee Breastfeeding Hotline 1-855-4BFMOMS.

Your local WIC lactation counselor or La Leche League can be additional sources of support when you go home.


This post was written by Anna Morad, M.D., Vanderbilt Assistant Professor of Pediatrics and Director, Newborn Nursery.


Read more

Check out our My Southern Heath post “Answers to 5 common breastfeeding questions” for much more useful information on this topic.