Skip to main content

Breastfeeding basics

  • How your breasts produce milk

    Milk production is based on "demand and supply." The more your baby nurses, the more milk your body will make.

    Your body makes two hormones that help you to produce milk: prolactin and oxytocin.

    • Prolactin makes the cells in the alveoli (little sacs) produce the milk.
    • Oxytocin causes cells in the alveoli to tighten and squeeze the milk down through the milk ducts and out the nipple. The process is known as "let-down."

    The first milk you produce is called colostrum. This is low in volume but packed with antibodies to protect your baby from diseases.

    Colostrum is thick and concentrated. Known as "liquid gold," it is very high in protein and nutrients. It is the perfect food given in the perfect amount.

    Over the first week, your milk gradually increases. Breastmilk has all the nutrition your baby needs. You don't need to give your baby water.

    labeling of different breast parts

    The more milk your baby takes, the more milk you body makes. All shapes and sizes of breasts produce milk. You can breastfeed if you have had either a vaginal or a Cesarean birth.

    Normal breast changes

    The first few days after birth you will notice that your breasts:

    • are soft
    • don't feel full
    • produce colostrum ("liquid gold")

    Between the second and sixth days after birth you will notice that your breasts:

    • feel fuller (Feeding or hand expressing often will reduce the swelling.)
    • produce milk that is thinner and whiter

    Normal newborn behavior and feeding patterns

    Birth day:

    • Your baby will be calm and alert for a couple of hours after birth. He may be tired for the next 12 to 24 hours.
    • The goal is for your baby to feed every two to three hours.
    • If he isn't interested, you can hand express some colostrum into a spoon and give your baby what you collected in the spoon. That will help get things started for you both.

    Next day:

    • You will probably see a big change in your baby's behavior the second night after birth. He may want to feed more often than one to three hours. He may be unsettled unless at your breast or cuddling skin-to-skin. This response is your baby's sudden awareness that your womb is no longer home and the most comforting place is skin-to-skin at your breast.
    • After feeding, snuggle with him until he falls into a deep sleep before putting him down.

    Your baby will help regulate your milk supply. Together, you and your baby will develop your own rhythm.

    Sometimes, in the first two weeks, your baby will not wake up on his own to eat. You need to wake your baby every three to four hours to feed.

    What you and your partner can do

    Sleep when your baby sleeps. Limit visitors. Try calming techniques such as rocking, humming or playing soothing music. Keep baby skin-to-skin when you or your partner are awake and available. Stay calm and call for help if you need it.

    Getting ready to breastfeed

    Your partner can help you with any of these:

    • Get the room ready.
      • Adjust lighting (if needed).
      • Ask visitors to step out of the room.
      • Eliminate distractions. Turn off the TV or phone.
    • Get yourself ready.
      • Wash your hands.
      • Get a glass of water.
      • Get comfortable.
      • Massage your breasts to get the milk flowing.
    • Get your baby ready.
      • Enjoy skin-to-skin contact.
      • Help watch for feeding cues.
      • Help calm your baby if he is unsettled.

    Skin-to-skin contact keeps your baby warm. You can cover the baby with a blanket.

    Did you know?

    • Your milk-making hormones are higher at night.
    • Babies are most interested in feeding between 9 p.m. and 3 a.m.
    • Breastfeed at least every three to four hours at night.

    Breastfeeding

    Alternate which breast you start with at each feeding. Allow your baby to drain the first breast well. You will know your breast is draining well when:

    • your breast softens
    • your baby becomes relaxed
    • swallowing occurs less often
    • your baby comes off your breast

    Burp your baby and offer the second breast if you see feeding cues.

    Remember, you cannot breastfeed too often. Feeding often keeps your breasts soft and easier to latch onto.

    Tip

    Your nurse will help you get started breastfeeding. Ask questions.

  • Breastfeeding positions

  • There is no "one" right way to breastfeed. Choose the position(s) that work best for you and your baby.

    Regardless of the position that you use, it is important to keep your baby's head, shoulders and hips in a straight line. The correct positioning is tummy-to-tummy and nose-to-nipple.

    It is also important to bring your baby to your breast rather than your breast to your baby. This will prevent you from getting a sore back from leaning over.

    Here are some positions you can try:

    Laid-back hold

    • Lie on your back, supported by pillows.
    • Position your baby so she is tummy-to-tummy on your stomach. Gently guide her to your breast while supporting her bottom with your hand.

    Cross-cradle hold

    • Position your baby so she is tummy-to-tummy and she is lying across your lap.
    • Support her back with your forearm and hold the base of her head in your hand.
    • Hold your breast with your free hand until she has latched on to your nipple. You may need to hold your breast for the entire feeding.
    • When your baby starts to nurse, you may want to switch your arms to the cradle hold position.

    Football hold

    • Place a pillow or two at your side to support your arm and raise your baby to breast level.
    • Support her back with your forearm and hold the base of her head and neck with your hand. Use your forearm to hold her tummy against your side.
    • Hold your breast with your free hand.

    Lying-down hold

    • Lie on your side with pillows supporting your back. Bend the knee of your top leg so that you are comfortably turned on your side.
    • Place your baby on her side, facing you. She should be close to you with her face at breast level.

    Cradle hold

    This works best for babies who are latching well.

    • Place a pillow or two in your lap to support your baby and get her to breast level.
    • Place her head on the crook of your arm.
    • Keep your elbow close to your body to help your baby keep her chin up.
    • Turn her tummy and hips to face yours. Don't have her rest on her back and just turn her head.
  • Breastfeeding positions photos

     

    left arrow right arrow
    Laid-back hold Cross-cradle hold Football hold Lying-down hold Cradle hold

  • Source: Allina Health's Patient Education Department, Guide for the Care of Children: Ages Birth to 5 Years Old, fifth edition. To avoid awkward sentences, instead of referring to your child as "he/she" or "him/her," this guide will alternate between "he" or she" and "him" or "her."
    Reviewed by: Allina Health's Patient Education Department experts, including the Pediatric Department of Allina Health Coon Rapids Clinic
    First published: 02/01/2010
    Last reviewed: 01/01/2016