What to Expect While Breastfeeding

Breastfeeding will be a learning process

Your baby will learn to:

• Latch
• Suck
• Swallow

You will learn to:

• Position your baby to feed.
• Observe and follow their hunger cues.
• Manage your breast milk supply and breast health.

First days and weeks

Milk coming in

At birth, your breasts will make a thick, yellowish substance called colostrum. Colostrum is packed with nutrients and other important substances that help your baby start building up their immune system. There will not be a lot of this liquid at first when you start breastfeeding. However, the amount will gradually increase over the first couple of days. During the first few days of life, most babies will get all the nutrition they need through colostrum.

As you continue breastfeeding, your baby’s sucking will tell your body to start making milk. For most mothers, this thinner, whiter milk comes in by about 3 days after birth. However, this may take longer for first-time moms. You may notice your breasts feeling full, hard, and warm as this happens. Your baby may begin to want to breastfeed more often around this time. If you are concerned about your milk coming in, talk to a lactation consultant or your doctor or nurse.

Leaking

Your breasts may feel full and leak. Over time, the leaking may slow down as your body gets used to breastfeeding. If your breasts leak, you may find it helpful to put disposable or cloth pads in your bra.

Engorgement

Over the first few weeks after birth, your breasts may become larger, firm, warm, and uncomfortable. These symptoms may occur as your body adjusts to making milk. This is called engorgement, and it should improve as your breasts get used to filling and emptying when you feed your baby. Feeding your baby often should help prevent severe engorgement and relieve discomfort.

Sore nipples

While breastfeeding during the first few weeks, your nipples may be sore or sensitive as they adjust to your baby’s sucking. Talk to a lactation consultant or your doctor or nurse if you have cracked or damaged nipple skin. And reach out to your health care provider if you have pain that does not improve over the first 1 to 2 weeks.

Pain while breastfeeding

Although your breasts and nipples may be tender or uncomfortable, breastfeeding should not be painful once your baby is well-latched.

Sometimes pain can happen if you have:

• An improper latch.
• A milk duct that is clogged with milk (plugged milk duct).
• A breast infection (mastitis).
• Other issues.

If you have pain while breastfeeding, especially with a fever, talk with your doctor or nurse to figure out why.

Postpartum depression

Postpartum depression is depression that some women feel after having a baby. Feelings of postpartum depression are more intense and last longer than those of "baby blues." Baby blues is a term used to describe the worry, sadness, and tiredness that many women feel after having a baby. Baby blues symptoms typically resolve on their own within a few days. Postpartum depression is common and does not feel the same for everyone. How often symptoms occur, how long they last, and how intense they feel can be different for each person.

Mothers with postpartum depression can usually continue to breastfeed. If you suspect postpartum depression or have other mental health concerns, contact your health care provider for help right away. Some medications do pass into breastmilk. However, you can work with your health care provider to find treatments that are safe to use while breastfeeding.

Breastfeeding considerations

Human milk provides the best nutrition for most babies, including premature and sick newborns. However, there are rare exceptions when human milk or breastfeeding is not recommended. Find out when breastfeeding is not recommended.

Only a few medications are not recommended while breastfeeding. Find out more about safe prescription medication use while breastfeeding.

Find out about breastfeeding and certain illnesses and conditions.

As your baby gets older

Teething and biting

You can continue to breastfeed once your baby starts to get teeth. Babies use their tongues, not their teeth, to breastfeed. If your baby is latched well and sucking, you should not feel the teeth while your baby is feeding. Once in a while, babies might bite the nipple or breast, especially when they are teething. Talk to a lactation consultant for tips on how to teach your baby not to bite.

Refusing to breastfeed

Sometimes babies will suddenly stop wanting to breastfeed. Many times it is hard to know why this happens. Refusing to breastfeed is usually temporary, and your baby will start breastfeeding again within a few days.

Some reasons that your baby may refuse breastfeeding include:

• Teething.
• Illness.
• Stress.
• A change in environment such as a new childcare situation.
• A major change in routine.

This usually does not mean your baby is ready to wean.

To help your baby return to breastfeeding:

• Keep offering your baby the breast or breast milk from a bottle if bottle feeding.
• Spend extra time cuddling and holding your baby.
• Offer the breast in quiet spaces and when your baby is sleepy or relaxed.
• Pump or express milk often to keep your breast milk supply up until your baby starts breastfeeding again.

Distracted breastfeeding

Your baby is starting to notice all the things going on around them. This can mean that your baby might get distracted while breastfeeding. Help your baby focus by turning off the TV, dimming the lights, or feeding in a quiet place.

Weaning

Although breastfeeding is recommended until your baby is at least 12 months old, weaning may happen before then. Learn about when and how to wean your baby from breastfeeding.

Visit the Office on Women's Health website for more information on learning to breastfeed and breastfeeding challenges.