Breastfeeding in the First Two Weeks: A Practical Guide

Latch, supply, night feeds and when to ask for help — a calm, practical guide from Paramitha’s lactation team for new mothers.

The first hours

Skin-to-skin as soon as it is safe, and a first feed within the first hour when possible, helps baby learn to latch. Colostrum is small in volume and rich in antibodies — that is normal, not “too little milk”.

Paramitha lactation counsellors support mothers after normal delivery, caesarean birth and NICU admission.

Getting a comfortable latch

A good latch should not pinch the nipple. Baby’s mouth is wide, chin touching the breast, and you hear swallowing rather than clicking.

Common early problems

• Sore nipples from a shallow latch
• Sleepy baby after a long labour
• Engorgement around day 3–5 when milk “comes in”
• Worry that baby is not getting enough

All of these can be improved with positioning, frequent feeds and hands-on help. Do not wait until you are in pain for several days.

How often to feed

Newborns usually feed 8–12 times in 24 hours. Cluster feeding in the evening is common. Wet nappies increasing after day 4, audible swallows, and settling after feeds are better signs than watching the clock.

When to ask for help

Contact your Paramitha paediatrician or lactation counsellor if:

• Baby has fewer than 6 wet nappies after day 5
• There is fever, redness or a hard painful lump in the breast
• Weight loss is more than expected at the first checkup
• You feel overwhelmed or are considering stopping because of pain

Lactation support is available at all Paramitha branches. Ask your nurse to arrange a session before discharge, or book a follow-up visit.