Breastfeeding Basics

Many new mothers assume that breastfeeding correctly is as easy as it looks. But while newborn babies can nurse instinctively, it often takes new moms a little longer to get the hang of breastfeeding. One key to successful breastfeeding is developing the right technique. And that's where a support network of lactation experts, doctors, and moms who have breastfed comes in. You can also get support and information from La Leche League, an international organization dedicated to breastfeeding. (www.lalecheleague.org) With some help, the majority of women are able to breastfeed successfully. So keep a positive attitude and follow these tips to help make nursing a pleasant experience for your baby and you.

Prepare to breastfeed before your baby is born. Before you give birth is a good time to start thinking about whether you prefer to breastfeed or bottlefeed your newborn. If you decide to breastfeed, inform your doctor and the hospital staff -- they can give you information about breastfeeding and can often set you up with a lactation specialist who can coach you until you feel comfortable.

Start nursing right away. If you're able, try breastfeeding your baby within the first hour or so after he is born. This is a good opportunity to establish your breastfeeding pattern while your newborn is alert. Babies who are nursed within the first hour of birth are more likely to become successful breastfeeders, says the American Academy of Pediatrics.

Breastfeed about every two hours. Nurse your baby when she lets you know she's hungry -- generally, between every 1 1/2 to 3 hours. Crying is a late sign of hunger, so try to interpret your baby's earlier cues and feed her before she cries. Some common signs that your baby is hungry: Looking alert, putting her hands near her mouth, making sucking motions, whimpering, flexing arms and hands, and nuzzling against your breast.

Hold off on the pacifier. Introducing a pacifier or bottle can interfere with your baby latching on to your breast, so hold off until his breastfeeding routine is going well and your milk supply is well established (usually three to four weeks after delivery).

Encourage your baby to latch on by stroking her cheek or lower lip. This will stimulate her to open her mouth and latch on. (Stroke the cheek that is nearest your breast, and she will turn toward the breast.) To determine if she has latched on correctly, make sure your areola and nipple are both in her mouth and positioned above her tongue, and check that her lower lip hasn't been drawn into her mouth.

Make yourself comfortable. Encourage your breast milk to "let down" by finding a quiet spot to nurse. Sit in a comfortable chair and try listening to some soothing music.

Cradle: This position is the most commonly used one after the first few weeks of breastfeeding, according to La Leche League. How it works: With your baby lying on his side, hold him across your lap (use a pillow to bring him up to breast height) so that his head is resting on your forearm. If you are feeding with your left breast, your baby should be cradled in your left arm. Use your other hand to support your breast with either the "c" hold (your thumb on top of your breast, your four fingers underneath) or the "u" hold (your breast is supported between your thumb and index finger).

Cross Cradle: Many moms prefer this position during the first few weeks since it offers the most control, say experts at La Leche League. To try it: Position your baby as you would for the cradle, but with your hands reversed. For example, if you are feeding from the left breast, support your baby with your right hand. Support your left breast with a "u" hold in your left hand.

Clutch or Football Hold: This is a good position if you've had a cesarean section since it will keep your baby away from your incision. How to do it: Position your baby on a pillow at your side. He should be facing you with his bottom near your elbow and his legs and feet tucked under your arm. Support your breast with a "c" hold.

Side-Lying Position: A comfortable position for nighttime feedings is the side-lying position. Lie on your side with your baby on his side facing you. Cradle him in your arm with his back along your forearm. You can position a pillow beneath your head or back to make yourself more comfortable. A pillow behind your baby's back can prevent him from rolling away as he's feeding.

All content here, including advice from doctors and other health professionals, should be considered as opinion only. Always seek the direct advice of your own doctor in connection with any questions or issues you may have regarding your own health or the health of others.