A Guide for New Mothers

Initiate Within 1 Hour

Initiate breastfeeds within one hour of delivery if the delivery is a full-term vaginal delivery.

Rooming-In

Room-in the baby with the mother as much time as possible while in the post-natal ward.

Establish Good Latch

Establish all steps of a good latching on by baby to mother’s nipple while in post-natal ward itself.

• Hold the baby’s buttocks cupped in your hand and the baby’s head against the crook of your elbow.
• Guide the baby gently towards the nipple.
• Ensure that baby’s mouth holds the entire nipple and areola in his/her mouth.
• Ensure that baby’s nose isn’t squashed against the surface of the breast.
• The baby’s lower lip should be everted.
• Mother should be comfortably seated at 45* angle in semi-reclined position and using pillows / cushions to support her forearms / elbows to prevent fatigue, neck pain, shoulder pain, back pain or elbow pain.

Regular Emptying

Ensure regular breast emptying to avoid engorgement.

Prevent Soreness

Supervise feeding to prevent the development of nipple sores in the mother.

Hospital Nutrition

Maintain good hydration and nutrition in the mother while in the hospital.

Pain Management

Good pain management for the mother to minimize discomfort when breastfeeding.

Post-Discharge

After discharge from the hospital, if possible, continue only breastfeeds.

Hydration at Home

Maintain good hydration in mother while at home.

• Aim for at least one almost colorless urine every 3 hours.
• Consume fluids like water, juices, smoothies, laban (buttermilk), or soups.

Nutrition at Home

Maintain good nutrition in mother while at home.

• Keep meals wholesome, balanced, and well-spaced (every 3-4 hours).
• Avoid unnecessary food restrictions.
• Judicious use of galactogogues by doctor’s advice may help enhance flow.