- Spend as much time as possible skin-to-skin with baby. Wear your baby. Share sleep with baby if you fit the ‘safe sleep 7’ guidelines. Avoid swaddling.
- Feed often observing earliest hunger cues, around the clock. Wake at 3 hours if necessary during the day and at 4-5 hours at night.
- Gently massage breasts right before latching or pumping. Insist on a deep latch and re-latch if necessary. Use breast compressions throughout breast feeds. Use a rental grade pump from the hospital and the correct size breast shield (flange). Consider at-breast supplementation for a few days/weeks (with IBCLC guidance).
- Either pump after a breast feed or pump again within an hour. Empty breasts often, every 45 minutes is not too often at first. You are basically mimicking a growth spurt.
- Repeat. Feed again. Pump again. More skin-to-skin…
- Limit pacifier use or discard if possible
- Try to get 1-2 more feeds in each day especially if weight gain is of concern
- Reduce baby’s crying as much as possible
- If early hunger cues were missed begin the feed alternatively with a small cup, spoon, syringe or bottle to help calm baby
- Follow immediately with a neck snuggle with baby skin to skin up under your chin
- When baby begins rooting latch again
- Include hands on pumping for maximizing milk production
- Using a warm compress will help yield more milk
- Mothers can typically express more milk with hand expression than they can express with insurance provided pumps, especially in the early days
- Boosting milk is hard work but is easier accomplished sooner after birth than later
- Continue to express your milk until your baby becomes proficient at breast
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