The first week of breastfeeding is the hardest, and it’s the most important for setting up a strong milk supply. I’ve been through it four times now. Even with experience, every baby is different, and the first few days still felt like learning all over again.
These are the tips that made the biggest difference for me, from the hospital bed to the couch at 2am. Breastfeeding is natural, but it doesn’t always come naturally. You and your baby are both learning. Give yourself grace. And when you’re ready to focus on your own recovery, Strong Postpartum is the plan I built for that.
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Before Baby Arrives: Get Set Up
- Take a breastfeeding class. You’ll learn positions, latch basics and how to tell if baby is getting enough.
- Gather supplies: nursing pads, a nursing pillow, nipple cream, a couple of comfy nursing bras and a big water bottle.
- Set up a nursing station with a comfortable chair, snacks, water, burp cloths and your phone charger.
- Pack nutritious snacks for the hospital. Lactation bars and a protein powder fill the gaps that hospital food leaves.
- Talk to your doctor about any questions, medications or past breastfeeding issues.
Use the Lactation Consultant
The hospital usually has a lactation consultant. Use them, even if you feel confident. With my second baby I thought I had it down, and the consultant still taught me latching tricks I didn’t know. Accepting help can change everything.
If you deliver at home or in a birth center, your midwife usually offers nursing support and may have a lactation consultant available. After you go home, an IBCLC or a local breastfeeding support group is a phone call away.
Keep Baby Close

From birth, focus on latching. Some babies take longer than others, but keep holding them close to the breast. Skin-to-skin contact is vital for bonding and triggers the hormones that make milk. Once baby is latched and fed, letting them rest on your chest while you’re awake keeps that connection going.
Find a Comfortable Position and Let Baby Lead
Babies have strong instincts to find the breast. Let them guide you, and bring baby to you rather than leaning over. Try different holds until one feels right:
- Cradle hold: the classic, with baby across your lap and head in the crook of your arm.
- Cross-cradle hold: great in the first days because you can support baby’s head with your hand.
- Football hold: baby tucked at your side. Helpful after a c-section or with large breasts.
- Side-lying: both of you lying down, facing each other. A lifesaver for night feeds once you’re comfortable.
A nursing pillow supports your arms and puts baby at the right height. If a hold feels off, switch it up.
Breastfeed on Demand
Skip the feeding schedule in the first week. Supply works on demand: the more often your breasts are emptied and stimulated, the more milk you make. Most newborns eat every 2 to 3 hours, sometimes more often, including at night.
Watch for early hunger cues so you can feed before baby is upset: rooting (turning the head with an open mouth), sucking on hands, smacking lips and squirming. Crying is a late cue.
Track Feedings to Stay Sane
Time blurs in the newborn days. Jot down when baby nursed, for how long and which side you started on, on paper or in an app. It helps you build a rhythm and gives you real answers if your pediatrician asks.
Taking care of baby? Strong Postpartum takes care of you.
Breastfeeding takes a lot out of your body. Strong Postpartum gives you a breastfeeding-friendly Ratio Plan, easy meals and gentle healing so you have the energy and nutrition to keep your supply strong.
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Address Sore Nipples Right Away
Some tenderness in the first days is common. Real pain usually means the latch needs work. Support baby’s head, aim your nipple toward the roof of their mouth and wait for a wide-open mouth before bringing baby in. If it pinches, break the suction with a clean finger and try again.
Use a quality nipple cream or hydrogel pads at the first sign of redness to prevent cracking. Don’t wait for it to get worse. If pain continues past the first week or you see cracks or bleeding, see a lactation consultant.
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Handle Engorgement and Letdown
When your milk comes in, usually around days 2 to 5, your breasts may feel full, hard and tender. You may also feel letdown, a tingly feeling as milk starts to flow. Both are normal and settle as your supply regulates.
- Nurse often. It’s the best way to relieve fullness and prevent clogged ducts and mastitis.
- If your breast is too hard for baby to latch, hand express or pump a little first to soften it.
- Call your doctor if you get a fever, a red hot area or flu-like aches.
Hold Off on Pacifiers (At First)
In the first week, let baby comfort at the breast when you can. That extra sucking tells your body to make more milk. It’s tempting to reach for a pacifier, especially with other kids to care for, but waiting until breastfeeding is going well can help your supply. Every family is different, so talk with your pediatrician.
Keep Baby Nearby at Night
Having baby close at night makes feeds easier and helps you get more rest. A bedside bassinet or co-sleeper lets baby sense you nearby, which can support your supply. Whatever you choose, follow safe sleep guidelines and talk to your pediatrician about what’s right for your family.
Is Baby Getting Enough Milk?
Signs things are on track:
- Wet and dirty diapers increasing each day, with about 6 or more wet diapers a day by the end of the first week
- Baby seems content after most feeds and you can hear swallowing
- Baby is back toward birth weight at the pediatrician checkups
If you’re worried, call your pediatrician or a lactation consultant. And here are the signs your milk supply is dropping to watch for later on.
Take Care of Mama Too

Eat and Drink Like It’s Your Job
Your body is healing and making milk on very little sleep. Eat balanced meals with protein, complex carbs, healthy fats and iron-rich foods, and keep water within reach every time you nurse. Quick processed food leads to blood sugar crashes that hit your mood harder than you’d think. Start with the 8 top foods to eat after birth and these easy breastfeeding snacks.
Dress for Comfort
Live in comfy nursing bras, soft nursing tanks and loose pants. Hospital mesh or disposable underwear and homemade healing pads make the first weeks much more comfortable.
Relax and Let Things Go
If the toddlers watch more TV while you nurse the new baby, it’s fine. It’s a short season. Order takeout. Leave the laundry. Spend time on the floor or in bed with your baby. Find 15 minutes a day for yourself, even if it’s just a shower. You’ll be happier if you embrace it.
Keep Baby Happy Too
Newborns don’t need a lot of gear. Mostly they want to be fed, changed and held. A good carrier frees your hands: my sister loved a sling, and I lived in my LilleBaby. For diaper rash, Desitin or a little coconut oil usually does the trick, depending on your baby’s skin.
Pumping When You Need It
If you’ll be away from baby or need to relieve engorgement, a pump helps keep your supply up. In the first weeks, most moms do best nursing directly whenever possible and pumping only as needed.
Ready to feel like yourself again?
Once you’re through the first weeks, Strong Postpartum helps you heal your core and pelvic floor and lose the baby weight without hurting your milk supply.
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You’re doing something amazing. It gets easier, I promise. When you’re ready to think about weight loss, read how to lose weight while breastfeeding without losing your milk supply, the complete postpartum recovery guide, and take a look at Strong Postpartum.
FAQ
How often should I breastfeed in the first week?
Most newborns nurse every 2 to 3 hours, or 8 to 12 times in 24 hours. Feed on demand and watch for early hunger cues rather than the clock.
Is breastfeeding supposed to hurt in the first week?
Some tenderness is common at first. Sharp or ongoing pain usually means a latch problem. Use nipple cream early and see a lactation consultant if it doesn’t improve.
How do I know if my baby is getting enough milk?
Look for increasing wet and dirty diapers, swallowing during feeds, a content baby after most feeds and steady weight gain at checkups. Call your pediatrician if you’re unsure.
When does breast milk come in?
Usually between days 2 and 5 after birth. Before that, baby gets colostrum, which is small in amount but exactly what they need. Frequent nursing helps your milk come in.
How long should a breastfeeding session last?
It varies, often 10 to 45 minutes in the early weeks. Let baby nurse until they come off on their own, then offer the other side.
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Treat yourself this Halloween. Use code onescarymother and get the full program for $67.90 $97.
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Code applies automatically at checkout. Try it for 90 days. Love it, or your money back.