Breastfeeding in the First Two Weeks

Breastfeeding is natural, but it is also a skill you and your baby learn together. The first two weeks set the foundation, and it is normal to need help.

What the experts recommend

The American Academy of Pediatrics recommends exclusive breastfeeding for about 6 months, followed by continued breastfeeding with other foods for two years or beyond, as mutually desired (AAP). Every family's journey is different, and fed is always the goal.

How often your baby will eat

Most newborns need 8 to 12 feedings a day, or about one feeding every 2 to 3 hours (Mayo Clinic).

Watch for early hunger cues: rooting, hands to mouth, lip smacking. Crying is a late cue.

Signs your baby is getting enough

• Steady swallowing during feeds
• Wet and dirty diapers increasing each day in the first week
• About 6 to 8 wet diapers a day after the first week
• Baby seems content after most feeds
• Weight gain checked by your midwife or pediatrician

A good latch

• Baby's mouth wide open, lips flanged out
• More of the areola in the lower lip than the upper
• Tugging is normal. Sharp, pinching pain is not
• Break the seal with a clean finger and try again if it hurts

What is normal

• Tenderness in the first few days
• Milk "coming in" around day 2 to 5, with fullness
• Cluster feeding in the evenings

When to get help right away

• Nipples cracked, bleeding, or very painful
• Fever, or a red, hot, painful area on the breast
• Fewer wet diapers than expected
• Baby very sleepy and hard to wake for feeds
• Yellowing skin that is spreading or worsening

Houston support

See our Houston Resources page for free breastfeeding groups and WIC lactation services.

Download the Postpartum Warning Signs Fridge Card below so the key signs are always in sight.

This content is for general education and is not a substitute for individualized medical care. Always talk with your midwife or health care provider about your situation. If you are experiencing an emergency, call 911.