Bringing a new baby into the world is a powerful and often emotional experience, and for many mothers, breastfeeding is an important part of those early days.

While it is natural, it is not always easy at first. Understanding what is normal can help new mothers feel more confident and supported during this transition.

The first feed matters

In the first hour after birth, many babies are alert and ready to feed. This is an ideal time for skin-to-skin contact, which helps regulate the baby’s temperature, heart rate, and breathing, while also encouraging the first breastfeed. Early feeding can help stimulate milk production and establish a strong foundation for breastfeeding.

Liquid gold

During the first two to three days, mothers produce colostrum, a thick, yellowish milk that is rich in nutrients and antibodies. Although the volume is small, it is perfectly designed to meet a newborn’s needs. Babies typically feed frequently during this time – often 8 to 12 times in 24 hours. This frequent feeding is normal and helps signal the body to increase milk production.

Around day three to five, many mothers notice their milk “coming in.” Breasts may feel fuller, warmer and sometimes slightly uncomfortable. This is a normal part of the process, but if discomfort becomes painful or breasts feel overly hard, gentle feeding, hand expression or support from a healthcare provider can help.

Tracking your baby’s progress

It is also normal for babies to lose some weight in the first few days after birth – usually up to 7-10% of their birth weight. Most babies regain this weight within the first two weeks if feeding is going well. Wet and dirty nappies are a helpful sign that a baby is getting enough milk. By day five, babies should have several wet nappies a day and regular bowel movements.

Finding your rhythm

Mother’s may experience a range of emotions during this time, from joy and bonding to uncertainty or fatigue. Hormonal changes, lack of sleep and adjusting to a new routine can all play a role. Support from family, healthcare providers and a lactation consultant can make a significant difference.
Importantly, breastfeeding should not be painful. Some tenderness in the early days is common, but ongoing pain or nipple damage is a sign that something may need adjustment, such as the baby’s latch or positioning.

Every breastfeeding journey is unique. With patience, support and realistic expectations, most mothers and babies find their rhythm. Remember, seeking help early is a strength – not a failure – and can make the journey more positive for both mother and child.

Nutrition Innovated dietitian and lactation consultant Claire McHugh has over 20 years experience. Specialising in infant and paediatric nutrition, Claire emphasises the importance of nourishing the entire family. Claire is based at Northcare Medical in Simbithi. Contact: 032 815 0630.