The First Week of Breastfeeding: What to Expect

Congratulations, mama! You’ve brought a tiny human into the world, and now you're embarking on the incredible journey of breastfeeding. The first week can be a whirlwind of emotions, sleep deprivation, and…well, let's just say, intense boob activity. It's normal to feel overwhelmed, but knowing what to expect can make this transition a little smoother. So, grab a snack (you deserve it!), put your feet up (if you can!), and let's dive into the realities of the first week of breastfeeding.

Day 1-3: The Colostrum Craze: Colostrum Production and Appearance

Those first few days are all about colostrum – your liquid gold. This thick, yellowish pre-milk is packed with antibodies and nutrients, perfectly designed for your newborn's tiny tummy. Think of it as their first immune system boost! It's thick and often a deep yellow or even orange colour. Don't worry if you don't feel like you're producing much – colostrum is potent stuff. Even small amounts are incredibly beneficial for your baby. It's quality over quantity here! You can even collect colostrum before birth with our New Beginnings Colostrum Collectors! Focus on frequent feedings (every 2-3 hours, even at night!) to help stimulate your milk supply. This also allows your baby to learn to latch effectively. 

Early Breast Changes: From Soft to Superstars

In the first few days, your breasts might feel relatively soft. This is because they are primarily producing colostrum. However, as your milk transitions, you'll notice some changes. They'll likely become fuller, heavier, and maybe even a little tender. This is due to the hormonal shifts happening in your body as it gears up for full milk production. It’s all part of the process!

Latch and Nipple Care: The Dynamic Duo

A proper latch is absolutely essential for comfortable breastfeeding and healthy nipples. Think of it this way: a good latch is like a comfy hug for your nipple, while a shallow latch is like a painful pinch. A shallow latch can lead to nipple soreness, cracking, and even bleeding. If you're unsure about your latch, please contact a lactation consultant (IBCLC). They offer invaluable resources and can provide personalised guidance. According to WomensHealth.gov, you should always try to let the baby lead when it comes to the latch. When your baby is latched correctly, you should see very little or no areola (the darker skin around the nipple) – the exact amount depends on the size of your areola and your baby's mouth. Look for lips that are turned outward, like fish lips (you might not even see their bottom lip; and a chin that's firmly touching your breast (WomensHealth.gov).

Day 3-5: The Milk Flood (aka "My Boobs Are Huge!")

Around day 3-5, your milk will likely "come in." This can feel like a sudden surge – your breasts may become very full, firm, warm, and even a bit uncomfortable. This is totally normal! It's your body's way of saying, "Let's do this!" Continue frequent feedings to help regulate your supply and prevent engorgement (more on that in a bit!). You might notice your baby's poos changing from dark, sticky meconium to a more yellowish, seedy consistency. This is a good sign – it means they're getting milk!

Milk Coming In and Engorgement: The Pain is Real (But Manageable!)

That sudden increase in milk volume can lead to engorgement, which can be pretty painful. Your breasts might feel stiff, swollen, and tender. Here's how to manage it:

• Frequent Nursing: The more you nurse, the more your body will regulate milk production. Nurse on demand, even if it feels like you just fed your baby.

• Hand Expression or Pumping: If your baby isn't nursing effectively or your breasts are too full to latch, try hand expressing or using a breast pump to relieve some pressure. Just pump until you're comfortable, not completely empty.

• Cold Compresses: Cold compresses or ice packs can help reduce swelling and pain. These Breast Care Hot and Cold Packs are a great option!

• Supportive Bra: A well-fitting, supportive bra (not too tight!) can provide comfort and help prevent further discomfort.

• Cabbage Leaves: This old wives' tale actually has some science behind it! Cabbage leaves contain compounds that can help reduce swelling. Just be aware that some people might be sensitive to them.

Day 5-7: Finding Your Rhythm (and Dealing with the Challenges)

By the end of the first week, you and your baby will hopefully be starting to find a rhythm. Feedings might be a little less frequent (though still on demand!), and you'll become more attuned to your baby's hunger cues. However, this week can also bring some challenges, including lingering engorgement or nipple soreness.

How to manage sore nipples?

Sore nipples are often a sign of a latch problem, so revisiting the latch with a lactation consultant is crucial. In the meantime, these tips can help:

• Continue proper latch techniques: This is the most important thing!

• Nipple cream: Lanolin-based creams are a classic, but other options are also available. Apply after each feeding.

• Air drying: Let your nipples air dry whenever possible.

• Silver nipple cups: These can provide soothing relief and promote healing. Haven’t heard about Silver Nipple Cups? Don't be alarmed; they’re great; read all about them: What on earth are silver nipple cups, and why do I need them?

• Soothing gel breast pads: These offer cooling relief and can be especially helpful for cracked nipples. Our reviewer, Tracey A, commented on our Gel Breast Pads, saying,

“These were great for soothing my cracked nipples, helps for swelling and getting me back on track for breastfeeding.”

Emotional Rollercoaster (aka "Am I Doing This Right?!"):

Breastfeeding can be emotionally challenging. It's normal to feel overwhelmed, anxious, or even frustrated. Don't be afraid to reach out to your partner, family, friends, or a breastfeeding support group for emotional support. You're not alone!

When to Seek Professional Help?

If you're experiencing persistent pain, nipple damage, concerns about milk supply, or any other breast-related issues, don't hesitate to contact a lactation consultant (IBCLC). They are experts in breastfeeding support and can provide personalised guidance. Find an IBCLC near you through the Lactation Consultants of Australia and New Zealand. Your doctor can also provide referrals.

The first week of breastfeeding can be tough, but it's also an incredibly special time. Remember to be kind to yourself, trust your instincts, and celebrate the amazing bond you're creating with your baby. You've got this, mama!