Breastfeeding: Answers to New Moms' Common Questions

Breast milk is the most nutritional food we can give our infants; it builds up immunities and reduces the number of inner-ear, urinary tract and respiratory infections a baby may have down the road. We’ve tapped the experts at Boston’s Brigham & Women’s Hospital to offer this list of frequently asked questions – and answers – about breastfeeding. If you need more information or have additional questions, talk with your nurse, obstetrics provider, pediatrician or lactation consultant:

1 Will my baby show any cues that she or he is hungry?

Yes. Hunger signs may include awakening, fluttering eyes, lip smacking noises, bringing hands to the mouth, thrusting his or her tongue, rooting or trying to suck.

2 How often should I feed my baby?

By 3 to 4 days old, your baby should feed eight to 12 times in 24 hours or on demand. Some babies will feed every one-and-a-half to two hours; others feed every three to four hours.

3 How long should I breastfeed during each feeding?

Initially, your baby may actively suck for only five to 10 minutes. After the first few days, breastfeed at least 10 minutes or longer until your breasts feel softer and your baby seems content. This will allow for the baby to get the richer hindmilk. Sometimes your baby may breastfeed on only one breast. If this happens, start on the opposite breast at the next feeding.

4 When will my breast milk come in?

Roughly two to five days after giving birth, your breasts will begin to fill with milk, feeling firmer and warmer. As your milk changes from colostrum (thin, initial breast milk) to a transitional milk, its color will change from yellow to light yellow or whitish yellow. Your mature milk, which comes in about two weeks after the birth of your baby, will also be thin and may have a bluish-white color.

5 What is a normal feeding pattern?

Babies suck in bursts, and every baby has his or her own unique style and rhythm. You want to feel about six to 10 rhythmic sucks followed by an audible swallow, then a pause. Your baby’s suck and swallow pattern will slow as she or he swallows the richer milk at the end of each feeding. (see What's Your Baby's Feeding Style?)

6 How do I know if my baby is getting enough (or if I’m producing enough) milk?

As your milk supply increases within two to five days after the birth, you should notice:

• a sense of fullness in your breast before feeding;