What to Expect Breastfeeding: Essential Guide for New Moms

Giving birth is only the first chapter of your beautiful story with your baby. And the next one is often an even more mysterious one, the postpartum and baby feeding chapter…

While breastfeeding is a natural progression after birth, it doesn’t always go as smoothly as we might hope. For some families, it can feel lonely, complicated, and filled with anxiety, while others may adapt to it easily. As both a doula and a breastfeeding mama, I’ve seen it all—the joy, the surprises and the struggles. I want to share some of the unexpected realities I’ve observed, so you can be better prepared for whatever your unique journey has in store for you and your beautiful baby.

Knowing what to expect and having the right support can make all the difference. You don’t have to navigate this alone!

1. Breastfeeding shouldn’t be painful

   One of the biggest surprises for many new mothers is that breastfeeding can start out uncomfortable, but it should not be painful or last beyond a day or so. If you’re experiencing persistent discomfort, it’s important to address it with your midwife or an IBCLC. Painful breastfeeding often indicates an issue, such as an incorrect latch or a potential tongue tie. When done correctly, breastfeeding should feel more like a gentle tug rather than an excruciating stretch. You might experience some chafing, but this should be easily soothed with nipple butter. If you develop blisters or bleeding around your nipples, it’s crucial to seek support, as this may signal a problem with your baby’s latch. Don’t hesitate to seek help—there’s no need to suffer through it.

2. Engorgement

Engorgement is a common and often unwelcome part of breastfeeding. It occurs when your breasts become overly full of milk. This can happen naturally as your milk supply and baby's feeding pattern adjust, or if your baby isn’t feeding as frequently as your body is producing milk. However, engorgement isn’t just about having too much milk; it also involves inflammation in the breast tissue. While nursing through the pain can help, it’s also important to manage the discomfort using alternative methods. Avoid applying heat, as it can worsen the inflammation; instead, use a cold compress on engorged breasts. Over-pumping can add to the issue, so try gentle hand-expressing to relieve some of the pressure without stimulating additional milk production. For pain relief, ibuprofen can act as an anti-inflammatory, or you might consider Phytolacca as a homeopathic option.

3. Let-down and uterine contractions

During breastfeeding, you might encounter some sensations that feel a bit strange. The let-down reflex, when milk begins to flow, can sometimes feel like a tingling or even a sharp sensation. It might be uncomfortable, but it’s usually brief. Additionally, as your body produces oxytocin to help your uterus shrink back down, you may feel mild to intense cramps. These contractions are normal and signify your body’s natural recovery process, so try to take them in stride.

4. Milk takes time to come in

Your milk won’t come in right away, and that’s perfectly normal. In the early days, you’ll be producing colostrum, which is packed with nutrients for your baby. Your mature milk will gradually replace this over a few days. Even if you don’t see a lot of milk at first, continue breastfeeding regularly to help establish your supply. Remember, every drop of breast milk is incredibly valuable for your baby’s health.

5. Suppressing milk supply

Your body will produce milk regardless of whether you choose to breastfeed, thanks to the hormonal changes from pregnancy. If you decide not to breastfeed, there are methods to help suppress milk production, such as wearing firm bras or applying cabbage leaves. It's entirely your choice, and your body will adjust accordingly. For families who experience the loss of their baby, there are medications available to dry up milk supply more quickly. However, these medications are generally not offered to those who simply choose not to breastfeed.

6. Breastfeeding is exercise

Breastfeeding is an energy-intensive process. On average, you’ll burn an extra 500 calories a day while nursing. This increased caloric need accounts for the energy required to make milk and the demands of caring for a newborn. Make sure to nourish yourself with a balanced diet to keep up your energy and support milk production. You will likely be very hungry and very thirsty similar to how you feel after an intense exercise routine.

7. Your milk is always changing

Your milk is dynamic and changes throughout each feeding session. At the beginning of a feed, your baby receives foremilk, which is lighter and less calorie-dense. As the feeding progresses, they get hindmilk, which is richer in fat and nutrients, crucial for their growth and satisfaction. To ensure your baby gets a complete feed, try varying feeding positions or gently encourage them to keep nursing.

Milk also changes based on the time of day and your baby's needs. For example, night milk contains extra hormones that help your baby sleep. When your baby is sick, your milk adapts to provide additional antibodies, supporting their immune system. Similarly, if you’re unwell, your milk can pass on antibodies to help protect your baby from illness. Milk truly is magical!

8. It’s ok to need help

Breastfeeding doesn’t come easily to everyone, and that’s absolutely okay. You might experience a rollercoaster of emotions as you adjust to this new part of motherhood. If you’re struggling, don’t hesitate to reach out for additional support. Your journey is unique, and it’s important to do what feels right for you and your baby, whether that means seeking professional help or making adjustments along the way.

I hope these insights help you feel prepared and empowered to navigate the next chapter of your story with confidence. Breastfeeding is beautiful but not without its challenges. Remember, seeking support and making choices that align with your needs and your baby’s well-being is entirely your right. Your strength is not measured by how much discomfort you endure, but by how you approach this experience with love for your baby and yourself.

Welcome

I’m Lindsey Eden

Doula and birth photographer based in Denver Colorado! Mama of two and passionate believer that documenting the journey of birth can heal and change lives!

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