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Health Information For Parents
If you’re a new mom, breastfeeding your newborn may seem complicated until you’ve had some practice. But a little preparation can help you feel more comfortable.
Before you begin nursing, take a look at your surroundings. Many mothers like to sit in a glider or in a cozy chair with armrests. Footstools and pillows can provide extra support (try donut-type nursing pillows or “husband” back pillows with arms on each side for nursing in bed).
It’s also important to find a comfortable nursing position (or hold) for both you and your baby. Here are some common ones to consider.
The Cradle Hold
This is the first hold many mothers will try, often soon after their babies are born. To start, cradle your baby’s head in the crook of your arm with your baby’s nose opposite your nipple. Use that hand to support your baby’s bottom. Turn your baby on his or her side, so that your baby is belly to belly to you. Then, raise your baby to your breast. You can support your breast with your other hand.
This hold is similar to the cradle hold, but your arms are positioned differently. Instead of supporting your baby’s head in the crook of your arm, use the hand of that arm to support your breast. Your opposite arm should come around the back of your baby. Support your baby’s head, neck, and shoulder by placing your hand at the base of your baby’s head with your thumb and index finger at your baby’s ear level. Like the cradle hold, your baby will be belly to belly to you. You may need to use a pillow on your lap to raise your baby to nipple level.
The cross-cradle position allows you to have more control over how your baby latches on (takes the breast into his or her mouth). Many moms find that they’re able to get their babies latched on more deeply with this hold.
This position is comfortable for mothers who’ve had a cesarean section (C-section) because the baby doesn’t put pressure on the mother’s abdomen. Mske sure that you return your baby to the crib or bassinet before falling asleep.
Start by lying on your side with your baby on his or her side, facing you. Your baby should be positioned so his or her nose is opposite your nipple. Use your lower arm to cradle your baby’s back, or you can tuck a rolled-up receiving blanket behind your baby to help nestle your little one close to you while you use your arm to support your own head. You can support your breast with your other hand.
This is also a good position for the mom who’s had a C-section and also for mothers with large breasts or small babies. Mothers with twins who want to feed the babies at the same time may also choose this position.
The football hold allows babies to take milk more easily — which is also good for mothers with a forceful milk ejection reflex (or let down).
To achieve the clutch (or football) hold, place a pillow next to you. Cradle your baby — facing upward — in your arm. Use the palm of your hand on that same arm to support his or her neck, and nestle your baby’s side closely against your side. Your baby’s feet and legs should be tucked under your arm. Then lift your baby to your breast.
After your baby is positioned correctly, make sure he or she latches on properly:
When properly latched on, you may have 30 to 60 seconds of latch-on pain (this is caused by the nipple and areola being pulled into your baby’s mouth), then the pain should subside. It will then feel like a tug when your baby is sucking. If you continue to feel pain, stop feeding momentarily and reposition your baby on your breast.
Your baby should give four to five sucks, followed by a 5- to 10-second pause. Your baby’s sucks will increase in number as the quantity of your milk increases. As the milk flow slows, your baby’s pattern will probably change to three or four sucks and pauses that last longer than 10 seconds.
Most babies will release the breast on their own. If your baby doesn’t release your breast but the sucks now seem limited to the front of his or her mouth, you can slip your finger in the side of your baby’s mouth (between the gums) and then turn your finger a quarter turn to break the suction. Then, try to burp your baby and switch him or her to the other breast.
If your baby consistently latches on improperly, sucking on your nipple without getting much of your areola in the mouth, you’ll probably feel discomfort throughout each feeding. Some moms say it’s painful or feels like a pinch as their babies nurse.
Babies who tend to latch on incorrectly will also fall asleep often at the breast and may not seem satisfied because they may not be getting enough. If either of these happens, break the suction and reposition your baby onto your breast to include the nipple and areola.
Call your child’s doctor or a lactation consultant if:
Your baby’s diapers are excellent signs of whether your breastfed baby is getting what he or she needs. Because the first milk your newborn gets (known as colostrum) is concentrated, your baby may have only one or two wet diapers until your milk comes in, which is usually about 3 or 4 days after the birth.
After 4 days, here are some signs to look for:
Your breastfed baby is also probably getting enough if he or she:
If your baby seems to be getting enough milk, but continues to suck for an hour or more, your little one might be nursing for comfort rather than for nourishment. So, how do you know? Once your baby has fed well, he or she may stay on your breast but:
If your baby is showing these signs of non-nutritive sucking (or pacifying), you may want to offer your infant his or her thumb or hand to suck on. You could also consider giving your little one a pacifier, but only do this after breastfeeding is well established (usually after 1 month).
Nursing can be one of the most challenging but rewarding experiences you’ll have as a mother. As you become more used to breastfeeding your baby, you can try different positions or vary the four basic ones.
Experiment with the different holds until you find a position that lets your baby nurse successfully and allows you to feel comfortable. You and your baby will soon find that nursing can be a relaxing, great way to bond.
Here are answers to common questions about getting started with breastfeeding.
Here’s info about how often to breastfeed your baby, how long it takes to nurse, and much more.
Here are answers to some common questions about breastfed babies and sleep – from where they should snooze to when they’ll finally start sleeping through the night.
Here are answers to some questions about common breastfeeding concerns – from biting to spitting up.
Here’s a quick guide to an important part of feeding a baby – burping.
Advice and information for expectant and new parents.
These guidelines on breastfeeding and bottle feeding can help you know what’s right for you and your baby.
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If you’re a first-time parent, put your fears aside and get the basics in this guide about burping, bathing, bonding, and other baby-care concerns.
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Here are answers to some common questions about preventing and reducing breastfeeding discomfort, such as nipple and breast pain.
Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
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