+----------+----------------------------------+------------------------+
| **What   | # **Phrases that help moms**     | ## **What helps**      |
| mom      |                                  |                        |
| might    |                                  |                        |
| say**    |                                  |                        |
+----------+----------------------------------+------------------------+
| **In the | Most moms don't leak before      | Latch after birth,     |
| first 24 | delivery - and still breastfeed. | within first 1-2       |
| hrs**:   | It's ok.                         | hours.                 |
|          |                                  |                        |
| I didn't | Most of us never see our own     | Avoid using a pump or  |
| leak     | colostrum. Trust your body, the  | manual expression. At  |
| before   | first milk is there. 3 zillion   | this stage, usually    |
| the baby | generations can't be wrong. We   | little or nothing      |
| was      | are all here because our         | comes out with         |
| born.    | ancestors could breastfed.       | non-baby expression,   |
|          |                                  | and the mom gets       |
| I don't  | -   The thick colostrum is like  | discouraged.           |
| see      |     pulling honey through a      |                        |
| anything |     pinhole.                     | Avoid pacifiers and    |
| coming   |                                  | formula.               |
| out.     | -   Your baby gets about 1 tsp   |                        |
|          |     each feeding --              | In the first 24 hours, |
| I don't  |                                  | feedings vary a lot.   |
| think    |     -   It may not seem like     | It can be a twilight   |
| the baby |         much, but it is          | zone.                  |
| is       |         concentrated and it is   |                        |
| getting  |         all that your baby       | -   There are no       |
| a        |         needs.                   |     "normals."         |
| nything. |                                  |                        |
|          | It is normal for babies to be    | -   It is ok if the    |
| My baby  | sleepy and tired after delivery. |     baby licks, sucks  |
| goes to  | It is labor for them too.        |     a couple times,    |
| sleep    |                                  |     nuzzles every 3 or |
| after 2  | -   Even when babies latch       |     so hours. The      |
| sucks    |     really well, right after     |     feedings will be   |
| then and |     birth, they may not latch    |     more vigorous as   |
| won't    |     well again until the next    |     the baby wakes up. |
| latch.   |     day.                         |                        |
|          |                                  | -   Gently bug the mom |
| Why does | -   Babies have a lot to learn   |     to offer the       |
| my baby  |     in the first 24 hours. It    |     breast every 2-3   |
| stay at  |     sometimes takes a day for    |     hours.             |
| the      |     them to remember exactly how |                        |
| breast   |     to latch.                    | -   If there are       |
| so long? |                                  |     concerns, blood    |
|          | -   Your baby feels safe next to |     sugars will tell   |
| I am     |     you.                         |     you if the baby is |
| afraid   |                                  |     getting what       |
| that I   | -   Don't worry. Offer the       |     he/she needs.      |
| am       |     breast every 2-3 hours. Let  |                        |
| sm       |     the baby nuzzle and lick. It | Praise mom.            |
| othering |     will be ok. We will not let  |                        |
| my baby. |     your baby starve.            | Check latch and        |
|          |                                  | positioning -- lips    |
| Z-Z-Z-Z  | Your baby feels safe next to you | out, baby facing mom   |
| (mom is  | and maybe just likes being       |                        |
| asleep)  | there. The colostrum is sweet,   | If formula is used,    |
| or I     | babies like it. You won't get    |                        |
| want     | sore nipples from long feeds if  | -   Advise mom         |
|          | the baby is latched well. You    |                        |
| sleep,   | won't spoil your baby.           | -   Document medical   |
| please   |                                  |     need/mom's         |
| feed the | Your baby will be able to breath |     informed           |
| baby a   | or will let go and breathe       |     preference.        |
| bottle,  | through the mouth. Pressing the  |                        |
| I am     | breast/nipple area away          | -   Think baby size:   |
| going to | "un-hooks" the nipple and makes  |                        |
| do both  | latching/eating hard.            | ```{=html}             |
| anyway.  |                                  | <!-- -->               |
|          | Early formula feeding usually    | ```                    |
| My       | means that the baby will be      | -   The baby stomach   |
| nipples  | completely formula feeding by    |     size is small at   |
| are      | 2-3 weeks. If you want to still  |     birth, about 7 cc  |
| flat/i   | be breastfeeding, even part      |     (less than 1 ½     |
| nverted. | time, by 4-6 weeks, stick with   |     tsp.)              |
|          | breastfeeding as much as         |                        |
|          | possible. How about we keep your | -   Total nutrient     |
|          | baby and then wake you in 2-3    |     need for 1^st^ 24  |
|          | hours?                           |     hours is about 120 |
|          |                                  |     cc or 4 oz.        |
|          | Since the beginning of time, the |                        |
|          | babies who survived were able to | -   Avoid supersizing  |
|          | suck, on flat or even inverted   |     their stomachs     |
|          | nipples. Your baby comes from a  |                        |
|          | long line of survivors. It will  | Reassurance is magic.  |
|          | work.                            |                        |
+----------+----------------------------------+------------------------+
| **What   | # **Phrases that help moms**     | ## **What helps**      |
| mom      |                                  |                        |
| might    |                                  |                        |
| say**    |                                  |                        |
+----------+----------------------------------+------------------------+
| **1-2    | You are doing fine.              | The baby will need to  |
| days**   |                                  | eat:                   |
|          | -   As long as your baby is      |                        |
| I don't  |     peeing and pooping, we know  | -   about every 2      |
| think    |     the process is working.      |     hours              |
| that my  |                                  |                        |
| baby is  | -   It won't go out if it's not  | -   Or 8-12 times in   |
| getting  |     coming in.                   |     24 hours           |
| enough.  |                                  |                        |
|          | -   Look for a diaper change for | If formula is used,    |
| Why does |     every day of life.           | remember the baby's    |
| my baby  |                                  | stomach is small:      |
| want to  | Your baby *wants* to suck.       |                        |
| eat all  |                                  | -   \~ 7 - 9 cc        |
| the      | -   600 million years ago, the   |     capacity on day 2  |
| time?    |     babies that survived were    |                        |
|          |     the ones who liked to suck.  | ```{=html}             |
|          |     The ones who didn't, died    | <!-- -->               |
|          |     because they didn't get      | ```                    |
|          |     anything to eat.             | -   Gradually          |
|          |                                  |     increases to \~ 30 |
|          | -   Babies need to suck a lot,   |     cc at 5-7 days     |
|          |     it is an instinct -- a       |                        |
|          |     scratch they have to itch.   | -   Total nutrient     |
|          |                                  |     need on day 2 is   |
|          | -   Sometimes it is a suck need  |     about 240 cc or 8  |
|          |     and not the need to eat      |     oz/24 hours        |
|          |                                  |                        |
|          | Sucking is hard work.            | Avoid pacifiers and    |
|          |                                  | formula.               |
|          | -   It is like blowing up a lot  |                        |
|          |     of balloons, in reverse.     |                        |
|          |                                  |                        |
|          | -   Your baby's mouth gets       |                        |
|          |     tired, but the need to suck  |                        |
|          |     is still there -- your baby  |                        |
|          |     can get frustrated and       |                        |
|          |     fuss..."it sucks...."        |                        |
|          |                                  |                        |
|          | The "work to eat" practice may   |                        |
|          | be one of the reasons that       |                        |
|          | breastfed babies tend to be      |                        |
|          | leaner as they grow:             |                        |
|          |                                  |                        |
|          | -   They learn to manage their   |                        |
|          |     own appetite at an early     |                        |
|          |     age.                         |                        |
|          |                                  |                        |
|          | -   Breastfeeding is hard work,  |                        |
|          |     so they stop when they are   |                        |
|          |     full.                        |                        |
|          |                                  |                        |
|          | -   They become the masters of   |                        |
|          |     their own appetites.         |                        |
|          |                                  |                        |
|          | -   It is hard to overfeed a     |                        |
|          |     breastfed baby.              |                        |
|          |                                  |                        |
|          | Sucking will help bring your     |                        |
|          | white milk in soon. Hang in      |                        |
|          | there, it will be better soon.   |                        |
+----------+----------------------------------+------------------------+
| My       | It is normal for newborns to be  | Make sure that:        |
| nipples  | disorganized about sucking.      |                        |
| hurt!    |                                  | -   The mouth is past  |
|          | -   They don't know that         |     the nipple and     |
|          |     chomping on mom is bad form  |     able to milk the   |
|          |     -                            |     areola.            |
|          |                                  |                        |
|          | it is ok to tell the baby "don't | -   Baby is facing mom |
|          | bite."                           |     -- otherwise, "it  |
|          |                                  |     is hard to swallow |
|          | -   We support the "Don't bite   |     with your head     |
|          |     the breast that feeds you"   |     turned"            |
|          |     policy.                      |                        |
|          |                                  | -   Mom is not pushing |
|          | Getting both lips out and the    |     breast away --     |
|          | tongue where it needs to be      |     reassure mom that  |
|          | means that your baby will:       |     the baby can       |
|          |                                  |     breath or else     |
|          | -   Milk the breast and get more |     will pull away and |
|          |     to eat                       |     breath through the |
|          |                                  |     mouth.             |
|          | -   Not chomp on you.            |                        |
|          |                                  | Try:                   |
|          | If the pain goes away the first  |                        |
|          | 5-10 seconds of nursing, the     | -   Pushing the chin   |
|          | nipple is probably bruised from  |     down as the baby   |
|          | chomping and it will get a       |     sucks.             |
|          | better soon. You will heal fast. |                        |
|          |                                  | -   Letting the baby   |
|          | If the pain doesn't go away:     |     practice sucking   |
|          |                                  |     on the mom's       |
|          | -   nudge down the baby's chin   |     finger. When the   |
|          |     or                           |     mom can feel the   |
|          |                                  |     tongue instead of  |
|          | -   unhook and re-latch or       |     the gums, slide    |
|          |                                  |     finger out and the |
|          | -   ask for help.                |     breast on.         |
|          |                                  |                        |
|          | Breastfeeding is not supposed to |                        |
|          | hurt. We can help.               |                        |
+----------+----------------------------------+------------------------+
| **As the | Your baby is peeing and pooping, | Count diapers, one for |
| white    | so you must have a lot.          | every day of life, or  |
| milk     |                                  | more.                  |
| a        | Your supply will regulate itself |                        |
| rrives** | if you let the baby eat as he or | Reassure.              |
|          | she wants to. The more your baby |                        |
| -   I    | eats, the more milk there will   | Advise about sore      |
|          | be the next day. If you are      | nipples and            |
|    don't | making too much, your baby won't | engorgement as needed. |
|          | take all of it, and your body    |                        |
|    think | will gear down the amount.       |                        |
|     that |                                  |                        |
|     the  | Your milk is awesome! You have a |                        |
|     baby | ton of milk! Your baby is doing  |                        |
|     is   | great! See how                   |                        |
|          | yellow/golden/thick/wonderful it |                        |
|  getting | is!! (pick a word that works)    |                        |
|          | or---                            |                        |
|   enough |                                  |                        |
|          | Your ancestors all breastfed,    |                        |
| -   I    | their milk must have been ok, so |                        |
|          | yours must be too.               |                        |
|    don't |                                  |                        |
|          | It is normal to be dripping, all |                        |
|    think | over the place. Don't worry, it  |                        |
|     my   | will calm down by 3-6 weeks.     |                        |
|     milk | Your breasts will go back closer |                        |
|     is   | to their original size too.      |                        |
|     any  |                                  |                        |
|          | The fullness is mostly from      |                        |
|    good. | swelling, like from a bug bite   |                        |
|          | or sprained ankle. It's an       |                        |
| -   I am | inflammatory response. Your body |                        |
|          | will get used to the milk being  |                        |
|  leaking | there in 24 to 48 hours. It will |                        |
|     and  | get better.                      |                        |
|     wet  |                                  |                        |
|     and  |                                  |                        |
|          |                                  |                        |
|   sticky |                                  |                        |
|     all  |                                  |                        |
|     the  |                                  |                        |
|          |                                  |                        |
|    time. |                                  |                        |
|          |                                  |                        |
| -   My   |                                  |                        |
|          |                                  |                        |
|  breasts |                                  |                        |
|     hurt |                                  |                        |
|     and  |                                  |                        |
|     the  |                                  |                        |
|     baby |                                  |                        |
|          |                                  |                        |
|    won't |                                  |                        |
|          |                                  |                        |
|   latch. |                                  |                        |
+----------+----------------------------------+------------------------+