The center of the newborn's lower lip should be stimulated with the nipple so that rooting will occur and the mouth will open wide and grasp the nipple and areola. The newborn's tongue compresses the teat against the hard palate. Suction should be broken before removing the newborn from the breast. Feedings should be started on alternate sides. Excessive suckling should be avoided initially.
Sore nipples are usually due to poor positioning and are easier to prevent than to cure.
However, milk production is dependent on adequate suckling time. At least 10 min is needed at the first breast to allow the fat-rich hind milk to flow. The infant should continue to nurse until he is ready to be burped. If the infant is still hungry, the second breast can be offered. 6 h between breastfeedings during the first few days.