15/06/2022
When my baby was unexpectedly admitted to the NICU at birth I was so grateful for my knowledge about lactation because to be honest, I didn’t receive much guidance from the nursing or lactation staff until days after delivery. These are some tips I think every expectant mama should know just in case her baby goes to the NICU:
1: pump or hand express as soon as possible after delivery. Your baby would’ve been feeding within the 1st hour postpartum so we want to get as close to that as possible. I believe I started hand expressing and pumping within 3 hours of my cesarean.
2: pump every 2-3 hours around the clock!! I know this sounds like a lot, and it could be tempting to take a long nap since baby is being cared for outside of your room, but I urge you not to go longer than 3 hours without pumping! I pumped every 2 hours during the day and every 3 at night. Even if your baby isn’t able to feed yet, you need to signal to your body to make milk in order to have a milk supply in the future.
3: hand express!!! Before or after each pumping session hand express milk into a spoon or medicine cup. Hand expression is very effective at removing colostrum in the first few days postpartum— more ligues hold for your baby!
4:do skin-to-skin: once your baby is well enough, ask the NICU team to set you up to do skin-to-skin. It may take some maneuvering of lines and wires, but they should be able to make it work! This will increase milk making hormones in your body. I pumped skin-to-skin with my baby 2 days after his birth.
5: pump at baby’s bedside: if you aren’t able to directly feed your baby or do skin to skin quite yet, pump at baby’s bedside as much as possible. Just looking at your baby will help the milk flow! Most NICU rooms have a recliner & hospital pump for mamas to use.
6:advocate for yourself & your baby: make your feeding plans & wishes clear to your baby’s NICU team. Unfortunately, not all doctors and nurses are created equally and not everyone will be as supportive for exclusively breastfeeding, especially when formula supplementation is so common in the NICU. If needed, ask for the lactation consultant on the unit to help be your advocate. Continued⬇️