the Early Days of Breastfeeding

When will my breast milk “come in”?

Your body actually starts making breast milk during pregnancy—this early milk is called colostrum, and it's packed with antibodies and nutrients. It's produced in small amounts and is the perfect first food for your newborn.

Typically, around days 3–5 after birth, your milk volume begins to increase. This is when many parents say their “milk has come in.” During this time, you might feel your breasts become fuller or even uncomfortable—this is called engorgement. It can feel like your breasts are suddenly full of milk, but much of that fullness is actually from increased blood flow and fluid shifting into the breast tissue, alongside the rise in milk production.

Before pumping or latching the baby, an effective way to help move extra fluid out of the breast is a technique coined by Maya Bolman called breast gymnastics. Here is a link to Maya’s technique: https://www.mayabolman.com/videos/v/breastgymnastics

To ease the discomfort of engorgement, try using cold compresses after feeding. Feeding frequently and ensuring a good latch can also help things regulate more quickly.

Avoid heat or vigorous massage as this can increase the inflammation in the breasts and make things worse.

Breastfeeding is a learned skill- for you and the baby.

 

How will I know if my baby is getting enough breast milk in the first few days?

This is one of the most common questions I hear—and it makes so much sense. In the early days, it's all about watching your baby and their diapers rather than focusing on how much milk you're producing.

Here are a few signs that things are going well:

  • Feeding frequently – Your baby will likely want to nurse 8–12 times in 24 hours. This is normal and helps build your milk supply.

  • Swallowing sounds – You may hear soft swallows during feeds, especially once milk starts increasing (around days 3–5).

  • Diaper output – What goes in must come out!

    • By day 2, you should see at least 2 wet diapers and 2 poops.

    • By day 3, expect 3 or more of each.

    • From day 5 onward, babies usually have at least 6 wet diapers and several poops each day.

  • Content after feeding – Many babies will seem relaxed or sleepy after a good feed.

  • Weight gain – While some weight loss is normal in the first few days (ideally less than 10% of their birth weight), your baby should begin gaining it back by around day 5–7 and be back to birth weight by 2 weeks old.

If you're ever unsure or feeling anxious, you're not alone—and reaching out for lactation support early can make a big difference.

 

When should I reach out for breastfeeding support?

Anytime you’re feeling unsure, overwhelmed, or like something just isn’t quite right—it’s a good time to reach out. Trust your instincts. You don’t have to wait for a major issue to get support.

Here are some specific signs that extra help might be needed:

  • Painful latch or nipple damage

  • Baby isn’t latching or feeding well

  • Concerns about low milk supply or weight gain

  • Your baby seems hungry all the time or feeds feel ineffective

  • You’re feeling anxious, frustrated, or discouraged about feeding

  • You have questions about pumping, bottles, or returning to work

  • You’re preparing to wean or want help navigating changes in feeding

Even if things are going well, some parents find it helpful to have a check-in for reassurance and tips to make feeding more comfortable and sustainable.

You don’t have to figure it out alone—support is here for you.

 

 

 

Melissa Mancini