Bringing your newborn home is an incredible experience, but the first week of breastfeeding can feel overwhelming. Many new mothers encounter challenges that make them question whether they’re doing things right. The good news? Most early breastfeeding difficulties are completely normal and can be resolved with the right support and techniques.

Sore Nipples and Discomfort

One of the most common complaints from new mothers is nipple pain. While some tenderness is normal as your body adjusts, sharp or persistent pain usually indicates a latch issue. Your baby should have a wide, deep latch with their mouth covering most of the areola, not just the nipple tip.

To improve latch, bring your baby to your breast rather than leaning forward toward them. Wait until their mouth is wide open before guiding them on. Their chin should touch your breast first, with their nose free to breathe. If the latch feels uncomfortable, break the suction by inserting your finger into the corner of their mouth and try again.

Using expressed breast milk or medical-grade lanolin on your nipples after feeding can promote healing. Allow your nipples to air dry when possible, and avoid tight bras that create friction.

Low Milk Supply Concerns

Many mothers worry they’re not producing enough milk, especially in the first few days when colostrum comes in small amounts. Remember that your newborn’s stomach is tiny—only about the size of a marble on day one. Those small amounts of colostrum are perfectly adequate.

True low supply is less common than perceived low supply. Signs that your baby is getting enough include six or more wet diapers daily after day five, regular bowel movements, and steady weight gain after the first week.

To boost supply, feed frequently—at least eight to twelve times in twenty-four hours. Avoid supplementing with formula unless medically necessary, as this reduces the demand signals your body needs to produce more milk. Stay hydrated, eat nutritious foods, and rest when possible. Stress and exhaustion can impact milk production.

Engorgement and Blocked Ducts

When your milk comes in around day three or four, your breasts may become uncomfortably full and hard. This engorgement is temporary but can make latching difficult for your baby.

Apply warm compresses before nursing to encourage milk flow, and use cold compresses afterward to reduce swelling. Hand express or pump just enough to soften the areola before feeding, making it easier for your baby to latch. Nurse frequently to prevent milk from building up.

If you notice a tender lump in your breast, you may have a blocked duct. Continue nursing, starting on the affected side. Massage the area gently while feeding, moving from the blocked area toward the nipple. Apply heat before nursing and cold after. Most blocked ducts resolve within a day or two with consistent feeding and massage.

Sleepy Baby Syndrome

Some newborns are so sleepy they don’t wake for regular feedings, which can lead to dehydration and poor weight gain. If your baby isn’t waking every two to three hours, you’ll need to wake them.

Undress your baby down to their diaper to wake them up. Wipe their face with a cool cloth, change their diaper, or gently massage their feet. During feeding, keep them alert by stroking their cheek, talking to them, or switching breasts when they start to doze.

When to Seek Help

While many challenges resolve naturally, don’t hesitate to reach out for professional support. Contact a lactation consultant if you experience severe pain, notice blood in your milk, develop fever or flu-like symptoms, or if your baby isn’t having adequate wet diapers or weight gain.

Remember, breastfeeding is a learned skill for both you and your baby. With patience, proper technique, and support, most early challenges can be overcome successfully.