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    Published on 13 August 2025

    It’s normal to feel unsure in the beginning. Breastfeeding takes practice, support and time – and you are not alone.

    Breastfeeding is often painted as serene and instinctive — a quiet moment between mother and child. But for many new mothers, those first attempts can feel anything but calm — instead, they can be filled with soreness, confusion and doubt, especially when things do not go as smoothly as hoped.

    “Breastfeeding is a learning journey,” said Ms Nurhanesah A Rahman, Senior Staff Nurse at the National University Polyclinics (NUP) and an International Board Certified Lactation Consultant. “It takes time for both mother and newborn to find a comfortable feeding rhythm.”

    A learning curve for two

    “Engorged breasts, sore nipples and difficulty maintaining a proper latch are common,” said Ms Nurhanesah.

    While some tenderness is normal in the early days, sharp, persistent pain may signal a poor latch — one of the main causes of nipple discomfort. “A shallow latch often causes soreness and should be corrected immediately,” she said.

    Simple adjustments, such as changing feeding positions or bringing the baby to breast level, can help. If pain persists, seek help rather than endure it. “A certified lactation consultant can assess the latch and guide mothers through difficulties."

    Newborns typically feed every two to three hours — up to 12 times a day. “Watch your baby, not the clock,” Ms Nurhanesah advised. “A well-fed baby will seem content after feeding, have enough wet diapers daily, and gain weight steadily.”

    Frequent feeding is not always about hunger. “Babies also nurse for comfort, connection and security,” she said.

    Bonding often begins with skin-to-skin contact immediately after birth. “It triggers instinctive feeding behaviours, supports the first latch, boosts maternal hormones and stimulates milk production,” she said. It also helps regulate a newborn’s temperature, heart rate and blood sugar, giving them a stable start.

    Fre q uent f ee d s a r e o k Newborns feed every 2–3 hours or 8–12 times a day. Signs of good feeding: steady weight gain, contentment and wet diapers. Soreness is expected – not pain Tender nipples are common. Sharp or lasting pain may mean a shallow latch. Try adjusting position or seek lactation support. S k i n-t o - s kin he lp s Holding your baby close after birth encourages feeding, boosts supply and builds bonding. Su p ply takes tim e Start latching early. Feed on demand, avoid formula unless needed and wait until after the first month before pumping to prevent engorgement. W hat to expect in th e earl y d ays B o ttle f ee di ng can w o r k, with practic e B o ttle f ee di ng can w o r k, with practic e Onc e b r e ast fee din g is es ta bl ish ed, pace d b ot t l e Once breastfeeding is established, paced bottle feeding can mimic the breast. Offer the bottle when baby is calm.

    Making milk, not magic

    Concerns about low milk supply are common. “The key to establishing good supply is frequent, effective feeding,” said Ms Nurhanesah.

    “Start latching as soon after birth as possible, feed on demand and avoid formula unless medically needed.”

    Pumping has its place, but starting too early can cause overstimulation and engorgement. Direct breastfeeding is recommended in the first month if the baby is latching well. Pumping can be introduced later to fit work schedules or other needs.

    If you are storing milk, keep a close eye on time and temperature. Ms Nurhanesah said freshly pumped milk can stay at room temperature for four hours, in the fridge (at 4°C) for four days, or frozen (at -18°C) for up to 12 months. Labelling and dating each container is key to keeping it safe.

    Combination feeding – using both breast and bottle – can work with the right timing and method.

    “Introduce the bottle when the baby is calm, not overly hungry, and hold them upright to give them comfort and control.”

    Ms Nurhanesah advised paced bottle feeding — offering milk slowly with pauses — to mimic the flow of breastfeeding. This helps reduce the risk of bottle preference, and is a useful approach for working mothers or those who need additional support. 

    “It’s especially useful when mothers have to be away or need support from other family members in feeding,” said Ms Nurhanesah. To ease the transition, start a few weeks before returning to work. “Begin by pumping during the day and gradually replacing direct feeds with bottle sessions,” she said. “Avoid introducing a bottle just days before returning to work, as this can increase the risk of bottle refusal.”

    Planning ahead with employers also helps. “Discuss pumping breaks, a private space and proper milk storage with your employer early on,” she said.

     

    Common m y ths , g ent ly d e b unke d “I t s hould come na tur all y . Breastfeeding is a learning process for both mother and baby. Finding your rhythm takes time, patience and support. “I f it h urt s, y ou’ r e do in g i t w r o n g . Some tenderness is normal at first. Sharp or ongoing pain often means the latch needs adjusting. Babies feed often for comfort, too. Frequent nursing builds supply. Combination feeding can work if introduced after the first month, once breastfeeding is established. Use paced feeding to mimic the flow of nursing. “It is mum’s responsibility.” Support from partners and family is essential – physically and emotionally. Pum p ing ea rl y boo s t s s u pply. Over-pumping too soon may cause engorgement. Prioritise direct latching first. Co n st an t feed in g m e ans l o w s up ply .” Bottles ruin breastfeeding.”

    Support makes a difference

    No mother breastfeeds alone. Support from husbands and family members is vital, said Ms Nurhanesah. They can help with household chores, care for the baby so the mother can rest, and offer reassurance during difficult moments.

    The early days can feel isolating, especially with little sleep and an overload of advice. But even small gestures of help can make a difference.

    If breastfeeding does not go as planned, frustration is natural.

    “Don’t give up on a bad day,” she said. “Take it one feed at a time. Focus on what you are giving your child, not on what you feel you are lacking.”

    Above all, trust the process. “Every breastfeeding journey is different. Perseverance is key,” she said. “Give yourself and your baby time to find your rhythm, and do what works for you. Always remember — you are doing your very best.”

     

    In consultation with Senior Staff Nurse Nurhanesah A Rahman, NUP.

    nuhs When nursing your newborn hurts more than it helps

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