The passage links feeding practices and maternal problems with measures to support milk supply.
Establishing and maintaining feeding
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For delayed initiation, start breastfeeding immediately after vaginal delivery and within 30 minutes after cesarean section, with early skin-to-skin contact.
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Avoid supplementary feeding and encourage frequent night feeding when night feeds are infrequent.
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To maintain optimum lactation, express milk from both breasts 6 to 8 times in 24 hours.
Breast and nipple problems
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For cracked or sore nipples, correct positioning and attachment, apply hindmilk, and provide oral analgesics.
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For breast engorgement, correct positioning and attachment and use hot fomentation, massage, frequent breastfeeding or milk expression, and oral analgesics.
Maternal support
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Address maternal stress with counseling.
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Provide specific treatment and pain alleviation for maternal illness or painful conditions.
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When sleep is insufficient, ensure proper sleep and rest and keep the neonate and mother together.