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Jack Newman, MD, FRCPC

Q&A: Is My Milk Coming?

If my milk hasn't come in five days after birth, does that mean it's not coming? What can I do?

No, it doesn’t mean it won’t “come in.” Babies can survive very well on colostrum alone for several days — as long as they can get it. Sometime breastfeeding is taught poorly and baby doesn’t latch properly so he doesn’t get the colostrum he needs. If baby gets the colostrum, he’ll be fine even if your milk doesn’t “come in” until day six. The main thing is to make sure that baby is drinking well at the breast (see the video clips at the website NBCI.ca). If baby needs supplementation, give it at the breast with a lactation aid (see the website for the protocol for managing breast milk intake by baby and the video clips that help use the protocol.)

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