Breastfeeding in the First Hour After Birth
Some tips for what to do in the first hour to help you have a smoother "moo-moo career"
http://transitiontoparenthood.com/ttp/parented/breastfeedbirth.htm
Ideally, babies will nurse for the first time within about one hour after birth. In that first hour or hour and half, babies tend to be very awake and alert. After that, they may fall asleep for a period of two to six hours, during which it’s hard to rouse them for a feeding.
Some babies are ready to feed immediately after birth, some may not be ready till almost the end of the first hour, and trying to push breastfeeding before that may only lead to frustration for all involved.
Many experts recommend the following process for initiating breastfeeding. Immediately after birth, the baby is placed skin-to-skin on mom’s belly. To keep baby warm, make sure the room is quite warm, or he can be covered by a blanket, or a heat lamp can be used. It is best not to wash baby’s hands before doing this; if his hands smell like amniotic fluid, that helps him to recognize mom’s smell.
Baby is then allowed to nuzzle against mom; he may touch her belly and breasts, may sniff or lick or mouth at her skin. He may “crawl” and wiggle his way up to her breast on his own, eventually. If placed near her nipple, he may begin bobbing his head up and down, or turning his head from side to side. He may find the nipple on his own, then may latch onto the breast on his own. (More on self-attachment.)
Research indicates that it may take a baby up to 50 minutes to latch on his own, but if allowed to do so, generally will have a very good latch from then on, and generally mom will have less problem with sore nipples and other breastfeeding challenges. These mothers tend to breastfeed their babies longer than those who did not feed shortly after birth.
However, some babies do not latch on by themselves. If mom had pain medication during labor, self-attachment is less likely. If by 45 minutes or so after birth, the baby isn’t seeming interested in feeding, try expressing a little colostrum, and rubbing it on baby’s lips.
If by 50 minutes after birth baby has not yet latched on and nursed, then mom will want to follow the steps described under position and latch, to help her baby learn to nurse.