* Exclusive breastfeeding is recommended up to 6 months of age (plus Vit D), with continued breastfeeding along with appropriate Home made / complementary foods up to two years of age or beyond:
Breastfeeding increases bonding within an hour of birth and relaxes both from labor, same should be attempted even in women who undergo a C-section.Breastfeeding should be "on demand", as often as the infant wants day and night.Bottles or pacifiers should be avoided.
Though it hampers sleep of Mom but Important for infants which can be resolved by gentle massage of both Mom n kid.
* After early morning massage followed by sun avails Vit D in ideal Indian scenario or supplements may be suggested.
* Blood-tinged milk (Less likely ) may be normal in the first pregnancy, during the first few days of lactation — pink/red milk is expressed. Occurs due to increased vascularization of the alveoli and ducts with the onset of milk production. Will resolve by itself. If not, breast needs to be assessed for other conditions such as intraductal papillioma or cracked nipple.
* Within the first 24–48 hours post-birth, if feedings at the breast are incomplete, ineffective, or the mother is separated from her infant, the mother should be instructed to pump her breasts eight times in a twenty-four hour period, with continued assistance by an experienced staff member.(As of Now seen in Surrogacy)
* In mothers who have undergone a LSCS, a "football" position is recommended in order not to touch the surgical incision.
* Mothers living with HIV should breastfeed for at least 12 months and may continue breastfeeding for up to 24 months or longer (similar to the general population) while being fully supported for ART adherence.
* Breastfeeding does not increase the rate of HBV transmission among infants who receive with immunoprophylaxis within 24 hours of birth.
* There are very few conditions under which breastfeeding may not be in the best interest of the infant. Breastfeeding is contraindicated in infants with classic galactosemia; mothers who have active untreated TB or are human T-cell lymphotropic virus type I– or II–positive; mothers who are receiving diagnostic or therapeutic radioactive isotopes or have had exposure to radioactive materials; mothers who are receiving antimetabolites or chemotherapeutic agents; mothers who have herpes simplex lesions on a breast (infant may feed from other breast if clear of lesions).
* To boost milk production love care and cow milk along with proper diet and adequate sleep works better.