Newborns do not normally require any fluids other than colostrum (the exception is the baby who has low blood sugar -- because her mother is diabetic, her birth weight was low, or she underwent unusual stress during labor or delivery). Supplemental feedings, moreover, can be harmful: they may cause the baby to lose interest in the breast and to nurse less frequently than needed. This is because bottle nipples may (1) lessen the baby's instinctive efforts to open her mouth wide, (2) condition her to wait to suck until she feels the firm bottle nipple in her mouth, and (3) encourage her to push her tongue forward--the opposite of what she needs to do while nursing. The baby who has sucked on bottle nipples may also become frustrated while nursing, since milk does not flow as rapidly from the breast as it does from the bottle.

Some hospitals now have policies against giving bottles to nursing newborns, but not all do. To be sure all the nurses know of your preference, ask them to place a sign on the baby's crib like this one:

To all my nurses: While I'm here and learning to breastfeed, PLEASE, NO BOTTLES OR PACIFIERS. My mom will be happy to nurse me whenever I fuss. Thanks!! Baby Reynolds

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Many doctors and nurses tell mothers that to prevent sore nipples they should limit their nursing time during the first several days. Probably nothing else about breastfeeding is as poorly understood as the causes of sore nipples. It may be explained that keeping feedings short will prevent soreness and will help "toughen" the nipples. Actually, sore nipples usually result from improper positioning of the baby on the breast, not from long nursings. Another myth often heard by new mothers is that the breast "empties" in a prescribed number of minutes. Most newborns require 10 to 45 minutes to complete a feeding. As long as your positioning is correct and nursing is comfortable, there is no need to restrict your nursing time. Besides being unnecessary, limiting nursing time may frustrate the baby and lead to increased engorgement when milk production begins.

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