Early Days

Ashley F., BFPC

Updated May 07, 2025 21:07

I gave birth three days ago. I’m breastfeeding, exhausted, and emotional. What is going on?

Oh, Mama, you are not alone! You’re in the thick of some critical breastfeeding days, likely transitioning from hospital to home, and experiencing lots of hormonal changes. It gets easier, I promise!

Let’s explore what’s happening during this time and discuss ways to cope.

Breastfeeding

The first 2–4 days after delivery, your baby receives colostrum from your breasts. Colostrum is incredibly beneficial for your baby, and a little goes a long way! Even though your breasts don’t produce a large amount, rest assured that it is all your baby needs until your milk “comes in.” Doubting your body’s ability to make milk, experiencing breastfeeding challenges, lacking sleep, and being away from home can make the first few days difficult.

By day three, your milk is likely transitioning from colostrum to mature milk. This means your breasts are filling up more and may feel engorged. Frequent feedings (8–12 times in 24 hours) are crucial as your body learns to regulate milk supply to meet your baby’s needs. It might feel like your baby is nursing all the time, but this is normal. Their tummy is small, and breast milk is very easily digested.

Cramping

You might feel some cramping when you breastfeed for the first few days up to about a week after giving birth. This happens because breastfeeding releases a hormone called oxytocin, which causes your uterus to tighten and shrink back to its normal size.

These cramps might feel like period cramps or a lighter version of the contractions you had during labor. They are usually nothing to worry about and should get better as your body heals. However, if they last longer than a week or get worse instead of better, it’s a good idea to check in with your doctor.

Comfort Tips:

- Ask your doctor about pain relief if the cramps are bothering you.
- Gently rub your lower belly.
- Lie on your stomach with a pillow under you.
- Use a heating pad on your belly.
- Take deep breaths and try to relax.

Sleep Deprivation

Sleeping when your baby sleeps sounds easier than it is, but your body is healing from childbirth, and you need rest. Your sleep patterns have changed as your baby needs frequent night feedings for their growth and well-being.

Think of sleep on a 24-hour cycle. Including naps, aim for 7–8 hours of sleep in 24 hours. You likely won’t get those hours in one full stretch at night.

Communicate your needs with your support system. Delegate housework, cooking, and caring for other children so you and your baby can focus on breastfeeding and resting.

Your baby might also be extra sleepy. If they don’t wake on their own, you may need to wake them to feed. Click here for tips on breastfeeding a sleepy baby, and here for information on infant sleeping patterns.

Hormones

In the hospital, many moms run on adrenaline and feel supported by hospital staff. After delivery, oxytocin (the “love hormone”) rises rapidly, helping you bond with your baby and strengthening your motherly instincts.

Coming home can bring a mix of emotions. While it’s exciting to be home, it might not feel quite how you expected. As oxytocin starts to decrease, feelings of anxiety or sadness may arise.

Hormonal shifts also play a big role in breastfeeding. A sudden drop in estrogen and progesterone, combined with an increase in prolactin (the milk-making hormone), helps your milk change from colostrum to mature milk. It’s safe to say postpartum hormones are “all over the place,” and your moods may be too.

It can take a few months for hormones to regulate, but you will start feeling like yourself again. Please talk to your doctor about any symptoms of postpartum depression, and share your feelings with loved ones.

Other Ways to Cope:

- Eat a well-balanced diet.
- Keep a journal of your thoughts and feelings.
- Get some fresh air.
- Ask for help with day-to-day responsibilities.
- Be patient with yourself and allow time to adjust to your new normal.

Click here for more information on postpartum stages.

You’re navigating one of the most challenging and rewarding experiences of your life, and you’re stronger than you may realize. Trust your instincts, reach out for support, and know that every effort you make is helping your baby thrive. You’ve got this!

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