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The newborn, regardless of whether or not nursed in the delivery room, can be taken to the mother for nursing within the first 4 h of birth. The mother should assume a comfortable, relaxed position, such as lying almost flat and turning from one side to the other to offer each breast. The newborn should face the mother, ventral surface to ventral surface. The mother should support her breast with thumb and index finger above and three fingers below the nipple to ensure that it is centered in the newborn's mouth, minimizing any soreness. The center of the newborn's lower lip should be stimulated with the nipple so that rooting will occur and the mouth will open wide and grasp the nipple and areola. The newborn's tongue compresses the teat against the hard palate. Suction should be broken before removing the newborn from the breast. Feedings should be started on alternate sides. Initially, it takes at least 2 min for the let-down reflex to act. Excessive suckling should be avoided initially.
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