Advise the mother to: » keep the baby in the room with her, on her bed or within easy

reach;
and » exclusively breastfeed on demand, day and night (>8 times in 24 hours, except in the first
day of life when the baby sleeps a lot). ` Observe a breastfeed, if possible. Ensure mother knows
about good position and good attachment. ` Ask the mother to alert you if she has
breastfeeding difficulty, pain or fever. ` Observe, treat and advise if nipple(s) is/are sore or
fissured, and the baby is not well attached. In addition to the above: » reassess after two feeds
(within the same day); » advise the mother to smear breast milk over the sore nipple(s) after a
breastfeed; » check the baby’s mouth for thrush and treat baby and mother; and » if not better,
teach the mother how to express breast milk from the affected breast and feed baby by cup
until breast/s is/are better. If breasts are swollen: ` but the milk is dripping, reassure the mother
that this is normal breast fullness and will improve with frequent breastfeeding in 36–72 hours;
` but shiny and the milk is not dripping, mother’s temperature is