Possible effects of nuchal cord on breastfeeding

Delayed First feed:

• Medical monitoring or extra care at birth may postpone early skin-to-skin or the first latch.

Latch Challenges:

• If the cord was tight, some babies may experience neck soreness or oral tension, making it harder to open wide or sustain a latch.

Sleepiness

• A baby who experienced mild stress during birth may be extra drowsy in the firs 24-48 hours, which can reduce feeding effectiveness.

Milk Supply

• If feeds are delayed or infrequent, milk supply may need extra support with hand expression or early pumping.

Supportive strategies for parents

• Prioritize skin-to-skin: start as soon as possible to encourage alertness and bonding.

• Try different positions: Football hold or side lying may feel more comfortable if baby has neck tension.

• Feed frequently: Watch cues closely and wake baby for 8-12 feeds in 24 hours.

• Protect supply: Use hand expression or pumping if baby isn’t transferrring milk effectively.

• Seek IBCLC support: A lactation consultant can assess latch, suggest positioning or recommend bodywork if needed.

• Reassure Families: Most babies breastfeed normally with in a short time after birth, even if a nuchal cord is present.