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for natural mamas

Baby friendly hospitals by state
from https://www.babyfriendlyusa.org/for-parents/baby-friendly-facilities-by-state/

Choose a Hospital that Supports Breastfeeding!

Through my Lactation Certification course with The Healthy Children Project, I recently learned about the "Baby Friendly Facilities" label for birthing hospitals. Sounds funny, doesn't it - wouldn't every hospital be friendly to babies??

This is a label, similar to the USDA Organic label. It means the hospital has specific standards in place to support breastfeeding, like making sure the baby suckles within the first hour of birth - or in the event your baby is in the NICU, like our first was, helping you with hand expression.

You think breastfeeding is going to be easy, because it's natural. At least, that's what I assumed. Women have been doing this since the beginning of time; it will just blissfully happen, I thought.

Ha.

For some women, it is like that. The baby just latches. But for most, it's much trickier! There are so many technicalities to breastfeeding you would never know unless an expert showed you. In the past, women family members were the experts. But in our modern nuclear family units, often far from more experienced sisters and moms and aunts, AND after the baby formula craze, we don't have those experts around. After you give birth, you return home, and the next time you see your doctor is six weeks later.

(You DO see your baby's pediatrician, and if you picked one who supports breastfeeding, that really helps! If you didn't, you can still ask to see a lactation consultant! Many have them on site. Just have a lactation consultant watch a feeding in case there's a latching problem you're not seeing - trust me, it can only help!)

If you give birth in a Baby Friendly Hospital, they ensure you and your baby get skin-to-skin as soon as possible, and that the baby gets to suckle on your nipple. No pacifier, no bottle, no clothes in the way.

Why?

Right after the placenta comes out, your body is ready to produce milk - and you need to send it the message that yes, there's a baby here! That skin-to-skin triggers oxytocin, our hormone that gets the milk flowing. (It's actually referred to as "the love hormone.")

If you're already using a hospital that isn't "Baby Friendly," it's okay. You can just familiarize yourself with their practices and ask for those things. Write them down on a piece of paper or in your phone so that you can just hand that to the nurses or midwife when you walk in - that way you don't have to remember while you're busy giving birth.

We used South Shore Hospital in Weymouth, MA for our third birth. It is not a designated Baby-Friendly Facility (I didn't know about that label until later). But it was EXCELLENT. I opted for a midwife when we got there, and they followed the "Baby Friendly" practices of no pacifier, skin-to-skin right away, and breastfeeding within an hour after birth. The midwife even helped me give birth without the Epidural...and without any meds at all. It was amazing.
Screenshot 2026 01 27 at 2.13.21 pm
https://massbreastfeeding.org/baby-friendly-hospitals-in-massachusetts/

Here is what the midwife at South Shore Hospital did that helped me give birth without the epidural AND helped breastfeeding get off to a good start:

1. They told me not to come in until my contractions were 5 minutes apart for 1 hour. That's right. Instead of rushing to the hospital at the first sign of labor like we did with our first two babies, we went for a walk. I had a contraction at the general store, on the sidewalk, in my neighbor's kitchen. No one else knew but me (and my neighbor at that point). Then I walked around the backyard for a long time, looking at the woods in between heaving. Then, finally, I called, and they said to come on in.

2. When I entered the delivery room, the midwife told me to keep walking. She also showed me a huge yoga ball and a shower with several jets that looked really nice. Didn't have time for any of that, though.

3. I did not give birth lying down. I mean this literally. When the pressure was suddenly more intense, the idea of lying down on that bed  made me want to puke. The midwife and nurse said no problem, go up there on your hands and knees!

4. They asked me if I wanted to "catch" my baby. I have always prided myself on my athletic abilities, but I decided to forgo this. But still, it was nice to be asked.

5. Skin-to-skin. As soon as my baby came out, they gave her to me, naked, and placed her directly on my chest. This direct physical contact triggers oxytocin, "the love hormone," which triggers your milk. The also told me to let her try to suckle and gave us some space to do that. There was no pressure to get her sucking immediately - they said just the contact at the beginning was enough.

6. They did NOT give a pacifier. Wait--really? Yup. If the baby wants to suckle, they should be suckling on the mama's nipple. Each time they do, that's a signal to the mama's body to produce milk! We need to be milking that opportunity. (My joke, not theirs.) They told me to refrain from giving a pacifier until at least two or three weeks, when breastfeeding was well-established. Even then, I think it's best to keep pacifiers only for sleeping - it's hard for little ones to start babbling and practice talking when they have that binkie in their mouths. There is also a high correlation between pacifiers and ear infections. (See this article from the NIH for more on that.)

It's hard to remember all of this stuff when you're busy giving birth.

Luckily, others do.

- Jessica