During pregnancy, estrogen and progesterone lev­els remain high, which inhibits lactation until the baby is delivered. Once the baby is born, proges­terone drops precipitously, and within 3 to 4 days, the breasts swell. The primary goal during the first few days after delivery is perfecting latch technique. Achieving an optimal fit of the baby’s mouth on the mother’s nipple will stimulate the next stage of lactation. This stage is driven by a supply and demand mechanism. The milk typically transitions from dense yellow fluid called colostrum to thinner whitish fluid. This stage is regulated by the infant’s volumetric requirement that will steadily rise from approximately 5 to 60mL within the first few days. Every baby has a different feeding pattern that stim­ulates customized milk volumes. Initial efforts to establish feeding synchrony involve reading each other’s signs of hunger, breast engorgement, and milk transfer. Ideally this occurs naturally without significant intervention. For first-time parents, the process can be daunting; it is important to provide education and guidance until feeding patterns and weight gain are regulated. Even if the parent has breastfed previously, each infant has unique suck­ling skills that induce different lactation patterns and require close observation.