What to Expect in the NICU How to Bond, Feed & Advocate for Your Baby
Let’s talk about the NICU—Neonatal Intensive Care Units.
Sometimes, even when everything seems to be going smoothly, babies may need a little extra support after birth. If your baby ends up in the NICU, it can feel overwhelming and emotional. As a former NICU mama myself, I want to share what you can expect and how you can confidently advocate for yourself and your baby during this time.
In this post, we’ll focus on two key areas:
✅ The benefits of skin-to-skin contact
✅ Feeding your baby in the NICU
My Connection to the NICU
All three of my babies were born prematurely and my daughters were NICU babies.
My first daughter arrived at 34 weeks and 5 days.
My second daughter came at 33 weeks and 6 days.
My son made it to 35 weeks and 6 days.
Babies can end up in the NICU for many different reasons. Some are premature like mine, others are full-term but need support with breathing, blood sugar, or recovery from a difficult birth. Each NICU journey is unique, but knowing what to expect can make a world of difference.
Bonding with Your Baby in the NICU
Even if your baby is not stable enough to be held right away, you can still bond in powerful ways:
Gently touch your baby’s hand or foot
Talk, sing, or read to your baby
Share positive affirmations—these calm both baby and you
Bring a piece of clothing with your scent to put near baby.
Skin-to-Skin Contact (S2S)
Once your baby is medically stable, skin-to-skin contact (also called Kangaroo Care) is one of the most healing things you can do. The benefits are incredible:
Stabilizes heart rate, breathing, and oxygen levels
Regulates baby’s temperature (your chest acts like a natural incubator)
Reduces baby’s stress and pain
Supports healing during procedures like heel sticks or IV placement
Even if your baby has tubes or is on CPAP, ask about S2S—your NICU nurses can help you position your baby safely.
Feeding Your Baby in the NICU
Feeding in the NICU can take several forms. Some babies need an NG tube (nasogastric tube) that delivers milk directly to their belly.
The Power of Colostrum
Colostrum, your first milk, is sometimes called “liquid gold”—and for good reason:
Packed with immune-protective factors (IgA, lactoferrin, leukocytes)
Reduces risk of infection and NEC (Necrotizing Enterocolitis)
Helps mature your baby’s gut and microbiome
Easily digested and supports respiratory health
Even small drops of colostrum can be applied to your baby’s mouth with a swab or Q-tip. Every drop makes a difference.
Pumping for Your NICU Baby
Most NICUs provide a hospital-grade breast pump. You can begin pumping even if your baby isn't breastfeeding yet.
Pumping Tips:
Pump every 2–3 hours, including at night
Pump while looking at your baby or their photo or a video to support letdown
Use gentle breast massage or warm compresses to help flow
Your milk can be offered by NG tube, spoon, cup, or bottle
Talk with your care team about your feeding preferences—you have options, and your voice matters.
Navigating NICU Emotions
Having your baby in the NICU is physically and emotionally exhausting. If you're discharged before your baby, know that:
You can call the NICU anytime for updates
You can visit as often as you like—you set your own schedule
You are your baby’s best advocate
I remember leaving the hospital without my first baby—I hardly slept. I was back in the NICU by 6:00 a.m. It got easier over time, but my heart ached every time. When you have a baby in the NICU, take each day brings you closer
You Are Not Alone
I hope this post gives you reassurance, practical tips, and a bit of comfort as you prepare for or navigate NICU life.
Your presence, your love, your voice, and your milk matter deeply—more than you know.
And remember: you are not alone in this journey.
💜 Need Support Through Pregnancy, Birth, or NICU Prep?
I’d be honored to support you. As a certified childbirth educator, certified lactation counselor and doula, I offer:
Virtual & in-person childbirth classes
Evidence based information on informed consent, labor and birth
Postpartum planning support
Doula services for all families and those navigating complex or high-risk births
📩 Reach out today to schedule a free consultation or explore my upcoming classes.
✨ www.birthwithharmony.care/contact
My 2nd Daughter snuggled up before needing respiratory help from a CPAP and caffeine treatment.
My 2nd daughter taking a CPAP break, snuggling with her NG tube.
My 2nd Daughter getting some Light Therapy for Jaundice with her NG tube and eye mask.