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

www.birthwithharmony.care/shop

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.



Newborn under UV lights for jaundice, with leads and NG tube and mask

My 2nd Daughter getting some Light Therapy for Jaundice with her NG tube and eye mask.



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