Does early feeding reduce the risk of neonatal hypoglycaemia?

Feeding should be initiated in the first hour after birth. [Conditional recommendation]

Low certainty of evidence shows early feeding may be associated with a large reduction in hypoglycaemia, a small to moderate reduction in neonatal mortality, and a large increase in fully breastfeeding at hospital discharge.

Early feeding is widely acceptable and feasible in Aotearoa New Zealand.
Early breastfeeding is associated with higher rates of exclusive breastfeeding, with the associated benefits.

WHO also recommends all mothers should be supported to initiate breastfeeding as soon as possible after birth, within the first hour.

If the mother wants to breastfeed but is unable to in the first hour, consider expression of breastmilk at this time to support establishment of lactation and encourage breastfeeding.

It is important to ensure that the baby whose mother plans not to breastfeed is fed a formula that is safe, suitable and properly prepared.

Nil.

Nil.

Ensure whānau are fully informed and supported about the benefits of pēpi’s first feed being from the breast. Discuss with whānau if they have cultural practices that are important to carry out following the birth, and support this to be woven into care together with clinician activities. Harm occurs when health professionals do not engage with whānau about their cultural preferences.