A nurse is caring for a client who reports cramping while trying to breastfeed her newborn. Which instruction should the nurse provide to the client?

• A. Breastfeeding can cause uterine contractions
• B. Cramping indicates an infection
• C. Avoid breastfeeding until cramping subsides
• D. Take a strong narcotic analgesic before feeding

Answer: (A)

Breastfeeding stimulates the release of oxytocin, which causes the uterus to contract. These contractions help the uterus shrink back to its pre-pregnant size after delivery. The cramping many new mothers feel during nursing is a normal, expected effect of those contractions and does not indicate infection or the need to stop breastfeeding. If the cramping becomes severe or is accompanied by fever, foul discharge, or heavy bleeding, seek care. For comfort, gentle abdominal support, warm packs, and using pain relief as advised can help, but the key point to reassure the patient is that these cramps are a normal part of breastfeeding postpartum.