Breastfeeding can be tricky, especially in the beginning, and new mothers may face complications and need some extra supports. Education in the antenatal period is really important to be able to understand how lactation works, how often babies feed and what is normal in terms of frequent feeding, how to know baby is getting enough milk and where to seek support.
Breastfeeding is a learned skill and it takes time to work out what works best. It takes patience and time but once figured it out, becomes so much easier and worthwhile and the benefits are immense.
***Key Points***
Complications can arise in breastfeeding, more commonly in the early days, however there are lots of supports available and it’s important to seek support early on.
***Key Points***
***Sore nipples***
One of the more common complications is sore or damaged nipples and this is almost likely due to baby not latching properly. Babies need to open their mouth wide so that the nipple goes all the way to the back of their mouth. Getting help early on from midwives and lactation consultants will help ensure that baby is attaching correctly and not doing damage to your nipples.
***Key Points***
***Blocked ducts***
Milk ducts can become blocked if the breast isn’t being drained properly and the flow of milk slows down and creates a blockage. You may feel a lump and it could be painful to feed on that side. A warm compress and gentle circular massage of the affected area as well as frequent feeding and draining the breast will help release the blocked duct.
***Blocked ducts***
***Engorgement***
Engorgement occurs when the breasts get too full of milk and it can become painful and difficult for baby to latch on. Using a warm compress before a feed can assist with an easier flow of milk. Expressing a small amount helps to make the areas softer and easier for your baby to latch onto.
***Engorgement***
***Mastitis***
Mastitis is an infection that can occur if blocked ducts aren’t relieved or if bacteria enters through cracked skin and causes an infection. The area will become red and warm and you may experience flu like symptoms. It is common to need antibiotics if symptoms become severe quickly or are not relieved in 24-48 hrs. It is important to see a GP and consult with a lactation consultant.
***Mastitis***
***Low milk supply***
It is very rare for someone not to be able to produce enough milk due to having inadequate glandular tissue is often more commonly due to restricting time at the breast, not feeding frequently enough, not draining the breast or topping up with formula. If you are not sure that your baby is getting enough milk, it is really important that you seek support so that feeding can be observed, baby can be weighed and a comprehensive plan can be developed to help support you and your baby.
***Low milk supply***
***When to seek help***
Anytime that you feel unsure of something, your maternal and child health 24/hr hotline is a great place to seek support. If you or your baby become unwell, it is important to seek medical advice immediately. It is also important that you engage with a lactation consultant either through the hospital, through the community or privately.
***When to seek help***
References
https://www.uptodate.com/contents/common-breastfeeding-problems-beyond-the-basics
