Breastfeeding problems

Many moms give up breastfeeding in the early weeks because they run into problems that can be easily solved by adjusting their technique when it comes to latching their baby on.

If you’re having problems – for example, if you’re finding breastfeeding painful, your nipples are sore and cracked or your baby doesn’t seem satisfied by your milk – ask a lactation consultant for advice. What you should remember is that if your baby is latched on properly, you shouldn’t be experiencing any pain. Here are some common problems…

Sore nipples

If you have sore nipples, this is probably because your baby isn’t latching on properly, possibly due to due to a poor breastfeeding position. This results in longer feeding times, which can make sore nipples worse. Making sure that your baby is latched on properly should solve the problem – he needs to take a good big mouthful of breast so he’s suckling on the areola (the area immediately surrounding your nipple) and not the nipple itself – watch the gurgle video on how to breastfeed correctly for some helpful advice.? If your nipples are very sore, exposing them to fresh air can help. Breast milk itself is also very healing, so express a little and gently rub it into the sore areas for some relief.

Blocked milk ducts

This is also related to poor positioning that means your baby isn’t effectively milking your breasts, although they can also be caused by a poorly fitted bra. You’ll develop a sore patch where the duct is blocked and it’s important you unblock it as otherwise this can lead to mastitis. Blocked ducts are more likely to occur in the early weeks, when your milk supply is still regulating itself to match your baby’s needs and it’s common for your breasts to become engorged with milk. Try to make sure they’re fully drained by expressing any remaining milk at the end of a feed. You can help shift any blockages by massaging your breast downwards as your baby feeds. If the blockage is in an awkward spot, such as the underside of your breast, feeding your baby in a different position, such as lying down, may help.

Mastitis

This is inflammation of the breast, which can become infected if it isn’t dealt with promptly. It’s caused by inadequate drainage of milk – symptoms include blocked milk ducts and red patches appearing on the breast. Your breast will feels hot and painful and you may develop flu-like symptoms, such as aches and pains and a fever. The best course of action is to empty the breast of milk, and you should keep breastfeeding as this will help. If your baby is having trouble feeding from the infected breast (it’s thought mastitis may affect the taste of breast milk) use a breast pump to empty it.

Alternating warm and cold compresses on your breast will help relieve the pain, and you can also take acetaminophen. Drink plenty of fluids to keep you hydrated if you have a fever. If your symptoms show no sign of abating see your physician, as you may need antibiotic treatment.

The information in this feature is intended for educational purposes only. If you have any concerns about your health, the health of your child or the health of someone you know, please consult with a doctor or other healthcare professional.