Getting help of Breastfeeding

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Most problems encountered when breastfeeding are temporary, usually due to incorrect positioning or attachment, and can be sorted out usually by making some simple changes without stopping breastfeeding.

If the baby is not correctly positioned and attached, you may experience some discomfort (such as sore nipples). Changing positions, to include breastfeeding while lying down or holding the baby in an underarm position can be useful, especially if there is pain after a caesarean section. The breasts may become full and hard due to an increased blood supply required for milk production or when the milk supply comes in a few days after the birth. This may also occur if the baby is not using up all the milk at each feed, or if there are problems with positioning.

Primary engorgement occurs when the breasts become too full with milk, before your milk supply has had chance to regulate itself. You can help to prevent this by:

Massaging the breasts gently to soften the nipple and express some of the milk just before a feed, making it easier for the baby to latch on and reducing the fullness.
Putting something cold on the breast to encourage the nipples to become more erect, making it easier for the baby to feed.
Taking a warm bath, or putting a warm compress on the breast, just before a feed.
Offering your baby frequent feeds.
Expressing milk after a feed if your baby has not fed enough to soften the breast this can encourage the let-down reflex and the flow of milk.
Inflammation can be reduced with ibuprofen tablets and paracetamol can help to relieve any pain. (Check with your GP or pharmacist before taking any over-the-counter medicine while breastfeeding).

Encouraging the baby to breastfeed on demand while properly positioned is the most effective method of treating and preventing engorgement and most other potential problems.

Mastitis is an inflammation of the breast, which if left untreated, can develop into a more serious infection. It is usually caused by infection entering the breast through cracks in the nipple, blocked milk ducts or incorrect positioning. Signs of mastitis include lumps in the breast, redness, heat and tenderness, and milk solids coming from the nipple. It may also be accompanied by flu-like symptoms, such as aching and fever.

Antibiotics are usually given to treat mastitis, and breastfeeding should also continue, as it helps to relive the inflammation. Again, gentle massage of the breast (particularly during a feed) is helpful, as is frequent feeding, and compresses.

Sometimes, babies do not feed well, and this can be a cause for concern if your baby is not gaining weight either. This can be caused by a poor breastfeeding technique, incorrect formula, inadequate milk supply, the babys inability to feed properly (e.g. fixing difficulties, poor suckling position); or inadequate absorption caused by food intolerance, or intestinal disturbances. Contact your GP, health visitor or midwife if you are concerned, particularly if your baby also seems unwell. Otherwise try to rest, eat well and concentrate on feeding. Often, your baby may be picking up your tension.

If you are having problems with breastfeeding, remember that this is not at all unusual. It may take time for both mother and baby to establish their feeding routine. However, it is well worth persevering if you can.

The majority of feeding problems can be resolved with advice, information, and support. This is available from a variety of sources including:

National Childbirth Trust (NCT) breastfeeding helpline: 0870 444 8708
La Leche League breastfeeding helpline: 0845 120 2918
Breastfeeding Network (BfN) supporterline: 0870 900 8787
The Maternity Alliance information line: 020 7490 7638
Association of Breastfeeding Mothers helpline: 0870 401 7711

Drugline is part of the Breastfeeding Network. You can call Drugline to find out more information on taking prescription drugs whilst breastfeeding on 02392 598 604