Breastfeeding problems
Breastfeeding is the natural way to feed your baby, but that doesn't
mean everything will always be fine. Breastfeeding is a skill that can take
time to master. Be prepared for some common breastfeeding issues and challenges
that may come up when you're just starting out.
Low milk production
This is when your breasts are not producing enough milk to meet your
baby's nutritional needs. If you are low on milk, there are a few things you
can try to increase your milk supply. Your body is signaled to produce more
breast milk when your breasts are empty, so breastfeed as often as your baby
wants.
The pump also does not empty the breast, so frequent feeding is the best
strategy for producing more milk. If you need extra help increasing your milk
supply, try a supplement containing fenugreek or other lactation-boosting
herbs.
It is normal for the breasts to become soft and less full when the baby
is 3 to 6 weeks old. Many mothers worry that this means they are low on milk,
but your body is adjusting to your baby's needs.
Taking any oral contraceptive, even mini pills, can lead to a decrease
in the amount of milk. While you are breastfeeding, use condoms or other
barrier methods of contraception instead.
Sore nipples
Many mothers experience sore nipples during the first week of
breastfeeding. Usually, nipple pain is caused by your baby not taking enough of
your nipple and areola into his mouth. Your baby will need to open their mouth
very wide when you bring them to the nipple.
Once he starts sucking, make sure your baby's mouth covers as much of
the areola as possible. If your baby is only sucking on the nipple, gently stop
the sucking by placing a clean finger at the corner of his mouth and try to
open his mouth very wide before bringing it back to the nipple.
If your nipples are cracked or bleeding, use a hydrogel pad to keep the
bra from sticking to your nipples. This will reduce pain and help your nipple
heal faster. You can also express a few drops and apply them to the nipple with
clean fingers, then let the nipples air dry if possible. Breast milk contains
natural healing emollients and is readily available.
Engorgement
This is when your breasts become hard and sore because they are too full
of milk. The most common period of engorgement is the first week of
breastfeeding, before milk production adjusts to your baby's needs. Engorgement
can also occur if you are not breastfeeding or expressing milk for an extended
period of time.
If you feel full, breastfeed, pump, or hand express as soon as possible.
In addition to discomfort, engorgement can lead to clogged ducts and reduced
milk supply. To avoid engorgement, let your baby suckle as often and for as
long as he wants.
Plan ahead if you need to be away from your baby, bring a breast pump or breast pump with you on the same schedule you would normally breastfeed. If your breasts are round and firm, your baby may not be able to get enough breast tissue into his mouth to extract your milk. You can express or hand express your milk to remove enough milk to soften your breasts.