Overcoming breastfeeding problems

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Breast feeding

Overview

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BREAST ENGORGEMENT OR BREAST FULLNESS

Breast fullness is the slow buildup of blood and milk in the breast a few days after birth. It is a sign that your milk is coming in. It will not prevent you from breastfeeding.

Breast engorgement is caused by congestion of the blood vessels in the breast. The breasts are swollen, hard, and painful. The nipples cannot protrude to allow the baby to latch on correctly and nursing is difficult.

The let-down reflex is a normal part of breastfeeding. Milk made in the milk glands is released into the milk ducts. Pain, stress, and anxiety can interfere with the reflex. As a result, milk will build up. Treatment includes:

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Learning to relax and finding a comfortable position
Reducing distractions during nursing, performing a gentle massage, and applying heat to the breast

Nursing often (8 times or more in 24 hours) and for at least 15 minutes at each feeding can also prevent engorgement.

Other ways to relieve breast engorgement:

Feed more often or express milk manually or with a pump. Electric breast pumps work best.
Alternate between taking warm showers and using cold compresses to help relieve the discomfort.

NOT ENOUGH MILK FOR THE BABY'S NEEDS

The baby's milk demand determines the mother's supply. Frequent feedings, adequate rest, good nutrition, and adequate fluid intake can help maintain a good milk supply.

Checking weight and growth frequently is the best way to make sure your baby is taking enough milk. If you have concerns about how much breast milk your baby is getting, talk to your health care provider.

PLUGGED MILK DUCT

A milk duct can become plugged if the baby does not feed well, if the mother skips feedings (common when the child is weaning), or if she wears a constricting bra. Symptoms of a plugged milk duct include tenderness, heat and redness in one area of the breast, or a lump that can be felt close to the skin.

Sometimes, a tiny white dot can be seen at the opening of the duct on the nipple. Massaging the area and putting gentle pressure on it can help to remove the plug.