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Self Care



Breastfeeding problems


Breast milk has several advantages for newborn babies. It contains all the essential nutrients in their ideal proportions and provides natural protection against infection.

Very few new mothers are physically unable to breastfeed.

Some of the most common problems pain, engorged breasts, or a low milk supply can be overcome with persistence and support from your medical provider and family.

Engorgement (overly full, hard breasts) occurs when the milk first comes in. It may also make the breasts feel sore in between feedings.

Mild swelling and tenderness is normal for 24 to 48 hours. More severe engorgement can be caused by not feeding correctly or often enough.

Nipple pain is often caused by the baby latching on to the nipple incorrectly.

Preventive Steps

Hold the baby close to your breast (nose and chin should lightly touch your breast) to reduce tugging.

Encourage letdown before feedings by gently massaging the breasts from the fleshy part down to the nipple.

Try to get the baby to open wide and take a portion of the areola (the darkened area around the nipple), not just the tip of the nipple.

Make sure the baby eats at least eight times in 24 hours.

Vary the baby’s nursing positions.

Wear a supportive bra.

Signs that needs care :

Part or all of one breast becomes inflamed, or painful lump in one breast.

Temperature of a level you believe to be a fever.

Nipple pain lasts beyond 1 week; cracked or bleeding nipples.

Engorgement lasts longer than 48 hours.

Unable to get baby to nurse at least six times in 24 hours.

Nipple tenderness at latch- on does not get better after the first minute when the baby begins to swallow.

Self Care :

For engorgement :

Apply warm compress to the breast for a few minutes to help the milk start to flow(letdown).

Do gentle breast massage.

Encourage frequent feedings (every 2 hours).

Use cold compresses after feedings for up to 10 minutes for comfort and to reduce swelling.

For sore nipples :

Do gentle breast massage to assist letdown.

Begin feedings on the least tender nipple.

Encourage frequent feedings limited to l0 to 15 minutes per breast.

Apply a drop or two of expressed breast milk to the nipples after feedings to ease nipple discomfort.


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