Overcoming breastfeeding problems

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Breast feeding

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 consuming, consult your physician.

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 palpable lump 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 gentle pressure can help to remove the plug.

BREAST INFECTION

A breast infection (mastitis) causes flu-like symptoms such as aching muscles, fever, and a red, hot, tender area on one breast. Consult your doctor if you develop these symptoms, as medication is needed to treat this infection.

Breast infections most commonly occur in mothers who are stressed and exhausted, have cracked nipples, plugged milk ducts or breast engorgement, have skipped feedings, or wear a tight bra.

Treatment frequently includes

• Antibiotics for the infection
• Moist, warm compresses to the infected area
• Wearing a comfortable bra between feedings
• Rest

Breast milk is safe for the baby and continues to be the best source of nutrition -- even when you have a breast infection.

Frequent nursing from the affected breast will promote healing. Although only one breast is usually infected, it is important to continue breastfeeding from both breasts to prevent the infection from getting worse.

If nursing is too uncomfortable, pumping or manual expression is recommended. You can try offering the unaffected breast first until let-down occurs, to prevent discomfort. Consult your physician for help.

THRUSH

Thrush is a common yeast infection that can be passed between the mother and the baby during breastfeeding. The yeast (called Candida albicans) thrives in warm, moist areas.

The baby's mouth and the mother's nipples are perfect places for this yeast to grow. A yeast infection can be difficult to cure, but fortunately this is uncommon. Yeast infections frequently occur during or after antibiotic treatments.