Continuation of the last Wellness-series...

Thrush

Thrush is a yeast infection in the baby’s mouth, which can also spread to the breasts. It causes incessant itchiness, soreness, and sometimes a rash.This problem can develop even after weeks or months of successful nursing.

Solution

In case of breast yeast infection, stopping breastfeeding is not advised rather the mother and the  baby needs treatment. They should see the doctor or a pharmacist.

Low milk supply

The most common reason women stop breastfeeding is that they think their infant is not getting enough milk, but in many cases the mother has an adequate supply. A true inadequate supply can happen if the infant is unable to extract milk well or if the mother doesn't make enough milk.

Inadequate milk production — There are a number of reasons why a mother might not make enough milk, including that:

●Her breasts did not develop sufficiently during pregnancy – This can happen if she doesn't have enough milk-producing tissue (called glandular tissue)

●She previously had breast surgery or radiation treatment.

●She has a hormonal imbalance.

●She takes certain medications that interfere with milk production.

Solution
  • The mother should nurse in an upright position – Hold her baby upright to nurse and lean back or lie on your side
  • She should feed more often or try to stimulate more milk production by using a breast pump or expressing by hand
  • There are medications called galactagogues (or lactagogues) that  increases milk production whlie nursing. An example is Mamalait Granules which increases milk secretion and help to regain vigour and vitality.
Baby sleeping on the breast.

Baby is sleepy in the first couple of months after birth ( he or she has been through a lot) so falling asleep while nursing is common. All that bonding makes baby to relax.

Solution

Milk flow is fastest after the first let-down, so if the mother want to increase efficiency, she should start off at the fuller breast, then switch to the other breast sooner, rather than later. When she notice baby’s sucking slowing down and his eyes closing, she should remove him from your breast and try to stimulate him by burping, tickling his feet, or gently talking to him while rubbing his back, and then switch breasts. As baby gets older he’ll be able to stay awake longer.

Inverted/flat nipples

The mother can tell if she has a flat or inverted nipples by doing a simple squeeze test:  She should gently grab her areola with her thumb and index finger — if her nipple retracts rather than protrudes, she's got a problem.

Solution

She should use a pump to get the milk flowing before placing baby at her nipple and use breast shells between feeds. Once she feels like her milk supply is adequate, she should try using nipple shields if baby still has problems latching.

Painful/overactive let down

A mothers breast is like a machine — when she let's down, all the milk-producing engines constrict to move the milk forward and out of her nipple. Sometimes the working of these inner parts can hurt, especially when in overdrive. Some mothers feel a prickly pins-and-needles sensation and others just get an achy feeling.

Solution

If this feeling of pins and needles goes beyond a mere tingling and feels more like a hundred little daggers poking her breasts, she needs to check for a breast infection (yeast or bacteria). Sometimes this pain develops when she has an excessive amount of milk. She should try feeding baby longer on one particular breast and switching to the other only if she needs to. If the result is an infection (fever, aches, and chills may be present), she will need to get antibiotics from her doctor. No matter how unpleasant it is for her, it’s still safe for baby to nurse.

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