How do I make breastfeeding less painful?? | ExpatWoman.com
 

How do I make breastfeeding less painful??

708
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EW GURU
Latest post on 16 March 2011 - 23:51

It's been a little more than four days since Baby Stovetop was born. My milk has just started coming in and baby is latching on a bit too well, so much so that it is causing me tremendous pain. Is there a way I can make her suck gently and yet latch on well. She was on formula in the hospital since my milk took a while to come in and the fact that she latches on well & fiercely only helped the letdown. But this is really hurting now and I don't know what to do. Any suggestions are welcome.

TIA

355
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EW EXPLORER
Latest post on 07 May 2011 - 09:27
ST, is your problem supply based? Because you can order Blackthorn Berry Elixir online - works like a bomb and 100% natural. I have used it and Eglonyl for all 4 babies - eglonyl or sulpiride is a mild antidepressant with the "pleasant" side effect of lactation (v effective, if you give it to men they even start to lactate). I am taking both.
708
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EW GURU
Latest post on 07 May 2011 - 00:08
Hi ppl Just got back to Dubai after a 3 week stint with the in laws. Am pumping the cr*p out of my breasts with a Lactina, met Paula Miller the first thing a day after I landed and am down to 2 formula feeds from 4-5. Things are looking up, just hope I can continue with all the hard work till my milk supply starts looking really good. I cannot thank each of you enough for your support. Paula said she was impressed with all the work I'd already put in and the information I had, and all of it was because of the advice I got on here. Meeting her was great though because after 7 weeks of listening to "Oh poor thing will stay hungry coz you have no milk", someone telling me that I was doing more than enough for DD was relieving to say the least. :( Needless to say, I'm SOOOOOO glad to be back :D
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EW NEWBIE
Latest post on 23 March 2011 - 10:10
I think the pain has happened to most of us!.. unfortunately :( I had Cecile come and help me and she too introduced the nipple shields just for a short while... Its important you get help asap - even if its to adjust your technique slightly which Cecile would help with - I left it too long and had already developed a ''bleb'' on my nipple which is extremely sore that lasted a few months into feeding so I had to grin and bear it :( Hope it goes well for you and believ us all, the pain does go and it will soon become an easy venture.. x
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EW NEWBIE
Latest post on 23 March 2011 - 00:09
Try to contact them by phone, because they can give you very good advice that you can apply immediately. It will get better, promise.
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EW GURU
Latest post on 22 March 2011 - 19:34
Yup, am planning to go see Paula or Cecilne by the end of the week or early next.
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EW GURU
Latest post on 22 March 2011 - 16:52
Please consider seeing a Lactation Consultant Stovetop! You seem determined enough, and with a little help and a push in the right direction, you can establish a good breastfeeding relationship with your DD :) Hang in there, it takes time for you and your body to learn a new skill! And please sleep when baby sleeps! Your body is working hard when producing milk, and good rest aids regeneration and increases milk supply!
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EW GURU
Latest post on 22 March 2011 - 10:26
Express every day at the same times so that the body know how much to supply and when. Gradually you will see an increse in supply with the pumping but it has to be learned. Keep a picture of the baby close by when expressing. Drink plenty of water, non alcoholic beer, eat oats, almonds to increase quality. Do lots of skin to skin whilst feeding LO to encourage BF. Remamber BF takes 60 muscles and bottle takes 4 so you know it will exhaust LO.
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EW GURU
Latest post on 22 March 2011 - 10:22
Go see a lactation consultant immediately to help you with your latch. If the latch is incorrect this will continue. In the meanntime use a nipple shield and lasinoh cream. If you search the old threads i am sure there is a breastfeeding group you can get in contact with. Try calling Cecile De Scaly for some help (private midwife) 0 5 0 6 9 4 7 9 3 8. Worth it if you want to keep BF. I hated BF but persevered for 4 months but needed help to maintain. Good luck!
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EW EXPERT
Latest post on 21 March 2011 - 18:11
big hugs to you hun! I hope you got my email.
708
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EW GURU
Latest post on 21 March 2011 - 18:04
Ok, here's an update. Nipple shields aren't working for Baby S for some reason. Got a pump yesterday and am expressing. Tried to feed her directly from the breast the entire day today but the moment she sleeps off and I keep her down, she starts crying again. Hopefully I will have enough expressed BM milk soon, giving my breasts some respite. If anyone expresses here, I have a few questions: I expressed for about an hour this morning and managed to get only 35 ml from two breasts. Will this gradually get better? Will expressing affect my milk supply negatively at all? If for some reason I cannot get her to wean away from formula, do the mums who have been giving both BM and formula since birth have anything to share? I really, really want to try and get her on an exclusive BM diet but some days it's so hard I just want to give up, but I really don't want to. I can't thank all of you, each and every single one of you enough for your support. It really means a lot to me.
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EW NEWBIE
Latest post on 19 March 2011 - 21:28
I think that's why it's important to use the nipple shields only occassionally when you feel really desperate for some relief. I believe they are the only way to find some immediate relief - and I was in absolute agony. I may have been lucky but my LO suffered no nipple confusion at all - she just wanted her milk regardless! The shields really got me through that challenging first 2 weeks.
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EW NEWBIE
Latest post on 19 March 2011 - 21:05
I found the first week after birth horrible in terms of BF with both DDs. With DD1 I ended up using nipple shields when I saw her spitting blood after eating (my nipple was so badly damaged) and she ended up having nipple confusion. That meant that for 4 1/2 month I sterilised nipple shields and bottles because I was topping up, but overall it was ok. With DD2 I started having really cracked nipples and I realized that the problem was at night, when I was tired and didn't maintain a correct position. There is a position recommended for women who had C-section, lying down in bed facing the baby, and that is how I managed to feed at night without getting cracked nipples. I saw a lactation consultant with DD1 called Paula Miller and I found her very helpful, but for me it was too late as I had given up the battle by then. If you really want to continue BF please try to get over these 2 weeks, because it will get better. Now I BF in any position and it feels like second nature, but it is a learnt skill.
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EW NEWBIE
Latest post on 19 March 2011 - 20:33
Nipple shields! This is the only thing that worked for me. They just take the edge off and you don't have to use them for every feed, just when you really feel you need something to help, until the pain goes - and it will!!
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EW NEWBIE
Latest post on 19 March 2011 - 20:21
If interested, I'm happy to come to your home for free post natal visits, as I'm working towards my certification. I can assist with basic breastfeeding advice (or assessment and referral if require lactation consultant), general baby care advice/assistance, or whatever you might need as a new Mum, to get some well deserved rest during your initial adjustment together. 5 free hours in exchange for a simple (3 minutes or less) written feedback that I might use for certification purposes. If interested, please contact me at thirdgoal at yahoo dot com
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EW GURU
Latest post on 18 March 2011 - 19:45
Just popping back quickly; an LC will be able to address all your questions below, but I did want to say that stopping breastfeeding on one side would put you at risk of blocked ducts or mastitis (an infection), and may affect milk supply. If at all possible, can you keep the milk flowing from that side even if not direct feeding? Have you tried expression (hand expression can be gentler than using a pump)? Experimenting with positioning - cradle, cross-cradle, underarm, side-lying or laid-back - may help you and baby to achieve a latch that you can tolerate at least temporarily (again, the LC will be able to help with this, as well as identify any possible factors which may be impeding pain-free feeding). A couple of resources which might help with latch (remembering the general rules: baby tummy to mummy, nose opposite nipple, then when baby opens wide bring baby to breast - not breast to baby): http://www.kellymom.com/bf/start/basics/latch-resources.html http://www.drjacknewman.com/help/When%20Latching.asp Also many mums have found that laid-back nursing positions (aka Biological Nurturing) facilitates a good latch: www.biologicalnurturing.com - click on the "For Mothers" tab). Hang in there, and don't give up! You can do this! Please let us know how you get on. xx <em>edited by BFC on 18/03/2011</em>
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EW GURU
Latest post on 18 March 2011 - 11:34
I believe that Cecile is not a board certified LC but does come highly recommended. I don't know what her BF qualifications are, but she has helped lots of mums with BF problems. Paula Miller, Dr Delphine Dupuis and Dru Campbell are LCs (Dru works only part-time). All are excellent.
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EW GURU
Latest post on 18 March 2011 - 10:57
Thanks girls. Is Cecile a lac consultant too? I thought she was more of a sleep therapist. Yeah, I do wanna see a lac consultant so will go with her if she has an appointment soon. Or else does anyone recommend someone else near marina?
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EW GURU
Latest post on 18 March 2011 - 09:45
(eta sorry Kermi, cross posting! Didn't mean to repeat what you said) Hugs, Stovetop, sounds like you are having a miserable time :( Despite what anyone else may tell you, this much pain is not normal and you shouldn't have to put yourself through it. Nipple shields can be a useful tool for certain Bf problems, but the underlying issue still needs to be addressed - and they should be used v carefully as they can also cause problems of their own (such as reduced milk transfer / lowering if supply as already mentioned). Likewise domperidone (motiliium), as a medication, can be useful in certain circumstances but should be prescribed by a HCP. Sounds like you have a lot of questions but are very keen to exclusively Bf - I would strongly encourage you to call a helpline (free) and/or see a board certified LC (free or fee depending on who you see). Details are in the Breastffeding Support in the UAE thread. Breastfeeding is natural but doesn't always come naturally to all mums and babies and sometimes a bit of help is necessary. Please keep asking for that help until your breastfeeding relationship is back on track. xx edited by BFC on 18/03/2011 <em>edited by BFC on 18/03/2011</em>
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EW NEWBIE
Latest post on 18 March 2011 - 09:45
stovetop, you can get motilium over the counter. 30 tablets around 24 dhs. I've been told 2 tablets every 6 hours. But I'd recommend to consult a lactation consultant first before you start any medication. If you check out the link guinness posted, it's also said there that domperidone (that's what motilium is) should not be used until other causes are ruled out. Either visit the lactation consultant at the clinic you delivered at, or you could have someone coming to your house. Did you have a doula? They would be able to recommend a person. I can also recommend the BF helpline, Sian was a big support. If you don't mind to travel a bit, there's a BF clinic in Sharjah as well. Contact details are here: http://www.expatwoman.com/forum/messages.aspx?TopicID=114076&Page=1 (SianK's post.) All the best! <em>edited by Kermi on 18/03/2011</em>
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EW OLDHAND
Latest post on 18 March 2011 - 08:49
I just wrote a long message but it disappeared. Anyways, the long and short of it, have you tried Motillium? It will increase your BM and it sounds like maybe you don't have enough. 40 minutes is a long time to nurse for her to still be hungry. Motillium helped me get one of my twins nursing again when she quit because my milk wasn't enough. Guinness do I need a prescription for Motillium or is it safe to take it without consulting a doc? Did a google search and saw that it might not be FDA approved. Where is it available? I just bought it over the counter at a pharmacy. This is one of the websites I used when deciding whether or not to take it. http://www.thenewparentsguide.com/breastfeeding-domperidone-drnewman.htm My twins were about four and a half months old and I took it for a month, but it started working a day after I took it.
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EW GURU
Latest post on 18 March 2011 - 03:07
Fenugreek & Licithin both help to increase your milk supply. You can buy it at any health store! Both work wonders and you can see & feel thE difference within days :) Yoghurt & almonds are a great source of healthy fats which makes BM more calorie laiden thus filling baby up! I have a large bowl of yoghurt, topped with a spoonful of crushed almonds & berries, everyday! Would it be an option to consult with a lactation consultant, just to set you on the right track? Cecile De Scally is wonderful and does home visits for newborns! Nothing is a futile attempt, as this is something new to you and your body! Breast milk works on demand, so the more you feed - the more the body will produce! Try expressing when the breast is full, this way you can have an idea of how much she is actually getting out if she empties it! I can't answer on the formula! Have you tried not topping her up? What happens? Hang in there! <em>edited by plumie on 18/03/2011</em>
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EW GURU
Latest post on 17 March 2011 - 23:39
I just wrote a long message but it disappeared. Anyways, the long and short of it, have you tried Motillium? It will increase your BM and it sounds like maybe you don't have enough. 40 minutes is a long time to nurse for her to still be hungry. Motillium helped me get one of my twins nursing again when she quit because my milk wasn't enough. Guinness do I need a prescription for Motillium or is it safe to take it without consulting a doc? Did a google search and saw that it might not be FDA approved. Where is it available?
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EW GURU
Latest post on 17 March 2011 - 23:38
Should I try expressing to understand exactly how much she is getting from my breast? Will this help or this just a futile attempt?
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EW OLDHAND
Latest post on 17 March 2011 - 23:09
I just wrote a long message but it disappeared. Anyways, the long and short of it, have you tried Motillium? It will increase your BM and it sounds like maybe you don't have enough. 40 minutes is a long time to nurse for her to still be hungry. Motillium helped me get one of my twins nursing again when she quit because my milk wasn't enough.
708
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EW GURU
Latest post on 17 March 2011 - 22:58
Thanks everyone. Though I must admit I am at my wit's end with BF. It's something that I really wanna do and am trying really hard, but have too many issues. 1. Right nipple started bleeding today, so am not feeding from it. Am putting Lanolin and milk starts leaking when I do from that breast, which I'm guessing is a good thing since then there won't be engorgement issues? 2. Am trying to feed as much as I can from the left breast and it hurts like the devil. Am trying to go on for 40 mins but it doesn't seem enough for baby, so have to top up with formula 3-4 times a day. Should I try shortening the gap between each BM feed? The ped told me not to go beyond 20 mins since apparently theres not much milk beyond that point? How can I wean her off formula? I really want to exclusively BF. Is it possible that she is having trouble sucking? Though the hospital staff told me that it doesn't look like it n its just that she has a big appetite. 3. Bought the nipple shields but she's having a hard time sucking from them. 4. She sometimes sucks her finger like crazy, so i don't know if shes hungry or just wants to suck. Will I never be able to wean her off the formula? I really want to exclusively BF and it breaks my heart that I can't.
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EW EXPLORER
Latest post on 17 March 2011 - 12:33
Shaf, will it work even if my nipples aren't completely formed yet? They r supposed to work even for women with inverted nipples.. so i guess they shud work for you. When u feed, aim your nipple for the roof of her mouth, they latch easier then. BFing is going to hurt for the first 7-14days.. atleast thats wat happend for me both times. But dont give up yet, it will get better and u will be able to pop ur boob into her mouth in your sleep :)
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EW NEWBIE
Latest post on 17 March 2011 - 11:01
Congrats on your baby Stovetop. Like PP it does get better after a few weeks, air yourself out as much as your can to prevent thrush. If the latch is a little bit off it can hurt and when you are already hurting it can be hard to tell. When breastfeeding my second one I kept a page from a breastfeeding book that had photos of a baby latching on properly to remind myself and had to get DS to try a few times. Sometimes I just wanted to get it over with and put up with the pain but that only makes it worse in the long run. I also pumped for a bit to give myself a bit of a break when they were really sore. One side was always worse than the other. Also tried different breastfeeding positions. The first child was easiest in the football hold and the second one was better lying in bed on my side. Best wishes!
Anonymous (not verified)
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EW NEWBIE
Latest post on 17 March 2011 - 10:35
Whoever said, if the baby is latched properly it shouldn't hurt, lied. It hurts. Like a toe curling pain for about the first 1-2 weeks and then it stops and the feeding gets easier. Just hang in there, and you and your baby will soon be professional nurses.
651
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EW GURU
Latest post on 17 March 2011 - 09:53
Determination, perseverance & will power, will get you through these first few tough days! The 2 week and 6 mark will be the toughest as this is when most babies go through major growth spurts! You will feel like a human feeding machine, but know that it will get better and your baby is taking from you what it needs ;) Ensure the latch is correct (kellymom.com is a great resource for anything baby & breastfeeding related), get a good breastfeeding pillow (I use My Brestfriend and it has made feeding so much more comfortable), make sure you are comfortable before positioning baby, Lansinoh after every feed and air dry as much as possible!!! Panadol for the really painful days and water to keep you rehydrated! Also, if baby has latched on incorrectly, make sure you de-latch properly by gently wedging your pinky finger in her mouth and taking her off, instead of just pulling her off! Doing it incorrectly can cause painful nipples as well :/: You are doing a wonderful job, and when the going gets tough, just reach out and I am sure the wonderful ladies on EW will get you through it :)
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EW NEWBIE
Latest post on 17 March 2011 - 09:13
Congrats Stovetop:) I was just like you and found it quite painful for some weeks - but it got better when i did the following: - nipple cream after each feed lots of it. - 1x Panadol twice per day for a few days - cabbage leaves after every feed and during the night (the feeling of pain relief was amazing with these) My LC also said the following - if the latch on pain was extremely painful for more than 30 seconds then re latch - it does get better, even though at 2 months in i still occasionally feel sore but the cream does wonders
 
 

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