Tag: Breastfeeding

Breastfeeding Troubleshooting

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Breastfeeding Troubleshooting

April 07, 2022

Although breastfeeding is natural, it can be difficult. From sore nipples and engorgement to clogged ducts, here are some of the most common breastfeeding issues and how to cope.

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

Mastitis

Mastitis is a breast infection that typically presents itself as a painful, hard, red area on the breast, along with a fever and flu-like symptoms. It can also often follow engorgement. Cracked nipples may increase your risk, as broken skin allows germs to penetrate the breast and can lead to infection of the breast tissue. Seek medical treatment from your healthcare provider immediately if you are experiencing symptoms of mastitis.

HOW TO HELP

In addition to treatment from your healthcare provider, it is recommended to:
• Heat, rest, and empty breast.
• Use a warm compress before a feeding.
• Get extra rest.
• Continue pumping or breastfeeding; emptying the breast reduces inflammation. If this hurts, detach baby and try again.

Thrush

Thrush is caused by a yeast fungus, and symptoms can include:
• Itchy or burning nipples that appear fiery red, shiny, flaky, and/or have a rash with tiny blisters
• Cracked nipples
• Shooting pains in the breast during or after feedings
• Intense nipple or breast pain that does not improve with better latch-on and/or positioning

HOW TO HELP

It is important to see your healthcare provider for treatment, and it is necessary for both you and your baby to be treated since it is contagious and spreads easily. This fungus thrives in warm, moist environments, such as your baby’s mouth. A baby may also have yeast rashes in the diaper area.

Forceful letdown

This can be a sign of waiting too long between feedings. The more milk that is stored in the breast, the more pressure there is, making letdown more forceful.

HOW TO HELP

To manage a forceful letdown, you can press on the breast near the nipple just before latching your baby, and spray the initial streams into a cloth, bottle, cup, etc. Trying different positions such as laid back or side lying may also help slow things down.


The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• http://www.medelabreastfeedingus.com/article/153/managing-blocked-milk-ducts-and-treating-mastitis
• http://www.medelabreastfeedingus.com/article/88/comfort-for-mom:-treating-engorged-breasts
• https://www.llli.org/breastfeeding-info/positioning/
• https://www.mottchildren.org/health-library/hw103462
• https://americanpregnancy.org/breastfeeding/nipple-pain-remedies/
• https://www.llli.org/breastfeeding-info/thrush/
• https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Falling-Asleep-at-the-Breast-Bottle.aspx
• https://www.todaysparent.com/baby/breastfeeding/falling-asleep-at-the-breast/
• https://www.medelabreastfeedingus.com/article/141/4-reasons-babies-bite-while-breastfeeding
• https://www.llli.org/breastfeeding-info/biting/
• https://www.todaysparent.com/baby/breastfeeding/how-to-handle-oversupply-and-overactive-letdown/


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Breastfeeding Positions

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Breastfeeding Positions

April 07, 2022

There are many different positions that can work while breastfeeding. It is important to find one that is comfortable for both you and your baby. This will make feedings more enjoyable and successful! During the early weeks you and your baby will navigate and find what works best for you. There are several different positions you can try. You can use the tips below as a guide and modify to fit your needs. If you feel pain or discomfort, try a different position (also consider proper latch).

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

Mastitis

Mastitis is a breast infection that typically presents itself as a painful, hard, red area on the breast, along with a fever and flu-like symptoms. It can also often follow engorgement. Cracked nipples may increase your risk, as broken skin allows germs to penetrate the breast and can lead to infection of the breast tissue. Seek medical treatment from your healthcare provider immediately if you are experiencing symptoms of mastitis.

HOW TO HELP

In addition to treatment from your healthcare provider, it is recommended to:
• Heat, rest, and empty breast.
• Use a warm compress before a feeding.
• Get extra rest.
• Continue pumping or breastfeeding; emptying the breast reduces inflammation. If this hurts, detach baby and try again.

Thrush

Thrush is caused by a yeast fungus, and symptoms can include:
• Itchy or burning nipples that appear fiery red, shiny, flaky, and/or have a rash with tiny blisters
• Cracked nipples
• Shooting pains in the breast during or after feedings
• Intense nipple or breast pain that does not improve with better latch-on and/or positioning

HOW TO HELP

It is important to see your healthcare provider for treatment, and it is necessary for both you and your baby to be treated since it is contagious and spreads easily. This fungus thrives in warm, moist environments, such as your baby’s mouth. A baby may also have yeast rashes in the diaper area.

Forceful letdown

This can be a sign of waiting too long between feedings. The more milk that is stored in the breast, the more pressure there is, making letdown more forceful.

HOW TO HELP

To manage a forceful letdown, you can press on the breast near the nipple just before latching your baby, and spray the initial streams into a cloth, bottle, cup, etc. Trying different positions such as laid back or side lying may also help slow things down.


The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• http://www.medelabreastfeedingus.com/article/153/managing-blocked-milk-ducts-and-treating-mastitis
• http://www.medelabreastfeedingus.com/article/88/comfort-for-mom:-treating-engorged-breasts
• https://www.llli.org/breastfeeding-info/positioning/
• https://www.mottchildren.org/health-library/hw103462
• https://americanpregnancy.org/breastfeeding/nipple-pain-remedies/
• https://www.llli.org/breastfeeding-info/thrush/
• https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Falling-Asleep-at-the-Breast-Bottle.aspx
• https://www.todaysparent.com/baby/breastfeeding/falling-asleep-at-the-breast/
• https://www.medelabreastfeedingus.com/article/141/4-reasons-babies-bite-while-breastfeeding
• https://www.llli.org/breastfeeding-info/biting/
• https://www.todaysparent.com/baby/breastfeeding/how-to-handle-oversupply-and-overactive-letdown/


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Related Articles

Getting a Good Latch

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Getting a Good Latch

April 07, 2022

The most important part of successful breastfeeding is the latch. If your baby is not properly latched on to your breast, feedings could be painful, and milk may not be transferred efficiently and effectively. This may make for longer, less successful feeding sessions and can impact milk supply long term.

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

Mastitis

Mastitis is a breast infection that typically presents itself as a painful, hard, red area on the breast, along with a fever and flu-like symptoms. It can also often follow engorgement. Cracked nipples may increase your risk, as broken skin allows germs to penetrate the breast and can lead to infection of the breast tissue. Seek medical treatment from your healthcare provider immediately if you are experiencing symptoms of mastitis.

HOW TO HELP

In addition to treatment from your healthcare provider, it is recommended to:
• Heat, rest, and empty breast.
• Use a warm compress before a feeding.
• Get extra rest.
• Continue pumping or breastfeeding; emptying the breast reduces inflammation. If this hurts, detach baby and try again.

Thrush

Thrush is caused by a yeast fungus, and symptoms can include:
• Itchy or burning nipples that appear fiery red, shiny, flaky, and/or have a rash with tiny blisters
• Cracked nipples
• Shooting pains in the breast during or after feedings
• Intense nipple or breast pain that does not improve with better latch-on and/or positioning

HOW TO HELP

It is important to see your healthcare provider for treatment, and it is necessary for both you and your baby to be treated since it is contagious and spreads easily. This fungus thrives in warm, moist environments, such as your baby’s mouth. A baby may also have yeast rashes in the diaper area.

Forceful letdown

This can be a sign of waiting too long between feedings. The more milk that is stored in the breast, the more pressure there is, making letdown more forceful.

HOW TO HELP

To manage a forceful letdown, you can press on the breast near the nipple just before latching your baby, and spray the initial streams into a cloth, bottle, cup, etc. Trying different positions such as laid back or side lying may also help slow things down.


The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• http://www.medelabreastfeedingus.com/article/153/managing-blocked-milk-ducts-and-treating-mastitis
• http://www.medelabreastfeedingus.com/article/88/comfort-for-mom:-treating-engorged-breasts
• https://www.llli.org/breastfeeding-info/positioning/
• https://www.mottchildren.org/health-library/hw103462
• https://americanpregnancy.org/breastfeeding/nipple-pain-remedies/
• https://www.llli.org/breastfeeding-info/thrush/
• https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Falling-Asleep-at-the-Breast-Bottle.aspx
• https://www.todaysparent.com/baby/breastfeeding/falling-asleep-at-the-breast/
• https://www.medelabreastfeedingus.com/article/141/4-reasons-babies-bite-while-breastfeeding
• https://www.llli.org/breastfeeding-info/biting/
• https://www.todaysparent.com/baby/breastfeeding/how-to-handle-oversupply-and-overactive-letdown/


Tags: , , , , , , ,

Related Articles

How Much Should My Baby Be Eating?

Contact Us: 1.888.344.3434

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How Much Should My Baby Be Eating?

April 07, 2022

You may see different recommendations based on whether you choose to breastfeed or formula feed your baby. The most important thing to remember is that your baby’s feeding needs are unique.

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

Mastitis

Mastitis is a breast infection that typically presents itself as a painful, hard, red area on the breast, along with a fever and flu-like symptoms. It can also often follow engorgement. Cracked nipples may increase your risk, as broken skin allows germs to penetrate the breast and can lead to infection of the breast tissue. Seek medical treatment from your healthcare provider immediately if you are experiencing symptoms of mastitis.

HOW TO HELP

In addition to treatment from your healthcare provider, it is recommended to:
• Heat, rest, and empty breast.
• Use a warm compress before a feeding.
• Get extra rest.
• Continue pumping or breastfeeding; emptying the breast reduces inflammation. If this hurts, detach baby and try again.

Thrush

Thrush is caused by a yeast fungus, and symptoms can include:
• Itchy or burning nipples that appear fiery red, shiny, flaky, and/or have a rash with tiny blisters
• Cracked nipples
• Shooting pains in the breast during or after feedings
• Intense nipple or breast pain that does not improve with better latch-on and/or positioning

HOW TO HELP

It is important to see your healthcare provider for treatment, and it is necessary for both you and your baby to be treated since it is contagious and spreads easily. This fungus thrives in warm, moist environments, such as your baby’s mouth. A baby may also have yeast rashes in the diaper area.

Forceful letdown

This can be a sign of waiting too long between feedings. The more milk that is stored in the breast, the more pressure there is, making letdown more forceful.

HOW TO HELP

To manage a forceful letdown, you can press on the breast near the nipple just before latching your baby, and spray the initial streams into a cloth, bottle, cup, etc. Trying different positions such as laid back or side lying may also help slow things down.


The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• http://www.medelabreastfeedingus.com/article/153/managing-blocked-milk-ducts-and-treating-mastitis
• http://www.medelabreastfeedingus.com/article/88/comfort-for-mom:-treating-engorged-breasts
• https://www.llli.org/breastfeeding-info/positioning/
• https://www.mottchildren.org/health-library/hw103462
• https://americanpregnancy.org/breastfeeding/nipple-pain-remedies/
• https://www.llli.org/breastfeeding-info/thrush/
• https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Falling-Asleep-at-the-Breast-Bottle.aspx
• https://www.todaysparent.com/baby/breastfeeding/falling-asleep-at-the-breast/
• https://www.medelabreastfeedingus.com/article/141/4-reasons-babies-bite-while-breastfeeding
• https://www.llli.org/breastfeeding-info/biting/
• https://www.todaysparent.com/baby/breastfeeding/how-to-handle-oversupply-and-overactive-letdown/


Tags: , , , , , ,

Related Articles

Baby Hunger and Fullness Cues

Contact Us: 1.888.344.3434

Home          Shop Breast Pumps          Support for Moms          FAQs          Why Choose EHCS          Store         


Baby Hunger and Fullness Cues

April 07, 2022

Even before your child can talk, he or she will show signs of hunger or fullness by using sounds and movements.

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

Mastitis

Mastitis is a breast infection that typically presents itself as a painful, hard, red area on the breast, along with a fever and flu-like symptoms. It can also often follow engorgement. Cracked nipples may increase your risk, as broken skin allows germs to penetrate the breast and can lead to infection of the breast tissue. Seek medical treatment from your healthcare provider immediately if you are experiencing symptoms of mastitis.

HOW TO HELP

In addition to treatment from your healthcare provider, it is recommended to:
• Heat, rest, and empty breast.
• Use a warm compress before a feeding.
• Get extra rest.
• Continue pumping or breastfeeding; emptying the breast reduces inflammation. If this hurts, detach baby and try again.

Thrush

Thrush is caused by a yeast fungus, and symptoms can include:
• Itchy or burning nipples that appear fiery red, shiny, flaky, and/or have a rash with tiny blisters
• Cracked nipples
• Shooting pains in the breast during or after feedings
• Intense nipple or breast pain that does not improve with better latch-on and/or positioning

HOW TO HELP

It is important to see your healthcare provider for treatment, and it is necessary for both you and your baby to be treated since it is contagious and spreads easily. This fungus thrives in warm, moist environments, such as your baby’s mouth. A baby may also have yeast rashes in the diaper area.

Forceful letdown

This can be a sign of waiting too long between feedings. The more milk that is stored in the breast, the more pressure there is, making letdown more forceful.

HOW TO HELP

To manage a forceful letdown, you can press on the breast near the nipple just before latching your baby, and spray the initial streams into a cloth, bottle, cup, etc. Trying different positions such as laid back or side lying may also help slow things down.


The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• http://www.medelabreastfeedingus.com/article/153/managing-blocked-milk-ducts-and-treating-mastitis
• http://www.medelabreastfeedingus.com/article/88/comfort-for-mom:-treating-engorged-breasts
• https://www.llli.org/breastfeeding-info/positioning/
• https://www.mottchildren.org/health-library/hw103462
• https://americanpregnancy.org/breastfeeding/nipple-pain-remedies/
• https://www.llli.org/breastfeeding-info/thrush/
• https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Falling-Asleep-at-the-Breast-Bottle.aspx
• https://www.todaysparent.com/baby/breastfeeding/falling-asleep-at-the-breast/
• https://www.medelabreastfeedingus.com/article/141/4-reasons-babies-bite-while-breastfeeding
• https://www.llli.org/breastfeeding-info/biting/
• https://www.todaysparent.com/baby/breastfeeding/how-to-handle-oversupply-and-overactive-letdown/


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Medela Pump In Style with MaxFlow Now Available

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Medela Pump In Style with MaxFlow Now Available

April 06, 2022

Perfect For Moms Who Pump Several Times A Day!

Medela’s beloved Pump In Style® breast pump line is debuting a new member: The Pump In Style with MaxFlow™ Technology! This new pump is a double electric, single-user breast pump designed to maximize pumping efficiency.

Simply put: It’s a hardworking pump for hardworking moms, built on Medela’s 60-year commitment to moms to use research-driven innovative technology to help moms in their breastfeeding journey. Designed for the on-the-go mom, the new Pump In Style with MaxFlow Technology comes with everything you need to pump, including a closed system to keep tubing clean and free of milk and hospital performance to ensure you’re pumping as efficiently as possible.

  • Medela’s patented 2-Phase Expression with its new MaxFlow Technology that uses micro-vibrations to increase and optimize milk flow

  • Research-based breast shield design that’s more comfortable and helps mom produce 11.8% more milk than standard breast shields

  • Intuitive control panel simplifies pumping with pre-programmed settings that you can customize for your comfort and to match your baby’s nursing rhythm

  • Easy-to-clean construction with fewer parts to assemble and clean

  • Battery pack so you can pump anywhere, regardless of whether you have access to an outlet (batteries not included)

Highly Effective, Yet Easy To Use

Moms work hard all day, every day, and you don’t have time to set up, program and clean complicated breast pumps. That’s why Medela created the Pump In Style with MaxFlow, which maximizes your time and your pumping sessions. One of the quietest pumps available, the Pump In Style with MaxFlow features:

Medela Pump In Style with MaxFlow

The Pump In Style with MaxFlow breast pump comes in two configurations:

  1. Pump In Style with MaxFlow: The standard version of the pump is usually fully covered by most insurance plans and comes with everything you need to pump, including one set of 24mm breast shields, two bottles and a battery pack. Click here to learn more about the standard pump.

  2. Deluxe Pump In Style with MaxFlow: This version is typically an upgraded breast pump, and the fee depends on your insurance coverage. The deluxe version includes the standard Pump In Style with MaxFlow Technology pump and also includes two sizes of breast shields (21mm and 24mm), five bottles, a stylish bag and a cooler. Click here to learn more about the deluxe pump.

Have more questions? Listen to our FREE podcast!

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Breastfeeding Basics

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Breastfeeding Basics

April 06, 2022

Expect breastfeeding to be a learning process. You and your baby are both learning; your baby is learning how to latch, suck, and swallow and you are learning your baby’s hunger cues, positioning for a proper latch, and managing your breast milk supply.

breastfeeding basics, how to prepare for breastfeeding

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

Mastitis

Mastitis is a breast infection that typically presents itself as a painful, hard, red area on the breast, along with a fever and flu-like symptoms. It can also often follow engorgement. Cracked nipples may increase your risk, as broken skin allows germs to penetrate the breast and can lead to infection of the breast tissue. Seek medical treatment from your healthcare provider immediately if you are experiencing symptoms of mastitis.

HOW TO HELP

In addition to treatment from your healthcare provider, it is recommended to:
• Heat, rest, and empty breast.
• Use a warm compress before a feeding.
• Get extra rest.
• Continue pumping or breastfeeding; emptying the breast reduces inflammation. If this hurts, detach baby and try again.

Thrush

Thrush is caused by a yeast fungus, and symptoms can include:
• Itchy or burning nipples that appear fiery red, shiny, flaky, and/or have a rash with tiny blisters
• Cracked nipples
• Shooting pains in the breast during or after feedings
• Intense nipple or breast pain that does not improve with better latch-on and/or positioning

HOW TO HELP

It is important to see your healthcare provider for treatment, and it is necessary for both you and your baby to be treated since it is contagious and spreads easily. This fungus thrives in warm, moist environments, such as your baby’s mouth. A baby may also have yeast rashes in the diaper area.

Forceful letdown

This can be a sign of waiting too long between feedings. The more milk that is stored in the breast, the more pressure there is, making letdown more forceful.

HOW TO HELP

To manage a forceful letdown, you can press on the breast near the nipple just before latching your baby, and spray the initial streams into a cloth, bottle, cup, etc. Trying different positions such as laid back or side lying may also help slow things down.


The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• http://www.medelabreastfeedingus.com/article/153/managing-blocked-milk-ducts-and-treating-mastitis
• http://www.medelabreastfeedingus.com/article/88/comfort-for-mom:-treating-engorged-breasts
• https://www.llli.org/breastfeeding-info/positioning/
• https://www.mottchildren.org/health-library/hw103462
• https://americanpregnancy.org/breastfeeding/nipple-pain-remedies/
• https://www.llli.org/breastfeeding-info/thrush/
• https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Falling-Asleep-at-the-Breast-Bottle.aspx
• https://www.todaysparent.com/baby/breastfeeding/falling-asleep-at-the-breast/
• https://www.medelabreastfeedingus.com/article/141/4-reasons-babies-bite-while-breastfeeding
• https://www.llli.org/breastfeeding-info/biting/
• https://www.todaysparent.com/baby/breastfeeding/how-to-handle-oversupply-and-overactive-letdown/


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Learn How to Get a Free Breast Pump

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Learn How to Get a Free Breast Pump

December 15, 2021

Planning for a new baby is expensive. Crib, diapers, car seat, stroller and more.

Thanks to the Affordable Care Act, you can leave a breast pump off the registry. Most insurance companies now cover breast pumps at 100% when you use an approved supplier like EHCS.

free breast pump, breast pump covered 100% by insurance, how to get a free breast pump

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

Mastitis

Mastitis is a breast infection that typically presents itself as a painful, hard, red area on the breast, along with a fever and flu-like symptoms. It can also often follow engorgement. Cracked nipples may increase your risk, as broken skin allows germs to penetrate the breast and can lead to infection of the breast tissue. Seek medical treatment from your healthcare provider immediately if you are experiencing symptoms of mastitis.

HOW TO HELP

In addition to treatment from your healthcare provider, it is recommended to:
• Heat, rest, and empty breast.
• Use a warm compress before a feeding.
• Get extra rest.
• Continue pumping or breastfeeding; emptying the breast reduces inflammation. If this hurts, detach baby and try again.

Thrush

Thrush is caused by a yeast fungus, and symptoms can include:
• Itchy or burning nipples that appear fiery red, shiny, flaky, and/or have a rash with tiny blisters
• Cracked nipples
• Shooting pains in the breast during or after feedings
• Intense nipple or breast pain that does not improve with better latch-on and/or positioning

HOW TO HELP

It is important to see your healthcare provider for treatment, and it is necessary for both you and your baby to be treated since it is contagious and spreads easily. This fungus thrives in warm, moist environments, such as your baby’s mouth. A baby may also have yeast rashes in the diaper area.

Forceful letdown

This can be a sign of waiting too long between feedings. The more milk that is stored in the breast, the more pressure there is, making letdown more forceful.

HOW TO HELP

To manage a forceful letdown, you can press on the breast near the nipple just before latching your baby, and spray the initial streams into a cloth, bottle, cup, etc. Trying different positions such as laid back or side lying may also help slow things down.


The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• http://www.medelabreastfeedingus.com/article/153/managing-blocked-milk-ducts-and-treating-mastitis
• http://www.medelabreastfeedingus.com/article/88/comfort-for-mom:-treating-engorged-breasts
• https://www.llli.org/breastfeeding-info/positioning/
• https://www.mottchildren.org/health-library/hw103462
• https://americanpregnancy.org/breastfeeding/nipple-pain-remedies/
• https://www.llli.org/breastfeeding-info/thrush/
• https://www.aap.org/en-us/about-the-aap/aap-press-room/aap-press-room-media-center/Pages/Falling-Asleep-at-the-Breast-Bottle.aspx
• https://www.todaysparent.com/baby/breastfeeding/falling-asleep-at-the-breast/
• https://www.medelabreastfeedingus.com/article/141/4-reasons-babies-bite-while-breastfeeding
• https://www.llli.org/breastfeeding-info/biting/
• https://www.todaysparent.com/baby/breastfeeding/how-to-handle-oversupply-and-overactive-letdown/


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How to Choose a Breast Pump

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How to Choose a Breast Pump

May 31, 2020

Choosing the right breast pump can seem overwhelming. Choosing your ideal breast pump is a decision best made after considering your needs and weighing all of the options.

Here are a few great questions to ask yourself to help choose the right breast pump for you.

how to choose a breast pump

When you’re looking at all of the breast pumps on the market, it can get a little overwhelming – and when you ask your mom friends for advice, that can make the decision even harder. One friend says her Medela helped build her stash before she went back to work. Another swears that her Spectra‘s fantastic suction makes for super-efficient pumping sessions. And one boasts that her Ardo is so quiet her coworkers have no idea she’s pumping in the next room. How do you choose?

The multitude of pump types reflects the individual needs of lactating women, and what worked well for your mother or a friend may not work well for you. Choosing your ideal breast pump is a decision best made after considering your needs and weighing all of the options.

There are several factors that can help determine your ideal breast pump. Obviously your financial situation and what your insurance covers will factor into your decision, but the following are some points to consider when choosing a pump.

  1. How do you plan to use your breast pump? Here are a few additional questions to ask yourself: Are you using a pump in addition to breastfeeding, or will you be exclusively breastfeeding or exclusively pumping? Will your baby be in daycare or with a babysitter several hours of the day? Are you interested in building a “milk stash”? Are you returning to work or school?

  2. How much time will it take you to pump? The amount of time it takes to pump varies, but certain types of breast pumps may be easier to use and extract milk faster. If you plan to pump at work or do not have a lot of time to pump, you may want to consider a battery or electrically powered breast pump. A double pump (which extracts milk from both breasts at the same time) may also decrease the amount of time it takes to pump because both breasts can be emptied simultaneously.

  3. Are the pump’s instructions easy for you to understand? If possible, review the instructions included with several different pumps and choose a pump that is easy for you to assemble, use and clean. Most of the manufacturers have great YouTube channels with videos on breastfeeding, assembling your breast pump and troubleshooting. Reviewing any and all information that you can find will help you make your decision because the FDA prohibits the return of used breast pumps because they are personal care items.

  4. Where will you be using your pump? Manual and battery-powered pumps can be easy to transport and use in small spaces. Electric breast pumps require an outlet, and some moms find them more cumbersome. Luckily breast pump technology has advanced quite a bit, and even double electric breast pumps are relatively light and easy to transport.

  5. Do you need a pump that is easy to transport? If you travel frequently or plan to pump at work, consider buying a lightweight pump that transports easily in a carrying case that holds the pump and pumping supplies. It’s not uncommon for moms to have two breast pumps, one for work and one for home. If that’s not financially feasible, many moms like to have two sets of connection kits and bottles to make it easier to pump at work. That way you can ensure that you always have one set clean. If you plan to pump in the same place every time, you may not need to worry about how easy it is to transport.

Where Should You Get Your Breast Pump ?

When you’re preparing your baby to-do list, acquiring a breast pump might be something you just put on the gift registry because the store suggested it. But you should do some research first! Thanks to the ACA, most insurance companies now cover double-electric breast pumps. Typically the pumps that are covered at 100% are basic pumps, but many insurances permit moms to upgrade to a pump for an additional fee.

Insurance companies work with medical equipment suppliers like EHCS to provide breast pumps. Since 1992, we’ve been working with insurance companies and healthcare providers to provide the best medical equipment. We handle all of the paperwork, bill your insurance and ship your pump for free directly to your home. We’re in network with hundreds of insurances nationwide (including Aetna, Tricare, United Healthcare, many BCBS plans and more than 40 state Medicaid plans), and we carry only the best brands.

Want to know if your insurance covers breast pumps? Email us here or apply for a breast pump now!

We carry name-brand pumps!

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Check out the benefits of breastfeeding

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Check out the benefits of breastfeeding

January 14, 2019

Breastfeeding is the best way to provide essential nutrients while also bonding with your child. However, it’s unrealistic to think you’ll be with your baby 24/7.

Breastfeeding is linked to a lower risk of various health problems for babies along with others, learn more below.

Sore nipples

In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with baby’s latch, position, or suck. Working on improving baby’s latch or position should resolve much of the pain related to sore nipples.

HOW TO HELP
Aside from correcting any issues with the latch or positioning, try the following tips:
• Vary nursing positions by trying the cradle hold, cross cradle hold, football (clutch) hold, and lying down. This helps to vary the baby’s position on the nipple over the course of the day.
• Begin the feeding on the least sore side until the letdown occurs, then gently switch baby to the other breast.
• Express a little milk or colostrum onto your nipples after nursing or use a nipple cream to help keep your nipples from becoming dry and/or cracked.
• Let your nipples air dry.
• Apply a cool compress to dry nipples after feeding.
• If your nipples are very sore, place breast shields inside your bra to prevent contact between clothes and nipples.
• If nipple pain worsens after the first days of breastfeeding, it could be due to other causes like thrush, bacterial infection, or tongue-tie.

Clogged ducts

This feels like a firm, sore lump in the breast, and may be reddened and warm to the touch. This is common and can be caused by anything from missing feedings to wearing a bra that is too tight.

HOW TO HELP

Prior to a feeding, use a warm, moist compress on the plugged area for several minutes, then massage the blocked area toward the nipple during nursing or pumping. Begin nursing or pumping on the affected side until the blockage is broken up. You can also try a warm soak in the bath or shower along with massaging the plugged duct while soaking.

Engorgement

This is a common issue new mothers experience. The symptoms may include tender or hard breasts, swelling, reddened areas, and flattened nipples from breast stretching. It may be more difficult for baby to latch if you are engorged. To help prevent engorgement, feed or pump often (usually at least 8-10 times in a 24-hour period) with a proper latch. You may need to express milk from your breasts after feeding if baby has not completely relieved the fullness.

HOW TO HELP

Discomfort may subside in as little as 24 – 48 hours by trying the following:
• Continue to breastfeed or pump frequently to relieve fullness.
• If baby is having difficulty latching properly due to the fullness, hand express or pump some milk until the areola has softened enough for baby to latch.
• Applying a warm, wet compress and massaging breasts for approximately 10 minutes before a feeding can help with milk flow, while applying a cold compress for 15 minutes each hour between feedings can help with pain and swelling.
• Rest, rest, and more rest!

Have more questions? Listen to our FREE podcast!

LISTEN NOW

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