Breastfeeding Resources

MOM ISSUES:

Low Milk Supply: https://kellymom.com/hot-topics/low-supply/

(normal milk supply: around 1oz/hr, after 3 hours you would get around 3oz total both breasts by 2 weeks postpartum)

Breast Pain: Engorgement (swollen) & Clogged Ducts

Engorgement: hardness, full uncomfortable breasts: You want to decrease swelling: Cold compresses, ibuprofen, laying flat on back. https://my.clevelandclinic.org/health/diseases/breast-engorgement

Clogged Ducts: hard spots or pain in one part of your breast. Treated similar to engorgement. Many moms take Sunflower Lecithin to help prevent and treat clogged ducts. https://www.babycenter.com/baby/breastfeeding/clogged-milk-ducts_8494

Mastitis: pain in breast, red streaking, fever, chills, feeling yucky, clogged duct/engorgement. Mastitis: Causes, Symptoms, Treatment & Prevention (CALL OB or go to Walk-In Clinic for treatment)

Vasospasm/Raynaud's of the Nipple: shooting breast/nipple pain that occurs after nursing/pumping, normally have color change to nipple (white/blanched and/or darker red/purple returning to normal color) heat makes it feel better (covering nipples right away).
https://ibconline.ca/information-sheets/vasospasm/
https://www.summerwarmth.co.nz/Resources/Raynauds+Information.html?srsltid=AfmBOopo73ezIEgXcolmaDnXqt7RlnJCt8N8TeOWLNboylGS8ZvIAx-q
https://kellymom.com/bf/concerns/mother/nipple-blanching/

Thrush/Yeast on the Nipples: sudden burning pain in nipples, can't stand anything touching nipples, might have redness on and around nipple, shiny flakey skin, or no symptoms but nipple pain not normally there. https://nestcollaborative.com/blog/thrush-and-breastfeeding/ and
https://ibconline.ca/information-sheets/candida-protocol/

Need to Treat Both Mom and Baby if it is Yeast/Thrush, boil all parts, milk is safe. Do not use oral liquid for baby's mouth on nipples.

Over-the-counter follow this recipe to formulate a non-prescription all purpose nipple ointment.

All Purpose Nipple Ointment:
Mix equal parts of:
• 1% Hydrocortisone Ointment (if pain/burning)
• Bacitracin Ointment (or Polysporin)
• Miconazole cream (May use Lotrimin or Lotrimin Ultra instead) (if you are told there is a concern for yeast or thrush) Apply the ointment sparingly to nipples after feedings for 7-14 days. If your nipple damage worsens or does not improve within 14 days, contact your Provider or Lactation. Want to absorb into skin. Safe for baby, but may wipe off any residue if going to nurse.

BABY ISSUES:

Gassy/Fussy Baby or Milk Allergy?
Lactose Overload In Babies: How To Fix It – Baby Care Advice

Baby Chokes at Breast or is Gassy/Spits Up a Lot: https://kellymom.com/bf/got-milk/supply-worries/fast-letdown/

Tongue/Lip Ties in Your Baby? Painful Breastfeeding? Not Gaining Weight? https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/tongue-tie-in-babies-how-ankyloglossia-affects-breastfeeding.aspx (We have 3 providers in-office who can evaluate & perform a tongue clipping (frenectomy) if needed for breastfeeding issues)

Biting: https://llli.org/breastfeeding-info/biting/ https://kellymom.com/ages/older-infant/biting/#prevent

Other Common Issues/Questions:

Bottle Strike/Refusal: https://www.thebump.com/a/baby-refusing-bottle

How Much Should Baby Be Eating:
https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/how-often-and-how-much-should-your-baby-eat.aspx

Medication Safety Check: https://e-lactancia.org/ (always double check with Pediatrician)

Alcohol, Caffeine, and Diet: Diet for Breastfeeding Mothers | Children's Hospital of Philadelphia