Breastfeeding Resources

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Favorite Breastfeeding Links:

Some of our favorite links to breastfeeding information include:

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). 
Raynaud's Information
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.


All Purpose Nipple Ointment: (or see OBGYN Provider)
Mix equal parts of:
• 1% Hydrocortisone Ointment (if pain/burning) 
• 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, contact your OBGYN/Mother's Family Provider and Lactation. (You want ointment to absorb into the skin. Safe for the baby, but you 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) and Infant Risk
Alcohol, Caffeine, and Diet: Diet for Breastfeeding Mothers | Children's Hospital of Philadelphia


Breastfeeding resources text over a close-up of a parent nursing a baby