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Infant feeding

Get advice and support with infant feeding from other users here.

someone please help me succeed :-( flat nipples

20 replies

supadupapupascupa · 11/02/2012 19:19

My daughter is 2 weeks old today and I am trying to establish breast feeding. I have flattish nipples and despite all my best efforts I have not been able to latch either her or her brother before her. So currently I am expressing all my milk (with which i could start a super dairy!) and have just switched from cup feeding to bottle feeding.
Her suck is fab, she knows where the nipple is and desperately tries to latch. All my MWs and HVs have all said she will do it if any baby will because she is so keen. So I tried nipple shields (as I did with my son) and BINGO, we managed to do a few feeds direct from the breast.
She started being quite sick with the cup feeding (presumably because she was drinking too fast, so we switched to bottles in the hope it would slow her down and i has worked brilliantly (and is a hell of a lot easier too!)
So, here's where I need help. I have just tried to breastfeed with the shields and she is sucking so damned hard I can't bear the pain any more Sad. I have extra large shields thinking this was the problem, but she sucks so hard it's like a friction burn sensation. Am I doomed to failure? Does anyone know what I can do? i really want to crack this Sad but i can't stand the pain.....

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UntamedShrew · 11/02/2012 19:21

Can you start the feed with the shield then whip it off & latch her straight back on again? As her suction might sort of pull you into an easier shape for her mouth IYSWIM?

supadupapupascupa · 11/02/2012 19:28

i tried that but she kind of snuffles, desperately tries to latch, gets cross and then gives up screaming Sad. That was my plan but it just isn't working....

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supadupapupascupa · 11/02/2012 19:33

really upset now. she looks at me in floods of tears and i feel so bloody useless. she's having a bottle now with her daddy. why is this so hard?

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belindarose · 11/02/2012 19:34

I just wanted to give you some hope - I had very inverted nipples and expressed exclusively for 5 weeks before DD could latch on. I think she was just bigger and stronger by then. It seemed like forever, but it was great when she managed it. I breasted her for 19 months. However, I had amazing support from a great bf clinic (and NOT from MW or HV!), so it would be good for you to get some real life support.

belindarose · 11/02/2012 19:35

Just read your post again. For those 5 weeks, I tried to bf each feed (but failed) and had the bottle of EBM ready next to me for as soon as it got too stressful for me or for her.

supadupapupascupa · 11/02/2012 19:38

so you think i should just keep going and trying her every day until she gets it? I haven't been to a support group yet because i haven't quite figured out how to get out of the house with a toddler and newborn Smile but there is one i could go to so i should make that a priority...
thank you for your words, they have helped.....

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belindarose · 11/02/2012 19:45

I'm 20 weeks with DC2 and plan on doing the same again if I have to, but am prepared for it to be too difficult with the toddler as well. Hoping that feeding DD will have prepared the way for this one. Can you get a bf peer counsellor to come and see you? I think there are helpline numbers on this site. Also, do you have a really good breast pump? I was lent a hospital grade one - they suggest double pumping (ie both breasts at once). I think it was also the process of expressing that altered my nipple shape and enabled the latching on. You're not near Oxford are you? Just on the offchance! The clinic at the JR is amazing.

LunaticFringe · 11/02/2012 19:46

This reply has been deleted

Message withdrawn at poster's request.

Panzee · 11/02/2012 19:51

Will something like this help? I found it quite useful.

belindarose · 11/02/2012 19:51

It's amazing how much I've forgotten in 2 short years. Also want to add that DD was only ever able to latch onto one breast and I fed from just that one. Expressed from both. They're evenly sized and shaped now. So, maybe if you find one side easier, you could stick with just that one.

supadupapupascupa · 11/02/2012 19:55

there doesn't seem to be much support here tbh (there was where i used to live). I'm in lincolnshire.
I have a medela swing which is fab and i like doing one breast at a tome so i can massage at the same time (long story but last time i got mastitus twice and ended up with a breast abscess)
it is hard with expressing and a toddler, i think i'm a bit down because i'm tired. i know doing this is the hardest way to feed a baby it would just be nice for it to go right seeing as i am putting in all this effort.

it is early days, i won't give up. will hang on to getting it right by week 6! Smile

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Dontbugmemalone · 11/02/2012 19:58

Hi, I had a similar problem when DS was born, a nurse recommended using nipple shields which he refused at first. I had to forcefully express milk (this was the hind milk, I think it's called) so the nurses could give him the milk via a syringe.
After a couple of weeks of trying with the nipple shields, my nipples did expand (sorry TMI) and DS happily fed after that. Can you ask a midwife/breastfeeding support group? It takes a lot of perserverance but you'll both get there :). Good luck.

supadupapupascupa · 11/02/2012 20:04

panzee i just ordered one, got to be worth £6 if it works!

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supadupapupascupa · 12/02/2012 09:47

well, i swapped the big shields for the smaller ones and still getting too strong a suck so managed 5mins this morning Sad. best keep pumping!

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crikeybadger · 12/02/2012 10:30

I know it's hard to feed with flat nipples- but it's not impossible.

Remember it's called breast feeding, not nipple feeding Smile.

Does it help things if you shape the breast in to a sort of sandwich shape at all? See Dr Sears explanation here.

Stick at it, you'll get there eventually.

Moobee · 12/02/2012 10:34

I hope this isn't facetious as I barely know what I'm doing either, but I read on here someone once saying that the best advice they'd received was to shove the nipple in like a hamburger. Sometimes with DD when the boob is emptying she can't latch because there's too much squishy boob so I squeeze the nipple area and put it in her mouth and then she's able to catch on. Worth a try?

Moobee · 12/02/2012 10:35

Cross post with badger

Oeisha · 12/02/2012 14:58

Supa I'll give you the advice the BF specialist gave me today, and if any of it works for you, then great!

Did they check for a high-pallate or tongue-tie when baby-supa was born? These issues can both delay BF.

RE: nipple shields, measure your nipple side-to-side (how far it sticks out is irrelevant apparently). I ended up needing the large ones...not standard and have gone for the medela large...which the BF specialist was very pleased with (one thing the hospital did get right) as the medela ones give you very good sensation and stick quite well to the breast (so they're not sliding about and thus loosing latch)!
THESE GUYS
Couldn't find them in mothercare etc. but these ones are doing me great...apparently! Grin

A lot of the problems women have with pain etc (especially if you feel you have 'flat' nipples) is due to there not being enough nipple in the mouth.
You know when you're expressing, the sheer quantity in the pump (literally all your areola), that's the amount that shoud be in baby's gob...pincering it in, like a hamburger's a good way, though BF specialist suggested using a finger to guide the whole thing in nice and deep...support under boob with outer 3 fingers and point in with the pointing finger until there's a decent latch, and then remove the finger, use the thumb to support/guide the upper breast.

Also, I've been positioning her wrongly. I'm doing rugby-ball at the moment and my nipple needs to be pointing AWAY from her and over her nose...that way when she's opening wide, you're getting enough nipple in at the bottom. She was doing well at sucking in the top herself.

When she's latched her chin should be massaging the breast and she should be nice and close and "tucked in" under the breast....I'd been putting her too much on the side previously...assuming the size of my boob was rahter intimidating...apparently similarly to when 'front feeding'...nice and close and tucked in/under.

Snufflix is a bit furious at points, and apparently I just have to be a bit more forceful. If needs be, start with a shield, de-latch after a few minutes and try without. If not, then whack if back on. Baby-steps...try it and if it's not workign now, go back to it later. She's a willful little sod and basically I have to let her know who's boss and force the issue....she's exactly like this with bottles too, but it's somehow easier to be forceful with a a bottle.

Other kit: feather pillow (covered with a waterproof cover etc) as they're eaier to lound to baby and a hand-towel to roll-up (you can then use this to steady the head and neck, so you can to 'hands-free').

Keep looking for support. It's a shame you've not found it/it's not available in lincs...hopefully I can keep it up. It really was very satisfying to see her latch properly.

If I think of anything else she said I'll let you know. FX for you.

Oeisha · 12/02/2012 19:39

ok, should have edited that before I posted, but someone was snuffling for a boob. "as they are easier to...basically, tip it on it's side, not flat and that makes a nice platform for feeding, you can snuggle them into it a bit"...

...my nips are now fairly red. must whack some lansinoh on...

supadupapupascupa · 31/03/2012 18:04

Just updating for anyone who comes across this as a search.
I managed to express for 2 weeks, had my own manufacturing plant going! Delivery was useless, only once got a latch with shields. Then I got mastitus bad, Never again. I had to stop, was really sick and couldn't risk an abscess again - i clearly have an issue with that one breast. I had a weeks supply in the freezer but then she went onto formula.

Thanks for your help ladies and good luck to anyone else with problems.

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