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Infant feeding

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

Breast feeding 4 day old DD - sore nipples

16 replies

APipkinOfPepper · 11/07/2012 02:21

DD was born on Saturday. She seemed to take to breast feeding really well, didn't seem to be any problem with her latch. However, my nipples are really sore/cracked and it is painful feeding her.

To add to this, from day 1 she has cluster fed from 9pm to 1am ish, so far tonight I have only managed two half hour naps. Also, I think I'm coming down with a sore throat and feel rotten.

The midwife came yesterday, saw me feeding, said latch was ok and suggested nipple shields and getting some formula in in case I couldn't continue. I really want to make this work though! I managed it with DS!!

Does anyone have any advice on how to improve things?

OP posts:
bumptobabies · 11/07/2012 02:47

chamomile tea bags soaked in warm water then placed on nipples,caledula cream,leaves from a cabbage all help it will ease off good luck

Salhal · 11/07/2012 03:04

You say you feel rotten, keep an eye out for mastitis; sore, red, hot boob, flu like symptoms and get this checked out as soon as possible if you think it might be. I think sometimes nipples are just sore to begin with but try and get your latch checked again, sleep when you can and rest as much as possible, cluster feeding is hard work and you are doing really well!

MumbleMumm · 11/07/2012 03:10

Get your latch checked again - by a breastfeeding support worker/la Leche league. It shouldn't need to hurt this much - midwives aren't necessarily always great with their advice regarding bfeeding unfortunately.
Definitely watch for mastitis as post above says.
The breastfeeding network has a 24hr helpline, as does the NCT. Please give them a call if you are struggling now.

Evening cluster feeding sucks - but it does get better. Honestly.

beginnersluck · 11/07/2012 03:18

You poor thing!

Lansinoh nipple cream -put it on after every feed (and before, if you like)
Cracked nipples are so painful, but they heal amazingly quickly as long as the latch is right.

Can you get some real life bf support - maybe a drop-in session or babycafe or something?

Hang in there - it does get easier!

APipkinOfPepper · 11/07/2012 03:34

Thanks everyone!

The latch looks right to me, but I will try and get it checked out again. I'll keep an eye out for mastitis, but given DS has had a stonking cold ever since we got back from hospital I think it is more likely to be that.

Managed to get a bit of sleep now, so feeling a bit more optimistic about things, hopefully I can work through this and they will heal.

My mum is coming over this afternoon to help, and of course DH is here, so should be able to get some sleep during the day.

OP posts:
MigGril · 11/07/2012 07:58

A latch can look ok but its little things that can show that it's not quit right. some one needs to watch a whole feed from latching on to coming off. if its painful then isn't a great latch.

nippleShields won't help sort out the latch. try to get some more breastfeeding support.

Astaril · 11/07/2012 17:48

I know some will disagree but if your milk supply is pretty good do not worry about using nipple shields to get some much needed relief!

I really thought I would have to chuck in the towel with breast feeding as I just couldn't cope with the pain, added to that huge breasts, small baby, not very prominant nipples, one slightly flat, it was a latching breastfeeding nightmare. I was absolutely determined to carry on, but had to give her formula top ups because I just couldn't feed her, I was in agony! My husband bought half of mothercare any product that might help and in his little batch of things were some medela nipple shields! I had tried with some Mothercare ones in the hospital, the midwife had secretly told me to try them, (because apparently they were not allowed to advise the use of them.Angry ) She had seen how desperate I was, they were crap, too floppy and didn't stay on right, don't use these!

Anyway after trying the Medela ones I had relief, she managed to latch and get a good drink so the presure was off of me to give her formula top ups. My nipples healed, and all was well! I used nipple shields for the first month (bought some Avent ones too and these work just as well). My baby had brilliant weight gain so the midwife was happy for me to keep using them as they clearly solved a huge problem, and as my baby grew a little bigger latching was easier so I started to try without them, got there eventually it was a gradual process over 3 months.

Anyway to conclude I breast fead my daughter until she was 15 months!!! I would have carried on but had to take long course of antibiotics (ones baby can't have) but I NEVER EVER would have been able to do this had it not been for nipple shields. I definitely would have had to give up. It really really annoys me that their use is not encouraged more by midwives and breastfeeding groups. Surely the best thing to help and encourage more breastfeeding is to prevent struggling mums from giving up and turning to formula. So many woman want to breast feed but give up because it is a nightmare of pain! For the love of ... let them have some relief and maybe in their own time they will learn the precious latch, even if they don't isn't a baby breastfead for 2 weeks, 1 month, 3 months with nipple shields better than one formula fed baby with a sad and disheartened mummy?

Two people in this thread advise you not to use nipple shields, but please if it is a last resort thing and you are getting desperate, use them! it will all come together in time and as long as your baby isn't starving and is putting on weight fine there is NOTHING wrong in continuing to use them as and when you need them! The only time it is not advisable is if your milk supply is struggling, then you may have to grit it out a bit but even then there is an argument for many frequent feeds with shields (to get supply back up) or normal painful feeding less frequently but with stronger stimilation.

Good luck, you can do this! and you will look back on this one day and feel so proud of yourself :)

Oh and lansinoh is VERY good too and safe for baby! camomile tea bags are really effective amazingly so! ice packs help a little I found frozen peas worked well as you can fit it around the shape of your breast, although I think this might slow your milk supply so only do this after a feed, and of course in my oppinion! A good quality nipple shield!

MigGril · 11/07/2012 18:15

Atrial, it's great that you where able to feed for so long after the use of nipple Childs. But there are a number of good reasons why we don't recommend them.

First they can stop a mum getting good breastfeeding help. If some one says just use a shild and that stops the pain. Then you can run into supply issues because baby doesn't latch directly onto the breast thus it reduces breast stimulation. They don't actuality help that much with healing, a nipple in a beat shild is pulled inside the shield like being pulled inside a breast pump. With a good latch the nipple is far back in the babies mouth and babies is milking the beat tissue. So even if you have very painful sore nipples if the latch is corrected they will heal while breastfeeding.

Astaril · 11/07/2012 22:12

I did mention the problems with milk supply in my post if you read it? Sure Woman need to get latching help and I am sure most would, but even after seeing the area BF tech twise, and reading the whole of the la leche league book, I still had immense pain and nipple shields were the only thing that got me though.

I still think that BF experts just do not realise how much it hurts for some woman, not every woman can achieve this perfect latch that you BF experts keep bashing on about, its great in theory but in practice? There are so many factors involved that can effect it. It's really difficult in them first few months, it is best just to make things as easy as possible. It is very important that mothers have an idea about correct latching and try to get it right but what is even more important is that they DON'T give up!!! A nipple shield will give them some reprieve and confidence when you see your baby drinking it spurs you on to keep trying, perfect latching technique will come later on and gets easier as babies mouth grows. Getting mums through the first few weeks should be the priority by any means necessary. Currently BF experts are failing at this as most give up after only days.

The bottom line is to do anything to encourage mothers not to give up, and I just don't think this is being achieved effectively by current advise because of stubborn attitudes in BF organisations.

The stats say it all.

MigGril · 11/07/2012 22:33

Many breastfeedi violators do so because they two had very difficult times with breastfeeding and want to help mums so they don't have to have such a hard time. I agree mums need help in the early days it's just a sad fact that many HCP either don't have enough tanning or time to help a mum learn to breastfeed. Often using a nipple shield is like putting a plaster on a broken leg. It doesn't solvethe root cause of the problem.
It is great they worked for you and it is something women can Terry but should really be a last resort.

Ecgwynn · 12/07/2012 09:24

I had sore nipples and found nipple shields really helpful, use anything to keep you going. Someone advised me to keep feeding without the shields just once per day after the first few days in order to not rely too much on them.
Congratulations on your beautiful baby!

thing1andthing2 · 12/07/2012 09:43

Hi pepper, just wanted to say I feel your pain. My ds is 11 days old now and we are through the worst. At day 4 I had big white blisters on the end of my nipples and was crying through feeds. What helped was religiously putting Lansinoh on after every feed. The latch was fine but my ds is just a hungry boy and vigorous sucker! I'm pretty much pain free now and the white blisters all gone. My nipples have toughened up! Good luck

Idocrazythings · 12/07/2012 19:21

Nipple shields are not the enemy, BUT two golden rules- only use them if your milk is in and get help from a lactation consultant whilst using them.

APipkinOfPepper · 13/07/2012 08:19

Thanks again for all the support.

I am using lansinoh cream as if it's going out of fashion! I tried nipple shields, but neither of us could get on with them. (I have plenty of milk, it is spraying everywhere when I try & relatch DD if it's not quite right.)

I've been reading & re-reading all the leaflets etc, and I think the problem is partly that she's not getting enough of my breast into her mouth - hopefully if I can correct that things will improve - my nipples are really painful and cracked at the moment, and the cluster feeding (8pm to 1am last night) is not helping!

OP posts:
maples · 13/07/2012 08:59

This reply has been deleted

Message withdrawn at poster's request.

LimeFlower · 13/07/2012 10:02

Pipkin if lansinoh doesn't help try to squeeze a bit of milk after finishing feeding,spread it on your nipple and let it dry off.

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