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Infant feeding

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

nipple shields

66 replies

LucyJones · 08/04/2004 06:27

Hi. Does anyone know if you can buy disposable nipple shields so that you don't need to sterilise. My 1 week old has already shredded my nipples to ribbons and midwife recommended shields but sterilising them is a complete pain. TIA

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LucyJones · 10/04/2004 17:25

Did you talk to the counsellor on the phone or do they come out to the house?

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eddm · 10/04/2004 17:25

If you've still got a cracked nipple (on one side now?) then dab some breast milk on it at the end of the feed ? worked even better than Camillosan (the cream you asked about originally) for me.
Hope baby sorts out feeding soon, I remember how exhausting those endless feeds were.
Just a thought, have you tried taking him off after 30 mins or so? Or an hour? Sometimes they are just doing it for comfort... didn't work very often with mine when he was that tiny though.

LucyJones · 10/04/2004 17:31

Well at the moment I've ditched the shield as it was such a pain but no bleeding so far. At the moment baby is sucking for comfort I think as has drained both breasts but if I put him down he screams. dh thinks its wind but no amount of winding calms him. Only thing that makes him stop is breast. I'm feeling pretty low and desperate and he's only 9 days old.

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Fennel · 10/04/2004 17:37

hi Lucy

your posts really bring back the early days with dd1 - such pain! (despite hoards of positioning and latching advice from a variety of breastfeeding counsellors)

if he is comfort sucking have you tried:

putting in sling (on dh if you are too tired) and
walking him around.
dummy? (if he's a sucky baby and your nipples are shredded)
Kamillosan for sore nipples was great for me.

It sounds as though the pain is lessening though which will definitely help with everything else.

LucyJones · 10/04/2004 17:40

Hi Fennel - yes am using Kamillosan which is very soothing. Is it too early to try a dummy? I told my mum on the phoe the other night how long he fed for (6 hours) and she said 'he can't possibly be feeding all that time' but he was!

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hercules · 10/04/2004 17:51

Lucyjones- babies have tiny tummies so it is impossible for them to drink milk for that long!Noone can do this.
You really neeed to speak to a bfc.

hercules · 10/04/2004 17:52

It is not normal for a baby to feed for several hours! You need top get positioning checked.

LucyJones · 10/04/2004 17:52

Even though he dirties his nappy throughout? How do I go about talking to a BFC? Thanks

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Babyannabel · 10/04/2004 18:07

Just found this, LucyJones it REALLY REALLY does get easier, I promise you. I had this with both children and the crying could be any number of things, tummyache, wind, comfort, everyone you talk to will give you an opinion! We spent hours driving our ds around in the car every evening!! The dummy could be the answer here, if your baby just is "sucky" then it could help, worth a try?? Good luck with things, it does seem so hard but before you know it all this will be a distant memory.

Pook · 10/04/2004 18:12

The NCT have a breastfeeding helpline - 0870 444 8708 (8am - 10pm 7 days a week).
They're fab and ever-so helpful, I rang after 2 days of mammoth feeding sessions and although they said that this was what babies did when establishing a milk supply, it was nice to talk to someone about it- while blubbing like dd, if I remember correctly. A word of caution - you may have to wait a while to speak to someone.
My dd had a dummy from about this age because she was very colicky and sucking was the only thing that helped soothe her. She now only has it for sleeptimes.
Hang on in there! It WILL get better...

LucyJones · 10/04/2004 18:13

Thanks babyannabel - i just feel really alone, even though dh is here all the time he can't actually know what i'm going through with all the feeding

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Pook · 10/04/2004 18:18

Oh Lucy, you poor thing. I SOOOOO know how you're feeling. You're still zonked from the birth probably and your hormones are going crazy. Honestly - this is completely normal. And it will getter better before you know it.
((((HUGS))))

LucyJones · 10/04/2004 18:20

Pook - did you have to feed hours at a time? I'm sure he's latched on ok as it doesnt hurt any more and he's regained his birth weight already. Other people's experiences really needed

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Pook · 10/04/2004 18:39

With dd she didn't feed for massive periods, just incredibly frequently i.e. every 20 minutes for a day or two. So it did feel as though I was feeding her all the time.
The massively disruptive and overwhelmingly exhausting period with no routine whatsoever and me feeling all over the place went until dd was 2 - 3 weeks. Then gradually, imperceptibly, we got to know each other better and i became more confident at knowing what her cries actually meant and my milk supply was well established. She had colic until she was about 12 weeks, and I did used to feed her lots when she had bouts, because it was so comforting for her.
I can't recommend the NCT b/feeding support line too highly.

hercules · 10/04/2004 18:52

tiktok is a bfc. You can also try abm or la leche if you cant get through to nct. I'll get the numbers.

hercules · 10/04/2004 18:53

Breastfeeding network - 0870 900 8787

hercules · 10/04/2004 18:56

abm - 02078131481

mears · 10/04/2004 19:04

LucyJones - sounds as though your nipples are improving if you can feed without the shields. Breastfeeding takes so muck longer with shields because the milk is transferred much more slowly. Also nipple shiels can reduce your milk production by as much as 40%. Agreed they can be a lifesaver for short term use but for most women, the benefit of less painful feeds is the prolonged feeding, hassle of sterislising and the real risk to milk production. By days 10-14 often nipples are on the mend as you technique is improving.

That said, it sounds as though you have plenty of milk since your baby has gained weight so well. Sounds to me that you problem is that if the baby is awake and crying, you feel you have to breastfeed him. You need to enlist the help of your DH. Once you have fed him, pass him over for his dad to settle him. He can hold him skin-to-skin (ie baby undressed except for nappy against Dad's bare chest. He can wear a loose jumper to do that. He can take him out for a walk in the pram. He can push him in the pram in the house. Anything to allow you to get a break and some sleep.

Another thing you might want to try is breastfeed from one breast at a time at each feed. That way he may settle for longer because he is getting more fatty hind milk. Feed him from one side ensuring that he is well fixed. His head and body are facing you and that he has most of the lower part of the areola in his mouth. Watch and listen when he is sucking. Initially his sucking should be frequent while waiting for the milk to let down. The sucking will then which become rhythmical and slow. You should hear him swallow with each suck. He will have episodes of pausing as he waits for milk to let down. At the end of the feed he will start 'flutter sucking' which is when he is really when the actual true feed is at an end but is part of the process of stimulating milk for future feeds. However, the feed can be interrupted at this stage. Do not just let him lie at the breast doing very little. Ideally he should let go of the nipple on his own. If he doesn't after 5-10mins of flutter sucking, slip in a pinky and break his suction before taking him off. Wind him, change his nappy then offer him the same beast again and go through the same process watching and listening to his sucks. If he has read the books he will let the nipple go himself Do not wind him again but put him down. Certainly keep him cuddled in for a while first if you want. The other thing you can do is wrap him in a shawl for the second breast. Sometimes, babies who are feeding effectively only want one breast at a time.

It takes a good 3 weeks (if not longer) to truly get breastfeeding established. You are doing really well and it will get better. Once you and your baby have both learned what to do and your confidence increases, it will become so much easier. At the moment it is a struggle but one that is well worth persevering with. Hoenestly, you CAN do it

hilz · 10/04/2004 19:43

Not sure if this is relevant to you but a quick note about a possible (altho unlikely) problem.
When my ds was tiny I was feeding literally ALL the time. He would also svream unless on the breast. He was a big boy and gaining but it just seemed to take forever to fill him up. Because of all that sucking I was producing vast quantities of milk, it was literally shooting out of me. I had it checked and he was latching on perfectly so that was np prob, but after three weeks of feeding anything from 12-18 hours a day in total, 2 hour feeds with 10 minute breaks(no exaggeration) I went to the gp feeling desperate. I discovered he has a tongue-tie (a tight frenulum) which meant he could not extend his tongue. So he was sucking well with his lips (VERY HARD!!!) but not using his tongue to let the milk down. He was sort of 'drip-feeding' taking a whole feed over a few hours because it was such hard work to get it out for him. The gp said, "you cannot possibly breast feed this child, get him on the bottle asap". I feel guilty saying this, but at the time it was a relief. I did start expressing and using a bottle to give him my milk, but I found this so time consuming on top of feeding and sterilizing(it still took 1 1/2 hours to bottle feed 5oz bcos of tongue)that i gave up after a couple of weeks. In the end ds only had 5 weeks breast but I'm glad he had that all important first bit. Anyway...sorry long story...but it might be worth having a look at tongue. I did mention the tongue to health visitor and La Leche League, because I had it too as a baby, but neither had heard of it, its something for the doctor I think.

LucyJones · 10/04/2004 21:40

Thanks for all your advice. Mears - dh took him out in the pram today and he slept but woke up as soon as he came back typical. will keep perservering for now. do you think a dummy might settle him?

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gothicmama · 10/04/2004 21:45

Be careful gave dd a dummy on HV advice adn she then stopped feeding sucking so often but lost lots of weight gave up after two weeks of dummy and carried on as before but unlatched her as soon as she feel asleep and strocked her cheek before either just holding her or managing to lie her down on settee

hilz · 10/04/2004 21:47

Don't know if this is just my ds, but he couldn't keep a dummy in for long at such a young age. It ended up being more trouble than it was worth. It got him off to sleep like a dream, but every time it fell out during the night (at least ten times!!) I would have to get up to pop it in again. The result was more night waking than before! In the end we went cold turkey and just took it away. That was a tough couple of nights but it was soon forgotten. As i said, that might be just my ds-because of tongue-tie as i mentioned

mears · 11/04/2004 13:24

LucyJones - a dummy may well be helpful but I would avoid it for a couple of weeks if you can. Best to make sure he has learned how to breastfeed properly first and that your nipples are painfree when feeding (and they will be). Using a dummy can encourage a different type of sucking by the baby which can cause nipple damage. Also a dummy can mean that the baby is sucking it when he should be feeding and your milk production suffers as a result.

Are you managing to feed without the shields now?
Have you tried the one breast at a time feeds? Give it a go over the next couple of days and see if things improve.

karen99 · 11/04/2004 21:33

Hi LucyJones. You've been given lots of good advice so I'll make mine a quick one. Looking back those first few weeks were soooooooooo hard (my ds is now almost 10mo) and I felt weepy ALL the time for about 3 wks. I couldn't believe I was now a mum, something I'd been waiting for for ages, but it was completely different to the 'fairytale' life I thought it would be. I had no idea my nipples would hurt so much and suffered mastitis in week 2. It took until ds was 13/14wks before we both 'got the hang of it'. My ds also has a tongue-tie which did make things difficult but I bf him until Fri night just gone - 10months ( very very sad night as I found I just loved it soooo much especially after such a hard beginning but ds weaned himself). He too suffered from nipple confusion with dummy and bottle in the early days so IMO I would avoid them until bf is established.

Mears and Tiktok give great advice (and the rest of MN!) It's their specialty. Let us know how you're getting on. Try and rest as much as possible (easily said I know) and [I can say this now!] it will get better and much more enjoyable before you know it (and to set expectations this does mean after a few more weeks, not days). Did I say this would be a short post?!

LucyJones · 13/04/2004 17:30

Hi everyone. Jut to update I'm am now breastfeeding without the shields, the pain seems to have gone after the initial 'ouch' sometimes at latching on time. I've been put on antibiotics for a womb infection as i'm still bleeding heavily and passing clots, and iron tablets as am also anemic. Hopefully when these start working I will feel like 'me' again. The baby is thriving and has been discharged by the midwife. Thanks again for all the advice. We're only using the dummy very occasionally in the daytime, not at night time and I'm feeding at night in a darkened room to help distinguish night and day. I'm trying to take each day as it comes and not panic about the future.

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