Morning!
you’ve made it through another night, I always felt relief when morning came around… it’s so hard, we live in a society where breastfeeding isn’t the norm and we’re told that breastfeeding is best and other such things but often aren’t given the information or support to succeed. You aren’t failing, you’re being failed. Your baby is so lucky to have you and every drop of breast of milk you’ve given them is a precious gift.
it’s really reassuring that your baby has barely lost and weight and is doing lots of poos, like you’ve said these are signs she is getting plenty of milk.
you can ask your midwife or HV for a referral to have your baby checked for a tongue tie and you can also go privately. you might have to kick up quite a fuss if your baby is generally doing well in terms of weight gain (even though trashed nipples should be taken very seriously). It might be useful to rule TT out but there are things you can try in the meantime whilst you wait that could help your little one latch on more effectively.
like others have said, you’re really in the pits at the moment, having engorged breasts (which is very common at this stage) and a mum and baby who are learning what they’re doing often results in nipple pain and damage. And the pain can be excruciating. It’s also common for things to get much better quickly and with minor adjustments.
it'll really help you to get on top of the swelling and engorgement - both in terms of your comfort and baby’s ability to get a bit mouthful of breast which should also address pain and allow any damage to heal.
to help manage engorgement this is the most recent protocol:
- ice/cold veg to breasts (possibly 4 packets of cold veg in the freezer so you can cycle two on your breasts and two in the freezer)
- feed as you and baby need to
- ibuprofen
- lymphatic drainage
https://www.carolsmyth.co.uk/breastfeeding-resources/posts/2020/april/mastitis-blocked-ducts-how-do-i-clear-a-blockage/
you should feel more comfortable quickly and your engorgement should subside a lot within 24 hours or so.
if you need to breastfeed when your breasts are full and hard you can try and do some lymphatic drainage before you feed and also try a technique called reverse pressure softening… both of these things will help to remove excess fluid from your breast/nipple which can help baby getting a big mouthful of breast.
https://laleche.org.uk/positioning-attachment/
One trick that could be worth trying is called the flipple technique (or exaggerated latch technique), it’s basically rolling your nipple into baby’s mouth which can often get a deeper latch (I found this helpful with a TT baby):
i know lots of mums who have found this article useful:
https://laleche.org.uk/comfortable-breastfeeding/
one person once said to me “don’t stop on a hard day”…
lots of mummas are rooting for you!
if want one to one support I’m a breastfeeding counsellor with La Leche League GB…