Please enable JavaScript.

Coggle requires JavaScript to display documents.

Jenny is home from hospital after the birth of her first baby and her…

- - - - Have you been given any information or advice about this?
        
        suggestions
        
        We could talk about some strategies to manage sore nipples.
        
        some mothers find
        
        • break the suction first,
        
        • start feed on less sore side,
        
        • use breastmilk, on nipples if they are cracked
        
        • a bra that fits right - not too tight across nipples –
        
        • trying to relax and feel comfortable before a feed, air drying,
        
        • watch for feeding cues
        
        have you tried anything /changed anything that has helped?
        
        information
        
        Many mothers find it helpful to know about attachment - would you like me to explain this?
        
        Start with a calm baby. Respond to the baby’s feeding cues.
        
        draw the nipple to the back of their mouth, may hurt for 10-30 seconds but shouldn't hurt you for the whole feed
        
        Signs that a baby is well attached
        
        • Baby has a good mouthful of breast.
        
        • The nipple is drawn into the back of the baby's mouth.
        
        • The baby's chin is pressed into the breast and the nose is clear.
        
        • Baby's mouth is open wide with lips spread out. The top lip may be resting in a neutral position. The bottom lip may be tucked into the mother's breast and so not be visible.
        
        • There will be more of the mother's areola showing above the baby's top lip than below the bottom lip.
        
        • Baby's cheeks will be full and rounded.
        
        • The mother will be able to observe baby sucking and swallowing rhythmically.
        
        try a laid back position / skin to skin
        
        possible reasons for nipple pain could be tongue tie, nipple infection, nipple vasospasm, blocked ducts, bra that doesn't fit, dummies or bottles, hormones,
        
        Lots of mothers find it useful to know what good attachment looks like. Has anyone gone through what you might see if your baby is well attached?
        
        There are a few things to look for so you can feel assured your baby is attached well. I know these will become second nature to you really quickly.
        
        So, it shouldn’t hurt you – aside from the initial stretching of your nipple to the back of the baby’s mouth. You want to see more of the dark skin around your nipple, the areola, above the baby’s mouth and the chin pressed into your breast. You might see the bottom lip turned out, but it’s harder to see if their chin in well pressed into your breast. 
        
        It’s good to know that you can always take your baby off by putting your pinkie finger into the side of their mouth to break the suction – and then start again until it feels right for you. This is a good description. One of the other things I think is helpful is to remind mothers that if there is pain with feeding, then baby isn’t getting milk as well as they could too.
        
        A lot of mothers find looking at the shape of their nipple. when baby comes off can help them to see if he has been sucking on her nipple or the breast. If your nipple is nice and round that’s a great sign that it’s right at the back of his mouth. If it’s on a bit of an angle – like a lipstick – he is more likely pressing your nipple to the roof of his mouth
    - - Do you mind if I ask you baby's name?
      - its not uncommon for newborn babies to feed 8-12 times a day