Expert Answers to Breastfeeding Questions

Hear from a lactation consultant about common issues.
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Breastfeeding Pain

Susan Reulbach Wirtjes, RN, IBCLC, a lactation consultant at Covenant Medical Center in Waterloo, Iowa, answers readers' breastfeeding questions:

Question:

I've been nursing for one week and it still hurts, especially my right nipple. I know the key to comfortable breastfeeding is getting my baby latched on correctly, but I'm positive that her mouth is covering my entire areola. What could be the problem?

Answer:

I suspect the problem is with your latch. It sounds like the baby's lower lip is not grasping enough of the bottom of the areola. To tell for sure, look at your nipple after you're done nursing. If it's crooked and tipped, you need to slightly fine-tune the way you're positioning the baby.

If you're nursing while cradling the baby in your arms, the tendency is to hold baby's head in the crook of your arm, near your elbow. Instead, move her down a few inches closer to your wrist. This should put her in a position where her lower lip can take in more of the underside of the areola. Don't worry if you see some of the areola exposed on top -- that's okay.

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Comments
Comments (19)
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marshallistic1 wrote:

For those who want to produce more milk try this: 1. Eating fenugreek paste - Take the fenugreek seeds, soak it in water for about an hour or more and then boil it... it becomes like this thick oatmeal. Add sugar or honey and GULP it down. 2. Eating Semolina/Cream of wheat - Roast some nuts, roast the cream of wheat, add milk and bring to a boil... this becomes like an oatmeal too. Add sugar or honey. I used to produce only 1 oz too, now I produce 16 oz and more...

8/2/2011 02:55:37 AM Report Abuse
cholwerk wrote:

Do any lactation experts or young mothers ever consider using brewer's yeast--I took tablets (too yucky to me to take directly) whenever my milk supply seemed inadequate to the baby. It worked. Also, you have to drink a lot--just think about it. Breast milk is liquid. You have to drink water, milk, juice. Every time I sat down with the baby, I sat down with three drinks.

1/20/2011 04:04:02 PM Report Abuse
caitlinlwong wrote:

Part 11 Whatever you choose don't let anyone tell you it isn't the right way. Only you know what is right. I am so happy I stuck with nursing. It is wonderful and I believe I deserve a gold medal for everything I went through. Although, I would accept my little darling's Harvard diploma instead.

2/21/2010 12:37:34 PM Report Abuse
caitlinlwong wrote:

Part 10 My closet it now filled with V-necks for easy access. I love Baby au-lait nursing capes and the "My best friend" over the Boppy. I have both but the back support helped me more the first two months. So good luck.

2/21/2010 12:37:26 PM Report Abuse
caitlinlwong wrote:

Part 9 Finally, and I am sorry this is long but I swore I would honestly help anyone I could, I love breastfeeding. I love how he curls up next two me, how I can go anywhere and feed without a fuss, and that he gets so excited to so me when I come home because he knows the good stuff is coming. There are still moments when I feel like saying "AGAIN??" but I always oblige. He is my little angel.

2/21/2010 12:37:02 PM Report Abuse
caitlinlwong wrote:

Part 8 I still feed baby a few times a night ( still co-sleeping - easier feeding). Breastmilk is quickly metabolized so we have to feed more. I have a co-worker who brags how her baby sleeps through the night ( formula feed). I just smile and congratulate her. I know what all the research says. I have a master¿s degree in child development. I stuck through this because I know of all the benefits.

2/21/2010 12:36:21 PM Report Abuse
caitlinlwong wrote:

Part 7 However when I removed the shield, he didn't want my breast anymore. I quickly discovered entire forums dedicated to dropping the sheild addiction. I chucked it and spent the next two months wondering why I didn't have the Amazon nipples in the instructional Youtube videos. Happy to say (???) nine months later I have them thanks to my little darling. Not all women have them but baby will make them for you. I discovered Mothers Milk tea. I take every few days when I need a pumping boost.

2/21/2010 12:35:46 PM Report Abuse
caitlinlwong wrote:

Part 6 There was moments when I was feeding my sweet angel while biting down on a sock because of the foul language flying out of my mouth. I am telling you it hurt. I am a pretty modest girl but I was showing everyone my nipples with a shred of experience and asking "Is this normal". Only use those nipple shields as a last resort. A nurse gave me one in the hospital (bad idea). It taught my baby how to shallow suck and I thought I was doing fine because it didn't hurt.

2/21/2010 12:35:27 PM Report Abuse
caitlinlwong wrote:

Part 5 I learned to feed off one breast per feeding. This helps build a good supply because baby feeds until the end of the fatty hind milk. I do have to pump off both to get enough from one session. Breastfeeding is a challenging commitment. I feel I was able to get this far because I saw it as a challenge to over come. I believed the books that say baby comes out, placed lovingly in your arms and from that point on it is happy nursing. Not true.

2/21/2010 12:34:40 PM Report Abuse
caitlinlwong wrote:

Part 4 She said the first two months are the hardest and it does hurts. If you are only breastfeeding you are making a enough milk.You want to make more milk- feed more via baby or pump. You will lose your milk by feeding just from pumping. Your body knows the differences. I pump 3x at work from 7:30 - 3:00 (teacher) and feed on demand every other time.The first two months are the worst but if you are not supplementing you are making enough and it doesn¿t get better.

2/21/2010 12:33:43 PM Report Abuse
caitlinlwong wrote:

PArt 3 Baby triggers letdown, if you skip a feeding your body takes it as not needing as much and production will go down. Feed as long and often on his schedule to establish a steady supply.I was also scared there wasn't enough milk so I trucked it over to the lactation lady. Apparently my latch was okay, I had flat nipples that he was slowing sucking (ripping) out but when weighed before and after he had gained 3 oz (totally acceptable amount).

2/21/2010 12:33:22 PM Report Abuse
caitlinlwong wrote:

Part 2 Formula is a big business, research says 80% of women end up giving up BF because it is not supported in the hospital. Also, only 1% of the population can't make enough milk. Our bodies are designed for this. We make the right amount, variation and it adjusts over time to address future needs (amazing!). If you want to breastfeed beyond the first month you have to EBF without supplementation. Your body makes milk as needed (they really aren¿t milkjugs!).

2/21/2010 12:32:14 PM Report Abuse
caitlinlwong wrote:

Part 1 I had a lot of difficulty with breastfeeding. I used research, La Leche League, a lactation consultant and advice from anyone who could help me with my bleeding, cracked nipples. It has not been easy and in the beginning I thought I gave birth to a vampire. My baby is now 9 months and is EBF with pumping at work. This is what I discovered. Milk doesn't come until 4 days after birth. No need to supplement.

2/21/2010 12:31:08 PM Report Abuse
ericarsmart wrote:

How do i know if my newborn is getting enough milk? Breastfeeding my last daughter didn't go too well. I could never seem to produce enough milk?

2/1/2010 03:22:17 AM Report Abuse
bogorman333 wrote:

My daughter is 3 1/2 months. We've had to supplement since birth. I would love to increase my milk supply and tone down the formula. She's getting 30-40 a day of formula. I am back at work full time(noon-8:30pm) and pump 4 times throughout the day-every 3 hours and only can get 3-5 oz total, about 1/2-2+ oz at a time. I've tried Mother's Milk Plus and Fenugreek, with no luck. Wondering of I should try Fenugreek again, but more consistantly...Any help will be greatly appreciated. Thank You

1/8/2010 12:47:28 PM Report Abuse
jeffroslady04 wrote:

i know that this maybe a kinda dumb question but im worried if i breast feed my child that my breast will get saggy is this true?

12/30/2009 01:28:27 PM Report Abuse
lueckelizabeth wrote:

My infant is 5 months old and when I pump I'm not getting as much milk. Can I get some suggestions please

12/9/2009 12:57:32 PM Report Abuse
T_GRANGER wrote:

can you eat hot chips while pregnant if you want to breastfeed

11/16/2009 06:14:02 PM Report Abuse
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