Problems Encountered With Breastfeeding
BREAST ENGORGEMENT ¦ Breasts are swollen, hard, hot, tender, and may be dry and red due to
vascular congestion before secreting milk (lactation); usually occurs
3–5 days postpartum
¦ Nursing:
¦ Breastfeed q2h and empty breasts entirely by pumping (back pressure
on full milk glands .milk production)
¦ Apply ice between feedings 15min on and 45min off (heat .vascular
congestion)
INVERTED NIPPLES
¦ Nipples are below surface of surrounding skin
¦ Nursing:
¦ Wear breast shield to draw nipple out
¦ Use electric breast pump before attempting latching-on
¦ Apply ice and tug and roll nipple with hands before feeding
SORE OR CRACKED NIPPLES
¦ Nipple irritation resulting in discomfort
¦ Nursing:
¦ Alternate infant position
¦ Ensure infant is on areola and not just the nipple
¦ Apply ice before feeding to .nipple erectness and .soreness OR breast
massage and warm compress before feeding to .let-down reflex
¦ Analgesic 1hr before feeding to .soreness
¦ Use less sore nipple first
¦ Use breast shield. At end of feeding apply breast milk to nipples and
air-dry
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