When To Consult a Lactation Expert

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Title: When To Consult a Lactation Expert

1
Newborn

2
BreastfeedingNot a choice it is a responsibility

3
Mastitis

Check if you have mastitis
Mastitis usually only affects 1 breast, and
symptoms often come on quickly. They include
A swollen area on your breast that may feel hot
and painful to touch the area may become red
but this can be harder to see if you have darker
skin
A wedge-shaped breast lump or a hard area on your
breast
A burning pain in your breast that might be
constant or only when you breastfeed.
Nipple discharge, which may be white or contain
streaks of blood. You may also get flu-like
symptoms, such as aches, a high temperature,
chills and tiredness.

4
Breast abscess

If mastitis is not treated, or if it does not
respond to treatment, it can lead to a breast
abscess, which may need an operation to drain it.
This can also develop if the mastitis doesnt
respond to frequent feeding plus a course of
antibiotics.
You can carry on breastfeeding after an abscess
has been drained.
A breast abscess can form if you have a breast
infection (called mastitis) and its not treated
quickly.
Mastitis most often affects breastfeeding women.
It can also happen in women who are not
breastfeeding, but this is less common.
Getting treatment for mastitis as soon as
possible can help reduce the risk of getting an
abscess.

5
Thrush

If you experience pain in both breasts, often
after a period of pain-free breastfeeding, and
the pain lasts for up to an hour after a feed,
you may have developed thrush.
Breast and nipple pain in breastfeeding women is
sometimes caused by a thrush (candida) infection
in the breast. Breastfed babies can also develop
thrush in their mouths.
Thrush infections sometimes happen when your
nipples become cracked or damaged. This means the
candida fungus that causes thrush can get into
your nipple or breast.
Thrush infections can also happen after you or
your baby has had a course of antibiotics.
Antibiotics may reduce the number of helpful
bacteria in the body and allow the candida fungus
that causes thrush to flourish.

6
Sore Nipples

If you find 1 or both nipples hurt at every feed,
or your nipples start to crack or bleed, its
important to get help from your midwife, health
visitor or breastfeeding supporter as soon as you
can.
They can watch as you feed your baby and help you
get them correctly positioned and attached to the
breast.
When your baby is effectively attached, your
nipple rests comfortably against the soft palate
at the back of their mouth.
If your baby is poorly attached to the breast,
the nipple is nearer the front of their mouth and
can be pinched against the hard palate, causing
pain.
Flattened, wedged or white nipples at the end of
a feed are 1 sign your baby may not be properly
attached. Your baby may also seem unsettled after
feeds.
Having sore nipples when youre trying to
breastfeed a new baby can be stressful and
upsetting.
Try to carry on breastfeeding or express milk by
hand if you can, and ask for help early.

7
Not enough breast milk

When you first start breastfeeding, you may
wonder if your baby is getting enough milk.
It may take a little while before you feel
confident your baby is getting what they need.
Exclusive breastfeeding (breast milk only) is
recommended for around the first 6 months of your
babys life. Introducing bottle feeds will reduce
the amount of breast milk you produce.

8
Breast engorgement

Breast engorgement is when, for whatever reason,
your breasts become overly full. They may feel
hard, tight and painful.

9
Baby is not latching on properly

Breastfeeding is a skill that you and your baby
need to learn together. It may take you both a
while to get the hang of it.
If you are finding breastfeeding painful or your
baby does not seem to be satisfied after feeds,
they may not be latching onto the breast
properly.

10
Too much breast milk

Occasionally women make too much breast milk and
their babies struggle to cope.
Its best to get your midwife, health visitor or
breastfeeding specialist to watch a feed to see
if they can spot why this is happening.
They can also suggest ways to decrease your
supply.
They may be able to help you pick up your babys
cues about how long they want to stay at 1
breast, says Bridget Halnan.
Remember, it is your baby at the breast that
makes the milk. Switching them too early can
cause an oversupply.

11
Blocked breast milk ducts

The milk-making glands in your breasts are
divided up into segments, rather like an orange.
Narrow tubes called ducts carry the milk from
each segment to your nipple.
If one of the segments isnt drained properly
during a feed (perhaps because your baby isnt
attached properly), this can lead to a blocked
duct.
You may feel a small, tender lump in your breast.
This needs relieving as soon as possible, and
your baby may be able to help, says Halnan.
If possible, place them with their chin pointing
towards the lump so they can feed from that part
of the breast.
Avoid wearing tight clothes or bras so your milk
can flow freely from every part of your breast.

12
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