Breastfeeding Red Flags

We have had lots of conversations with clients where we help troubleshoot all kinds of breastfeeding ‘things’. Some of them are normal, run-of-the-mill issues that center around appropriate latch, how long to leave the baby at the breast each feeding and how to care for your breasts while breastfeeding. Some of the questions center around pumping and going back to work (a topic we will absolutely cover later in detail!). 

Conversations about abnormal breastfeeding issues

Lately, we have had conversations about abnormal red flags to watch out for in the first 3 weeks after the baby is born. These flags include: 

• Nipple pain– It’s not uncommon to have a brief moment of discomfort as the baby latches in the beginning. But if you’ve been told that your latch is good, and yet you’re still having pain, especially beyond the initial latch on-this can indicate a problem. If you’re feeling a deep, intense pain in the breast during feeding as well as after a feed, that can spell trouble, as well. We have even had some complaints of pain in their breasts even when not feeding their baby, with something as light as clothing touching their nipples hurts. 
• Cracked & bleeding nipples-If your nipples look creased, beveled or white after a feeding, this can indicate a larger issue. Any visible damage, cracked, or bleeding nipples indicates a problem-stemming from improper latch. And trust me when I say, I have personally had cracked and bleeding nipples–to the point where I was CERTAIN I was about to part ways with at least one of my nipples!! Don’t let this go on long if you have this painful development during your breastfeeding journey! 
• Hot/Tender breasts or a hot/red streak in the breast can indicate a sign of infection or mastitis. Warm compresses and pumping/nursing frequently as well as massage of the breast can help this. We recommend that you consult with an IBCLC or with your OB/Midwife for clinical advice–just in case you need an antibiotic to help your body heal the infection.

Consult with an Infant Feeding Specialist!

We can help you assess if what is happening with your breasts is normal or if you need to be seen by a clinician. Ask your doula anything! If you have any of the above issues, we will recommend a local IBCLC or that you get in touch with your Midwife/OB to be looked at. It’s a great idea to catch any issues that you’re having as early as possible.  For our clients in SE Michigan, we recommend reaching out to our resident Infant Feeding Educator/Specialist (that’s ME!) to help you troubleshoot and then you can decide if you should hire a clinical professional. Two of our favorite IBCLC that serve our breastfeeding clients are https://mibreastfeeding.org and http://www.inhomelactationspecialistsllc.com and they’re super knowledgeable about all of these red flags and how to fix them. As always, don’t forget to hire a postpartum doula to make that transition to parenting (whether it’s 1 baby or 6!) as smooth and rested as possible! https://michiganfamilydoulas.com