Breast feeding problems

1. Problems in
breastfeeding
By
P.Padma Priyanka

2. Introduction
 Inverted nipples
 Sore nipples
 Breast engorgement
 Breast abscess
 Not enough milk
 Nipple confusion

3. Inverted nipples
 Flat or short nipples –do not pose difficulty
 Truly inverted or retracted-latching difficult
 Baby not able to take nipple and
areola in mouth
 Sore and excoriated

5. Treatment
 Stated after birth of baby
 Manually everted,stretched and rolled out
 Several times a day
 Plastic syringe is used to draw out

7. Sore nipple
 When baby suckles on the nipple
 Causes –incorrect attachment
frequent washing with soap
pulling off the baby while sucking

9. Treatment
 Correct positioning and latching of baby
 Hind milk to should be applied after feed
 Should be aired and allowed to heal
 Should not wash nipple
 Clean breast and nipple once daily
 No cream/ointment

11. Breast engorgment
 milk production in 2/3 day after delivery
 Swollen,hard,warm,painful-engorged
 Causes-delayed or infrequent feeding
baby is not well positioned

13. Prevention
 Early and frequent feeding
 Correct attachment of baby to breast
 Local alternate warm and cold packs
 Analgesics
 Milk gently expressed to soften the breast
Treatment

14. Breast abscess
 Occurs when-congested engorged
cracked nipple
blocked duct
mastitis
are not treated in the early stages
 High grade fever and raised blood count
 Breast-feeding can be continued

16. Treatment
 Analgesics
 Antibiotics
 Incision and drainage

17. Not enough milk
 First confirm the perception of not enough milk
 Causes- incorrect method of breastfeeding
supplementary/bottle feeding
no night breastfeeding
engorgement
painful condition
maternal stress
insufficient sleep

18. Treatment
 Identify reason and appropriate action
 Take sufficient rest
 Drink adequate fluids
 Feed baby on demand and as long as
possible on each breast

19. Nipple confusion
 In order to wean
 Unwise and discouraged-
Mechanism is different
No place for bottle feeding
in the care of babies
 Sucking/biting-unsatisfactory sucking efforts and
development of cracked nipples

20. Bottle feeding
 Easier
 Readily get milk by
pressing the soft
rubber teat
Breast feeding
 More effort
 Take big bite of
areola and suck with
a considerable effort
with co-ordinated
movements of
lips,gums and
tongue

21. Thank You