Obstetrics Book


Breast Feeding Problems for the Mother

Aka: Breast Feeding Problems for the Mother, Lactation Problems for the Mother
  1. See Also
    1. Infant Feeding
    2. Infant Nutritional Sources
    3. Infant Nutrition Components
    4. Breast Feeding
    5. Breast Feeding Technique
    6. Nipple Soreness in Lactation
    7. Lactation Vitamin Supplementation
    8. Medications in Lactation
    9. Lactation Problems for the Infant
    10. Lactation for Infant with Cleft Lip or Palate
    11. Lactation for the Premature Infant
    12. Lactation Resources
    13. Mastitis
  2. Approach: Inverted Nipples
    1. Identify problem well before delivery
    2. Recommend nipple shells to help evert nipples
  3. Approach: Sore Nipples
    1. See Nipple Soreness in Lactation
  4. Approach: Breast engorgement
    1. Hand expression or pumping
    2. Mild heat softens areola
    3. Frozen cabbage leaves held inside bra
    4. Increase Lactation frequency
    5. Ibuprofen or Acetaminophen for pain
  5. Approach: Decreased Milk Production
    1. Maximize maternal hydration and avoid Caffeine
    2. Maintain frequent nursing
    3. Avoid medications that interfere with milk production
      1. Oral Contraceptives
      2. Diphenhydramine
      3. Pseudoephedrine
    4. Avoid measures that are unproven
      1. Avoid supplements with unproven, but purported benefit (e.g. fenugreek, Brewer's Yeast)
      2. Avoid metoclopramide (unproven)
  6. Approach: Milk Duct Stasis
    1. Rest, heat, and massage
    2. Alternate feeding positions
    3. Frequent nursing
  7. Approach: Inhibited Milk let down
    1. Warm shower
    2. Privacy for Lactation
    3. Comfortable environment
      1. Private
      2. Soft music
      3. Low light intensity
    4. Local heat to Breast
    5. Relaxation Techniques
  8. Approach: Medications
    1. See Medications in Lactation
  9. Approach: Work-Related Lactation problems
    1. Educate regarding various Breast Pumps and devices
    2. Support and encourage using Breast Pump at work
  10. References
    1. (2016) Presc Lett 23(12): 71

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