Mothering › Forums › Breastfeeding › Breastfeeding Challenges › How can I help a friend with breastfeeding problems?
New Posts  All Forums:Forum Nav:

How can I help a friend with breastfeeding problems?  

post #1 of 18
Thread Starter 
I visited my friend J and her two-week-old baby boy today. We'd only exchanged brief texts since his birth, so I didn't know she'd been having a horrible time breastfeeding. She's at the point of screaming in pain when he latches on and dreading every feed. She had to feed him while I was there and came close to crying at the thought of it--it was so sad to see.

She's tried nipple shields (helped for a day or two only); she's been to kellymom; she's going to see an LC tomorrow; she has lanolin cream and knows about letting her nipples air dry. He does open his mouth nice and wide, just footles around popping on and off for quite a while before he latches on properly. I held his hand while he fed to prevent him flailing and clutching the nipple (ow!); she does swaddle him sometimes. I suggested the football hold position and she tried it; she said that feed was actually a bit less painful than usual, but it might have been a coincidence.

Is there anything I can do or send her--anything you BFing mamas found soothing or inspirational, any advice? Any magic remedy or foolproof technique? I felt so helpless, and really guilty at the ease with which Rowan happily nursed away during the visit. I had a bad first week with her (cracked and bleeding nipples), but never to the point of screaming pain. I even offered to feed him myself while I was there to give her nipples a rest (don't flame me, I'm sure this isn't an ideal or long-term solution, but she was obviously dreading his feed and I remembered REALLY wanting a break during my first BFing week). She said she was very tempted, but that she probably shouldn't in case he didn't want to go back to her breast (she has large breasts, I have small--don't know if it would make a difference but I see her point, no use confusing the kid!). She does have a pump, but hasn't used it yet.

It's just so awful to see her suffering like this! Now I know why my mother was so glad I didn't have severe breastfeeding problems like she did. Please--anything I can do to help her? What helped you?
post #2 of 18
Hopefully that LC is good that will give her good advice. Wondering if the baby has a tongue tie. I know one thing... I would have let you nurse my baby to find out early on if his lack of suck was due to me or not! You're a good friend!!!
post #3 of 18
Thread Starter 
I did ask about tongue tie and she said he didn't have it, but I'm not sure she knew what I meant. An LC would pick up on that kind of thing though, right? One would hope...
post #4 of 18
A good LC should pick up on the tongue tie. Go to the tongue tie stickie at the top of this forum, there is a good article referenced that is by Elizabeth Coryllos and has pics of various forms of tongue tie. You might have to visit the friend again to check the babe.

If this LC doesn't help, find another one or contact a LLL for some in-person help. She really, really needs help with the latch, otherwise her nips won't heal
post #5 of 18
Smokering,
I'm no expert but your friend could have any number of problems or worse yet any combination of problems.

There is a good chance that a couple of people will come along with different suggestions which will help her figure out what's going on through trial and error.

My first instinct is possibly overactive letdown. Has she ever "sprayed"? If so, has she tried reclining to slow the flow down if that's it?

Or it could just be poor latch. Bad latches can sometimes look good. Are you familiar with tips on getting an asymmetrical latch?

Point the nipple towards the top of DC's mouth so he'll get more of the aereola? Using the football hold / Rapid Arm Movement (RAM) technique to get a deep enough latch?

Good luck. Again this may take some trial and error so touch base when you have more info for the wise moms here.

~Cath

P.S. Please look for a PM from me.
post #6 of 18
I would say check out the tongue tie. It is genetic (my son and my FIL have it). DS' tongue tie caused me crying, stomping-my-feet pain the first few weeks. And--even though I asked about it--the LC didn't catch it at first. She didn't diagnose it until he was a week old, so get a second opinion.

Sometimes it can be latch. I think maybe DS' tongue tie messed up his learning to latch properly. I still have sore nipple problems if I don't latch him carefully.

ALSO, is she using a pacifier at all? I started when DS was two weeks (my Mom said, he's nursing well, it won't confuse him). But he immediately started CHOMPING me and hurting so bad. I think the paci can allow baby to get into bad habits. So I took the paci away for a while and the pain got better within days. Now he can use it for car rides and not kill me nursing.

Hope you'll get some good information to help your friend.
post #7 of 18
Thrush maybe? I had it with my last and everyone insisted I was wrong until it finally flared up in my dd's mouth (they kept saying it was just milk protein from feeding, ugh).
post #8 of 18
Thread Starter 
I'll text her once the LC appointment's over. I asked her about letdown, and she said she never notices it--the baby kept popping on and off but she didn't spray or even drip during my visit. He has plenty of dirty nappies and is gaining, so not gettting enough milk isn't a worry, although J was a little nervous because she's never sure how long to feed him; so we talked about that.

I can ask her about paci use and thrush, and ask again about tongue tie just in case. She's been to kellymom, so she may already know about the asymmetrical latch thing, but I'll ask her again. She tried the football hold yesterday and it helped--what's the RAM technique?

One other thing I noticed when he fed--he paused a lot, more than my DD does. She'll get lazy and stop sucking for seconds at a time towards the end of the feed, but he was doing it from the beginning--I'd notice J had stopped wincing and say 'Is he feeding?' and she'd say 'Not right now'. Could that be significant at all? Maybe he was just sleepy?
post #9 of 18
Thread Starter 
Update: J sent me a brief text saying that the LC was helpful, and showed her how to get her to latch the baby on immediately and position him correctly. So hopefully she'll start feeling better soon! Does anyone know how long it usually takes nipples to heal once a good latch has been established?

Thanks for all the advice.
post #10 of 18
My son had a very high palate and a very strong suck which turned my nipples into swiss cheese. It was horrible. Latching on was more painful than contractions. I would scream and cry with the first minute of every feeding.

Once the worst of it subsided and his mouth grew a bit and it was less painful it still took over 2 months for my nipples to heal completely. I finally had to pump to give them a break to encourage healing. But mine were really, really bad. Like huge gaping wounds bad. yikes. Sorry, that probably doesn't sound very encouraging does it?

But these really helped with the healing. I absolutely would not have been able to get dressed without them. They are expensive but worth every penny (and still cheaper than forumula!)
http://www.soothies.com/

and send her this link, it was really helpful:
http://www.kellymom.com/bf/concerns/...lehealing.html
post #11 of 18
It may take a few days or even a week for the nipples to completely heal, but improved latch can make an immediate difference. I'm so glad that LC was able to help!
The LC should also have been able to assess her nipple damage and advise her best on how to get them to heal. For some folks, leaving breast milk on them and letting them air dry is enough, other folks need more intensive measures.
You are a good friend!:
post #12 of 18
I'm in the same situation with a good friend, too. We were both pregnant at the same time, I had DD 2 months before she had her son, and while our BF'ing has been going really well, hers hasn't. She's only a few weeks in, and battling thrush, sore nipples, and pumping almost exclusively.

The best thing I could think of to do was pull out all the resources I could: I ordered her a copy of "The Womanly Art of Breastfeeding," contacted our local LLL and plan to go to the next meeting with her so she won't feel uncomfortable, researched thrush and sent her links to kellymom, encouraged her to see an LC, and cooked her some meals for the freezer so she can hopefully relax a little. Above all, I've been checking in periodically and telling her over and over that she CAN do it and get through it and wonderful it will be when she does. It's awful to see a friend suffering with her little baby, and sometimes maybe the main thing she needs is encouragement.
post #13 of 18
Quote:
Originally Posted by RootSnort View Post
You are a good friend!:


~Cath
post #14 of 18
Thread Starter 
I talked to J again today. She said she saw the LC again today because things weren't getting better; her nipples had pus in them and everything. (Um, OW?!) The LC suggested expressing and feeding the baby from a cup for awhile, just in order to give her nipples time to heal.

She sounds OK over the phone, but I suspect this must be a lot harder for her than she's letting on. Sometimes I wish I had a car! She's out of town so I can't get to her easily, and I've offered meals etc but she'd kinda have to come get them, and I'm not sure she's up to that.
post #15 of 18
OWIE!
It probably helps A LOT that you are calling and just listening to her. I was able to support a friend living in Texas (I am in Georgia) just by calling a few times a day. She has turned into super-breastfeeding woman!
post #16 of 18
Oh sadness! My heart breaks to hear such sadness.

I had a terrible time BF at first too and felt like a failure. I screamed in pain and dreaded every feeding to the point where dd wasn't gaining weight. My nipples bled, had pus, and then I got thrush on top of it.

The one thing that helped was time. After about 5 or 6 weeks it just smoothed out, my nipples began to heal and now BF is great. I took each feeding one at a time. I used olive oil in between to help heal, but I've heard that there is Green Goop works great too.

http://jilliansdrawers.com/store/greengoop.html

My baby also had an outfit that said "Sweet Baby" on it. That helped. I would look at her gaping mouth and cry and then read her shirt.
It helped.
Gritting my teeth through the pain, I told myself, just one more day. I can do it for just one more day. I'll quit next week if it doesn't get better. Every day I said next week... now at 14 weeks we are BF with pleasure.

Maybe letting her know that it does get better and suggesting a different LC. You are doing wonderful just listening to her.

Good Luck to your sweet mama friend.
post #17 of 18
Thread Starter 
Update! J came over yesterday. It turns out she had a staph. aureus infection. She's taking antibiotics for it, and alternating between pumping and cup-feeding, and from-the-tap breastfeeding. She said doing that meant her nipples aren't as sore, which is great, but obviously she's hoping to transition to full-time from-the-tap when things get better. One nipple still looked pus-y, but she wasn't cracked or bleeding anymore. She fed her son while she visited with only minimal wincing, which we agreed was a Good Thing! And we talked... she said that now BFing is going a wee bit better, she's finally starting to feel bonded to her son. It's a shame things had to start off like this, but I SO admire her courage and guts for sticking it out, and I'll be sure to tell her son once he's older that he owes her one. (In a good way, of course).
post #18 of 18
Quote:
Originally Posted by Smokering View Post
Update! J came over yesterday. It turns out she had a staph. aureus infection. ... She fed her son while she visited with only minimal wincing, which we agreed was a Good Thing! And we talked... she said that now BFing is going a wee bit better, she's finally starting to feel bonded to her son. ...
Smokering,
NAK. Glad to hear the good news. :
~Cath
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Breastfeeding Challenges
This thread is locked  
Mothering › Forums › Breastfeeding › Breastfeeding Challenges › How can I help a friend with breastfeeding problems?