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Here are some typical problems encountered when you start breastfeeding your child.
Engorgement is defined as swollen, hard breasts. If baby feeds frequently, engorgement
will probably be relieved within 48 hours. To keep the areola soft so the baby can latch
on to feed, try the following:
 | Apply moist heat to the breast before feeding, expressing enough colostrum or milk
to soften the areola.
| Stand in a hot shower with the water at your back, allowing the water to run over
your shoulders and breasts. Express or pump milk while in the shower to soften the
areola.
| You might need to limit the time the baby feeds on the first breast to make sure
the baby will take the second breast during the feeding.
| Cold packs might relieve pain and swelling if used after feeding.
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If these measures do not relieve engorgement, call NMC.
Sore nipples usually result from improper positioning. If sore, review positioning and
also follow these steps:
| Baby should feed first on the less sore side.
| Short, frequent feedings are better than long, infrequent feedings.
| Change feeding position to allow baby's jaws to exert pressure on less sore areas.
| Remember to remove baby from the breast by breaking the suction with your finger.
| After each feeding, wipe baby's saliva from the nipple, express a few drops of
breast milk on the nipple area to promote healing, and air dry breasts for 15 to 20
minutes.
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Call NMC if soreness continues or is severe!
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