Removing Baby from Your Breast:
Very gently! Many mothers find that once their baby is satisfied, he will release the breast. If baby must be moved before this happens, try inserting a finger into the corner of your baby’s mouth, pulling down on baby’s chin, or pressing down on your breast near baby’s mouth to break the seal. Do not just pull him off it will cause trauma.
It is a good idea to use either a disposable or washable breast pad in your bra between feeds to mop up any leaks and avoid discomfort or embarrassment.
Sore Nipples: Breastfeeding does not hurt. However, for any number of reasons, mothers may develop sore nipples. Nipple tenderness at the beginning of a feed may be normal in the first two to four days of breastfeeding. Soreness that is more intense or continues for a longer time indicates that some adjustment needs to be made, so speak with your Midwife and consider some of the points below.
Dealing with sore nipples:
Freshly expressed breastmilk applied to your nipples will not only soothe your nipples but also reduce the chances of infection, as human milk has antibacterial properties.
Moist wound healing has been shown to be very effective for healing sore nipples. Keeping your nipples covered with a medical grade (100% pure) modified lanolin (breast pads are suitable) ointment will encourage any cracks to heal without scabbing or crusting.
In my view using a Nipple Shield when the pain to feed is too much can help minimise discomfort, which will naturally help you to maintain breastfeeding for longer, but can also act as a barrier so will aid healing, however it will not prompt adequate milk production for any significant length of time. Therefore only use shields when necessary for as little time as possible, usual 1-2 days. Ensure that your Nipple Shield is made from super soft, thin silicone and has a cut out at the top so baby maintains skin to skin contact when feeding from you.
The most important thing to look at is your latching on technique. In really extreme cases consider ‘pumping’ and feeding via a bottle for a few days.
Another useful tip that does actually work for tender breast ( as oppose to just nipples) is savoy cabbage leaves. Break the the stem and place inside your bra.
Please note that if a thrush or a yeast infection is the cause of your sore nipples you must seek medical attention. In general, thrush thrives on milk and moisture so your nipples should be kept dry. Try rinsing them with water and letting them air dry after each feeding.
Flat or inverted nipples:
Flat nipples do not become erect when stimulated or cold. Inverted nipples actually retract rather than protrude when the area around the nipple is compressed. Wearing breast shells during pregnancy may help to draw out your nipples. Once your baby is born, it may help to use a breast pump to pull out your nipple immediately before latching your baby on to you.
Full, hard breasts can occur in the early days of breastfeeding, which can be extremely painful. This may result in flat nipples which make it difficult for your baby to latch on. To avoid this condition be sure your milk is being removed frequently from your breasts. If your new born can not latch on correctly because your breasts are so full or they are uncomfortable and baby doesn’t want to feed, hand-express or pump.
If stored correctly in a sterilised container in the fridge ( not in the door of the fridge) breast milk can be use safely within 24 hour. If frozen it can be stored for upto 3 months