Materiały źródłowe

• #1 Breastfeeding Pain: Common Causes and Treatments

  https://www.healthline.com/health/breastfeeding/breastfeeding-pain

  A study conducted by the FDA and CDC in 2005-2007 found that over 75 percent of mothers experienced breastfeeding pain within the first 2 weeks postpartum. […] The reality is that many breastfeeding parents experience pain or discomfort at some point during their breastfeeding journey. While it might not be completely unavoidable, breastfeeding pain can be treated once you pinpoint the cause. […] Ongoing breastfeeding pain can cause some serious psychological stress and shouldn’t be ignored. […] Nipple pain is a common complaint during the early breastfeeding days. Some discomfort is possible as you work on perfecting your baby’s latch, but ongoing pain or skin damage is a sign that something needs to change. […] If you continue to experience latch issues, you may also want to evaluate whether your baby has a tongue-tie or other issue that may be affecting the latch.

• #2 Nipple Pain Remedies – American Pregnancy Association

  https://americanpregnancy.org/healthy-pregnancy/breastfeeding/nipple-pain-remedies/

  Breastfeeding is a natural process for you and your baby. A healthy full-term baby instinctively knows what to do when presented with your breast. You may experience nipple pain in the early days of breastfeeding. As many as 90% of new moms have some nipple soreness. It is a very common condition that is temporary, usually going away after a few days. Most mothers find nipple soreness peaks on the fifth day of breastfeeding and then resolves. […] It is very important to continue to breastfeed if you are experiencing nipple pain. Try to nurse your baby on the least painful nipple first; she will not suck as hard on the second, more painful nipple. If putting your baby to breast hurts too much, use a breast pump or hand-express to keep your milk supply flowing. […] If your nipple pain persists for more than 7 days, goes away and then returns, or your nipples are actively bleeding, see your lactation consultant or healthcare provider for evaluation.

• #3 Breastfeeding – mastitis and other nipple and breast problems | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/healthyliving/breastfeeding-mastitis-and-other-nipple-and-breast-problems

  Incorrect attachment of the baby on the breast is the most common cause of nipple pain from breastfeeding. […] Nipple or breast pain is not a normal part of breastfeeding. Your nipples may be sensitive in the first few days after birth and while breastfeeding, but sore nipples or breasts indicate a problem. If you feel pain, you should seek help immediately. […] To prevent nipple problems: Ensure correct positioning and attachment of your baby when feeding. […] Incorrect attachment of the baby onto the breast is the most common cause of nipple pain. […] If nipple pain or nipple trauma is not improving, seek help from your doctor, lactation consultant or an Australian Breastfeeding Association counsellor. […] Mastitis means inflammation of the breast. It can be caused by blocked milk ducts (non-infective mastitis) or a bacterial infection (infective mastitis).

• #4 Breast Pain from Breastfeeding: Causes & Treatment

  https://zayacare.com/blog/breast-pain-from-breastfeeding-causes-and-treatment/

  Breast pain is one of the more common challenges new moms experience, particularly when starting the process. […] Some common causes of breast pain when nursing include poor or ineffective latching, clogged milk ducts, infections, oversupply of milk, and long times between feedings. […] Breast pain when breastfeeding can come on rapidly or slowly. […] Depending on the cause, breast pain during breastfeeding can manifest in different ways: Aching of the entire breast. This often occurs when you are engorged, although infection of the breast (called mastitis) can begin with a generalized aching of your entire breast. […] Soreness in the upper outer quadrant (where the milk ducts are more plentiful). Engorgement of the breast may not feel like the entire breast is sore. Instead, you will feel more discomfort in the upper, outer quadrant.

• #5 Breast Pain from Breastfeeding: Causes & Treatment

  https://zayacare.com/blog/breast-pain-from-breastfeeding-causes-and-treatment/

  Localized pain. Local pain outside of the nipple often comes from a clogged milk duct. […] Nipple soreness or rawness. The nipples should not be sore if everything is going well when nursing. […] Sharp, stinging pain. Sharp, stinging pain can be felt if you have a yeast infection, but it may also mean that the blood supply to the nipples is temporarily reduced. […] Breast engorgement comes from an oversupply of milk or an under-utilization of whats already there in your breast to feed your baby. […] Poor latch or incorrect positioning is the most common cause of pain while nursing. […] If the baby isnt well latched or is positioned in a way that causes an ineffective suck, the nipple can be sore while nursing. […] Your nipples must withstand a lot of force during suckling. If they are cracked or infected, you may feel sharp pains when your baby is nursing.

• #6 Sore Nipples & Painful Breastfeeding: Causes, Symptoms & Treatment

  https://www.whattoexpect.com/first-year/breastfeeding/sore-cracked-painful-nipples-breastfeeding/

  Sore, tender, cracked, blistered and even bleeding nipples are common problems for the newbie nursing mom. […] Here are some of the most common causes. […] Nipple sensitivity is one of the most common complaints by new moms. […] It usually resolves on its own by the time your baby is about a week old. […] For breastfeeding to succeed, you’ll need a proper latch making sure that baby and breast hook up just right. […] If you’re still having trouble, reach out to a lactation consultant. […] If you and/or your baby have thrush, you’ll need to treat the problem using a prescription antifungal cream, or you’ll keep reinfecting each other. […] There’s no need to stop breastfeeding during treatment. […] The best way to prevent sore or cracked nipples is to make sure your little nurser is properly positioned on your breast. […] If she’s nursing just on your nipple, her voracious sucking can leave you feeling chewed up and your nipples feeling red, sore, cracked and oh-so-tender. […] Most nipple and breast pain related to breastfeeding is easily treatable. […] Help from others can be invaluable, including support from your doctor or midwife, your baby’s pediatrician, and a lactation consultant.

• #7 Patient education: Common breastfeeding problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breastfeeding-problems-beyond-the-basics/print

  Nipple and breast pain can be caused by several factors during breastfeeding. Most of these problems can be fixed, allowing you to continue breastfeeding. […] To determine the cause of your pain, your health care provider will ask you about the pain and examine your nipples and breasts for signs of injury, infection, skin problems, or engorgement. […] The main causes of nipple or breast pain are described below. […] Sore nipples are one of the most common complaints by people who are newly breastfeeding. […] Pain due to nipple injury needs to be distinguished from nipple sensitivity, which normally increases during pregnancy and peaks approximately four days after giving birth. […] Nipple injury usually is due to incorrect breastfeeding technique, particularly poor latch-on. […] If you feel pain while breastfeeding, try releasing the baby’s mouth from the nipple, then helping them latch on properly.

• #8 Breastfeeding FAQs: Pain and Discomfort (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/breastfeed-discomfort.html

  Breastfeeding is natural, but it takes practice to get it right. Here’s how to handle pain and discomfort during nursing. […] Engorgement can lead to sore, painful breasts or a breast infection. So its best to try to avoid it. […] If you feel discomfort during nursing, stop nursing and reposition your baby to get a better latch. […] If you have pain during breastfeeding, talk to your doctor or lactation consultant to make sure your baby is properly latched or that something else isn’t going on. […] The most common causes of breast pain include: A plugged milk duct. […] Mastitis. This is an inflammation of the breast. […] If you think you have mastitis, call your doctor. In the meantime, continue to breastfeed or pump to drain the milk from your breasts. […] Sometimes babies develop a yeast infection in the mouth called oral thrush.

• #9 Sore Nipples and Breastfeeding: Treatment and Prevention

  https://www.healthline.com/health/parenting/sore-nipple-breastfeeding

  Sore nipples are very common for breastfeeding women. Prevention is possible and treatment depends on what the cause is. The most common causes include: a baby not latching well, chafing, thrush, adapting to this new skill. […] A healthy nursing latch, deep on the breast, will get baby the most milk and prevent pain for you. […] A shallow latch puts too much suction right on the nipples and becomes painful. A bad latch can even bruise nipples. […] If you continue to have trouble, have pain, or your baby seems frustrated while nursing, contact a lactation consultant. A licensed consultant can give personalized help. […] If you need to unlatch your baby, its important to break the suction before pulling them off to prevent sore nipple. […] Persistently sore nipples can occur if your baby has a tongue tie. Only a doctor or licensed lactation consultant can diagnose and treat a tongue tie.

• #10 Breast Engorgement: Causes, Complications & Treatment

  https://my.clevelandclinic.org/health/diseases/breast-engorgement

  Breast engorgement is common in the first week after giving birth. Both of your breasts feel swollen, firm and painful. Healthcare providers use gentle massage and other techniques to ease the swelling and help you feel better. […] When you have engorged breasts, you may notice: Pain in your breasts, sometimes severe. […] While your breasts are engorged, it might be difficult for your baby to latch on for breastfeeding. […] Your healthcare provider will talk to you about the best ways to manage engorged breasts. Some options include: Apply cold packs to your breast after breastfeeding. […] Talk to your obstetrician or midwife if you experience any symptoms of breast engorgement or notice other changes to your breasts. They’ll identify what’s happening and help you feel better.

• #11

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8010

  Breast engorgement is the painful overfilling of the breasts that can occur during breastfeeding (sometimes called chestfeeding). […] Breast engorgement can make it hard for your baby to latch on to your nipple. […] If you breastfeed or pump, engorgement should get better in a few days. […] Follow-up care is a key part of your treatment and safety. […] Try taking ibuprofen (Advil, Motrin) to reduce pain and swelling. […] If your breasts hurt and feel too full, try hand expressing a small amount of milk just until they feel comfortable. […] If you are breastfeeding, continue to regularly breastfeed when your baby is hungry. […] If your breast is very full and your baby is having trouble latching, try hand expressing a small amount of milk before feeding. […] If you have swelling around your nipple and your baby is having trouble latching, try using reverse pressure softening before feeding.

• #12 Sore nipples or breasts? Here’s help… – KellyMom.com

  https://kellymom.com/hot-topics/sore-nipples-breasts/

  Some mothers never experience any nipple pain at all, but studies show that the majority of women in the US and other western countries do have some nipple pain in the beginning. […] Get help from an experienced breastfeeding counselor and/or IBCLC if you experience the following: Intense, excruciating pain […] If you’re experiencing any of the above issues, then don’t let someone tell you that everything looks fine it is either a sign that damage is being done or of some underlying condition (infection, etc.). […] Cracking, bleeding or any other nipple damage is not typical- something is causing the damage and pain, and a good IBCLC can help you to find the cause. […] It is normal for your breasts to become larger and feel heavy, warmer and uncomfortable when your milk increases in quantity (comes in) 2-5 days after birth.

• #13 6 tips to treat breast engorgement while breastfeeding | OSF HealthCare

  https://www.osfhealthcare.org/blog/6-tips-to-treat-breast-engorgement-while-breastfeeding/

  Breast engorgement swollen breasts is a common problem for breastfeeding moms. When milk isnt entirely emptied during a nursing or pumping session, engorged breasts may ensue. […] You can tell its an engorged breast when you feel pain, tenderness and swelling. Your breast will also likely feel full, tight and a lot of pressure, unlike when theres a blocked milk duct, Sarah said. […] The best solution is to let the baby nurse more often. This can sometimes be a challenge for both baby and mom. But nursing more can help reduce that build-up and encourage a more natural, frequent flow of milk. […] Sometimes babies dont want to eat as much as mom makes, so you can pump to relieve the pressure. […] Its easier for a baby to nurse on a softened breast as opposed to a tight, swollen breast. Gently massaging the breast before feeding and while baby is nursing helps improve the flow of breast milk.

• #14 Sore nipples or breasts? Here’s help… – KellyMom.com

  https://kellymom.com/hot-topics/sore-nipples-breasts/

  Engorgement typically begins on the 3rd to 5th day after birth, and subsides within 12-48 hours if properly treated (7-10 days without proper treatment). […] Plugged Ducts and Mastitis are the most common causes of breast pain in breastfeeding mothers (other than engorgement). […] Breast pain is sometimes associated with a forceful milk ejection/let-down reflex and oversupply. […] Raynauds phenomenon/vasospasm can cause deep breast pain. […] Some breast pain might also be caused by a tightening of the chest muscles leading to a reduced blood flow to the breast and nipples. […] A badly fitting bra or tight straps on a baby carrier can cause shooting breast pains. […] Breastfeeding mothers may also experience premenstrual breast pain or fibrocystic breast pain. […] Have you had breast surgery or a breast injury in the past? Internal scarring can sometimes cause pain, as can a ruptured breast implant.

• #15 Breast Pain from Breastfeeding: Causes & Treatment

  https://zayacare.com/blog/breast-pain-from-breastfeeding-causes-and-treatment/

  A single clogged milk duct feels like a tender lump in the breast. […] Mastitis is a bacterial infection that enters the nipples and inflames the breast tissue. […] Signs you need to seek medical attention for breast pain include having a breast lump that does not resolve within a few days and having a rash that does not improve after using a mild antifungal cream like miconazole. […] Persistent pain that threatens to prematurely stop nursing before you feel ready would also be a reason to seek medical attention.

• #16 Managing plugged ducts and mastitis – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/managing-plugged-ducts-mastitis-when-breastfeeding

  Breast pain is the most frequently stated reason for early weaning. The longer a person experiences breast pain, the more likely they will wean the baby before they intend to. Immediate intervention and treatment of breast pain is crucial to preserving the breastfeeding relationship, and helping the person and their child continue breastfeeding. […] Plugged ducts and mastitis are common conditions that can affect up to 1 in 5 people who begin breastfeeding. Both conditions cause pain and discomfort in the breast, which can affect long-term breast milk feeding goals. […] Mastitis can be caused by any of these risk factors, in addition to having sore cracked or bleeding nipples, which can serve as an entry point for an infection and possibly lead to a prolonged hospital stay. […] Plugged ducts and mastitis can be uncomfortable for people who are breastfeeding. Plugged duct symptoms progress gradually, and can include pain, a hard lump, a warm and painful localized spot or a wedge-shaped area of engorgement on the breast. Mastitis symptoms appear rapidly and include flu-like symptoms such as fever, chills, fatigue and body aches. The pain typically is more intense than a plugged duct, and the person also may notice red streaking on the breasts.

• #17 Pain: if breastfeeding hurts – The Breastfeeding Network

  https://www.breastfeedingnetwork.org.uk/breastfeeding-information/problems-with-breastfeeding/pain-if-breastfeeding-hurts/

  If the pain is strongest at start of feed or just before a feed and there is a sharp intense pain in your breast(s), often described as squeezing pain, this can be due to the let down or milk ejection reflex. […] If your breasts are painfully hard and full, and feeding or expressing milk relieves this sensation, your breasts may be engorged. […] If there is a sore, lumpy area on your breast that may also feel hot and can appear discoloured or red on lighter skin tones, you may have compressed ducts or mastitis. […] Compressed ducts occur when engorgement, localised swelling or pressure on your breast squashes the many tiny tubes, or ducts, that your milk passes through, stopping your milk from flowing freely in an area of your breast. […] If you have mastitis, continue to feed responsively and seek support from a specialist breastfeeding practitioner as soon as possible. […] You can take paracetamol, and ibuprofen if appropriate for pain or fever.

• #18 Mastitis, Slowed Milk Flow, and Milk Blisters – La Leche League USA

  https://lllusa.org/mastitis/

  Nursing on cue helps to provide comfort, reduce inflammation and encourage opening of the blocked area. […] Rest is an important component in recovery from sore breasts, plugged ducts or breast infections. […] Sometimes mastitis is the result of poor positioning and attachment, meaning your child doesn’t remove milk from your breast effectively, too much pumping, or overproduction. An LLL Leader can help you explore improvements you can make to help prevent the condition recurring. […] In order to prevent future slowed milk flow or breast infections, you may find it helpful to be cautious of sudden long stretches between nursing sessions. […] Mastitis most frequently recurs when the bacteria are resistant or not sensitive to the antibiotic you have been prescribed, when antibiotics are not continued long enough, when an incorrect antibiotic is prescribed, when the parent stops nursing on the affected side, when the initial cause of the mastitis has not been addressed, or when the balance of bacteria in your milk duct becomes greater than the organisms (flora) that keep the bacteria in check (such as overproduction or dysbiosis). […] Nipple shields can slow down milk flow and encourage infection. Use of pacifiers and artificial nipples can affect how a child sucks and contribute to nipple soreness and development of mastitis.

• #19 Breastfeeding – mastitis and other nipple and breast problems | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/healthyliving/breastfeeding-mastitis-and-other-nipple-and-breast-problems

  Symptoms of mastitis include: tender or painful, hot, reddened, hard and swollen. […] To help prevent mastitis: Make sure the baby is positioned and attached properly on the breast to assist in thorough breastmilk drainage. […] It is important to treat blocked milk ducts so they do not progress to mastitis. Options include: Making sure the baby is feeding well on the affected breast offering the affected breast first can help. […] Your breastmilk is safe for your baby even if you have mastitis. […] If you wish to stop breastfeeding, it is important to wait until the mastitis has cleared up. Rapid weaning may lead to a breast abscess.

• #20 Mastitis: Symptoms (Fever After Breastfeeding), Treatment & Prevention

  https://www.webmd.com/parenting/baby/what-is-mastitis

  Mastitis is a common condition in women who breastfeed. As many as 1 in 10 breastfeeding women in the U.S. get it. It’s caused by a backup of milk in the milk ducts. This happens when your baby isn’t sucking or attaching properly, or favors one breast over the other. Mastitis can also happen if you don’t feed or pump regularly. It is more common in the first three months of lactation. […] Whether or not you’re breastfeeding, antibiotics should have you feeling better in a day or two. Take them as directed. […] If you are breastfeeding, continue drinking lots of water, wearing loose bras, and resting as much as you can. Your doctor may suggest ibuprofen, or something like it, to take care of the fever and pain. […] It’s important to keep breastfeeding and move that milk in and out of the ducts. Continue expressing milk if it is too painful to feed from the breast.

• #21 Common Breastfeeding Problems & Solutions | Mamava

  https://www.mamava.com/mamava-blog/fast-fixes-common-breastfeeding-problems

  If youre new to breastfeeding, common pains-in-the-boobs can get you down. […] Symptoms: If you experience breast pain, breast swelling, or a burning sensation during breastfeeding, accompanied by a fever or chills, you could have lactation mastitis a bacterial infection that needs to be treated with antibiotics. […] Solution: To avoid developing mastitis, stick to a regular nursing/pumping schedule and completely empty your breasts every time. […] Symptoms: Breast or nipple pain thats stabbing, burning, or feels like pins and needles both during and after nursing can be the result of a vasospasm, when contracting blood cells reduces blood flow to a particular area. […] Symptoms: Tender, sore, or chafed nipples that can develop into cracks or open wounds. […] Solution: Ice your nipples (with ice cubes wrapped in a soft towel) right before you nurse to help ease the pain.

• #22 Breast pain and breastfeeding – NHS

  https://www.nhs.uk/baby/breastfeeding-and-bottle-feeding/breastfeeding-problems/breast-pain/

  There are a number of reasons why you may experience breast pain while you’re breastfeeding. […] Always ask for help from your midwife, health visitor or breastfeeding specialist if you’re having problems breastfeeding. […] Ask your midwife, health visitor or a breastfeeding specialist for advice immediately to help your baby relieve the engorgement and prevent it happening again. […] To ease the discomfort of engorgement, apart from your baby feeding, you could try expressing a little breast milk by hand. […] Ask your midwife, health visitor or breastfeeding specialist to show you how. […] It’s important to deal with a blocked duct quickly as, if left, it could lead to mastitis. […] Mastitis (inflammation in the breast) happens when a blocked duct is not relieved. […] If you think you’re developing a blocked duct or mastitis, try the following: Carry on breastfeeding.

• #23 Mastitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/mastitis/diagnosis-treatment/drc-20374834

  Your healthcare professional does a physical exam and asks about your symptoms and medical history. […] Mastitis treatment might involve: […] If you have an infection, a 10-day course of antibiotics is most often needed. […] It’s safe to keep breastfeeding if you have mastitis. Breastfeeding helps clear the infection. […] You might see a specialist in breastfeeding, called a lactation consultant, for help and support. […] Don’t let your breasts fill too much between feedings. […] Make sure your breast drains all the way during breastfeeding. […] You may be sent to an obstetrician-gynecologist. For problems related to breastfeeding, you may be referred to a lactation consultant. […] What can I do at home to relieve my symptoms? […] If I keep breastfeeding, is the medicine you’re prescribing safe for my baby?

• #24 Breast pain and breastfeeding – NHS

  https://www.nhs.uk/baby/breastfeeding-and-bottle-feeding/breastfeeding-problems/breast-pain/

  Take paracetamol or ibuprofen to relieve the pain. […] You may need antibiotics, which will be fine to take while breastfeeding. […] Stopping breastfeeding will make your symptoms worse, and may lead to a breast abscess. […] You can carry on breastfeeding while you’re having treatment for a breast abscess. […] If you experience pain in both breasts, often after a period of pain-free breastfeeding, and the pain lasts for up to an hour after a feed, you may have developed thrush.

• #25 Common Breastfeeding Problems & Solutions | Mamava

  https://www.mamava.com/mamava-blog/fast-fixes-common-breastfeeding-problems

  Continued nursing with cracked nipples can increase your chance of developing mastitis as bacteria enter an open wound. […] Symptoms: Itchy or burning nipples, shiny or flaky skin around your nipples and areola, and shooting pain in your breasts could be a sign of thrush, an overgrowth of the yeast fungus Candida albicans.

• #26 Breast pain and breastfeeding – NHS

  https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breastfeeding-problems/breast-pain/

  Take paracetamol or ibuprofen to relieve the pain. […] You may need antibiotics, which will be fine to take while breastfeeding. […] Stopping breastfeeding will make your symptoms worse, and may lead to a breast abscess. […] If you experience pain in both breasts, often after a period of pain-free breastfeeding, and the pain lasts for up to an hour after a feed, you may have developed thrush.

• #27 Breastfeeding Pain: What’s Normal And What’s Notmap-markerphoneenvelopeangle-downcommentingmenu-circlecross-circle

  https://nestcollaborative.com/blog/breastfeeding-pain/

  Mastitis is characterized by intense breast pain. […] If you’re getting a shooting pain in your nipple and it turns white, consider that nipple blanching may be occurring. […] Nipple blanching can be surprising, and is a sign to keep an eye on your baby’s latch. […] Thrush is a painful yeast infection that affects both you and your baby. […] If you are prone to vaginal yeast infections or have recently taken antibiotics your risk of thrush is increased even further. […] Thrush usually shows up as: […] You should also be on the lookout for signs of thrush in your baby. […] Thrush is entirely different from other sources of breastfeeding pain, and your IBCLC may have to look more closely to identify it.

• #28 Breastfeeding FAQs: Pain and Discomfort (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/breastfeed-discomfort.html

  Women who have inverted nipples (nipples that turn in rather than stick out) or flat nipples (that don’t become as erect as they should when a baby is nursing) may have a harder time breastfeeding or have nipple pain. […] If breastfeeding is painful or uncomfortable for you, call your doctor or lactation consultant for help.

• #29 Mastitis and Sore Breasts – Signs, Symptoms, and Treatment

  https://llli.org/breastfeeding-info/mastitis/

  A milk blister, or bleb, is usually a painful white dot on the nipple or areola. […] If you have mastitis, you can try all the recommendations in the section on blocked ducts, as well as the following plan. […] It is a myth that it is unhealthy for your baby to breastfeed while you have mastitis. […] Mastitis is not contagious: there is no risk to your baby in continuing to breastfeed. […] If you do not feel any better, or feel worse after the first 24-48 hours […] Call your doctor or primary healthcare provider. […] If antibiotic medication is prescribed, take it until the recommended course is completed, even if you feel better. […] It can be useful to discuss the options for your individual situation with a La Leche League Leader. […] In order to prevent future inflammatory problems, it is wise to be cautious of unusually long stretches between breastfeeds.

• #30 Mastitis and Sore Breasts – Signs, Symptoms, and Treatment

  https://llli.org/breastfeeding-info/mastitis/

  You have a sore or tender breast, a change in color in an area of the breast, or feel a hard spot or small lump. What now? Could it be mastitis? Whatever the reason for your sore breast: […] Breastfeed as often as your baby wishes […] Apply ice or cold packs to the tender area […] In consultation with your healthcare provider, consider using ibuprofen (Advil®, Nurofen®…) alternating with acetaminophen/paracetamol (Tylenol®, Panadol®…). […] Treatment for what we know as blocked/clogged/plugged ducts and mastitis is similar. […] You may want to try the following ideas: […] Apply cold or ice packs to the affected area. […] Make sure you are breastfeeding responsively to your baby (on cue) so that you don’t unintentionally go too long between feedings. […] If you have frequent blocked ducts that are not helped by the above recommendations, taking a lecithin supplement may help.

• #31 Nursing Care Plan and Diagnosis for Mastitis

  https://www.registerednursern.com/nursing-care-plan-and-diagnosis-for-mastitis/

  Mastitis is inflammation of the breast tissue. […] If milk is static in the breast it inflames the surrounding tissues and causes the mother pain. […] As the nurse it is important to education your patient on the early signs of mastitis. […] On assessment you note that the red breast is developing the early sign of Mastitis. Her right breast has a hard, tender, red spot on the right outer area. […] Acute pain related to inflammation of breast tissue as evidence by patient reporting pain in right breast. […] Risk for ineffective breastfeeding related to interruption secondary to inflammation as evidence patient reporting pain in right breast. […] Patient will report decrease in pain and redness of right breast within 24 hours. […] The patient will be free from the signs and symptoms of Mastitis within 48 hours.

• #32 Postpartum Breast Pain

  https://www.nwh.org/maternity-guide/postpartum-guide/postpartum-chapter-4/postpartum-breast-pain

  If the condition of your nipples is not improved within two days, contact your physician, nurse, midwife or lactation consultant so that they can check for infection. Prevention: To prevent nipple tenderness, make sure you are correctly positioning your baby during nursing and that she or he is latching on properly. […] Breast engorgement can be very uncomfortable. The full areola may cause the nipple to flatten making it difficult for the baby to latch on well. […] Managing Engorgement: Breastfeed your baby as frequently as 10 to 12 times in 24 hours. Avoid giving your baby water or formula for the first three to four weeks unless medically indicated. Avoid using a pacifier for the first three to four weeks. Express a little milk before you nurse by hand or pump. This will help make the areola softer, and the nipple more erect so latch on is easier. If your baby cant latch on because your nipples are flattened, gently stimulate your nipples by hand to make them more erect and hand express some milk to soften the areola. You may need to use a hospital-type breast pump to do this.

• #33 Mastitis, Slowed Milk Flow, and Milk Blisters – La Leche League USA

  https://lllusa.org/mastitis/

  Having a sore breast can be a painful and alarming experience and can occur when there is inflamed tissue in your breast. Your breast may feel tender and there may or may not be redness or a hard spot or sore lump in your breast. Treat any engorgement promptly to avoid developing inflammation of the surrounding breast tissue, which can cause narrowing of the ducts and slowed milk flow or mastitis. […] Whether you have a sore breast, a slowed milk flow, or a breast infection, they may all be related to inflammation in the breast causing narrowed milk ducts (tubes), and the initial care is similar: nurse on cue, rest, and apply cold to the tender area. […] Treatment for inflammation around the ducts is similar to that for mastitis. The following ideas may help provide relief: Apply cold to the area. Wrap a cloth around any ice to avoid irritating skin. A package of frozen vegetables or fruit can be a convenient, form fitting way to apply cold.

• #34 Postpartum Breast Pain

  https://www.nwh.org/maternity-guide/postpartum-guide/postpartum-chapter-4/postpartum-breast-pain

  Management: There are a number of things you can do to help alleviate sore nipples. Focus on correcting your babys latch. Be patient while you and your baby learn to nurse. Do not allow the baby to nurse with an uncomfortable latch. Take the baby off and try again, even if you have to do this a number of times. Use deep breathing, soft music or other relaxation techniques before and during breastfeeding. Nurse on the least sore side first. Massage you breasts while nursing, from base to nipple. This helps stimulate the milk flow. Use non-plastic lined bras and/or bra pads. Change the pads frequently to keep the nipple dry. […] If your nipples become dry, cracked or sore you can express breast milk and gently rub it into your nipples. You may also apply pure lanolin. (Pure lanolin is sold as Lansinoh or Pure-Lan at most pharmacies.) This forms a moisture barrier to help keep your nipples dry. When bathing, avoid using the soap on your breasts or nipples. Water is all that is needed to clean your breasts. Release the suction from the babys mouth before you remove your baby from the breast. Do this by placing a clean finger in the side of your babys mouth between her/his jaws. Do not take your baby from the breast until you feel the suction break.

• #35 Sore Nipples and Breastfeeding: Treatment and Prevention

  https://www.healthline.com/health/parenting/sore-nipple-breastfeeding

  How you sit and hold your baby during breastfeeding can affect how comfortable it is for you and baby. […] Engorgement happens when the breasts get too full of milk. This occurs if you go too long between nursing, or if youre still in the early stages and your supply is adjusting to babys needs. […] Your nipples get wet with milk each time you nurse. That can lead to thrush, which is a yeast infection of the nipples. […] While you want to keep your nipples clean and dry, you may also need to moisturize them. Nipples are sensitive and can crack and bleed during breastfeeding if they become too dry. […] If you use a breast pump, using the wrong sized breast shield can cause your nipples to become irritated and sore. […] Cool compresses can help soothe sore nipples after breastfeeding by reducing swelling.

• #36 Problems and discomforts when breastfeeding | March of Dimes

  https://www.marchofdimes.org/find-support/topics/parenthood/problems-and-discomforts-when-breastfeeding

  Breastfeeding shouldnt hurt. If it does, tell your health care provider or lactation consultant. […] A lactation consultant is trained to help women breastfeed, even women who have breastfeeding problems. […] If your nipples are cracked and sore, you may need to change the position you use to breastfeed. […] If the pain doesnt go away, tell your provider or lactation consultant. […] Mastitis is a breast infection. It can happen when you have a plugged duct, you miss or delay breastfeedings or if your breasts become engorged. You may feel a tender or painful hard spot in your breast thats warm to the touch. […] Dont stop nursing your baby even if your breast is sore. The infection doesnt harm the baby. Breastfeeding more often can help clear the infection. Or use a breast pump to express milk from the infected breast.

• #37 Sore breasts/chest tissue – Fraser Health AuthoritySore breasts/chest tissue – Fraser Health Authority

  https://www.fraserhealth.ca/health-topics-a-to-z/pregnancy-and-baby/breastfeeding/sore-breasts

  You may experience breast/chest engorgement where your breasts/chest become overly full (swollen), hard and painful. […] Breastfeed/Chestfeed your baby early and often after birth. […] Use Advil or Motrin (ibuprofen) to maintain comfort and decrease pain. […] If you have a red sore area in your breast/chest, you may have a plugged duct. […] Sometimes the small ducts or tubes in your breast or chest tissues to become congested and inflamed. Feeding your baby or expressing regularly when away from your baby can help prevent this. […] Call your health care provider right away if you have: a fever over 38.5°C (101.3°F), pain in your breast or chest tissue continues or gets worse, muscle aches/chills, fast heartbeat, feeling like you have the flu.

• #38 Breastfeeding: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/breastfeeding-nursing-diagnosis-care-plan/

  Protection, promotion, and support of breastfeeding is a priority public health need. Nurses play an essential role in providing accurate information about breastfeeding and support to the mother and their partner. […] The nurse often assists with breastfeeding initially after birth and ensures latching. The postpartum nurse helps encourage and support frequent maternal-infant contact to promote effective breastfeeding. […] The nurses role in supporting breastfeeding varies in the time and place of care. However, the same goals are present: to help the mother initiate breastfeeding, enjoy it, and ensure the baby gets the optimum nutrition needed for growth and development. […] Breastfeeding offers an opportunity for mother and baby to bond but can be a source of stress and frustration if difficulties arise. Dry, cracked, and sore nipples, breast engorgement, breast infection, and worries about producing, pumping, and storing breastmilk are some common breastfeeding challenges.

• #39 Nursing Care Plan (NCP) for Mastitis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-mastitis

  Understanding of Mastitis: Develop a comprehensive understanding of mastitis, including its causes, risk factors, and symptoms. Recognize the importance of early detection and intervention to prevent complications. […] Recognition of Early Symptoms: Recognize the early signs and symptoms of mastitis, such as localized breast pain, redness, and flu-like symptoms. Understand the importance of prompt reporting to healthcare providers for timely intervention. […] Application of Warm Compresses and Massage: Learn and practice the application of warm compresses and gentle breast massage to promote milk flow and relieve breast engorgement. Understand how these techniques can aid in preventing mastitis or managing early symptoms. […] Importance of Antibiotic Compliance: Understand the significance of completing prescribed antibiotic courses if they are part of the treatment plan. Recognize the role of antibiotics in resolving bacterial infections associated with mastitis.

• #40 Nursing Care Plan (NCP) for Mastitis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-mastitis

  Promotion of Overall Breast Health: Support and education on maintaining overall breast health. Encourage regular breastfeeding, adequate hydration, and practices that prevent engorgement or blocked milk ducts. Empower individuals to recognize early signs of mastitis for prompt intervention. […] Subjective Data: Pain/burning during breastfeeding […] Objective Data: Unilateral breast pain and tenderness […] Nursing Assessment for Mastitis: Assess the affected breast for signs of inflammation, including redness, swelling, and localized heat. Note any palpable areas of tenderness or lumps. […] Pain Assessment: Evaluate the intensity and location of pain in the breast. Assess the impact of pain on breastfeeding and daily activities. […] Encourage Breastfeeding: Promote frequent breastfeeding or pumping to ensure effective emptying of the affected breast. Emphasize proper latch and positioning to prevent further complications. […] Administer medications: Ibuprofen or acetaminophen may help reduce pain, inflammation, and fever. Antibiotics may be given to treat the infection. […] Provide education and support for patients and encouragement to continue proper breastfeeding which will help resolve symptoms.

• #41 Nursing Care Plan and Diagnosis for Mastitis

  https://www.registerednursern.com/nursing-care-plan-and-diagnosis-for-mastitis/

  The nurse will verbalize and demonstrate to the patient how to apply warm compresses to right breast every 2 hours. […] The nurse will observe the mother breastfeeding her infant to assess the possible latching problems. […] The nurse will assist the patient with helping her develop a plan for proper latching techniques with her newborn before the end of the office visit. […] The nurse will educated the patient about the early signs and symptoms of Mastitis before the end of the office visit.

• #42 Breastfeeding: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/breastfeeding-nursing-diagnosis-care-plan/

  The mother should breastfeed when at ease and relaxed. Breastfeeding sessions should be frequent, unscheduled, and unrestrained by time. A comfortable breastfeeding experience helps increase breast milk production and promotes commitment to breastfeeding. […] Breastfeeding should not be painful. […] Always start each feeding with the breast that is least sore. After breastfeeding, dab some breast milk on the nipples to lubricate the nipple tissue. Warm compresses may alleviate discomfort and engorgement. […] The infant will progressively gain weight toward the desired goal with an average weight gain of 1 ounce per day. […] The mother will achieve effective breastfeeding with adequate breast milk intake for the infant. […] The mother will efficiently demonstrate breastfeeding techniques and proper breastfeeding positioning and latching.

• #43 Nursing Care Plan (NCP) for Mastitis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-mastitis

  Resolution of Infection: The primary goal is the complete resolution of the bacterial infection causing mastitis. Antibiotic therapy, if prescribed, should effectively eliminate the pathogen. […] Relief of Symptoms: Alleviation of symptoms such as pain, swelling, and redness in the affected breast. Pain management strategies, warm compresses, and appropriate medications should contribute to symptom relief. […] Improved Breastfeeding Experience: Facilitate a positive breastfeeding experience by addressing any breastfeeding challenges. Encourage proper latch, positioning, and ensure the infant is effectively draining the breast during feeding. […] Prevention of Recurrence: Implement measures to prevent the recurrence of mastitis. This includes educating the individual on proper breastfeeding techniques, addressing any underlying issues like cracked nipples, and promoting good breast hygiene.

• #44 Pain Relief (Analgesics) and Breastfeeding – The Breastfeeding Network

  https://www.breastfeedingnetwork.org.uk/factsheet/analgesics/

  You can take paracetamol and ibuprofen at their usual doses if you are breastfeeding. […] Stronger pain relief medicines are also available, but you should take these with caution and watch your baby for side effects. […] Avoid aspirin or codeine for pain relief. […] Paracetamol may also be included in cold remedies and combined pain relief medications. […] If your baby needs to take paracetamol suspension (e.g. Calpol) whilst you are taking paracetamol, they can do so at their own full and normal dose. The amount that they would get through your breastmilk is too small to be harmful in addition. […] Ibuprofen may not be suitable for people with a history of stomach ulcer, as it can cause bleeding, or who have asthma (unless your doctor says it is OK), as it can cause breathing problems.

• #45 Pain Relief (Analgesics) and Breastfeeding – The Breastfeeding Network

  https://www.breastfeedingnetwork.org.uk/factsheet/analgesics/

  You can take paracetamol and ibuprofen together during breastfeeding if needed, up to their maximum daily doses. […] Products containing aspirin (including Anadin Original and Disprin) for pain relief are not recommended whilst you are breastfeeding because there is a possible link between aspirin and Reyes syndrome in children, especially if your child has a viral infection or fever. […] Codeine and dihydrocodeine are weak opioids that are available over the counter in combination with other medications described above. Codeine is not recommended when you are breastfeeding. […] Non-steroidal anti-inflammatory drugs (NSAIDs) are generally acceptable during breastfeeding as they transfer only in small amounts into breastmilk. […] Ibuprofen is the first-choice anti-inflammatory when breastfeeding as it has been used by many breastfeeding mothers without any reports of problems.

• #46 Mastitis While Breastfeeding | HealthLink BC

  https://www.healthlinkbc.ca/healthwise/mastitis-while-breastfeeding

  Nursing moms sometimes get mastitis when bacteria enter the breast through a cracked or sore nipple. Taking these steps can help prevent mastitis. […] Routine breastfeeding prevents bacteria from building up. If you know you’ll go more than 4 hours without feeding your baby, arrange to pump. […] You can safely keep breastfeeding your baby or pumping breast milk to feed your baby during illness and treatment. Your breast milk is safe for your baby to drink. Any bacteria in your milk will be destroyed by the baby’s digestive juices. […] Antibiotics are used to treat mastitis. But breastfeeding is also a great way to prevent bacteria from collecting in the breast. It can also shorten the time that the infection lasts. […] Your baby is the most efficient way to empty your breasts. And your milk is safe for your baby to drink. Your baby’s digestive juices will destroy any bacteria in your milk.

• #47 Breastfeeding Pain: How To Find Relief

  https://www.parents.com/stopping-breastfeeding-pain-with-comfort-measures-284301

  When is breastfeeding pain serious? If you’re experiencing other symptoms like fever, reddened lumps, or pain throughout your breast, you may have mastitis. […] A lactation consultant is trained to help you correct any latch problems, develop optimal feeding positioning, and figure out if there are any other underlying causes of your breastfeeding pain. […] Breastfeeding pain is commonand almost always short-livedbut you do not need to figure out (or suffer through) your breastfeeding issues alone.

• #48 Pain While Breastfeeding: How To Find Relief | Franciscan Health

  https://www.franciscanhealth.org/community/blog/pain-while-breastfeeding

  Women should get to know their breasts before and during pregnancy and while breastfeeding, Milch said. Its crucial for moms to know whats going on with their breasts while theyre breastfeeding so we can address any problems before they become serious issues. […] Fortunately, moms can find relief with gentle massage, heat, or even in a warm shower. […] Its very important to work to get rid of a clogged duct not only because its painful for mom, but because it can also lead to mastitis, Milch said. […] If your breast is red and you feel like you have the flu, you may have mastitis, Milch said. Its important to call your doctor immediately so you can start antibiotics to treat the infection and start feeling better soon. […] Milch encourages all moms to consider breastfeeding but assures moms that there is no pressure about what she ultimately chooses for her family. […] We just want moms to know they have the support and resources to figure out breastfeeding.

• #49 Breastfeeding Challenges | ACOG

  https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2021/02/breastfeeding-challenges

  Many women experience early and undesired weaning because of persistent pain or nipple injury. […] A focused history and physical examination are essential to help obstetriciangynecologists and other obstetric care professionals distinguish the specific cause of their patients pain and determine appropriate treatment. […] Studies have shown that pain with breastfeeding may be associated with postpartum depression; therefore, postpartum depression screening is an important part of the medical history when caring for these patients. […] Obstetriciangynecologists and other obstetric care professionals can support mothers of preterm and early-term infants by providing proactive lactation support, including education on hand expression, in anticipation of potential breastfeeding difficulties.

• #50 Breastfeeding Pain: Common Causes and Treatments

  https://www.healthline.com/health/breastfeeding/breastfeeding-pain

  If your nipples are damaged, it’s important to take steps to heal them. […] Engorgement may reoccur during your breastfeeding journey if you miss feeds or struggle with an oversupply. […] While engorgement is temporary and usually lasts only a day or two, it can cause some serious pain during that time. […] If you suspect a clogged duct, your best course of action is to continue to breastfeed. […] Speak to your care provider if you’re experiencing symptoms of mastitis since you may need antibiotics to clear it up. […] Letdown is your body’s hormonal response to nerve signals that indicate it’s time for a feeding. […] This pain may happen only during the early days of breastfeeding, but some people experience painful letdown at all feeds. […] It’s likely you’ve found yourself spending a lot of time holding and cuddling your little one, and why not? […] Consider your positioning for feeds. […] If you find yourself dreading each feed, gritting your teeth during every latch, or otherwise suffering, it’s important to seek help from a lactation consultant or your midwife or doctor.

• #51 Breast Pain: Tenderness, Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15469-breast-pain-mastalgia

  Since cyclic breast pain is a regular part of your menstrual cycle, you cant exactly prevent it. But there are certain lifestyle changes you can make to ensure that your symptoms wont be as bad. […] While breast pain can cause significant discomfort, its usually not serious. Your healthcare provider can help you manage symptoms with treatments like medication and different self-care practices. Pain that lasts longer than two weeks or becomes severe is always worth a call to your provider.

• #52 Efficacy of a Breastfeeding Pain Self-Management Intervention: A Pilot Randomized Controlled Trial (RCT)

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6400324/

  The BSM intervention positively affected womens self-report of breast and nipple pain during the early stages of breastfeeding when the rate of breastfeeding cessation is typically highest. […] The results of this randomized controlled pilot study support a positive effect of the BSM intervention on decreasing breast and nipple pain among breastfeeding women, particularly over the first few weeks when the rate of cessation is typically highest.

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