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Hi Doctor, I am a new mom delivered my about

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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13394 Questions

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Posted on Tue, 8 Jan 2019 in Pregnancy
Question: Hi Doctor,



I am a new mom delivered my about 25 days ago with c-section.

But i am getting severe pain while brestfeeding, and because of the same from 2nd week onwards we started to express milk into a bottle for about 60ml and giving it to baby for about every 2-3 hours. And whenever we feel like baby is crying because of not sucking through brests we used to offer him those. Its like on an average one or two times directly through brests and at one time other times of the day with expressed milk (60ml). But this pain is ever increaersing and we tried nipcare ointment between feeding and clean-it off before next feed. But this didn't gave us any relief and pain is increasing at that one time we directly give which is also there while expressing into a bottle. We tried to use nipple shield from second week onwards with that same routine like one-two times of day brestfeeding with nipple shield and other times of the day giving expressed milk by bottle. But we couldn't figure out a way to get him a good latch and make brestfeeding painless or atleast with bearable pain.



Can you please suggest how can we get help to get this problem fixed as in how to get baby to suck brestfeeding efficiently so that he gets his milk without me getting hurt much?



We are worried while giving 60 ml expressed milk that is it enough or less or is it going to be a problem that we keep doing like this but not routine brestmilk all the time directly?
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Answered by Dr. Rakhi Tayal 1 hour later
Brief Answer:
Many causes of breast pain

Detailed Answer:
Hello,
Thanks for posting your query.

I have gone through your query and understand your health concerns. Common causes of pain during breast are shallow latch. You may develop sore nipples in the first few days or weeks of breastfeeding if your baby is not getting enough of the breast into her mouth during nursing. Breast pump trauma. Thrush infection, Tongue-tie, Nipple blister, Vasospasm and
Plugged Ducts and Mastitis are the most common causes of breast pain in breastfeeding mothers.

You can do following things to decreased pain-
If you are breastfeeding sitting up, be sure your baby is tucked in close to you, tummy to tummy, and that your supporting hand or arm is placed behind baby shoulders, not baby head, so that he can tip his head back and bring the chin into the breast first. Your nipple should be pointed towards his nose, so that as he opens wide and tips his head back, it will be in the perfect place to slide deeply into his mouth, aimed at the roof of his mouth.
Mothers with sore nipples often want to space feedings out as long as possible, and that’s definitely understandable! If something causes you pain, you want to do it infrequently. However, a very hungry baby isn’t going to have much patience, and may try to grab at your nipple, causing more pain. Feeding the baby as soon as he seems hungry will make it easier to work on getting a good latch every time.
Express a little milk onto the nipple and let it air-dry there.

If these tips haven’t helped you resolve the problem, seek out a breastfeeding expert who can look at your particular situation and give you some suggestions.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you good health.
Regards.
Dr. Rakhi Tayal

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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