month 9+


nurse frequently, recommends Leani, but failing that, cold compresses may help. “Cold cabbage leaves


are not just


an old wives’ tale. There is an enzyme released by the leaves that soothes,” explains Elizabeth. Arnica cream or gel can also help with a bruised, full feeling.


Problem #4 MASTITIS


If those globules that are full of milk stay full of milk, the engorgement can lead to inflammation and develop into mastitis. If your breast is warm to the touch, painful and has red patches or streaks, along with an ongoing higher fever, it’s time to head to your doctor. You’ll need medical treatment and antibiotics


to clear the


infection. Usually, you won’t need to stop breastfeeding. In fact,


it’s recommended to


YOUR BODY AND BABY


continue. However, if you have a severe infection and need stronger antibiotics, you may be advised to pump and dump for a few days. “Seek professional help from a lactation consultant to get you through this period,” says Elizabeth.


Problem #5 THRUSH


Thrush is a naturally occurring fungal spore that we all have on our skin. When we get stressed, this natural balance can be disturbed, and this imbalance results in a thrush infection, which may be localised to you, or may pass to your baby. “If you get a sharp, shooting, stabbing pain or red, visible streaks, go straight to your doctor,” says Elizabeth. “Some people describe it as a tingling sensation on the breast,” she adds. You’ll need treatment in the form of an antifungal cream


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or gel, which the baby can feed from, because it has the dual benefit of treating the baby should there be thrush in the baby’s mouth or gut.


Problem #6 DUCTS


BLOCKED MILK


You’ll know if you have a blocked milk duct, because


there will be a site specific hard lump in that area of your breast, as opposed to engorgement, which is a more all over feeling. Gentle massage and a bit of arnica cream will help, as will a hot cloth on that spot, says Elizabeth. “It’s best to massage it gently while your baby is nursing, as this helps clear the blockage,” she advises. YP


HOW OFTEN IS OFTEN ENOUGH?


A newborn should nurse every two to three hours – about eight to 12 times a day. “Babies have ever changing needs in the first month, so feed on demand and let go of trying to have a routine,” advises La Leche League leader Leani Khan. “On average, most newborns feed every three hours – which means three hours from the start of one feed to the start of the next feed,” says registered midwife Sister Elizabeth Beavon. You should hear her suckling and swallowing and see her jaw moving while she nurses. Although it’s common for new moms to worry about whether their baby is getting enough milk, if she’s gaining weight and has six to eight really wet nappies a day, that’s a good sign that she’s doing just fine.


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