Thursday, August 22, 2013

Finding Relief from Nipple Soreness

Nipple soreness is often the number one complaint among breastfeeding moms. And for some, it can be the main reason that they stop breastfeeding altogether. The truth is nipple soreness is not that uncommon, particularly in the very beginning of the breastfeeding relationship. However, this initial pain or tenderness often subsides after only a few days.

Nipple soreness can also occur for other reasons. For example, some breastfeeding moms experience soreness due to dry, cracked and even bleeding nipples as their breasts adjust to nursing a newborn with a voracious appetite. It usually takes a couple of weeks for the nipples to toughen up and become less sensitive. For other breastfeeding moms, nipple soreness may be caused by a poor latch or a yeast infection (also known as Candida).

Fortunately, there are some things you can do to help relieve nipple soreness so you can continue breastfeeding your baby comfortably:

  • To ensure a proper latch, your baby’s mouth should completely cover the nipple while nursing.
  • To avoid a yeast infection, be sure to change your nursing bra and breast pads frequently, and allow your breasts to air dry immediately after a feeding.   
  • Try applying pure lanolin or a special nipple cream directly on the breasts in between feedings, which can help soothe sore nipples. Lanolin and nipple creams are perfectly safe for your baby, so you don’t need to wipe them off before a feeding.
  • You can also apply cooling gel pads to the nipples for relief before and after feedings.

If you’ve tried some of these suggestions and you’re still experiencing nipple soreness, you may want to talk to a lactation consultant to rule out any other issues (e.g. make sure your baby isn’t tongue-tied).  Typically, after observing one nursing session, a lactation consultant can quickly pinpoint what may be causing your chronic nipple pain and prescribe the appropriate form of relief.

Wednesday, August 14, 2013

What’s the Difference between a Lactation Consultant and a Breastfeeding Specialist?

This is a popular question that we get from our breastfeeding moms. With so many resources and “specialists” out there, it can be rather confusing, particularly if you’re a new mom who’s struggling with breastfeeding. How do you know if the person giving you advice about breastfeeding is actually qualified to do so?

A “lactation consultant” is a healthcare professional who has received at least 90 hours of lactation education, undergone more than 1,000 hours of lactation-specific clinical training, and passed the exam given by the International Board of Lactation Consultant Examiners. By passing this exam, a lactation consultant is then certified and may use the letters “IBCLC” after her name. Additionally, all IBCLCs must renew their certification via continuing education units every five years and via re-examination every 10 years. These measures are considered the standard in the field.

On the other hand, you may encounter a breastfeeding specialist, counselor or expert who refers to herself as a lactation consultant. She may even have credentials like CLE or CLC after her name, indicating that she’s completed some coursework to earn a certificate. Although this training is valuable for teaching breastfeeding classes and helping with basic breastfeeding, it does not make a specialist qualified to consult with moms and babies on more challenging breastfeeding issues. Only an IBCLC is guaranteed to have the extensive education, training and clinical experience to provide this level of care and support. In other words, a breastfeeding specialist who is not a board certified lactation consultant (IBCLC) is not considered a legitimate lactation consultant.

At Missouri Baptist Medical Center, we have a staff of eight IBCLCs, who are available 365 days a year to provide support for breastfeeding patients and the hospital’s mother-baby nursing staff. We also have a well-trained staff of certified lactation counselors (CLCs) available for breastfeeding support. We take pride in being able to offer advanced, comprehensive breastfeeding care for our new moms and babies.