Engorgement, blocked ducts and sore nipples by Siti Nuraidah https://padlet.com/sitinuraidah/bmsg19 BMSG trainee counsellors answers for activity 10, 11, 12. For those following the stream, choose 1 question to answer. Click the + sign to add your answer. en-us 2019-04-11 09:41:36 UTC 2025-12-14 03:39:40 UTC hello@padlet.com sitinuraidah https://padlet.com/sitinuraidah/bmsg19/wish/351215356 2019-04-12 16:08:32 UTC https://padlet.com/sitinuraidah/bmsg19/wish/351215356 sitinuraidah https://padlet.com/sitinuraidah/bmsg19/wish/351215617 2019-04-12 16:09:13 UTC https://padlet.com/sitinuraidah/bmsg19/wish/351215617 sitinuraidah https://padlet.com/sitinuraidah/bmsg19/wish/351216194 2019-04-12 16:10:36 UTC https://padlet.com/sitinuraidah/bmsg19/wish/351216194 Engorgement https://padlet.com/sitinuraidah/bmsg19/wish/351345327 Congratulations 
Common during first week of breastfeeding- day 3-4
A.
Breasts will feel very full, hard, heavy and possibly hot. Nipple will be short and difficult to latch baby. 
B.
Normal however it can be prevented by frequent feedings, not delaying feeds, allowing baby to feed as kind as they want, waking baby if still sleeping after 4 hours, not offering any other fluids

]]> 2019-04-13 03:36:00 UTC https://padlet.com/sitinuraidah/bmsg19/wish/351345327 https://padlet.com/sitinuraidah/bmsg19/wish/351345533 - Latch baby properly to ensure baby is draining the milk efficiently
- Frequent feedings of baby, latch to baby's demand
- Avoid excessive pumping to prevent oversupply
- Avoid wearing wired bras 
- Try to rest as much as possible and get other to help you to prevent yourself getting stress

If in case of blocked duct ducts, 
-If it's too painful, use cold compress to relieve pain 
- Use warm compress or have a warm shower before breastfeeding to help milk flow

]]> 2019-04-13 03:41:01 UTC https://padlet.com/sitinuraidah/bmsg19/wish/351345533 https://padlet.com/sitinuraidah/bmsg19/wish/351345574 In case Maria's symptoms gets worse and develops to mastitis, consult a medical adviser ]]> 2019-04-13 03:41:56 UTC https://padlet.com/sitinuraidah/bmsg19/wish/351345574 Yvonne peivoon_lim https://padlet.com/sitinuraidah/bmsg19/wish/351869725 Sore nipples are the common problem for most mothers who just started to breastfeed. It was due to the frequent latching in the first 2 weeks. In fact, you and your precious baby just started to work together and this is part and parcels of the breastfeeding journey. If your nipples are in severe pain, bleeding or cracked, you may apply nipple cream before and after latching to speed up the healing process. Alternatively, you can get the nipple shield when you latching and this tool may soothe the problem. More info: https://www.youtube.com/watch?v=b0fx-3-NkEY 


Some other possible reasons behind sore nipples are poor latching, incorrect breastfeeding position, tongue tie or thrush infection. Thrush infection causes itchy and tender breast along with severe burning and sensations. All the other possible reason as stated above will require intervention by visiting lactation consultant or even pro-breastfeeding doctor as early as possible.  
]]> 2019-04-16 04:02:49 UTC https://padlet.com/sitinuraidah/bmsg19/wish/351869725 Cheng Yong https://padlet.com/sitinuraidah/bmsg19/wish/352845648 a. Engorgement usually starts on the 3rd-5th day after birth and subsides within 12-48 hours with proper treatment but can last as long as 7-10 days without proper treatment. The breasts will typically feel hard and full, with skin tightly stretched which may appear shiny. The breast may feel warm and tender.

b. Nurse early and often, 8-12 times a day, and don't miss night feeds.
Nurse on demand.
Allow baby to finish on the first breast before offering the second breast, do not limit baby's time on the breast.
Ensure that baby's latch is correct and nursing sufficiently softens the breast.
If baby is not latching well, express milk frequently.

]]> 2019-04-20 09:51:15 UTC https://padlet.com/sitinuraidah/bmsg19/wish/352845648 Nurulhuda https://padlet.com/sitinuraidah/bmsg19/wish/354223455 a. Engorgement usually happens around the 3rd day after birth, as a result of the milk coming in. With an older baby, it can happen any time when the baby is not feeding frequently enough. Breasts will feel very full, very heavy, warm to the touch and may also feel painful. 

b. Start feeding on the fuller breast. Apply a warm compress a few minutes before feeding to allow the milk to flow. Express some milk to soften the areola. This will allow the baby to attach more easily. Let baby finish and drain the breast completely before offering the other breast. Feed as frequently as baby needs. ]]> 2019-04-25 18:04:18 UTC https://padlet.com/sitinuraidah/bmsg19/wish/354223455 Applie Wan https://padlet.com/sitinuraidah/bmsg19/wish/354517590 To prevent blocked ducts and mastitis, the breast needs to be emptied frequently and adequately. Hence, it is important that you feed baby frequently on demand (you may like to pump or hand express to relieve if you are feeling engorged in between feeds, especially if baby is sleeping longer stretches). 

Sometimes, blocked ducts are also caused by wearing wired bras, wearing baby carriers that are too tight around the buckles or sleeping on a certain side. If this occurs, it will be best to latch baby as much as possible to clear the blockage as baby's suction is the most efficient in clearing the breast. Dangle feeding is also helpful sometimes. Other ways to relieve blocked ducts are hand expressing during a hot shower, using a wide toothed comb to massage the area, using a cold compress in between feeds or pumps to ease the pain. 

Signs of mastitis include fever and chills that doesn't go away after 24 hours, red patches or streaks on the breast, swelling or hardening of the breast. If you are having any of these symptoms, do consult a doctor to get antibiotics to treat the infection as soon as possible. ]]> 2019-04-26 16:27:37 UTC https://padlet.com/sitinuraidah/bmsg19/wish/354517590