Breastfeeding FAQ’s Part 4

In this fourth part of the most frequently asked questions of a breastfeeding consultant I will outline Cluster feeding, mastitis and the breastfeeding latch.

Can I breastfeed if I have inverted or flat nipples?

In many cases yes, with support to achieve a deep latch the baby can latch onto the surrounding breast tissue. Techniques can be used to tease out the nipple if the baby struggles. In some cases a device called a nipple shield is used to support a deeper latch.

How can I involve my partner in the breastfeeding process?

It is helpful if both yourself and your partner are on the same page when it comes to breastfeeding as they should be your number one cheerleader. Partners can be supportive by understanding your desire to breastfeeding and help overcome breastfeeding challenges. There are plenty of jobs partners can do for yourself and the baby that don’t involve feeding the baby such as ensuring you are fed, the house is organised, fridge is full, baby settled, winded, changed, bathed, bed time routine… the list goes on.

What are cluster feedings, and how do I manage them?

Cluster feeding is where, usually on an evening or night time, babies request more milk from your body by switching from breast to breast over 1-4 approximate hours. They are feeding ahead of a developmental change, growth spurt or for comfort. Breastmilk releases hormones such as melatonin and serotonin, your baby may do a long stretch of sleep post cluster feeding in a deeper sleep than usual and this is completely normal.

It is important however to work out if your baby is cluster feeding or constantly at the breast day and night. If you feel your baby is actually constantly feeding you would need to seek qualified support.

Can I breastfeed if I have mastitis or a breast infection?

Yes the number one rule of mastitis (infection within the breast tissues) is to keep on feeding as normal. This maybe directly breastfeeding or expressing as per usual. Do not be tempted to feed more than usual as symptoms can increase with an oversupply. Anti-inflammatory medications such as ibuprofen and cooling techniques like ice gel packs help to reduce inflammation in the surrounding tissues. Ensuring your baby is latched well is important to ensure the breast is being adequately drained. Gently check your breasts for any blocked ducts or lumps and gently massage these areas whilst feeding however no deep tissue or vigorous massage is recommended. Lymphatic drainage is important so have a look at breast lymphatic drainage techniques to reduce swelling.

What are the signs of a good breastfeeding latch?

Signs of a good deep latch are a calm baby, who is sucking and swallowing rhythmically. In general for the majority of a feed the baby should be swallowing after every 1-2 sucks repeatedly and a short pause after a number of suck/swallows. The baby’s cheeks should be full. You may hear gulping sounds but clicking signs may be a sign of a shallow latch or tongue restriction/tongue tie. The corners of your baby’s mouth should be stretched wide and more of the areola visible above the baby’s mouth than below, this shows the baby was latched coming under the breast rather than directly onto the nipple which will allow for a deeper latch. Your baby should come off the breast independently into a deep satiated state often known as being ‘milk drunk’.

Remember, it's always a good idea to consult with a lactation consultant or specialist professional for personalised advice and support regarding breastfeeding