Something I learned after searching everywhere about clogged/plugged duct:
Soak in warm (as warm as you can take it) water and epsom salt, rinse and then nurse or pump.
This will help with lumps, clogs, or just to relax and help let down. Just make sure that you rinse well in cool water if you are going to nurse after the soak, LO may have an adverse taste reaction being epsom salt is a laxative.
The best advice I got when I couldn't get Alicia to eat at the breast...pump a bit first so that the milk is right there, then try to latch her. She was too frustrated to work for it at first. As soon as I started pumping a bit first, bingo, she got it. I haven't had to feed EBM since.
Another tip about plugged ducts:
I soaked and massaged like crazy to no avail. I had a "milk blister" -- where the duct exits the nipple was clogged. It looked like a white spot on the nipple, not so much like an actual blister. As I massaged and tried to manually express I could see the milk below the surface of the nipple, just none was coming out. So, I had to take a sterilized needle and puncture the nipple. It did not hurt at all after dealing with the clogged duct for 18 hours! So if the heat/water/massage isn't working, that might do the trick. As soon as I poked it with the needle, milk started coming out. I got my son latched on and he totally emptied the plugged duct. Sweet relief!
Wow, great tips! Here is mine: In regards to blocked milk ducts - Gerber makes re-usable hot compresses specially shaped for your breasts. If you get a blocked milk duct, nuke one of the hot compresses for about 15 seconds, then wear it on the affected boob for about 15-20 minutes before nursing. Use your nursing bra to hold them in place. Then, massage your breast while you're nursing, rubbing towards the nipple.
Also, invest in several good professionally fitted nursing bras without underwire.
Remember baby is new to nursing too, it's very important to contain their little hands. On top of scratching me with his little nails, My son would push me with his hands which always seemed to get in the way and made it hard for him to keep latched on. Then he would get mad at me and not want to re-latch.
If you are pumping or nursing one side make sure the other breast is covered by something as the nursing or pumping could stimulate the other breast to leak. I didn't realize this at first and after nursing baby on one side I realized that my other side was soaked.
Also, if your baby is small don't worry about your supply if your baby has dirty diapers and is healthy. Not all babies grow at the same rate and not all babies are fat babies. My son gained weight regularly and always had soiled diapers but he was always a LEAN baby, he was always skinny. I constantly worried that he wasn't getting enough milk.
And stay stubborn, don't second guess yourself, get help if you need it.
Another way to prevent scratches, clip their nails while they are nursing, they are preoccupied with eating and anytime you can muti task with a new baby is good!
1. Swaddle baby before feeding, it helps keep their hands out of the way, which helps you get a good latch and keeps you from getting scratched or pinched.
2. If baby gets frustrated and won't latch, take a break and try again in 15 minutes.
3. If you aren't going to cosleep, invest in a good chair!
4. Even if you are exclusively BF, a pump is good to have onhand in case you get a clogged duct, when you get too engorged, or if baby refuses your milk so you can pump 'n dump that batch.
ITA, get a pump. I didn't think I would need one and ended up renting one from the hospital, that was $70 I shouldn't have spent. If you're a SAHM or WAHM then get a single electric if you don't want to spend on a double. I'm a SAHM but I use my pump everyday.
Don't let a LC or nurse force you to use a nipple shield. Try to nurse w/o one. The LC at my hospital gave it to me and I didn't know any better. Next time I will not use a nipple shield. Now my LO is hooked and weaning him has been a royal pain. You probably don't need it. If you can pump before you BF do it and your baby will latch better.
I have meant to add this here, and kept forgetting.
Don't be worried if your breastfed baby does not follow the curve on the growth chart at the pediatrician's office, especially if you breastfeed longer than 6 months. Most offices use charts where the sample of babies were mostly formula fed, and very few were breastfed longer than 6 months. Breastfed babies and formula fed babies have very different growth patterns. Formula fed babies tend to gain weight steadily, while breastfed babies gain a lot of weight early on and then slow down their rate of growth around 4-6 months. Many moms are told to supplement because their breastfed baby doesn't sustain a continuous rate of weight gain, and this is an error. For more info and charts that show weight gain for babies who are breastfed, see http://kellymom.com/babyconcerns/gro...wthcharts.html
I found it very uncomfortable when the water in the shower would hit my nipples. It really helped me to apply some of the Lansinoh lanolin before getting in the shower. It was like a nice little barrier from the elements. :)