PROBLEMS IN BREASTFEEDING:

INVERTED NIPPLE

Treatment should begin after birth

• Manually stretch and roll the nipple between the
thumb and finger several times a day
• Syringe suction method

Teaching Aids: ENC NF- 1

 Inverted nipple: treatment by syringe method
Before feeds 5-8
STEP 1
times a day
Use 10 or 20cc syringe
Cut along this
line with blade
STEP 2
Insert the plunger
from cut end

STEP 3
Mother gently pulls
the plunger
Press at the edge and
STEP 4 allow air to enter before
removing the syringe

Teaching Aids: ENC NF- 2

PROBLEMS IN BREASTFEEDING: SORE
NIPPLE

Teaching Aids: ENC NF- 3

SORE NIPPLE: MANAGEMENT

Advise the mother to:

Give appropriate treatment:
• Improve the baby’s attachment • Gently apply hind milk
and continue breastfeeding onto nipple and areola
• Reduce engorgement, feed after each feed
frequently, express breast milk
• Treat candida

Teaching Aids: ENC NF- 4

PROBLEMS IN BREASTFEEDING: BREAST
ENGORGEMENT
Treatment
• Give analgesics to relieve pain
• Apply warm packs locally
• Gently express milk prior to feed
• Put the baby frequently to the breast

Teaching Aids: ENC NF- 5

FULL VS. ENGORGED BREASTS

Full breasts = NORMAL Engorged breasts = ABNORMAL

Teaching Aids: ENC NF- 6

 “NOT ENOUGH MILK”: MANAGEMENT

• Put baby to breast frequently

• Baby to be correctly attached to breast
• Build mother’s confidence
• Back massage and relaxation can help
• Use galactogogues (metaclopropamide) judiciously

Adequate weight gain and urine frequency 5-6 times a

day are reliable signs of enough milk intake

Teaching Aids: ENC NF- 7

THANK YOU