The Breastfeeding Journey
When I was pregnant, I was confident that I was going to breastfeed my baby, and looked forward to having that relationship with her (or him!) However, despite my training as a midwife and growing up in a household where the subject was discussed regularly at the dinner-table, I wasn’t fully prepared for what lay ahead. Now, nearly 8 months on from that first feed after she was born I can look back and reflect on 5 things that I have learnt on my journey…
1) I don’t care what anyone says, even with a good latch, you can still get sore nipples and may even get nipple damage. Take my situation, I’m a midwife, I had help from a great lactation consultant and midwife, a sympathetic and helpful mother, even my dad is breastfeeding savvy and with all that, I wasn’t pain-free until five weeks in.
For many women, you can bet there is going to be some degree of discomfort in the early days of breastfeeding. I mean, think about it. Most people haven’t had a hoover-type device attached to their breasts prior to breastfeeding. And that’s exactly how I would describe your sweet newborn.
This isn't to say that nipple pain is "NORMAL", but it certainly is common!
Unfortunately for me, I was blessed with flat, delicate nipples and within a week they were horribly mangled. I’m not exaggerating. We’re talking splits, cracks and even pus… Every time she latched, the first 30 seconds of the feed felt like 1000 hot needles were piercing through me as she dragged my sore, flat nipple along her hard palate to her soft palate at the back. It was agonising. Excruciating. I tried to make her latch deeper, for her to get more breast tissue in her mouth, but there’s really only so much you can do with flat nipples. By the time she was 15 days old I couldn’t bear it any longer, they just weren’t healing due to her frequent feeds. So I needed to rest them and express for 48 hours and feed my daughter my milk out of a bottle. After that they were healed enough so I could feed her comfortably with nipple shields. Then, out of fear of damaging them again I continued to use the shields for another 3 weeks, until a visit with my hospital IBCLC showed me some better positioning (yep, I hadn't been doing it completely right... proof you shouldn't let your pride get in the way) and I gained the confidence to feed again without them. By this time, they had healed completely and breastfeeding was finally comfortable and pain-free.
So here I am, proof that even if you baby annihilates your nipples in the early days, they will heal and they will heal quickly, I promise. Bottom line: if you think you need a break from putting baby to the breast to aid the healing process, then I would do so with the help and guidance of a skilled lactation consultant.
2) Here’s one of my favourite pieces of advice: “if you need a break, why don’t you just pump and get your husband to give her a bottle?”
Really? Do you know how much extra work that entails? Pumping is a pain in the arse. I also could never figure out the right time to pump. Finally I did work out that it was first thing in the morning, then discovered that it’s near impossible to entertain a small child AND pump at the same time. A month or so ago, in preparation for going to support a friend during her labour and birth I managed to find the time to pump and store around 800mL over the course of 2 weeks. Then the night she went into labour I was gone for 5 hours overnight. How good it was that I had left all that milk for my 2 hourly overnight feeding baby! When I got home, do you know how much of that 800mL hubby had needed to feed her? None. She had slept the whole time. Well played child, well played.
So if your mother-in-law starts bugging you to pump so she can “help out” by giving the baby a bottle, you have my permission to glare at her and suggest she cook you dinner instead.
3) Breastfeeding is messy! The first time my baby pulled off in the middle of a feed and my milk sprayed her in the face, I think I was more shocked than she was. I actually had no idea that it can be like a water pistol. Now that she is older and more curious it happens all the time. When we’re out in public and she pulls off to see what’s going on behind her or look up and smile at the waiter taking our food order. That’s always fun. She’s grinning away and my boob is soaking my top and I’m trying to act cool and nonchalant in front of the surprised, but always polite waiter (even in these situations I have never had any negativity directed towards me for openly breastfeeding in public. For any mothers who are anxious about feeding out and about, I say just do it. You will be pleasantly surprised by how many people will offer you encouraging smiles, and the rest won’t even notice or care).
Then apart from the milk all over her face when she’s finished there’s the occasional vomit when she has decided that, whoops, I didn’t actually need that feed mum! You can have it back… on your clean shirt.
4) Then just when you think it’s all easy-peasy, teeth happen. The same week my daughter got her two bottom teeth, she bit me, several times, all accidental of course. And yes, I swore, very loudly. It seems that just as she’s drifting off to sleep, her jaw clenches and chomp! After my early days of nipple damage, I honestly thought my nipples could handle anything, but suddenly every latch was agony again as her little teeth had caused pretty nasty splits under each nipple. My mum suggested I try the shields again but baby was not amused and just pulled them off. I asked my dad what he thought I should do. He suggested I take her off just as she is falling asleep and pop in her dummy instead. This was sad as I loved letting her fall into a deep sleep while sucking away, but I just couldn’t bear another nip so I took his suggestion. Once again my nipples have proven how quickly they can heal. Just in time for four shiny new top teeth that have just come through this week. Uh oh…
5) Finally, the most important thing I learnt on my breastfeeding journey is that SUPPORT IS EVERYTHING.
I couldn’t have been more lucky. I gave birth to her in a “Baby Friendly” accredited hospital, which meant I was fully supported with early contact and giving her only breastmilk from birth. When I went home I had my private midwife for support, as well as my husband and parents. I also had midwife-friends and some very experienced colleagues who gave me invaluable assistance.
And as valuable as community and hospital support is, I truly believe that the most important support comes from within the home – husbands/partners, parents, in-laws… In those early weeks after giving birth, these people need to be the new mother’s cheer-squad. They need to encourage and reassure her, especially when crazy hormones, lack of sleep and just that general post-natal haziness amplify the routine breastfeeding difficulties. My husband especially was such a wonderful help, and continues to support me 100% in continuing to breastfeed our daughter for as long as possible.
I asked him as I was writing this blog why he thought it was so important for husbands and partners to support new mothers who wish to breastfeed their babies. Ever the comedian, his response was: “because it will mean the men get more sleep… they won’t need to get up at night to feed the baby!”
So there you have it guys. If that isn’t incentive enough to support your partners, I don’t know what is.
Georgina Dowden is a mother, midwife and lactation consultant (IBCLC).
In her day to day life, she looks after her two beautiful children and also supports other families on their parenting journey.
If you would like to get in touch for breastfeeding or sleep/settling support, please email:
Skype/FaceTime consultations available OR home visits if you live in the Northern Rivers of NSW.
(Originally published at: www.babydoc.com.au)