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Your Breastfeeding Questions Answered



Dr. Jane Morton, Clinical Professor of Pediatrics at Stanford University School of Medicine, is an expert on nursing premature infants as well as a member of the Breastfeeding.com medical advisory board. Dr. Morton has answered many of your breastfeeding questions.

Dr. Morton works one-on-one with new mothers at the Lucile Packard Children's Hospital at Stanford University, teaching moms how to breastfeed successfully.  In 1997, Focus Magazine named Dr. Morton one of the "Best Doctors in the Bay Area,"  and she was again selected by her peers as one of "Silicon Valley's Best Physicians" as reported in The Sane Jose Magazine in 1999.






How can I prevent dry, cracked nipples?

NAME: Sharon
BABY'S NAME: Don't know yet!! (due November)
BABY'S AGE:  

This is my first child and I plan to breastfeed.  But I keep hearing these stories from women who have had trouble breastfeeding like dry, cracked nipples and actual bleeding.  What can I do to prevent this from happening?





Dear Sharon,

The most important way to prevent having dry, cracked nipples is to get the baby latched onto your breast well.  What does this mean?

If we draw an imaginary line from the tip of a baby's nose to his earlobe, the mid-point of this line we could call the "perfect point."  This is just where we need to get your nipple in your baby's mouth.  To experiment, allow your baby to suck on your finger and notice she/he pulls your finger back to exactly this point in her/his mouth.  All of the friction of the jaw and the tongue is on your fingernail, not on the tip of your finger.  Similarly, all of the friction of the baby's jaw and tongue should be on the areola, not on your nipple.  How do you get your nipple this far back in your baby's mouth? A good question.  Here, pictures are much more valuable than words, and this is exactly why I made a video about this.  Perhaps you can find some useful video clips on this Web site, or you could order the whole video and watch it in the privacy of your own home.

The most important features are these.  Number one, shape the breast more like a sandwich so that it is easier to have the baby latch onto the breast, not just the nipple.  Keep your fingers parallel to your baby's lips so that you are shaping the breast to fit in her/his mouth easily.  Position him so that she/he begins with nipple to nose.  Stroke, her/his upper lip with the nipple and wait for her/him to open his mouth wide, then swiftly bring him to the breast, being careful that his lower jaw is as far below the nipple as possible.  Again, I think it is easiest to see this in the video.

Women develop sore nipples not from nursing too long, but from nursing "wrong."  If you have flat or retractile nipples, you will probably need some help from an experienced lactation consultant.  The breast shells can help shape the nipple.  I would discourage using soft nipple shields in this situation.  Hope this is helpful.




 

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