Avoid Getting Punched in the Boob This Holiday Season

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Hey moms, you need to take care of YOU!

Would a giveaway help?

I know, I know, you hear it all the time but you just can’t because laundry, work, laundry, demanding kids, laundry, dishes, parties, every. thing. else, mostly no time. 

Besides, moms are tough. Very tough. They do hard things every day, even just to get their babies. Moms push beings out their vagina or have their abdomen cut open, or stretch their emotions through adoption, allow their entire body chemistry to change, sacrificing sleep, hot meals, hot showers, and even have some of their brain invaded for their children. 

Moms are tough.

When it comes to breastfeeding, many moms tough it out through all kinds of challenges. Some may have an easy go of it but a rather significant mother of moms face challenges along the way. There are a few words that even the toughest of these women shudder at the thought of. Words such as:

They’re all hard and we could each probably add our own words but those 4 are universally understood. Bad news for breastfeeding moms. 

But did you know that your chance of developing the last one, mastitis, goes up during the holidays? According to the Academy of Breastfeeding Medicine a predisposing risk factor is “Maternal Stress and Fatigue.”

To continue reading about mastitis with some tips to take care of you, VISIT HERE.

Peace,

Jessica Martin-Weber
Founder, TheLeakyBoob.com

View More: http://yourstreetphotography.pass.us/martinwebberfamily1

 

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Understanding, Treatment, Prevention, and the Emotional Toll of Mastitis: The Red-Eyed Steaming Pooh Pile Jerk-Monster of Breastfeeding

by Jessica Martin-Weber
This post made possible by the generous sponsorship of Ergobaby and their Natural Curve Nursing Pillow.

Ergobaby

 

Not going to sugarcoat it: Mastitis is a jerk. A real jerk. It hurts.

Other than being a jerk though, what is mastitis?

mastitis definition

Inflammation of a boob. A boob infection. A boob infection that may turn into a boob abscess. And it can spread from there.

This jerk is no joke.

Mastitis can present as a range of severity from engorgement when milk comes in to a blocked duct, redness, swelling, pain, and a fever. Sometimes bacteria or infection isn’t always actually present.

The symptoms of mastitis can include:

  • Redness
  • Tenderness
  • Heat radiating from the area
  • Pain
  • Fever
  • Chills
  • Body aches
  • Hard area under skin indicating a blocked duct
  • Abscess
  • Feeling like someone electrified your joints when you already had the flue, punched you in the boob, and then handed you a baby and told you to feed it with the boob that was punched.
  • The desire to punch someone in retaliation.

Pretty much, you feel like a steaming hot pile of aching pooh with an infant to care for and dinner to make.

the emotional impact of mastitis

It is officially miserable. Women with mastitis have been known to compare the experience to torture and generally agree that it is worse than childbirth and dental work combined.

Oh yeah, this steaming pile of pooh just got real.

There are a range of treatment options including but not limited to:
(This is not intended to be health care advice, just information. Your health care provider can address your specific needs in care.)

  • Milk removal– get it all out! Repeatedly. (This milk is safe for baby to consume unless otherwise instructed by your health care provider)
  • Heat– this may provide relief and help with let down to empty the breast. Wet heat, such as a warm compress or soaking in a tub or shower (if you can stand it) or even a bowl of warm water is effective and provides a lubricant for massaging the effected area as well.
  • Massage– Nothing like massaging the area that hurts when you touch it but some breast massage can go a long way in relieving mastitis. This method is one to try very gently.
  • Rest– you’ll want to after that massage anyway but rest has a big role in helping the body heal itself.
  • Pain relief– such as Ibuprofen. Reducing inflammation won’t just help you tolerate the pain, it can help you heal.
  • Natural remedies– from cabbage to lecithin to arnica to garlic, there are tried and true natural options worth trying if you catch it early. If you experience recurring mastitis, lecithin supplements on a regular basis may help you avoid it again in the future if mechanical issues regarding milk removal do not appear to be the cause.
  • Pharmaceuticals– If caught early, you may be able to beat this monster on your own but it can rapidly progress to a much more serious condition if left untreated. The most effective known treatment is antibiotics.

Hopefully you’ll catch it soon enough to not have to pack up your children and monster boob to see the doctor but if you end up there most women respond quickly to antibiotics.

So how do you avoid this jerk in the first place?

There are some solid steps you can take to protect your boobs but as powerful and wonderful as they are, they’re not invincible. Still, here’s what we do know.

  • Treat damaged breast tissue ASAP. Nipple damage is pretty much an invitation for mastitis. Get that taken care of and address the underlying issue with a qualified health care professional (see an IBCLC) to prevent it from reoccurring. (Could it be tongue tie?)
  • Effective milk removal. This can be more difficult to tell but if your baby or pump isn’t removing milk well from your breast you could be set up to do the tango with Jerk-face here. Reoccurring mastitis could be a sign that your breasts aren’t getting emptied. This would be the time to see an IBCLC for some answers and hands-on support.
  • Frequent milk removal. Responding to baby’s cues for feeding rather than the clock not only helps ensure you have a consistent milk supply it also helps you frequently empty the breast (which tells your body to make more milk) which in turn helps you avoid mastitis. Feel like you’re feeding baby all the time? Yay! Hopefully baby’s helping you avoid mastitis! Listen not only to your baby but also to your boobs. When they feel full and particularly if they start to become painful when you’ve missed a feeding, be sure to empty them. This goes for pumping too!
  • Different positions for milk removal. It’s normal to have your favorite position or two but changing it up a couple of times a day will help ensure that the milk removal happening is more complete. If you’re pumping, try using breast compressions to full empty the breast. If you think you may have a plugged duct or the beginning of mastitis, try a dangle feeding position. It’s not cute or fun but it can be incredibly effective.
  • Free of restrictions. Make sure your bra, nursing tanks, and anything else that comes in contact with your breast isn’t constricting (check your seat belt placement). Red lines would be an indicator that there is pressure on your breasts that could block the flow of milk and increase your chances of infection.
  • Take care of you. Rest, eat well, hydrate even better. Giving your body the resources it needs to be healthy is the best preventative measure we can take.
  • Respond. If something is up with your breast and you notice tenderness, a hard area, a white bump (called a milk bleb) on the tip of your nipple, or anything that just seems off, take care of it by resting, massaging, and calling your health care provider.

ErgoBaby breastfeeding nursing pillow mastitis prevention tip

It is important to note that sometimes mastitis is resistant to treatment. If this happens to you, you can request your health care provider to do a culture to determine if a more targeted treatment protocol is in order and to detect possible other causes for mastitis-like symptoms that don’t respond to conventional treatment measures.

The emotional and psychological impact of mastitis can’t be ignored. It’s far more than a pathology, more than a clinical diagnosis. Anyone that has experienced mastitis can tell you that it is a soul crushing, mind altering invasive monster-jerk. Women have been known to question everything about their lives in the midst of battling mastitis.

I shared my emotional unraveling and how I ended up beating the Red-Eyed Monster of Breastfeeding here, including my detailed home treatments and a “flattering” photo demonstrating dangle feeding here. It’s not pretty. It’s war.

What is mastitis and how to care for it The Leaky Boob

If you find yourself entrenched in such a battle for your soul boobs, ask for help. Virtual help (head over to our FB pageFB group, and Instagram for a real dose of virtual help that’s chicken soup for your mom soul) and in person real life help. Trying to be super mom and super boob monster-jerk fighter isn’t going to position you well to win. Beg a friend to bring dinner, reach out to a family member to do a load of laundry, be cool with Netflix babysitting so you can get down to booty kicking the jerk and getting well.

Just turn on My Little Pony, give your kids the peanut butter jar and a spoon (as long as they aren’t allergic), and sit on the floor with a warm wet wash cloth massaging your boob and cry.

There’s no sugarcoating mastitis.

Mastitis is a jerk (I’m writing “jerk” but I’m thinking a different word) but with information, help, and some mom-moxie, most moms can kick it to the curb. Demand help from your health care provider when you need it, nobody will blame you for being a bit on edge with your breast invaded by the Red-Eyed Monster of Breastfeeding, Jerk Mastitis. Do what you need to do.

This a-hole jerk is no joke.

Sources: Academy of Breastfeeding Medicine mastitis protocol,  LLLI Mastitis Tear-off sheetThe Nursing Mother’s Companion,  The American Academy of Family Physicians Management of Mastitis in Breastfeeding Women, the CDC

 

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Have you survived mastitis? How did you get through?

_______________________

Jessica Martin-Weber Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and co-creator of OurStableTable.com, supporter of A Girl With A View, and co-founder of Milk: An Infant Feeding Conference. She co-parents her 6 daughters with her husband of 19 years and is currently writing her first creative non-fiction book and a children’s book.
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Dear Kathleen- on nipple damage healing and pumping

We receive hundreds of emails and messages daily from Leakies looking for help and information in their breastfeeding journey.  As so many seek support from us, we are so honored to have the support of Kathleen Huggins, IBCLC and author of The Nursing Mothers’ Companion.  Kathleen is jumping on board with The Leaky Boob to have a regular article answering Leaky questions every month.  The questions will be selected from the huge pool we get in every day to try and help cover the wide range of topics about which Leakies are asking.  These questions are from real moms and represent hundreds of requests for more information in the past few weeks.  Please understand that this is simply the professional opinion of one International Board Certified Lactation Consultant in an informal setting and is not intended to replace the care of a health care provider.  Kathleen is offering support and information, not diagnosing or prescribing treatment.  For your health and safety, please seek the care of a qualified physician and/or IBCLC.  Kathleen does have limited availability for phone or online consultations, see her website for more information.

Dear Kathleen,

My nipples are a wreck following a shallow latch and then thrush with my 8 week old.  After working with an IBCLC that helped fix my daughter’s latch and take care of the thrush, things are improving.  However, my nipples are still cracked and bleeding and I think they just need a break to heal.  The IBCLC I work with suggested I just pump for a little bit until I’m healed and I’m ok with that.  I feel like I’m a bit lacking in the pumping department though and only got 4 ounces the first time I tried with a hospital grade double electric pump and my daughter downed that pretty quickly.  How often should I be pumping to keep up my supply?  How long should I expect healing to take?  How do I pick a bottle that won’t encourage my daughter to prefer the bottle over me?

Thank you so much for your help!

Sore Nipples 

 

Hello Sore Nipples!  I am so sorry to hear that you are still struggling at this point in time! Sounds like you have been through a rough go.  Yes, you and your L.C. are on the right track.  A break from any more trauma is certainly in order.  I am happy to hear that you have a clinical grade pump.  I do hope you have the right size flanges for more comfortable pumpings and for removing the most amount of milk possible.  If your nipples are swelling very much in the tunnel, I would suggest getting the next size flange for more comfortable and effective pumping. Another product, “Pumping Pals”, slipped into any flange, makes pumping even more comfortable and for some moms even more efficient.  You might want to visit their website to see what I mean.  The company is very helpful in getting you the right size flanges to use in your kit and they are fairly inexpensive. With that being said, still many pumps still leave quite a bit of milk on the breast.  For that reason, I suggest “Hands-on Pumping”, that is using your hands to help remove the most milk possible at each pumping.  Please watch Dr. Jane Morton on Stanford University’s website on breastfeeding issue and see her mini-lecture and video of hands-on pumping.

I would like to talk to you more about the condition of your nipples.  If your nipples are still cracked, I would like you to consider treating them with an oral antibiotic.  Mothers with injured nipples longer than 5 days are at a much greater risk of developing mastitis; 75% of moms with open nipples go on the develop a breast infection because of the bacteria in the open areas.  And this seems much more common during the cold weather months.  There was a great study done by two Canadian physicians some time ago that showed the consequences of wounded nipples that were untreated leading to mastitis.  Also, nipples are more difficult to heal when they are infected with bacteria.  For both of those reasons, I suggest speaking with your midwife or doctor about getting treatment for at least 10-14 days.  I don’t think most doctors are aware of this connection, but with your nipples being in this shape so late in the game, I am convinced they are colonized with bacteria.  Yes, I am sure that this makes you worry about yeast, but yeast is much easier to treat than a case of mastitis, which can also lessen your overall milk production.

Mastitis risk with damaged nipples

I do think that getting 4 ounces is about what a baby at this age requires at each feeding.  You will want to aim for about 8 pumpings each 24 hours.  If you are not getting at least 3-4 ounces when you pump, you may want to also consider using some herbs.  You can use fenugreek capsules that are available at most any health food store, 3 caps three times a day. This is probably different that the dose given on the bottle.  I actually find that mothers do quite well using Mother Love’s More Milk Plus, a combination of milk stimulating herbs.  You can visit their website and see if there is a local distributor or order them on-line directly from Mother Love. Nursing teas are a very weak form of any herb, so I don’t recommend them as the primary way to stimulate higher milk production.

Babies typically down a bottle in no time flat and may still act hungry!  This can lead parents to believe that the baby may need more milk.  Four ounces with a slow flow nipple, might help some but keep in mind that many nipples that are labeled as slow flow, really aren’t!  Hopefully, the baby takes 5-10 minutes to drink 4 ounces of milk. There is an old saying, “It takes 20 minutes for the brain to know when the stomach is full!”  So true!  If you are very worried that the baby will come to fall in love with the bottle flow, you might reconsider and have one nursing every 24 hours, but I leave that to your discretion. I think for most babies, if there is a healthy supply of milk, they should return to the breast without too much of a problem.

I wish you every success and very soon!  You are quite a determined mom!

Best wishes,

Kathleen

Kathleen-HigginsKathleen Huggins RN IBCLC, has a Master’s Degree in Perinatal Nursing from U.C. San  Francisco, founded the Breastfeeding Warmline, opened one of the first breastfeeding clinics in  the United States, and has been helping breastfeeding mothers professionally for 33 years.  Kathleen  authored The Nursing Mother’s Companion in 1986 followed by The Nursing Mother’s Guide to Weaning.  Kathleen has also co-authored Nursing Mother, Working Mother with Gale Pryor, Twenty Five Things Every Breastfeeding Mother Should Know and The Nursing Mothers’ Breastfeeding Diary with best-friend, Jan Ellen Brown.  The Nursing Mothers’ Companion has also been translated into Spanish.  Mother of two now grown children, Kathleen retired from hospital work in 2004 and after beating breast cancer opened and currently runs Simply MaMa, her own maternity and breastfeeding boutique.  She continues to support breastfeeding mothers through her store’s “breastaurant,” online at The Leaky Boob, and in private consultations.  
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