When Things Don't Go As Planned

Common Breastfeeding Challenges

Breastfeeding doesn't always go exactly as planned.
Some common challenges include:
● Sore or damaged nipples
● Engorgement
● Blocked ducts
● Breast inflammation/mastitis
● Perceived or actual low milk supply
● Oversupply
● Difficulties with attachment
● Sleepy or unsettled babies
● Premature or medically fragile babies
● Pumping difficulties
● Returning to work
● Combination feeding

You don't have to struggle alone.
Early support can often prevent a small breastfeeding difficulty from becoming a bigger problem.

Engorgement

Engorgement can occur when the breasts become overly full and swollen, particularly when milk production increases in the early days. During this time it is important to seek guidance if you are unsure on what to do. Comfort measures and effective milk removal can help.

How will I know if my breasts are engorged?
Breasts may feel:
● Very full
● Firm
● Heavy
● Tender
● Warm

Your baby may also find it more difficult to latch when the breast and areola are very firm.
If you develop significant pain, redness, swelling, fever or feel unwell, seek medical assessment.

Does supplementation mean breastfeeding has failed?

Absolutely not.

There are circumstances where supplementation may be medically indicated. The important thing is that parents receive individualised, evidence-based guidance about why supplementation is recommended and how breastfeeding can be protected at the same time.

If supplementation is needed, your healthcare professional or lactation consultant can help you develop a feeding plan that considers:
● Your baby's medical needs
● Your breastfeeding goals
● Milk production
● Milk removal
● Your baby's growth
● The type and amount of supplementation required

A supplementation feeding plan should support both the health of the baby and the breastfeeding relationship.

Expressing breast milk can be useful for many different reasons.

You may choose to express if:
● Your baby cannot feed directly at the breast
● You are separated from your baby
● You are returning to work
● You want to provide expressed milk
● You need to maintain milk production
● You need to relieve breast fullness

There is no single "best" pump or pumping routine for everyone.

Your pumping plan should take into consideration why you are pumping, your baby's age and feeding pattern, your milk supply and your individual circumstances.