Breastfeeding Concerns

Common Breastfeeding Concerns


  • Breastfeed often - every two to three hours
  • Apply warm, moist towels to your breasts for five minutes before nursing
  • Massage the breast before and during feeding to stimulate let down
  • Soften areola and nipple before latching on by hand or pumping
  • Latch baby on correctly
  • Breastfeed five to 30 minutes per breast
  • Ask for help when needed
  • Take a mild analgesic as recommended by your care provider
  • Avoid restrictive bras
  • Remember engorgement won’t last forever
  • You may pump once a day to relieve engorgement without fear of making too much milk

Sore Nipples

  • Latch baby on correctly each feeding.
  • Breastfeed your baby, not nipple-feed
  • Ask for help
  • Change breastfeeding positions and feed from the least sore breast first
  • Air-dry nipples for ten minutes after each feeding
  • Change bra pads when they become wet
  • Use breast pumps correctly
  • Remember sore, cracked, bleeding nipples do not have to be tolerated. SEEK HELP

Feeling of Decreased Milk Supply

  • Breastfeed baby eight to 12 times a day. Wake baby up for feedings at least every three hours
    during the day
  • Watch for adequate amounts of wet and soiled diapers
  • Use proper latch-on
  • Drink plenty of fluids
  • Relax! Try to sleep when baby sleeps
  • The more you breastfeed, the more milk you will make
  • Remember that babies go through predictable growth spurts and will need to nurse more often to increase your milk supply. Growth spurts typically occur at two weeks, six weeks, three months and six months of age
  • If this feeling persists, contact your lactation consultant

Plugged Milk Duct

  • Apply moist, warm towels to affected area
  • Massage area before and during feeding
  • Use a different position to breastfeed
  • Begin feeding on affected side
  • Avoid restrictive bras or take your bra off while feeding or pumping
  • Contact your lactation consultant or care provider if you have a fever or flu-like symptoms (possible sign of a breast infection - mastitis)


  • If your baby seems unusually fussy, try keeping a food diary of what you eat and drink. Some babies may be sensitive to certain foods in your diet. Discuss this with your care provider
  • Try to maintain somewhat of a routine naptime or bedtime
  • Fussy babies are often soothed by swaddling and/or motion (rocking, swinging, riding in the car) or certain sounds

Yeast Infections

  • Sudden onset of nipple pain. Nipples are red and pink and may be flaky or itchy. Nipple pain persists throughout entire feeding even if latched on well.
  • Baby may have white patches in his mouth or bright red diaper rash.
  • Call your care provider and the baby’s physician for medication to treat both of you
  • Continue to breastfeed
  • Change your bra pads when wet
  • Wash bra in hot water daily
  • Allow nipples to air dry after each feeding
  • All bottle nipples, pacifiers and toys that come in contact with baby’s mouth need to be boiled or run through the dishwasher daily

Continue Watching

Check-up: Breast cancer surgery (Maria Rapciak, DO)

Surgery is a common treatment for breast cancer. It’s done to remove as much of the cancer as possible. General surgeon, Maria Rapciak, DO, explains the types of surgical options available to women and the factors that go into creating a plan of care.

Check-up: Breast augmentation vs. breast lift (Nicole Phillips, MD)

Plastic surgeon, Nicole Phillips, MD, shares more about the customized breast augmentation and breast lift techniques offered at Stonegate Plastic Surgery.

Maternity and the COVID-19 vaccine

With many questions around expectant mothers getting the COVID-19 vaccine, Spectrum Health maternal-fetal medicine physician David Colombo, MD, shares information that moms need to know about their decision.

Physician video profile: Nicole Phillips, MD (Plastic Surgery)

Nicole Phillips, MD, is a plastic and reconstructive surgeon at Stonegate Plastic Surgery.

Check-Up: What is breast reconstruction?

Plastic surgeon, Nicole Phillips, MD, discusses how breast reconstruction can dramatically improve a woman’s appearance, self-confidence, and overall quality of life.

Breast reconstruction: Shelly Morlock "A restored sense of confidence"

A small, cancerous lump in Shelly Morlock's right breast required a mastectomy along with a full course of chemotherapy and radiation treatment.

Plastic Surgery Secrets (Ginard Henry, MD)

Plastic surgeon, Ginard Henry, MD, answers questions and address concerns people may have about plastic surgery.

Wound Center: Carolyn Drier “The Path to Healing”

Carolyn Drier suffered a fall in the parking lot that resulted in a small lesion on her knee. After her wound would not heal she scheduled a visit to the Lakeland Wound Center in Niles.

Menopause: Navigating the Change (Ashley Dupuis, DO, FACOOG)

Ashley Dupuis, DO, discusses the early years transitioning up to menopause, what to expect, and specific symptoms.

Check-Up: Postpartum Depression is Not Your Fault (Meredith Sheldon, MA, LLPC)

Southwestern Medical Clinic counselor, Meredith Sheldon, talks about why women may experience postpartum depression and how treatment can help people cope.

© Spectrum Health Lakeland 2021