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Breastfeeding issues and how to handle them
New Parent

Breastfeeding issues and how to handle them

3 min read
Key takeaways
3 min
  • Express milk directly into your baby's mouth using a spoon or syringe if they're too weak to latch properly after a difficult birth or premature delivery.
  • Introduce your baby to the breast gradually by expressing milk first, especially if initial skin-to-skin contact didn't happen within the first hour after birth.
  • Watch for tongue-tie signs like prolonged feeding sessions without adequate milk transfer and consider consulting your doctor about a simple clipping procedure.
  • Release some milk before feeding if you have oversupply issues, as this helps your baby latch better and prevents choking from strong milk flow.
  • Consult a lactation specialist when facing persistent breastfeeding challenges to identify underlying issues and develop personalized solutions.

Common breastfeeding problems include weak babies who can't latch, tongue-tie preventing proper sucking, and milk oversupply causing choking. Solutions involve expressing milk directly, gradual breast introduction, medical intervention for tongue-tie, and pre-feeding milk expression for oversupply issues.

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In theory, breastfeeding is the most natural thing in the world and should be simple and instinctive, right? The reality is more complicated. Many mamas and their babies face some obstacles that can be confusing and frustrating. 

Baby is too weak

If a baby had a difficult birth, was born prematurely, or was exposed to anesthetics or other medicines, they may not feel strong enough yet to grasp the breast and feed [1]. They may be sick, so they will not suck on the nipple, or he may vomit immediately after feeding. 

While not necessarily harmful, this can lead to a loop in which the baby does not eat, feels weak, and then does not eat because they feel weak. The cure is straightforward: express milk directly into the baby’s mouth for a while, or feed it to them using a spoon or syringe. They will gradually gain strength, and their appetite will return to normal.

Baby doesn’t seem to know how to feed

It is standard practice to place the baby on mama's breast to nurse within an hour of birth. If this doesn't happen, the baby may not comprehend what to do with the breast when fed later [2]. Just like with a weak baby, extract milk into the baby’s mouth until they understand the feeding ritual; gradually introduce the baby to the breast after they associate it with milk. 

Baby has signs of tongue-tie

The frenulum is the tissue that links your tongue with the bottom of your mouth. In some babies, it is extremely short, limiting the tongue's ability to suck or latch. When this happens, the baby stays on the breast but does not receive adequate milk. Mama may feel discomfort and fractured nipples as the baby hovers and hovers. In certain cases, your doctor may conduct a simple clipping procedure to resolve the issue [3]. 

Mother has too much milk 

If there is too much milk in the breast, the nipple stretches and the baby is unable to grasp it properly. Even if they can, the milk comes out in such a strong stream that the baby chokes and, naturally, throws the breast. A simple solution: express some milk before feeding your baby. This obstacle normally disappears when mother and baby understand each other's rhythms.

A lactation consultant's advice can be helpful in any of these scenarios. She of he can assist you in determining the underlying issue and a workable solution to set you and your baby up for successful bonding and feeding.

Photo: shutterstock


Frequently asked questions

Express milk directly into your baby's mouth using a spoon or syringe until they gain strength. This is common after difficult births, premature delivery, or medication exposure during labor.

Signs include difficulty latching, staying on the breast without getting adequate milk, and causing nipple pain or cracks. Your doctor can diagnose tongue-tie and perform a simple clipping procedure if needed.

Common causes include weakness from difficult birth or medications, lack of early skin-to-skin contact, tongue-tie, or maternal milk oversupply. Most issues can be resolved with proper techniques and patience.

Consult a lactation specialist if you experience persistent latching problems, nipple pain, concerns about milk supply, or if your baby isn't gaining weight properly. Early intervention often prevents bigger issues.

Express some milk before feeding to soften the nipple and slow the flow. This helps your baby latch properly and prevents choking from strong milk streams.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated September 2, 2024

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