Temecula Valley OB/GYN

Patient Forms

Solutions for Common Problems

Sore Nipples

  • Long, frequent feedings prevent engorgement, which can lead to sore nipples.
  • Repositioning the baby at the breast until the latch is not painful.
  • Nurse on the least sore side first.
  • Expose nipples to air. Keep bra flaps down.
  • Use breast milk on your nipples after feedings.
  • DO NOT USE NIPPLE SHIELD unless assessed by a lactation consultant.
  • Avoid breast pads with plastic barriers.
  • Improper latch-on leads to sore, cracked nipples.
  • Get help if the problem persists, or if your nipples become cracked, or bleed.

Sleepy Baby

  • You MUST wake the baby for feedings during the first week. He/She may not wake when hungry.
  • Wake the baby by taking off the blankets, undressing, talking, patting.
  • Stimulate by bathing, skin to skin contact, cool washcloth to face.
  • Avoid overheating your home (over 80) as this can cause baby to be more sleepy.
  • Use pain medication only if needed.
  • Seek assistance if the baby seems too sleepy, doesn’t want to nurse as often as expected, or constantly falls asleep at the breast before at least 10 minutes of active nursing.

Getting Discouraged

  • Seek assistance from supportive family members.
  • Get plenty of rest. Nap when the baby does.
  • Avoid being a “super mom”.
  • The first 2 weeks are the most difficult, regardless of feeding method.
  • Remember that you can do it if you persist.
  • Get help.
  • Could it be the blues? (Postpartum depression).
  • Call the Lactation Clinic when you need assistance.


  • Feed frequently (every 2-3 hours).
  • Apply warm, moist packs to breast before feeding.
  • Use gentle fingertip massage over breasts.
  • Take very warm showers.ext.
  • Manually express milk to soften areola prior to putting baby to your breast.
  • Avoid using breast pumps to “get rid of the milk”.
  • Use pump gently, only if the milk is flowing.
  • Use cold compress (only AFTER feeding).

Artificial Nipple Preference

  • Avoid using artificial nipples until baby is at least 3 weeks old.
  • Try football hold to assist with latch-on.
  • Express milk on the nipple prior to latch-on, or use an eyedropper to drip milk down the breast.
  • BE PATIENT – Don’t force baby
  • If you are unable to correct after 1 or 2 feedings, call the Lactation Clinic for assistance.

Fussy Baby

  • Don’t confuse fussiness with colic, CRYING IS NORMAL!
  • Feed as often as demanded, about every 2-3 hours from start of feed to start of feed is normal.
  • Feeding helps to soothe baby.
  • Burp frequently during feedings and following crying. Breastfed babies may not always burp. That is okay.
  • Baby will be more fussy during evening hours.
  • Call the Lactation Clinic if the problem continues.

Plugged Duts / Mastitis

  • Increase your bed rest (bed rest for 24 hours if you develop mastitis).
  • Do not skip nursing – increase frequency.
  • Begin feedings on the affected side.
  • Apply warm, moist packs to affected area prior to feedings (cold compress may be applied after feeding)
  • Gently massage lump during feeding


  • Breast lumps, hard, reddened or painful areas.
  • Flu-like aches and pains, shaking chills.
  • Watch your temperature, report any fever.
  • Over 101º F to your physician.
  • Contact the lactation clinic or our office if you think you have mastitis.

Adequate Milk Supply

  • Eat what you like, but don’t overdo on any one type of food or drink.
  • Drink fluids to have pale urine.
  • Eat 3 meals and 2 small snacks per day.
  • Eat 2200-2500 calories per day of well-balanced foods.
  • Use both breasts at each feeding.
  • Nurse more frequently. Lengthen feedings.
  • Avoid supplemental bottle of water, formula or juice. Avoid using a pacifier.
  • Remember, baby shouldn’t get cereal until 4-6 months of age. Cereal WILL NOT make the baby sleep through the night.
  • Call the Lactation Clinic if you suspect a low milk supply.

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