Breastfeeding Solutions for Working Mothers

Working mothers often encounter thrush – a fungal infection of nipples and the baby’s oral cavity – leading to feeding difficulties. “Mothers must visit doctors. Many cases need application of antifungal mouth paint to the baby’s oral cavity till the thrush heals,” Dr Khalatkar said.

Promoting Breastfeeding-friendly Workplaces

Pediatrician Dr. Surabhi Sangwai is an Internationally Board Certified Lactation Consultant (USA). She highlighted the importance of supportive workplace policies. “All women, anywhere, irrespective of their type of work, should get paid time off up to 180 days after delivering a child,” she said. The WHO recommends exclusive breastfeeding up to 6 months post-delivery.

To enable successful breastfeeding for working mothers, Dr. Sangwai emphasized the need for breastfeeding-friendly workspaces. “Employers should provide suitable workspaces, like flexible schedules, facilities for expressing breastmilk at work, telework, and onsite childcare,” she said.

Timely lactation support is crucial for achieving breastfeeding goals without compromising the baby’s nutrition,” Dr. Sangwai added.

Addressing Common Breastfeeding Challenges

Breast engorgement is a painful condition in which the breasts become excessively full of milk. Using heat compresses and expressing additional milk after breastfeeding can help relieve breast engorgement (2).

Thrush is a fungal illness that affects the nipples and the baby’s oral cavity, causing feeding difficulties. Consultation with a doctor and application of antifungal mouth paint to the baby’s oral cavity are the recommended solutions (3).

Blockages in the milk ducts can result in tiny, painful lumps in the breast. Frequent feedings and careful baby posture can help relieve it.

Mastitis can develop from an untreated clogged duct. Regular breastfeeding, initiating feeds with the afflicted breast, and seeking medical assistance can help relieve mastitis. Untreated mastitis can cause pus to form in the breast leading to breast abscess. Surgical drainage and incision can help treat breast abscesses (4).

References:

1. https:www.who.int/campaigns/world-breastfeeding-week/2023
2. Zakarija-Grkovic I, Stewart F. Treatments for breast engorgement during lactation. Cochrane Database Syst Rev. 2020 Sep 18;9(9):CD006946. doi: 10.1002/14651858.CD006946.pub4. PMID: 32944940; PMCID: PMC8094412.
3. Moorhead AM, Amir LH, O’Brien PW, Wong S. A prospective study of fluconazole treatment for breast and nipple thrush. Breastfeed Rev. 2011 Nov;19(3):25-9. PMID: 22263374.
4. Krogerus C, Wernheden E, Hansen LB. [Mastitis]. Ugeskr Laeger. 2019 Nov 18;181(47):V07190396. Danish. PMID: 31791447.

Source: Medindia