Kak Tini has been a lifesaver, I called her on Tuesday, I was so tearful, that I said I am going to stop breastfeeding. She contacted the lactation unit at Hospital Pantai, Bangsar and asked me to talk to Kak Rokiah yesterday.
So I ended up going to the hospital today, to meet kak Rokiah, a lactation assistant. Found out that Fateh incorrectly latch on my breasts.
Wrong latch-on.Baby's lower lip should not be pursed inward, but should be turned outward.
This is how Fateh has been breastfeeding all along. Padanlah sakit! At first sight, it looks normal. But when you notice the lower lip, you know the position is wrong.
Baby's top and bottom lip should be turned out (everted).
When baby takes the breast with mouth open wide, he'll have a "fish mouth" look as he nurses. If his bottom lip is pulled inward instead of outward, use the index finger of the hand that is supporting the breast to pull out that lower lip. (You may need a helper to take a peek under the breast and do this for you while baby is latched-on.) Martha Sears, who logged 18 years of breastfeeding 8 children dubs this technique the lower lip flip. This lower lip flip may be all that's needed to keep baby from tight-mouthing your nipple.
Images from AskDrSears.com. The article on proper latching on is here.
Anyhow, the session lasted nearly 2 hours. Kak Rokiah was patient to ensure a proper latch on with Fateh. She said it will not be easy at first since he learned to suck improperly from the first day he was born. Some of the tips given to ensure he learns to latch on properly:
- When baby is crying while the mom is trying to latch on, try to calm the baby first. Cradle him and positioned his head on your shoulder.
- Ensure the baby's mouth is wide open (like a yawn), and quickly put your areola inside his mouth.
- The latch on should look like a gold fish mouth (refer to the picture above).
- If the baby cries when you try to relatch again, hand express your milk in a feeding cup, and give it to him (I got one from kak Rokiah - Medela Feeding Cup). Then try to latch on back, the baby will be calmer since he already feeds from the cup.
- When trying to latch on, try to be not too stress. If the baby cries again, repeat Tips # 1.
After a lot of practices, Fateh managed to do it properly. And I try to teach him to relatch properly at home.
Cost for 1 lactation consultation = RM 50. Mine is free with the feeding cup! *wohoo* (kes kak Rokiah kesian kat aku, baby dah besar tapi tak pandai latch properly.. hehehe). Anyway, I would suggest that anyone who encountered breastfeed problem to consult a LC right away. Jangan tunggu lama-lama macam myself.
Anyway, it is never too late to learn back right?