Breastfeeding, Nipple Blanching, and Vasospasms

 

How to Breastfeed Deep Latch Technique

Video taken from the channel: Fit Pregnancy


 

Mommy’s Minute Nipple Vasospasms

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Breastfeeding thrush and nipple vasospasm more info

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BREASTFEEDING WITH RAYNAUD’S

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Vasospasm and Breastfeeding

Video taken from the channel: International Breastfeeding Centre


 

Correct latching techniques for breastfeeding | How to avoid pain & sore nipples

Video taken from the channel: Babygogo


 

What kind of nipple pain is normal when I begin to breastfeed?

Video taken from the channel: IntermountainMoms


Nipple blanching (turning white) after a feeding occurs when the blood flow to the nipple is limited or cut off. Blanching is most often related to latch problems. Nipple blanching is often, but not always, associated with pain. Because women may describe shooting, burning breast/nipple pain, this can be mistakenly diagnosed as thrush.

Nipple blanching is a term used to describe painful, white nipples. Blanching can be the result of a vasospasm, when the blood vessels constrict and spasm, 1  or from any other situation that temporarily stops the blood from flowing to the nipples. When this happens, the nipples turn pale or white, and there may be a painful, burning sensation.

You might be experiencing nipple blanching or nipple vasospasm, two conditions that can affect nursing moms and may have you wanting to throw the towel in on breastfeeding entirely. The good news: A few fixes can usually ease symptoms so you and baby can return to breastfeeding bliss. What is nipple blanching?

Vasospasm is a constriction of the blood vessels in the nipple that causes the nipple to blanch, or turn white. Compression of the nipple is a common cause, either due to shallow breastfeeding or the baby compressing the nipple to slow fast milk flow. Nipple Vasospasm and Breastfeeding If the blood flow to the nipple is limited, the nipple will turn white.

This is called blanching of the nipple. Blanching usually occurs when there are. What are Vasospasm and Nipple Blanching?

Nipple blanching and vasospasm are restricted blood flow in the nipple that can lead to intense breastfeeding pain. Nipple blanching typically happens during a feed due to compression from a bad latch, and nursing mom might feel sharp pain and notice her nipple has turned white after feeding. The name may sound rather unappealing but nipple blanching is actually quite common in breastfeeding mothers. Nipple blanching occurs when there is a temporary lack of blood flow to that area of the breast and as a result they appear white in colour.

Much like when the blood drains from your face if you are in shock!Nipple blanching If your nipple turns white after feeding, it suggests that the blood flow is being reduced or cut off to your nipple. If despite this blanching, your nipple then returns reasonably quickly back to its normal color after feeding, and you don’t experience any pain.

Symptoms of vasospasm in breastfeeding: Burning, stabbing, throbbing, and/or “pins and needles” pain in the nipple and/or in the breast once the baby is off the breast. Pain may also occur when stepping out of a warm shower or when going outside on a cold day. There may or may not be pain during breastfeeding. Vasospasm happens when blood vessels tighten and go into spasm, so that blood does not flow normally.

Mothers with vasospasm of the nipple feel sharp pain, burning or stinging in the nipple. It is usually accompanied by sudden whitening of the nipple, followed by a colour change from red to blue.There are two main causes of nipple vasospasm.It can be a response of the nipple.

List of related literature:

The following nondrug therapies may make deliberate weaning easier and at the same time avert plugged ducts or mastitis: ■ Shower and allow the warm water to run over the breasts or soak the breasts by lying down in the tub.

“Breastfeeding and Human Lactation” by Karen Wambach, Becky Spencer
from Breastfeeding and Human Lactation
by Karen Wambach, Becky Spencer
Jones & Bartlett Learning, 2019

Mastitis may be associated with lactation (puerperal or lactational mastitis), particularly during the first 2 to 3 weeks postpartum in a small percentage of nursing mothers.

“Women's Health Care in Advanced Practice Nursing” by Catherine Ingram Fogel, PhD, RNC, FAAN, Nancy Fugate Woods, PhD, RN, FAAN
from Women’s Health Care in Advanced Practice Nursing
by Catherine Ingram Fogel, PhD, RNC, FAAN, Nancy Fugate Woods, PhD, RN, FAAN
Springer Publishing Company, 2008

Rinsing the affected nipple and areola with the mother’s own expressed milk or with water, then patting the area dry, is also helpful (Barankin & Gross, 2004).

“Breastfeeding and Human Lactation” by Karen Wambach, Jan Riordan
from Breastfeeding and Human Lactation
by Karen Wambach, Jan Riordan
Jones & Bartlett Learning, 2016

For the breast-feeding mother * Instruct the mother to wash her areolae and nipples with water, without soap or a washcloth, to avoid washing away the natural oils and keratin.

“Lippincott's Nursing Procedures” by Lippincott Williams & Wilkins
from Lippincott’s Nursing Procedures
by Lippincott Williams & Wilkins
Lippincott Williams & Wilkins, 2009

West and Hirsch (2008) noted that postsurgical mothers often experience nipple blanching or vasospasm of the nipple.Blanching may be due to a blood supply interruption or nerve trauma to the nipple–areola during the surgery, although the true cause is unknown.

“Breastfeeding Management for the Clinician: Using the Evidence” by Marsha Walker
from Breastfeeding Management for the Clinician: Using the Evidence
by Marsha Walker
Jones & Bartlett Learning, 2010

LBW infants receiving skinto-skin contact with breastfeeding mothers maintained higher oxygen saturation and were less likely to have desaturations below 90%, and their mothers were more likely to continue breastfeeding both in the hospital and for 1 month after discharge.

“Maternal Child Nursing Care” by Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, David Wilson
from Maternal Child Nursing Care
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier, 2013

The risk involved with continuing to breastfeed if the lesions are on the nipple or areola results from the possibility of secondary infection from infant to mother, which will cause skin breakdown and delayed healing.

“Breastfeeding: A Guide for the Medical Profession” by Ruth A. Lawrence, MD, Robert M. Lawrence, MD
from Breastfeeding: A Guide for the Medical Profession
by Ruth A. Lawrence, MD, Robert M. Lawrence, MD
Elsevier Health Sciences, 2015

Vasospasm, or Raynaud’s phenomenon, of the nipple manifests as a blanching of the nipple tip with pain and discomfort radiating through the breast after and between feeds [192].

“Management of Breast Diseases” by Ismail Jatoi, Manfred Kaufmann
from Management of Breast Diseases
by Ismail Jatoi, Manfred Kaufmann
Springer Berlin Heidelberg, 2010

Nipples that have been traumatized with breaks in skin integrity are easily colonized with bacterial and fungal species, are slow to heal, represent significant pain to the mother, and may lead to partial or total discontinuation of breastfeeding if therapeutic interventions do not provide quick relief.

“Breastfeeding Management for the Clinician” by Marsha Walker
from Breastfeeding Management for the Clinician
by Marsha Walker
Jones & Bartlett Learning, 2016

Localized cellulitis from an infection through a cracked or fissured nipple causes postpartum mastitis.

“Manual of Obstetrics E-book” by Daftary, SUDIP Chakravarti, Muralidhar Pai, Prahalad Kushtagi
from Manual of Obstetrics E-book
by Daftary, SUDIP Chakravarti, et. al.
Elsevier Health Sciences, 2015

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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48 comments

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  • My baby doesn’t open the mouth enough, only if he cries. If he cries and I put my nipple and areola in his mouth, he will slip to the nipple only and clamp even more because he is upset. Is neck is strong so I cant force his head. Don’t know what to do, he is 2 months old already and I fear that when he starts teething I won’t be able to breastfeed him

  • thank you!!! for the first time since his birth, last night I was able to latch my son correctly after reading A REALLY well written article and watching this video twice!

    I know his latch was perfect because my nipples are war torn, scabby and slightly bloody from improper latching, and it STILL didn’t hurt when he latched correctly! I felt just a slight jolt of pain at his first suck that instantly went away. and even with my very short nipples, he was able to grip, eat and get good, deep gulps of milk for more than 10 minutes!

    I can’t say thank you enough for this video… we are still learning but I have such relief in knowing it can be done…we CAN exclusively breastfeed comfortably!

  • I had the best breastfeeding guide written by Susan Urban ‘How to make breastfeeding pleasant and easy’ ( found it here http://www.parental-love.com ) Can recommend it:)

  • Does Clegenatur Methods really help to increase cup size with natural ways? I have read a lot of good stuff about this popular breast enhancement methods.

  • Yeah, Idk I’ve watched and studied this video literally like 20 times and been practicing and re latching but the latch still is horrible dammit. No tongue tie so I am so lost on what to do.

  • This video is great but would be improved by a segment defining anatomical terms pertaining to nipple and breast geography. “Below “ behind “ nipple is difficult to interpret

  • My baby is one month and she can’t latch on properly,she can’t open her mouth wide as yawning she always has a shallow sucking that lasts fir less than 4minutes.I tried alk the tips of the video but couldn’t fix it ☹️

  • The most instructive image in this video is from 0:48 1:05, that is a true asymmetric/deep latch. Notice how the breast pushes the lower jaw to get the mouth open all the way. If you are having trouble latching, watch that over and over and copy it!!

  • We have been trying your latch technique for the last 2 days. My two week old son has very powerful jaw and seems to grow many more arms when trying to latch. How can I make sure he is doing the 1-2 steps of latching if I am trying to tame his many arms that are near his mouth or flailing around?

  • I have large flat nipples, my 3 week old closes her tiny mouth on nipple so quickly that we only get a painful latch, pain goes away after 10 seconds, but when she comes off it’s a lipstick shape and keeps cracking/bleeding/blistering. No matter what holds or positions, we try football, cross, pillows, no pillows, weird sideways, laying down, half reclined, everything! Yes, I do tongue training with finger first, yes I hold chin down when latching, and pull chin down during, pinching nipple as small as possible, yes, I point up and wait for large mouth and tongue down over gums. However, Baby girl is a ninja and clamps/pulls tongue back before I can get nipple past gums. Every so often there is no lipstick but still pinched conpressed line in middle of nipple. Lips are flanged and look great. What else can I do?

  • omg you helped me so much..I am struggling with my 3rd boy…he is 3 weeks old and oh he bites so bad,,I am in excruciating pain at each feeding…The positioning helps me, but he still is not perfectly latched, we progress every day. I will not give up, I bfed 2 other boys without any latching problems, they did great job from day one..this little guy is so different. Thank you

  • Is Clegenatur Methods helpful to have bigger and firmer breast naturally? We’ve read many good things about Clegenatur Methods (look on google search engine).

  • how to latch on during day 5-10 when breasts and nipples are tough and large and the baby’s mouth is so small? when it it’s not possible to pull it towards the baby’s mouth.

  • My precious little baby has always latched from birth no problem she’s 22 months now and still going strong, she has always refused bottles �� she screamed when I tried her with one. I think all babies are different

  • I wish i had come across this video earlier as i have got nipple blister from poor latching and is really painful.. Can u tell me how to treat it quickly

  • My 2 month old used have that grip when he was born but then a few weeks after he only gets the tip of my nipple and i thought it was me not producing milk but im going to keep trying on this technique… hopefully i can or i just give up on breastfeeding.

  • I think good latch or not it takes a lot for our sensitive nipples to adapt. My baby is almost 4 months and I got a milk blister. Painful

  • My baby is 5 weeks and still has a shallow latch.. the initial latch hurts a bit but after about 20 seconds it goes away. My nipples still come out looking creased but they don’t hurt or blister. I am so desperate for help… I don’t wanna give up!!!!

  • So breastfeeding doesn’t always have to feel like your soul is literally sucking out of your body. I wish I knew this earlier.. Thankyou

  • Has anyone tried Clegenatur Methods? (search on google) I’ve noticed numerous amazing things about this popular breast enhancement.

  • After seeing all these tint babies latching that deep…. I realised my almost 4 month old doesn’t do it right:( he is always so nervous before feeding that he actually lifts his head up instead of tilting it back… And even if he does latch deeply he then shortlt releases and closes the jaws together… All in all we suceed at breastfeeding and he gains nicely weight but i constantly get blisters and clogged ducts:/

  • I have a nicu baby and have been struggling so badly with latching sense he’s so use to the bottles but thanks to the video I was FINALLY able to get him to empty my breast and it not be a painful experience!

  • When I put the whole aerola in my two month old baby’s mouth she is uncomfortable, adamant in sucking only the nipple and remove the aerola out her mouth. Can anyone please tell a solution to it.

  • My nurse actually told me to push my breast down to help baby breathe. Now I’m hearing that i can get clogged milk ducts due to the fact? Wow, i hope this video helps me when i begin feeding. I’ve been having pain breastfeeding and want to give up badly. I’m a first time mom and the experience by far has been rough.

  • My 3 week old has had horrible gas pains and we were told by the lactation consultant that she may be slightly tongue tied. We have an appointment with her pediatrician in a few days to see about that and get it clipped if so. I’ve had a horrible time trying to get her to latch so I’m praying that this will make the difference and I can get her to latch. Feeling a little defeated. �� anyone else come across this and had a good outcome after clipping the frenulum?

  • Omg, I feel sooo broody. I remember it hurt in the beginning, but once settled, oh boy, the best feeling. My oldest is now 17 and youngest 11.��

  • Thank you so so so much for this video. I’ve been crying the past few feedings because it hurts so badly. My baby girl never seems to open her mouth wide enough. Now I know to tilt her head. Reading the comments on how much this video has helped other people is very comforting.

  • I’m so afraid my son will have a hard time latching like my first born. I gave up within days with my first born and pumped but then gave up with that. My goal for this baby is to only breastfeed. I don’t want to deal with bottles or pumps but will if I have to.

  • Hello there, have you considered Clegenatur Methods yet? Simply just do a google search. On there you will discover an awesome guidelines about how exactly you can increase your cup size. Why not give it a chance? perhaps it is going to work for you too.

  • My 5 week old can’t seem to open his mouth wide like the babies in the video. His hands are always by his face. My nipples are elongated after nursing with a slight crease. Left nipple has no pain. Right is tattered. =( all I can do is keep practicing

  • I can’t wait to practice this. I am destroyed from a shallow latch and have that line of blisters. I wish I’d have been explained this more…

  • Wow this has really helped me!!! My baby is almost 3 weeks first baby and BF has been a challege hurts my poor nipples. Since watching this video its getting better and soreness is going away.

  • although anthropologic data has demonstrated that it is not our normal biologic design to have a recessed jaw, even though it is very common in our modern world, due to the foods we have eaten over the last 200 years.  See Nutrition and Physical Degeneration by Weston Price DDS.

  • Hello Ma’am
    My baby removes my lower part of breast even after I put it into her mouth.. Pls tell me a way which could help me in feeding my baby.
    My breast s hurting a lot, even when I’m not feeding..
    My upper part of nipple shape had become like new lipstick..
    Pls help
    Worried mom

  • my 6 wks boy sucks milk by pressing his gums over nipple.. for first 10 sec it hurts alot.. meanwhile its ok.. bt when its tym to remove it from his mouth i literally have to pull my breast from his mouth by moving is chin.. bcz of this my breasts become so sore that i feel horrible when he gets hungry… plz help..

  • hi! babygogo your all videos are awesome and very helpful please make a video on how to stop breastmilk easily,naturally without pain please make this your next video it’s a request to you thank you have a good day.������

  • i got drill and drain (operated) to my right breast for excess milk, during that period my son was fed on my left breast and now he is (2 months old) not feeding on my right breast as the nipple is little small than that of my left breast. please help me with some tips so that i can feed my son with my both breasts. your reply is awaited

  • Excited to be learning so early on in pregnancy. I want to know everything I can before trying. Though this will be my third baby. I didnt know much with my first. And my second was a little easier. But I want to exclusively feed this time

  • So i haven’t been able to find a video on this specific topic at all… Please help if anyone knows. So I’m 39weeks & know the benefits of breastfeeding & that it’s something that can definitely be trying for a number of reasons… nipple stimulation has always been a sexual benefit for me & that is NOT something i want to experience while feeding my baby. Anyone else have this problem or concern, & what can i do about it should it happen? Thx! + i have taken breastfeeding classes & birthing classes & it never came up & was too embarrassed to bring it up.

  • My baby is two months old and I am suffering a shallow latch. Is it too late to correct the latch. The moment she opens and I try to latch, she just bites in that microsecond and I can’t seem to go deep. Please help.

  • This video was so helpful! I was trying to get a good latch for a few days and was starting to give up. After this video I was able to get a good latch every time. Thank you so much!

  • Now show us one with someone with deeply inverted nips. I have yet to find a video on youtube illustrating inverted nipples. Sometimes, it just isn’t possible.

  • Thank you for this wonderful video. My first time breastfeeding 14 yrs ago was awful…i pushed through for 2+ yrs but was unable to breastfeed my other kids due to the pain and anxiety the whole experience created. Im on baby number 5 and im actually hopeful and excited to get it right this time.

  • Does Clegenatur Methods really help to increase breast size naturally with natural ways? We’ve learn numerous good stuff about this popular breast enhancement.

  • The techniques in this video saved me from so much pain. Thank you for creating it! It’s my go-to video I share with my mom friends.

  • you are so right, the footbal hold is helping me since last week..I used it instinctively, without even searching the info online, it was such a discovery. Just good but she still bits, so I must improve still

  • My baby is 2 days old and I have a engorged breast and sore nipples. Feeding is a trial and I’ve dreaded it since the first time. After three attempts we got it. No pain. Not even 15 minutes and the previously hard swollen breast is empty. I’m so grateful you have no idea!

  • I formula fed my son, and exclusively pumped for my 1st daughter for 11 months. I just had my baby daughter 2 months ago. on the night I was going to once again scrap breast feeding and exclusively pump again, I came across your video. The lactation consultant at the hospital gave me a good start. But this video saved me. I am still exclusively breast feeding, with plenty of milk to spare. it took me 3 kids to “get it right” with breastfeeding, and I have you to thank for it. Great video!