Breastfeeding and the role of Physiotherapy for new mothers





05.02.24



By Free Motion Physiotherapy





A mother’s journey with breast feeding is very personal and can be as terrifying as it is delightful. Sometimes everything comes together and works beautifully and other times, mothers encounter challenges such as sore and blistering nipples or blocked and painful ducts. Physiotherapy can play a vital role in providing relief and preventing further complications.



Things that can affect breastfeeding





One of the most important things to master is positioning. It is important that both mother and baby are comfortable. Maintaining a good posture allows the best position for the breast, making it easier for the baby to latch and feed well. Bring the baby to the nipple and use a pillow to support the baby’s weight. Try not to lean forward too much which will create back and neck pain. Poor posture will also result in poor latching which will increase pain and discomfort on the nipple.



Common Problems





Engorgement

At birth, a new mother’s breasts start to fill with milk becoming firm and full and may become painful or tender. This is termed engorgement and is a normal part of the process as the body and breasts adapt to producing the right amount of milk for baby. If there is poor latching resulting in poor emptying of the breast, there may be a build-up of excess milk causing severe engorgement which can become red and painful.


Blocked Ducts and Mastitis

Occasionally and for no specific reason, some milk dusts can become blocked creating a hard and sore spot in the breast tissue. These often just unblock and pass through normal feeding or can be easily massaged out and recover well. In some instances though, mastitis occurs. This is an infection in the tissue of the dusts resulting from bacteria entering the breast tissue through a cut or break in the skin.


Symptoms of mastitis may include fever, body ache and increased fatigue and if untreated, can lead to more complications.



Physio Role





What you can do at home to avoid problems:


1. Avoid tight fitting bras or positions which can restrict the flow of milk

2. Make sure to try and drain the breast at every feed. A hurried feed leaving milk behind may cause it to settle in and block the ducts

3. Position yourself comfortably to avoid back and neck pain

4. Massage and express breasts in a warm shower if any lumps or areas of discomfort are felt



Physio Benefits





Soothing Sore Nipples:

Physiotherapy can help! We use techniques like ultrasound, laser therapy and gentle massage to reduce inflammation and promote healing. If you have discomfort that you are unhappy with or that increases from day to day, don't hesitate to reach out. Asking for help is not a weakness.


Battling Blocked Ducts:

Blocked ducts can be a real hiccup in the breastfeeding journey. Therapeutic ultrasound can help break down stubborn blockages and by promoting better circulation, physiotherapy aids in relieving pain and ensuring that your little one gets all the nourishment they need.


Prevention is Key:

Physiotherapists aren't just here for the when things have gone wrong. We can provide education on proper breastfeeding postures, exercises for upper body relief and treatment when needed. This can empower moms to maintain optimal breast health, reducing the chances of encountering issues down the road.



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