In pregnancy, lots of mums worry about the size, shape and colour of their nipples and areola. It’s probably the first time we’ve ever thought of these sticking-out bits as having an actual function. And just like women’s body shapes, everyone’s different. Nipples can be long, short, flat, inverted, or even bell-shaped and still nourish and feed a baby. Areolas can be black, brown, pink, as small as a 10-cent piece, large and saucer-like or something in between – there isn’t a better size or colour and the rumour that blondes and redheads with pale nipples will have more nipple damage than mums with dark areolas is a complete furphy! Mostly the function of the areola is to keep the nipples soft and moisturised, as the little bumps on them (the Montgomery tubercles) secrete a lubricating, anti-bacterial substance with a self-cleaning mechanism – how cool is that?
While it’s true that babies will get used to the feel of their own mother’s nipples, there are some nipple shapes that can be more difficult than others when learning to attach bubs to the breast. Inverted and flat nipples are the two most talked-about shape challenges, so here are a couple of tricks I’ve learnt to achieve the best possible latch.
If your nipples are quite flat and bubs is sliding around trying to attach to them and getting frustrated, it can help to shape your nipple between your thumb and forefinger and lever the baby’s mouth from underneath the nipple over the top. Pretend the nipple is a hamburger or sandwich that needs to be squashed together to fit into the baby’s mouth and make sure bub’s chin and bottom lip touches the underside of the breast first. If this still doesn’t work, you could talk to your midwife or lactation consultant about trying a nipple shield, which is a Mexican-hat shaped shield made from thin silicone that suctions onto the nipple and helps bubs stay attached. They can be weaned from the shield later when you both get the hang of it.
Truly inverted nipples are quite rare, I reckon I’ve only seen one or two cases of them in the seven years I’ve been helping mums to breastfeed. When you squeeze an inverted nipple, it actually inverts further into the breast. There are lots of nipples, which appear to point inwards, but when baby sucks, or they are attached to a pump, they start to come out. Some of these even start to evert during pregnancy. To help a mum to attach a baby to an inverted nipple, again, the same shaping as for flat nipples should work, and a nipple shield can be helpful if latching isn’t successful on the bare breast. Some mums buy nipple everters, which are like suction caps to squeeze onto the breast before a feed. I haven’t seen these used much in Australia, and I think using the shaping or a nipple shield would be just as effective. Some mums find a few minutes of pumping with a breast pump prior to attaching bubs helps the nipple to come out, or even just softening the aerola with some hand expressing prior to a feed could make the shaping more effective on full breasts.
Since early 2011, Australia has had a Paid Parental Leave scheme. This allows eligible working parents to get paid for up to 18 weeks when they take time off work to care for a new baby or recently adopted child.
Driving during pregnancy can present a unique set of risks - it pays to be as informed as possible about the facts.
Currently in Australia, there is no recommendation for pregnant women to stop driving. And it’s not illegal in any Australian State or Territory to drive during pregnancy. The same road rules apply to all drivers, pregnant or otherwise. But pregnancy itself is not a reason to stop driving.
Our understanding of exercise in pregnancy + postpartum has come a long way in the recent years, and we are much more likely to treat the “normal” pregnancy as a normal physiological process – not a disability.
Exercise in the postpartum period is helpful to regain your shape, increase your energy levels, lift your mood and give you the strength required for your new job of mothering.
Your new role will involve a lot of lifting, carrying, pushing, getting up from chairs and the floor, and holding for feeding.
After the birth of your baby there is a period of healing and physical adjustment from the effects of pregnancy as well as from your labour or delivery.
During pregnancy, there is increased pressure on the pelvic floor from your growing baby, placenta and extra fluid.