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.
Pregnant women have long been told to reduce their caffeine intake throughout the duration of their pregnancies. So, how much caffeine can I have per day? The current Australian guidelines for consumption of caffeine during pregnancy is 200mg per day. We recommend sticking to this amount or less when possible.
It is a fact of life that every parent is proud of their baby and believes their little person is the most beautiful in the world. Social media has become the perfect platform to share the pride, but at what point does sharing and caring cross safety boundaries? And when does a little become too much?
We’ve always known that baby teeth are important. But now we understand even more about what we need to do to protect our children’s teeth. And why it’s essential that we do. Tooth decay is the most common chronic childhood disease. In Australia - around 50% of children will have at least one hole in their teeth by the age of 5 years. But this can be largely prevented by following just a few simple steps.
Massage has a noble history relating to his benefits, not just for young children but for adults as well. Some cultures use massage as a routine part of their overall health and well-being, particularly Asian and African countries. For others, it is more of a strategy used for stress management and general relaxation.
Learning how to calm a crying baby can feel like a draining, never-ending endeavour for a new parent. Sometimes there’s an easy fix: feeding, a burp, a nappy change… Other times it might feel like you’ve done everything in your power, but the baby just keeps on crying. If you can’t identify a reason for it, your baby might just be feeling overwhelmed, tired or upset. So, how to calm a crying baby in this situation?