Dear BUnda Arel, Mostly saya setuju dg moms yg lain yatiu diobati dg ASI yg diusapkan di sekitar puting yg luka. Btw Mbak Yuliana, kayaknya Albothyl bukan utk mengobati sore nipple deh. Coba diliat di medicastore utk detailnya. Dan rasanya gak aman ya utk luka di sekitar puting.
Mengenai puting lecet ini saya posting ya artikel dariLa Leche league, badan laktasi dunia. Moga memabntu. Luluk ----------------------- ----------------------- http://www.lalecheleague.org/FAQ/bite.html What Should I Do If My Baby Bites Me? Note: Please know that we are aware that babies come in two equally wonderful genders. For clarity, we are referring to your baby as "he" because mother is most certainly "she." A bite from your baby can be truly painful, and worse, it keeps you tense in the fear that it will happen again. It's hard to relax and enjoy breastfeeding when your baby has bitten you. Babies who bite are seldom asking to be weaned. There are many reasons for a baby's biting, but the most common one is teething. Sometimes babies bite before their first teeth come in, but usually it's after the front teeth are in and the others are working their way down those hot, sore gums. Other reasons could be a cold or an ear infection (it's hard for your baby to swallow while breastfeeding if his nose is blocked), stress, or even a way of getting mother's undivided attention. Here are some ideas to help reduce and eliminate biting. Remember: this may take persistence on your part. Your baby may not stop biting immediately but "this too shall pass." When your baby is latched on correctly and nursing actively, getting milk from your breast and swallowing, it's physically impossible to bite. This is because your baby needs to stop sucking in order to bite. When latched on properly and nursing, your nipple is far back in your baby's mouth. In order to bite your baby has to adjust his tongue and allow your nipple to slide forward towards his teeth. So, as a first "hint" of when your baby is about to bite, try and watch for a moment--usually after the initial hunger has been satisfied--when your nipple slips forward in your baby's mouth. Often the tension in your baby's jaw will change just before this happens. As soon as you notice this change, slip your finger into the corner of your baby's mouth, between his teeth, and let the nipple come out all the while keeping your finger in your baby's mouth to protect your nipple. Pulling your baby straight off is a very natural and almost automatic response, but it may cause soreness on your nipple. Baby's position is important, and that means helping your baby stay in a close breastfeeding position, so that he doesn't or can't pull off very easily. If your baby has to strain to latch on, then he will come off and chew the nipple easily. Therefore, another response to biting that some mothers have found useful is to pull baby in closer to the breast, at least momentarily. If your baby begins to position himself away from your nipple, be alert for a possible bite. When the cause of the problem is a cold, a more upright position can help your baby to breathe easier. Check with your baby's health care provider for suggestions to relieve stuffiness. Your baby may breastfeed better if you offer the breast while walking. Sometimes older babies with teeth leave a "ring" of teethmarks after breastfeeding. Generally this is not painful and is caused by the teeth resting on the breast during breastfeeding. However, your baby may be clenching or sliding to the end of the nipple. If this is uncomfortable, use some of the same techniques listed in this FAQ to encourage your baby to gently latch on and breastfeed. Maybe your baby is too young to understand exactly what you say, but your tone and attitude do convey meaning. It's worth trying to tell your baby, even repeatedly, that biting hurts and that he cannot bite you. Some alternatives mothers have used include Offer a teething ring and say, "Mommy is not for biting. You can bite this." Use positive reinforcement. Praise your baby when he breastfeeds without biting. A hug or an extra cuddle will convey an important message. Allow your baby to choose when to breastfeed. If baby is distracted and pulling off frequently, either try breastfeeding in a darkened room or begin a new activity with baby. As you help your baby to learn good breastfeeding manners, attend a La Leche League Group meeting in your area for additional information and support. To find a Leader of a local Group, check out the section of our Web site entitled "Finding a Local LLL Group" at http://www.lalecheleague.org/leaderinfo.html. ------------------------------- http://www.lalecheleague.org/FAQ/heal.html How do I heal sore nipples? Ouch! Breastfeeding is not supposed to hurt. However, for any number of reasons, mothers may develop sore nipples. Nipple tenderness at the beginning of a feeding may be normal in the first two to four days of breastfeeding. Soreness that is more intense or continues for a longer time indicates that some adjustment needs to be made. To begin healing sore nipples see our FAQ, "How Do I Prevent Sore Nipples?" at http://www.lalecheleague.org/FAQ/sore.html to determine the cause of your soreness. Being able to correct the situation causing the soreness will ultimately lead to nipple healing. The comfort measures below will allow you to continue breastfeeding your baby until the problem is resolved. Note: If thrush or a yeast infection is the cause of your sore nipples, please see http://www.lalecheleague.org/FAQ/FAQthrush.html for further information. In general, thrush thrives on milk and moisture so your nipples should be kept dry. Try rinsing them with water and letting them air dry after each feeding. Check positioning and encourage your baby to open wide when latching on. See our FAQ on Positioning http://www.lalecheleague.org/FAQ/positioning.html. Offer your baby short, frequent feedings to encourage a less vigorous suck. Nurse on the least sore side first, if possible. When removing your baby from your breast, break the suction gently by pulling on baby's chin or corner of mouth. Warm, moist compresses applied to your nipples (if a yeast infection is not present) may be soothing. Freshly expressed breastmilk applied to your nipples will not only soothe your nipples but also reduce the chances of infection, as human milk has antibacterial properties. (Again, do not use if thrush is present.) Moist wound healing has been shown to be very effective for healing sore nipples. Keeping your nipples moist will allow any cracks to heal without scabbing or crusting. Lansinoh for Breastfeeding Mothers was developed specifically to create a moist healing environment for injured nipples and has been endorsed by La Leche League International in the USA. This product is available from LLLI Leaders and through our catalogue at http://www.lalecheleague.org/catalog.html. Moist tea bags applied to the nipples are a folk remedy that recent research has shown to have an astringent effect that may promote drying and cracking, and is therefore not advised. At one time, it was recommended that a hair dryer or sunlamp be used on sore nipples. Research has shown that this promotes drying and further cracking. ---------------- http://www.babycentre.co.uk/refcap/8493.html Cracked or bleeding nipples What are they? Breastfeeding may make your nipples sore. But cracked and bleeding nipples are not a normal side effect of breastfeeding. Breastfeeding isn't meant to be painful - in fact, pain is a warning sign that you have a problem that needs resolving. Occasionally, you may see blood though you feel no pain. A bloody discharge from the nipples during the first week of breastfeeding may be caused by increased blood flow to the breast, along with the growth of milk-producing tissue. This is a harmless condition, and should go away without treatment in a few days. What causes the condition? The main cause of cracked or bleeding nipples is poor positioning of your baby at the breast. This also causes severe nipple pain. Adjusting your feeding technique can substantially soothe or cure cracked nipples. Sometimes just the slightest correction of positioning can make a world of difference. If your baby has thrush, you may get cracked nipples and shooting pains in the breast during or after a feed. Thrush is a fungal infection of the mouth that results when organisms naturally present in the body grow and spread out of control. (See our articles on thrush in babies and thrush in mothers.) Your nipples may also crack or bleed because of severe dry skin, or eczema. You can get an eczema-like condition on the nipples or breasts as a result of very dry air, clothes detergent residue, ointment or lotion applied to the breast, bath soap or antibacterial cleanser, powder, hair spray, deodorant, perfume, or cologne. Using a breast pump incorrectly can also damage your nipples, and make them crack or bleed. Be especially careful when you pump, as certain machines and handling your breasts too roughly can injure delicate breast tissue, breaking the capillaries. Excessive suction from a breast pump has caused haemorrhages under the skin in some women. What should I do? If your nipples bleed or crack, try the following: . Check your baby's positioning. Your baby should face your nipple, tummy to tummy with you. Your baby needs to open wide to take in a good mouthful of both the nipple and the areola. See our series of how-to pictures for proper alignment. . Change positions at every feed. This focuses the pressure of the baby's gums on a different area of the breast each time. . Breastfeed more frequently, but for shorter periods. Remember, the longer you go between feeds, the hungrier your baby will be - and the harder he will suck. . Rub a little breast milk on your nipples after each feed and let it air dry. The milk actually helps to heal them. . Don't use soap, alcohol, lotions, or perfumes on the nipples. Washing or bathing with clear water is all it takes to keep your breasts and nipples clean. . Take painkillers. If the pain is severe, you can take a mild painkiller about 30 minutes before feeding. Check the most appropriate type with your GP or health visitor. . For deep, painful cracks, some find using a modified lanolin made specifically for breastfeeding mothers can help. Rub a small amount of the ointment on your nipples. This treatment, called "moist wound healing," relieves pain and allows the wounds to heal much faster without forming a scab. It does not need to be washed off before feeds. Your local pharmacist should be able to help you select a suitable product. If a crack or wound shows no sign of healing, check with your doctor or health visitor. Will the condition affect my baby? Babies generally ignore cracked or otherwise injured nipples. Blood in the milk doesn't hurt them, and breastfeeding can continue. The main issue here is to correct the problem and allow the nipple to heal, so that feeding is once again a pleasurable experience for both you and the baby. Can I still breastfeed? Nothing in the world is more wonderful than breastfeeding your baby - but convincing a mother with cracked, bleeding nipples of this is virtually impossible. If you want to continue to breastfeed, you should know that there are remedies for painful breasts and injured nipples. With determination, and help from an expert if necessary, you can eventually experience pain-free breastfeeding. 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