Life as a Doula, Journey of a Woman

Wednesday, 23 September 2015

Common Breastfeeding Challenges: Breastfeeding and thrush

Porridge Oats


Thrush is the name for a yeast infection usually caused by the strain Candida albicans.  This is a fungal organism commonly found in the mouth, gastrointestinal tract, and vagina of healthy women.
The presence of your gut bacteria keeps the growth of Candida in check, so anything that disturbs your body's normal flora like diabetes, illness, antibiotic therapy, can allow this fungal fiend to thrive.

This is why have I put this picture of my breakfast porridge (in its very beautiful blue bowl) in a blog about breastfeeding and thrush...oat bran is blooming brilliant at supporting hormonal situations like breastfeeding and also at feeding one's natural gut flora and fauna which help to keep thrush at bay.

Thrush often manifests after a course of antibiotics, which kill the protective gut bacteria.  Oral contraceptives and steroids can also predispose you to thrush, as can cracked or damaged nipples.

Every week in the drop-in clinics, I will see mums who wonder if the cause of their nipple pain might be thrush.  Some mention deep breast sensations and pain.  Especially in the early days when thrush is uncommon, I always ask about antibiotic use in her or her baby, and whether she has suffered cracked or damaged nipples, or if she is a regular sufferer.  Some mums feel the filling of their breasts with milk quite strongly, and wonder if this indicates thrush, or if it's just a normal thing.  Sudden, intense nipple pain in a mum who has been feeding for months without pain might make me suspect thrush.  Sore nipples, pain whilst feeding, will first make me suspect that the latch could be better, and I will want to check positioning and attachment to see if we can get a deeper latch.

Signs and symptoms on you:

  • Usually both breasts will be painful, particularly after feeding, with a deep shooting pain 
  •  persistently sore nipples where the latch is fine. You might suspect thrush when breastfeeding has been going well before a sudden bout of unexplained soreness. 
  • Red, shiny nipples
  • Flaky, itchy sore nipples
  • Blistery rash around nipples and areola. 
Signs on your baby:

  • White patches in the mouth that can't be wiped off, unlike milk
  • Nappy rash with a very red, raised area with a sharply defined border
  • Gassy, fussy, unhappy baby.  Thrush in the mouth will make feeding uncomfortable and unpleasant for your little one.

The most common cause of sore nipples is position and latch, so get along to a drop-in clinic, breastfeeding counsellor or IBCLC can observe a feed and check your latch.  Knowledgeable, experienced help is key here.

If you suspect that you may have thrush, you need to make an appointment to see your GP, and you should expect that they will treat both of you as a preventative measure, even if your baby has no signs of the infection.  Once you have a diagnosis and medication, make sure you take the medication regularly and finish the course, even if your symptoms have gone.


Practical measures to use alongside your meds are:
  1. Rinse and air dry nipples after feeding, you can rinse in vinegar and water, too. One tablespoon vinegar to a cup of water, applied with a fresh cotton bud for each breast.
  2. Exposure to artificial or natural light for a spell every day...thrush is a fungal infection which thrives in moist dark conditions.
  3. Hot/boil wash and air dry clothes
  4. Don't share towels and flannels with other family members
  5. Anything that comes into contact with your breast - breast shells, bra, breast pump parts - needs boiling once a day for 20 minutes.
  6. Anything in contact with your baby's mouth - pacifier, bottle nipple, teething ring - needs boiling once a day for 20 minutes
  7. Discard bottle nipples after a week
  8. Lower your consumption of yeast and sugar
  9. Increase your consumption of oat bran porridge to support gut bacteria, garlic, and acidophilus.
  10. Take more time with careful hand washing during this time.
The La Leche League website has some useful tips for managing this alongside medication your GP prescribes, as will your local breastfeeding drop in clinic, so seek out knowledgeable support in your area.  If you're in Britain, you can phone one of these helplines:


  • Association of Breastfeeding Mothers - 0300 330 5453
  • National Breastfeeding Helpline - 0300 100 0212
  • Natural Childbirth Trust - 0300 3300771
  • La Leche League - 0845 120 2918










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Monday, 21 September 2015

Journaling

a selection of what I'm using at the moment


These three are one half (YES) of my current journals.  There, I said it, its out.  I have used multiple journals for years, but I've never really been comfortable with that, because it felt kind of excessive, and obsessive, and, well, verging on being a lil cray-cray.

I discovered via various social media platforms that I am not alone.  Once I realised that using more than one journal is ok, I really settled into it and now I embrace my multiple journal personality!

Here we have my Midori Travellers Notebook, open on some of the cover pages which I've enjoyed decorating with inspirational quotes and pretty pictures that I've glued on.  My Midori is used everyday to write in, generally in bed before I go to sleep, pouring my heart out and also scribbling down ideas and intentions, as well as referring to the diary. I brain dump in it almost every  day.  It also contains permanent information that I use in my work.

I don't always take my Midori everywhere. The little leather journal in the picture that I call my mini-mi is just that, and goes everywhere that my phone goes.  They travel together in a silky little bag that protects them both from the rigours of being in my handbag or rucksack! That's more shopping lists, ideas, bullet points, and work stuff.

The retired A5 Domino filofax is now my at-home planner, and no longer contains a bought diary. Now I make my own weekly pages and plan out meals and blogging schedules in this big lump.  It used to be my workhorse, until it literally did my back in carrying it around.  That's a bit of a fib, I was dancing in a club with my work bag slung around my neck and this big old diary in the bag, as I had just come from a client to a Friday night out with friends.  It is much better suited to life on my desk, containing the detailed break-down of my ideas and plans.

I love journalling.  It makes me feel clearer, I can brain dump and move on without all those thoughts swirling around my head.  I use my work journal specifically to help me manifest the things I want for my working life, and I am constantly astounded and surprised by how well that actually works!  
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Wednesday, 16 September 2015

Bonfire. And so it begins.

So this is a close-up of my Sunday mornings. Hessian, wooden sticks, and wire, the raw materials for making flaming torches for bonfire processions that take place all over Sussex during the months of September, October and November.

The only other raw material needed at this stage is a willing body to assemble these items and a small child to collect the finished ones and carry them to the shed for stacking. Children generally don't have the strength required in their hands for wrapping the wire and securing the head of the torch, and it is important that one's torch heads do not fall off. Collecting torches is a great introduction to bonfire life for the young ones who are the future of bonfire.

Am I going to show you the yard?  The other activities going on and all the people and stuff assembled in the early morning light to prepare for the 5th of November?  No, actually.  I feel that it's right to preserve the mystery so that if your curiosity gets the better of you, you might feel moved to join in next year.  But I will be giving you tantalising glimpses over the coming weeks of this fascinating Sussex tradition.
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