Understanding Crying and Pain in Breastfed Newborns: The Role of Lactation Consultants

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cropped view of mother breastfeeding her baby in hospital

Bringing a newborn home is a joyous event; however, it can also be a trial filled with concern, especially when your little one cries excessively or shows signs of pain during breastfeeding. Understanding the causes of these issues and how a lactation consultant can support you is crucial for new parents navigating the early days of motherhood.

Common Causes of Crying in Breastfed Newborns

Crying is a normal form of communication for babies, but persistent crying may indicate underlying discomfort or pain. Here are some common reasons for crying in breastfed newborns:

1. Hunger

Newborns have small stomachs, and their feeding needs can change rapidly. Some babies might cry when they are hungry, which can happen every 1.5 to 3 hours. According to the Australian Breastfeeding Association (ABA), it’s essential to respond to these hunger cues promptly to establish a healthy breastfeeding routine.

2. Gas and Colic

Gastrointestinal discomfort, such as gas and potential colic, can lead to significant crying and discomfort. Colic is very common in infants and is described as prolonged crying and are unable to be settled after all their needs have been met. Factors contributing to this can include swallowing air during feeding, an immature digestive system, or certain food allergies.

3. Poor Latch

A poor latch can cause pain for both the mother and the baby. An improper latch may lead to inadequate milk transfer and frustration as well as causing baby to take in air while feeding. Signs of a poor latch include clicking sounds while the baby feeds, pain for the mother, breastmilk leaking from baby’s mouth while latched, or visible gaps between the baby’s gums and the breast.

4. Reflux

Gastroesophageal reflux (GOR) can cause discomfort when milk flows back into the oesophagus after feeding. Infants with reflux may cry during or after feeding, arch their backs, or exhibit signs of distress. Reflux can be common in infants but often resolves on its own as their digestive systems mature.

5. Overstimulation or Fatigue

Newborns are sensitive to their environments. Overstimulation from noise, light, or adult interactions can overwhelm them, leading to crying. Additionally, fatigue can cause babies to fuss if they are overtired but struggling to settle down for sleep.

My role as a Lactation Consultant and Paediatric Dietitian

A lactation consultant (IBCLC) is a trained professional who provides advice and support to breastfeeding mothers. They are a valuable resource for identifying and resolving issues that may cause crying and discomfort in breastfed newborns. A paediatric dietitian is an Accredited Practicing Dietitian and specialised healthcare professional who focuses on the dietary and nutritional needs of infants, children, and adolescents. They play a crucial role in promoting healthy growth and development by ensuring that young patients receive the right balance of nutrients tailored to their specific ages, health conditions, and lifestyle needs.

Here are ways that I as a lactation consultant and paediatric dietitian can help:

1. Assessing the Latch

Lactation consultants specialise in evaluating and correcting latching techniques. They can provide in-home consultations or meet you at a clinic to demonstrate proper latching methods. A well-trained lactation consultant can guide mothers on positioning, ensuring the baby is latched correctly to prevent pain and maximise milk transfer.

2. Feeding Plans

Every baby has unique feeding patterns and preferences. I can help create tailored feeding plans that suit your baby’s needs, ensuring effective feeding without overstimulation. I can suggest strategies to reduce discomfort from gas and reflux, such as proper burping techniques or adjusted feeding positions.

3. Identifying Food Allergies

I am a specialist allergy dietitian and have worked in tertiary children’s hospitals since 2015. I can help identify if crying could be linked to food allergies and can help mothers to ensure they are receiving adequate nutrition whilst breastfeeding their baby. I can guide mothers on eliminating potential allergens from their diets if necessary, providing resources for safe elimination and reintroduction. I am a member of the Australasian Society of Clinical Immunology and Allergy (ASCIA) and provide evidence-based care using current research in the allergy space.

4. Educating on Baby’s Cues

I can help educate parents on understanding and responding to their baby’s cues. This education can enhance confidence and reduce anxiety around feeding, making the breastfeeding experience more enjoyable.

5. Creating a Soothing Environment

Learning strategies for creating a calm feeding environment is another way that I can help. Techniques might include dimming lights, reducing noise, and ensuring a comfortable feeding area. This support can be crucial for managing overstimulation and ensuring that the baby feels secure during feeding times.

Conclusion

Crying and signs of pain in breastfed newborns can be distressing for parents, but understanding that these issues are common and that effective solutions are available can alleviate some of the stress. A dual qualified lactation consultant and paediatric dietitian can play a pivotal role in this journey, offering support, education, and practical strategies tailored to your baby’s unique needs.

By engaging with me, you gain a knowledgeable and supportive ally in managing breastfeeding challenges, but also improve your overall breastfeeding experience. If you’re struggling with breastfeeding or your baby is crying frequently and showing signs of pain, don’t hesitate to reach out for support.

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