Breast health: What to do during and after pregnancy

Pregnant moms should consider breast health during and after pregnancy, and whether you plan on breastfeeding or not, to make sure nothing feels off.

Below are some common questions I hear from patients about breast health.

How will my breasts change while I’m pregnant?

While each woman is different, many report similar breast changes during pregnancy.

▪ Your breasts may get larger and more sensitive or tender.

▪ The skin around your nipples and areolas may darken in color.

▪ Your breasts may start leaking a substance known as colostrum. This can start as early as the second trimester.

Wearing comfortable, supportive bras without underwire and wearing loose-fitting clothes can alleviate most of the discomfort associated with breast changes. During and after pregnancy, it’s also a good idea to see a bra-fitting specialist to be sure you’re purchasing the best bras for you.

What about breast health after my baby is born?

If you choose to breastfeed your child, some women prefer to make a plan for how long to breastfeed and how to wean a child from breastfeeding. The American College of Obstetrics and Gynecology recommends at least six months of exclusive breastfeeding. Your doctor can help you form a healthy breastfeeding plan.

To avoid cracked or bleeding nipples, you should clean your nipples gently with water and apply antibacterial ointment after each feeding. Keep an eye out for common symptoms of breast infection, which include redness, significant tenderness, warmth of the skin and swelling in one spot.

What types of breast infections are most common?

There are many different types of breast infection that breastfeeding women can experience. The most common:

▪ Mastitis, is an infection of the breast tissue that occurs most commonly in breastfeeding women. Common symptoms of mastitis include breast warmth or tenderness, breast swelling and pain on one side of your breast. You may also experience a fever or flu-like symptoms, including aching and fatigue.

▪ Candida infection, or yeast infection, is a fungal infection that typically occurs on the skin. A common symptom is sudden, sharp or shooting pain while breastfeeding. If you have a vaginal yeast infection or your baby has oral thrush or diaper rash, these can also be indications of an infection.

Staying in tune with your breast health during and after pregnancy provides many benefits for you and your child. Many women choose to see their doctor for lactation support before and after childbirth to prepare for breastfeeding.

You know your body better than anyone else, so if something feels off, you should let your doctor know.

This story was originally published June 23, 2017 at 5:14 PM with the headline "Breast health: What to do during and after pregnancy."