Birth Partner | For Everyone at the Birth

Thrush (Yeast Infection)

Thrush is a yeast infection that can develop in the baby's mouth or on the parent's nipples. Signs in the baby include white patches on the tongue, gums, or inside the cheeks that do not wipe away. Signs on the nipple include shiny, flaky, or itchy skin and a deep, burning pain during and after feeding. Thrush is treated with antifungal medication for both the baby and the parent, even if only one has symptoms, because it passes back and forth easily. Call the care provider if you suspect thrush.

Tongue-Tie (Ankyloglossia)

Tongue-tie occurs when the piece of skin connecting the baby's tongue to the floor of the mouth (the frenulum) is too short or tight. This can make it difficult for the baby to latch deeply and effectively. Signs include a shallow latch, clicking sounds during feeding, poor weight gain, and sore nipples on the parent. Tongue-tie can be diagnosed by a pediatrician, lactation consultant, or ENT specialist. Treatment is a simple procedure called a frenotomy, where the frenulum is clipped. The procedure is quick and causes minimal discomfort to the baby.

Nipple Shields

Nipple shields are thin silicone covers worn over the nipple during feeding. They can be helpful in certain situations: flat or inverted nipples, severe nipple pain that prevents feeding, or a baby who has difficulty latching after a tongue-tie release. Nipple shields should be used under the guidance of a lactation consultant. Using the wrong size or using one without professional guidance can reduce milk transfer and lead to low supply. If you use a nipple shield, work with a lactation consultant to wean off it as soon as possible.

When to Get Help

If your partner experiences persistent pain during feeding, if the baby is not gaining weight, or if you suspect any of these conditions, see a lactation consultant or the care provider. These problems are treatable, and early intervention prevents them from becoming worse.