Many new mothers feel nipple tenderness for the first few days when the baby starts nursing. If the pain continues beyond the first minutes of feeding, or nipples become blistered, bruised, cracked or bleeding, you will need some assistance in problem solving. Poor latch-on is most often the cause of sore nipples, but not always.
Checklist for Latch-on
- are you holding your breast with a cupped hand?
- are you keeping your fingers far enough away from your nipple?
- are you waiting for baby's mouth to open wide like a yawn before latching?
- does baby seem to have as much in his mouth as possible?
- are baby's lips curled out and not tucked in?
- are baby's nose and chin touching your breast?
Suggestions for Feeding and Comfort
- feed baby frequently
- offer the breast before baby is very hungry (so baby will be more calm)
- express milk before feeding (until milk is flowing or if necessary to soften the areola)
- try ice or warm compresses to the nipple for comfort before or after feeding
- begin feedings on the less sore nipple
- try different positions
- express a few drops of milk; allow to dry on the nipple after feedings
- wear cotton bras and pads; change pads as soon as wet
- if your nipples become dry or cracked, rub a little purified lanolin on them after every feeding (Lansinoh or Purelan are two brands)
- try wearing breast shells with air holes (these allow air to ventilate and keeps fabric from touching the sore area)
If Nursing Becomes too Uncomfortable
- limit the nursing time on the sore nipple; hand or pump express instead or discontinue nursing temporarily and use a quality breast pump for 24-48 hours or as needed
- ask a Lactation consultant for additional suggestions
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