Nipple pain is common in the early days of breastfeeding as your body adjusts to nursing. Your nipples may be tender because they are not yet accustomed to frequent feeding. This discomfort usually lasts for a short time, typically around one week. However, soreness that continues throughout the entire feed or persists beyond the first week is not normal and may indicate an underlying issue that needs to be addressed.
Common Causes of Nipple Pain
Nipple pain can arise for several reasons, and identifying the cause is key to finding relief.
1. Poor Positioning and Attachment
Improper positioning and attachment are the most common causes of nipple soreness. If your baby is not latched deeply onto the breast, they may compress the nipple, causing pain and damage.
- In the early days, some tenderness at the beginning of a feed is normal.
- If pain continues throughout the feed, gently break the latch and try repositioning your baby.
- Ensuring your baby has a wide mouth and takes in a deep latch can prevent ongoing discomfort.
2. Tongue-Tie or Lip-Tie
Some babies have tongue-tie or lip-tie, which restricts tongue movement and makes latching difficult. If your baby struggles to stay latched or you experience persistent pain, consult a lactation consultant for an assessment.
3. Engorgement
When breasts are overly full, the nipple may become flattened, making it harder for the baby to latch correctly. Hand expressing a small amount of milk before feeding can help soften the breast and improve the latch.
4. Thrush Infection
If you experience burning nipple pain during or after feeds, along with redness or itching, you may have a thrush infection. Your baby might also show signs, such as white patches in the mouth. Consult a healthcare provider for treatment.
5. Vasospasm (Nipple Blanching)
Sharp, shooting pains in the nipple that worsen after feeds may indicate vasospasm, a condition where blood flow to the nipple is restricted. Keeping warm and improving latch positioning can help manage this condition.
6. Nipple Damage (Cracks, Blisters, or Bleeding)
Cracked or bleeding nipples often result from poor latch or excessive friction. While breastfeeding should not cause nipple damage, gentle care and healing strategies can help alleviate discomfort.
How to Prevent and Manage Sore Nipples
- Check Positioning and Attachment: Ensure your baby has a deep latch, with their mouth covering more of the areola than just the nipple.
- Change Breastfeeding Positions: Experiment with different holds, such as the laid-back position, cross-cradle, or football hold, to find what feels most comfortable.
- Use Breast Milk for Healing: Expressing a few drops of breast milk and letting it air dry on your nipples can promote healing.
- Apply Lanolin or Hydrogel Pads: These can soothe and protect sore nipples between feeds.
- Take Breaks if Needed: If pain is severe, consider pumping temporarily and offering expressed milk to allow healing.
When to Seek Help
If nipple pain persists beyond a week, worsens, or is accompanied by visible nipple damage or signs of infection, seek guidance from a lactation consultant. Painful breastfeeding is not something you have to endure proper support can help resolve discomfort and ensure a positive breastfeeding experience.
While some initial nipple tenderness is common, persistent pain is a sign that adjustments may be needed. Identifying and addressing the underlying cause will help ensure a comfortable and fulfilling breastfeeding journey for both you and your baby. If you’re experiencing ongoing discomfort, don’t hesitate to reach out for support of your Lactation consultant.
If you delivered at Motherhood or Cloudnine, but need more tailored support, consider scheduling a private lactation consultation in Bangalore with www.latchelp.com or whatsapp 7708357594.