As the weeks go on, breastfeeding should become more comfortable. Of course, this isn’t always the case. Sometimes, the tenderness gets worse, and your nipples can become painfully sore. Unfortunately, sore nipples are a common problem of breastfeeding. However, often with slight adjustments in breastfeeding positions and latch, you can alleviate sore nipples while breastfeeding. Sore nipples can develop for many reasons including a poor breastfeeding latch, not using a breast pump correctly, or an infection. Then, once you have them, sore nipples can lead to a difficult let-down, a low breast milk supply, or early weaning. So, if possible, you want to try to stop sore nipples before they even start or quickly address any discomfort that occurs. Here are eight ways to prevent—or reduce discomfort from—sore nipples. If your newborn only latches on to your nipple, his gums will press down on it as he tries to get breast milk. When he sucks on just your sensitive nipples, it can cause nipple pain. It can also lead to an always hungry and fussy baby since your child won’t be getting much breast milk if she isn’t latching on well and squeezing the milk ducts under your areola. And, if you aren’t sure whether or not your baby is latching on and breastfeeding well, talk to your doctor, a lactation consultant, or a local breastfeeding group as soon as possible for assistance. It may also be helpful to use a nursing pillow and a nursing footstool. These breastfeeding accessories lift your lap and bring your child up to the level of your breast. It’s easier to get into a good breastfeeding position when you raise your baby up since you don’t have to lean over. Leaning over is uncomfortable, and it can strain your back, arms, and neck. You can also alternate the breastfeeding positions that you use at each feeding. When you breastfeed in the same position all the time, your baby’s mouth is always putting pressure on the same spot on your nipple. To make it easier for your child, you can remove a little bit of breast milk before each feeding to relieve the tightness and soften your breast tissue. When your breasts are softer, it’s much easier for your baby to form a good seal on your breast. And, as mentioned before, a good latch helps to prevent sore nipples. If you wait too long between feedings, your breasts can become engorged making it more difficult for your baby to latch on well. The combination of a poor latch and an aggressive suck can quickly lead to sore nipples. When you wash your breasts, rinse them with warm water and avoid using any harsh soaps that can dry out, irritate, and crack the skin on your breasts and your nipples. Also, it’s not necessary to use creams, ointments, or lotions to try to prevent nipple problems before they start. Many over-the-counter products are not helpful. In fact, they can make painful, sore nipples even worse. However, if you already have dry, cracked nipples, or if you live in a dry climate, you may benefit from a nipple moisturizer. There are some products such as medical-grade lanolin or Dr. Jack Newman’s All-Purpose Nipple Ointment (APNO) that are soothing and helpful. Instead, choose washable, reusable breast pads made from natural materials, or disposable nursing pads that are breathable, absorbent, and comfortable. Whether you prefer reusable or disposable nursing pads, be sure to change them often. The growth of bacteria or fungus can cause your skin to break down and lead to sore nipples, thrush, or a breast infection. If your baby does not let go of you on her own at the end of the feeding, don’t pull her off of your breast. Pulling your child’s mouth off of your breast after a feeding can cause pain and damage to your breasts and nipples. Especially if you do it over and over again. To prevent damaging your nipples, take the time to learn the proper technique for removing your child from your breast. By gently placing your finger into the side of your baby’s mouth, you can safely break the suction of the latch. Then, once you break that seal, you can hook your finger around your nipple to protect it from being chomped on as you remove your breast from your baby’s mouth. Pump flanges (pump shields) are available in different sizes, so don’t assume that the ones that come with your pump are right for you. Check to see if your pump manufacturer makes alternative sizes or look for a product such as Pumpin’ Pal Super Shield Breast Pump Flanges so that you can be sure that your pump flanges fit you correctly and comfortably. Another common pump problem is setting the pump suction too high. Many women believe that pumping at a faster speed and higher suction level will lead to more breast milk more quickly. But, it’s more likely to lead to more pain and possibly less breast milk. So, to prevent nipple pain and breast damage from your breast pump, use pump flanges that fit correctly and start out with a lower, slower level of suction.
