change breast pads at each feed (if you're using them) – if possible, use pads without a plastic backing. wear a cotton bra so air can circulate. keep feeding your baby for as long as they want – keeping breastfeeds short to "rest" your nipples will not ease nipple pain and could affect your milk supply.
If your nipples are cracked or bleeding, it's okay to continue breastfeeding your baby. To help relieve your discomfort, use the care tips given above. Call your doctor or a lactation consultant if you find it too painful to breastfeed or if you've tried home treatment for 24 hours and it doesn't help.
Some women find rubbing breast milk onto their nipples can be soothing. Products like Vaseline or lanolin can help with dry or cracked nipples (although there's little evidence to show what really works well). After each feed, let your nipples dry before getting dressed – change your breast pads after every feed.
The duration of the healing will vary. Superficial and recent soreness may clear in a matter of hours or days. However, long-established and profound wounds may require a up to 2 or 3 weeks to be entirely resolved even after the cause of the soreness has been eliminated.
If your sore nipples are causing you so much discomfort that you feel like you need to take a break from breastfeeding, don't worry! You can still use a breast pump to express your milk. This will give your nipples a rest, while allowing you to continue to give your baby all the benefits breastmilk can provide.
Apply warm compresses or gel pads to relieve pain.
Gel pads for your nipples can soothe your pain and promote healing. A homemade warm towel compress can promote healing while easing sore nipples, too.
Research shows warm, moist heat is soothing for sore nipples and can help your skin heal faster. To use moist heat, run a clean washcloth or cloth diaper under warm (not hot) water, squeeze out the extra water and place it directly over your nipple.
Common causes for painful, cracked or bleeding nipples from breastfeeding and pumping include: The baby's latch or positioning is off when breastfeeding. Flange size is off when pumping. Your body is adapting to the new skill.
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.
While achieving a good latch is an important step to pain-free breastfeeding, even mothers of babies with a good latch can find breastfeeding painful at first.
Apply emollient creams, such as lanolin-based creams or coconut oil, to the nipples after breastfeeding. This can soften the skin and reduce cracking. Some people even apply breast milk to the nipples and allow it to dry, which can prevent cracking and has antibacterial properties.
Air-dry your nipples after you breastfeed. This can prevent irritation and cracking. Use an over-the-counter lanolin-based cream on your nipples, such as Lansinoh. Get help from your doctor or a lactation consultant for sore or cracked nipples.
Air-dry your nipples or dab them gently with a towel. Women used to be told to rub their nipples to toughen them up, but this isn't advised any more – thank goodness! There's no need to clean the breast or nipples before breastfeeding.
If you can, continue breastfeeding (it is quite safe for baby to feed on a bleeding nipple). But if it's too painful, you may need to take your baby off the breast for 24 to 48 hours, rest the nipple and feed your baby expressed breast milk.
In pregnancy, the breasts may start to produce milk weeks or months before you are due to have your baby. If your nipples are leaking, the substance is usually colostrum, which is the first milk your breasts make in preparation for feeding your baby. Leaking is normal and nothing to worry about.
Yes. Your baby may swallow some blood and you may see it come out in their diaper, but it won't do them any harm. If you pump, you may notice that your breast milk has a pink tinge to it. This is due to blood from your cracked nipples, and it won't harm your baby.
Lanolin is a wax secreted by sheep and other wool-bearing animals, and it is a common ingredient in nipple creams. It is thick, waterproof, and protects skin. Purified lanolin in nipple creams is safe for babies and does not need to be removed prior to nursing or pumping.
Using Xylocaine 5% Ointment between feeds can help numb and relieve the pain from sore nipples. Before using any medicine while breastfeeding, it is important you get advice from your doctor or pharmacist. They will weigh up the risks and benefits of using the medicine.
Soreness normally settles down after a few days as your body gets used to breastfeeding and your baby's sucking becomes more efficient. Consult a healthcare professional, lactation consultant or breastfeeding specialist if the pain while breastfeeding doesn't subside after a few days.
Laid back positioning.
This position is often the most comfortable. A study by Milinco, et al (2018) showed that these positions can reduce the numbers of mothers experiencing nipple pain and damage by 58%. In these positions you recline back to an angle of between 15-65 degrees and baby lays on his tummy on your body.
When your baby is first learning to breastfeed, they may not get your nipple and areola far enough into their mouth. This can cause damage to your nipples, causing them to become painful and crack, bleed, or scab. Ideally, your baby should have the whole nipple and part of the areola in their mouth.
You should expect some initial discomfort for a few weeks as your body adjusts to a suckling baby, but most nipple fissures will begin to heal after a few days, with deeper fissures needing one to two weeks to heal.