This discomfort can last anywhere from a few days to several weeks after giving birth. Your breasts will soon “toughen up” a bit and get used to your baby nursing. Until then, it's normal to feel a small amount of discomfort while your baby latches on and pulls your nipple and areola into his or her mouth.
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.
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.
Sometimes your nipples may become flat temporarily. They may also feel sore due to general postpartum inflammation, which can cause you to feel hot or flushed. This engorgement should improve within 1-2 days as your body starts to adjust to your baby's needs.
Nipples are normally tender in the first days after breastfeeding starts. Expect tenderness at the beginning of a breastfeed up until about day 7–10 post-birth with peak tenderness between days 3 and 6. Pain extending into the breastfeed is not normal.
Don't stop nursing your baby even if your breast is sore. The infection doesn't harm the baby. Breastfeeding more often can help clear the infection. Or use a breast pump to express milk from the infected breast.
There are signs of ineffective sucking in the baby who:
Does not wake on his / her own for feedings eight or more times in 24 hours. Latches on and then lets go of the breast often during the feeding. Falls asleep within five minutes of latch-on or after sucking two or three minutes.
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.
Mastitis. Mastitis (inflammation in the breast) happens when a blocked duct is not relieved. It makes the breast feel painful and inflamed, and can make you feel very unwell with flu-like symptoms. If you do not deal with the early signs of mastitis, it can turn into an infection and you'll need to take antibiotics.
Try brief attempts to latch ranging between 1 - 5 minutes. Trying too long may result in a "power struggle" with your baby. We do not want baby to perceive that the breast is not a "happy" place to be.
“The first four to six weeks are the toughest, then it starts to settle down,” says Cathy. “And when you get to three months, breastfeeding gets really easy – way easier than cleaning and making up a bottle.
Sore, cracked or bleeding nipples are common. Some mothers have such trouble with them that they stop breastfeeding early. As a new mother, you may find it could take a few days or weeks to adapt to the strong suck of a healthy baby on your breasts.
With your baby's head tilted back and chin up, lift him or her to touch your nipple. The nipple should rest just above the baby's upper lip. Wait for your baby to open very wide, then "scoop" the breast by placing the lower jaw on first. Now tip your baby's head forward and place the upper jaw well behind your nipple.
Postpartum contractions usually last for about seven to 10 days, and they're sporadic, unlike labor contractions. Pain-wise, they're usually strongest on the second and third days postpartum and can strike during breastfeeding or pumping. Oxytocin, a hormone triggered during breastfeeding, also brings on contractions.
In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn't right with the baby's latch, position, or suck. An adjustment to the latch or positioning can help you and your baby to be more comfortable.
If your baby is properly positioned and attached at the breast during feeds and your nipples are still sore, ask your midwife, health visitor or breastfeeding supporter for help. There may be an underlying problem, such as an infection like thrush.
Normal soreness or pain usually occurs for about a minute when the baby first latches on to the breast. Pain that is severe or continuous or that occurs again after it seemed to resolve is a sign of a problem and should be corrected. Other problems may include cracked, bleeding, or bruised nipples.
Tender and sore nipples are normal during the first week or two of your breastfeeding journey. But pain, cracks, blisters, and bleeding are not. Your comfort depends on where your nipple lands in your baby's mouth. And this depends on how your baby takes the breast, or latches on.
One of the biggest reasons your baby prefers a shallow latch may be because of an oversupply of milk. With a quick letdown of milk, she'd rather purse her lips and take a few sips than feel like she's guzzling so much.
Pain and nipple damage point to a shallow latch. When babies have a shallow latch, they will remove less milk than needed. Over time, this can lead to poor weight gain or weight loss. It will also lead to lowered milk supply if not corrected.
Babies tend to improve their latch as they mature and grow. Some babies will latch better when you try a different position. Other babies may simply need more time. Certain babies may need the help of a breastfeeding tool or intervention in order to latch so that they can remove milk comfortably and well.
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.