Breastfeeding is healthy for your baby but can be miserable for you if you have sore nipples. There are some things you can do both during and between feedings to help minimize pain and treat your sore nipples. But you can also take steps to prevent sore nipples from developing. Sore nipples are usually due to your baby not being positioned and latched properly and therefore not suckling properly.
During Feeding
Start feeding on the side that is least sore. Before attaching your baby, express some milk to initiate let-down before latching him on so he won't suckle furiously to try to get your milk. If your baby begins to doze while suckling and is just nibbling your nipple, move him to the other side. He should start suckling properly again once let-down occurs in the other breast. When removing your baby from the breast, put your finger in the corner of his mouth to break suction instead of pulling him off, which might hurt your nipple.
Between Feedings
Immediately following a feeding, express a small amount of fatty milk and rub it over each nipple, then allow them to air dry. Always try to keep your nipples dry, because excessive moisture can be irritating. Wear plastic dome-shaped breast shells to keep your clothing from rubbing your nipples. Certain over-the-counter ointments like lanolin might help if your sore nipples are dry and cracked. Finally, when you are wearing a bra, make sure it is not rubbing your nipple or too tight.
Prevention
When your nipples begin to feel better, prevent the condition from occurring again by ensuring your baby is latched onto the breast correctly. Your baby's mouth should be well onto the areola, which is the darker area of skin around the nipple. If your baby is only suckling the nipple, it is likely to be painful during feeding. If you are unsure about whether your baby is latching correctly, see your pediatrician or a lactation consultant for advice.
Warning
Sore nipples that are also cracked invite bacteria that can cause infections like mastitis. See your doctor if your nipples remain sore for several days, especially if you notice a lump, red spot or have a fever. A doctor can diagnose the source of pain and provide necessary treatment.
