Breastfeeding - Management of Common Breastfeeding Issues

Sore Nipples

Sore nipples often result from improper positioning and latching on. The following suggestions should be used for the prevention or treatment of sore nipples.

• Use deep breathing exercises before and during a feeding.
• Express a small amount of milk either by hand or pump prior to feeding to encourage letdown and decrease the vigorous nursing of a hungry baby at the start of a feeding.
• Limit the nursing time on the sore nipple with short, frequent feedings about every 2 hours for 5-10 minutes after the letdown has occurred.
• Nurse on the least sore side first.
• Your baby must be latched on and positioned properly. Use pillows for support.
• Use different positions with each feeding.
• Release your baby's suction before removing him from the breast by inserting a finger in the side of his mouth. Don't take him off the breast until you feel the suction break.
• Do not use soap, alcohol or breast creams on your breasts or nipples. Water is all that is needed to clean your breasts.
• Allow the nipples to air dry after each feeding and keep the bra flaps down several times a day to increase air circulation.
• Do not use plastic bra liners or pads as they keep in the moisture.
• Use a small amount of USP Modified Lanolin as a moisture barrier for dry or cracked nipples.
• Wear multiple holed breast shells between feedings to prevent the bra from rubbing on the sore nipples. (Ask your lactation consultant or local maternity shop)
• Do not use rubber nipple shields
• Taking a mild analgesic such as acetaminophen is fine.