Breastfeeding Challenges: What to Do When Nipple Pain Occurs - Obstetrics and Gynecology

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Maternal breastfeeding issues


Hello Doctor: I am currently in my postpartum period and breastfeeding, but my baby has caused my nipples to become cracked.
Is it still okay to breastfeed? Do I need to see a doctor, and which specialty should I consult? Thank you.

joyce, 20~29 year old female. Ask Date: 2013/04/13

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, when the nipple is cracked, it can sometimes occur during breastfeeding.
As a general principle, if there is a crack in the breast, it is advisable to refrain from breastfeeding temporarily.
You can apply some povidone-iodine solution or ointment, and once the wound has healed, you can resume breastfeeding.
However, if there are any concerns, please consult a common obstetrician or gynecologist.
Wishing you health, Dr.
Tsao Kuo-Tao, Director of the Department of Obstetrics and Gynecology, Taipei City Hospital.

Reply Date: 2013/04/13

More Info


Breastfeeding can be a beautiful experience, but it can also come with its challenges, one of which is nipple pain. If you are experiencing nipple pain due to your baby latching on incorrectly or sucking too aggressively, it is important to address this issue promptly to ensure both your comfort and your baby's nutrition.

First and foremost, if your nipples are cracked or bleeding, it is advisable to consult a healthcare professional. You should see a lactation consultant or a pediatrician who can provide guidance on proper latching techniques and help you assess the extent of the damage. They can also recommend treatments to promote healing and alleviate pain. In some cases, a family doctor or an obstetrician may also be able to assist you.

In the meantime, there are several steps you can take to manage nipple pain while continuing to breastfeed:
1. Assess the Latch: Ensure that your baby is latching on correctly. A poor latch can lead to nipple pain and damage. The baby's mouth should cover not just the nipple but also a good portion of the areola. If you're unsure about the latch, seek help from a lactation consultant.

2. Change Positions: Experiment with different breastfeeding positions. Sometimes, changing the position can relieve pressure on sore areas of the nipple.

3. Use Nipple Cream: Applying a lanolin-based nipple cream after breastfeeding can help soothe and protect your nipples. Make sure to choose a cream that is safe for breastfeeding.

4. Air Dry: After breastfeeding, allow your nipples to air dry. This can help prevent further irritation and promote healing.

5. Cold Compresses: If your nipples are swollen or painful, applying a cold compress can provide relief. Just be sure to avoid applying ice directly to the skin.

6. Breastfeed Frequently: Although it may seem counterintuitive, frequent breastfeeding can help your nipples heal. The more your baby feeds, the better they will become at latching, which can reduce pain over time.

7. Consider Pumping: If the pain is too severe to continue breastfeeding directly, you might consider pumping your milk and feeding it to your baby via a bottle. This can give your nipples a chance to heal while still providing your baby with the necessary nutrition.

8. Stay Hydrated and Nourished: Make sure you are eating well and staying hydrated. Your body needs proper nutrition to heal.

9. Monitor for Infection: Keep an eye on your nipples for any signs of infection, such as increased redness, swelling, or discharge. If you notice any of these symptoms, seek medical attention promptly.

10. Seek Support: Joining a breastfeeding support group can provide you with encouragement and tips from other mothers who have faced similar challenges.

In conclusion, while nipple pain during breastfeeding can be distressing, it is often manageable with the right techniques and support. If the pain persists or worsens, do not hesitate to seek professional help. Your health and comfort are paramount, and addressing these issues early can lead to a more enjoyable breastfeeding experience for both you and your baby.

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