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Sore nipples are not a normal part of breastfeeding. The number one cause of why it happens, is poor positioning.
Sometimes only a minor adjustment of positioning and latch-on is all that is needed.
Your baby needs to open his mouth wide and take a good mouthful of breast, including about one inch of the areola. As he nurses, your nipple should be deep within his mouth and protected from abrasion.

However, if after 48 hours of conscientious attention to this area, your nipples are no better or worse, or if you are past the newborn period and you suddenly develop sore nipples after a period of pain-free nursing, you should contact your doctor to determine the cause of your soreness.

 

 

In the meantime, certain measures will make nursing more comfortable for you as your nipples heal:

Nurse frequently - at least every 2 hours. This will ensure that your baby does not become too hungry between feedings causing him to nurse ravenously and aggressively at your breast.

Hand express or pump a few minutes before the feeding. This will elicit letdown and elongate the nipple for the baby so that he does not nurse so aggressively.

Nurse on the least sore side first as this is the side that your baby will nurse more aggressively on.

Consider asking your doctor to prescribe a mild pain reliever, which you can take minutes prior to nursing or around the clock until your discomfort lessens or disappears.

Open both sides of your bra during the feeding.

Apply warm, wet tea bags to your nipples for a short time after nursing. Many moms report that this can be very soothing.

Warm, moist compresses (wet washcloth works well) often bring relief to nipples both before and after nursing.

 

After feeding, express some Breastmilk to rub into your nipples. Breastmilk has Vitamin E in it, which is very healing to the skin.

Important: Avoid applying Vitamin E oil from a capsule to your nipples, as this can be toxic to your baby!

Avoid other creams and ointments sold for the treatment of sore nipples as these may actually impede healing by preventing air circulation and drying out the skin.

Some of these other preparations may also be toxic to your baby and will need to washed off prior to nursing. Over-washing of the nipple area results in a loss of the natural lubricants that protect it and provide it with antibacterial properties.

Change your nursing pads once they become even slightly damp. Moisture against your nipples can prolong healing. If your pad sticks to your nipple, moisten it with water before attempting to remove it.

Also avoid nursing pads with plastic linings. They prevent the flow of air, which is essential to healthy nipples. Stick 100% cotton pads.

You may opt to feed your baby with an alternative feeding device if you find it impossible to nurse your baby due to nipple soreness. You could use alternatives such as an eyedropper, medicine dropper, feeding syringe, soft, flexible medicine cup, spoon, while your nipples heal.

Bottles are best avoided due to the risk of nipple confusion, especially if your baby is less than 4 weeks old.


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