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Nipple trouble

Breast is best, but it can be hard dealing with sore or cracked nipples in the easy days of feeding. We share some tips.


Posted: 18 March 2006
by Laura Lee Davies

If you've been through it, you know how painful those early weeks of feeding can be on your nipples. But it's amazing how many women don't realise they are not alone in their suffering and that things will get better very soon.

Sore or cracked nipples
It is not surprising that, when you and your baby are totally new to an experience, that there are going to be some problems before you get used to breastfeeding.
However, even mothers who have breastfed before will tell you that it can be as painful the second time around. For starters, if there's been a gap between the babies, your nipples will have softened again and not be used to the wear and tear of newborn feeding. Additionally, even experienced mothers might slip into the habits of feeding they recall from later on, when their last baby was a confident feeder and didn't need help latching on in the correct way.

The pain barrier
Some health professionals will tell you to count to 20 every time your baby latches on and by then the pain will subside. In bad cases, this might take a count twice as long! However, if you know you are generally getting a good milk flow in your breastfeeding regime, be assured that you will find that the pain subsides. This for some women is a matter of days, for others it's a matter of up to six weeks. If you want advice or support in the meantime, La Leche League are a great contact who can often help over the telephone.
You might feel like giving up. Don't be a martyr to the cause if there seems to be a serious problem, talk to your health visitor and to your friends and partner. Get the worry and suffering off your chest - if you'll pardon the pun.
But also don't be put off by a few days' pain. If there is nothing seriously wrong and your baby is thriving on it, breastfeeding is not also great for both of you healthwise, it's also far more convenient than bottle feeding, especially in the early weeks when you're physically recovering from the birth.
Even if you bleed a little, this is not going to harm your baby when he feeds.

Beat the breastfeeding bad times

  • Check your baby has latched on properly. See above.

  • Rub some milk from your feed gently over your nipples. The unique chemical make-up of your own milk is great for you too.

  • Try singing as your baby latches on. Bracing songs are an amazing source of comfort and you may find you get a little louder for a few moments but it can really help!

  • Let your breasts 'breathe'. After a feed, leave your bra off for a while, if you can, so that air dries your nipples naturally. Where possible, avoid having to cover your breasts too snugly and make sure you don't let breast pads get too damp before replacing them, if you use them.

  • Keep bras clean. Wear cotton feeding bras rather than having synthetic, non-breathable material too close to the skin, and make sure you wash your bras regularly, in a gentle, non-bio detergent.

  • Don't overwash your breasts. Keep them clean with water. Breast milk is clean and does not need to be washed off with lots of heavy soaps.

  • Try a nipple cream. You should not put excessive amounts of cream on your nipples as this is where your baby feeds from. However, there are a few very natural, unmedicated lanolin formulas on the market which are worth trying.

  • Don't avoid feeding. Your nipples will toughen up. Avoiding feeding on a particularly bad side will only delay that process. Additionally, being erratic in your feeding patterns could create problems with unused milk build-up in the unfavoured breast.

    Good luck. When the pain stops (and it will, without you even noticing) breastfeeding is one of most amazing things you and your baby will ever share!


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    Discuss this story

    Hi everyone, We want to put together some top tips for breastfeeding mums, but not just from feeding experts, from all you real mums too. So if you've got a top tip to pass on to other mums post it down here for inclusion. Thanks!
    Posted: 02/11/2005 10:06

    Maybe everyone knows this already, but I'd recommend chilled savoy cabbage leaves for helping ease the pain of mastitis.
    Posted: 02/11/2005 11:55

    I'm very new to all this, but so far I'm finding the special v-shaped cushion fantastic for helping with a comfortable feeding position.

    I might have more tips later.
    Posted: 02/11/2005 12:37

    I would certainly recommend having nipple shields to hand when you first start. I found it quite hard to start with as I got very sore, so much so that I nearly gave up.

    I only used them for three weeks but they really helped me get over the initial discomfort.
    Posted: 02/11/2005 13:28

    Eat snacks! You will be surprised how much more hungry you are once you begin breastfeeding! You need to eat an extra 1000 calories per day.
    But- don't worry- you lose 500 a day by breastfeeding!

    No-one is expecting you to snap back into your pre-pregnancy clothing!

    Have a bottle of water to hand whenever you feed- I always found myself constantly thirsty when I was feeding Jake.


    Posted: 03/11/2005 09:21

    Use a cream called Lansinoh to ease cracked nipples. Its expensive but worth every penny. I stopped feeding my first baby after a week due to soreness but am still successfully feeding my 3 month old daughter thanks to Lansinoh.
    Posted: 30/11/2005 11:36

    Sounds interesting Tracy, was it prescribed for you by your doctor or did someone recommend it to you?
    Posted: 30/11/2005 11:42

    Lansinoh is available without prescription at most chemists and Mothercare. It costs around £10 for a tube but lasts for a long time. It may be worth asking GP if it can be prescribed.
    Posted: 30/11/2005 11:47

    When weaning off of the breast, I was helped by my GP - he gave me a medication that help reduce and eventually stop milk production.

    Also, and you may not approve of this, my daughter was coming up for nearly 2 years old and I just couldn't get her off of the breast. She used it mainly for comfort and I found it easier just to give in than have the screaming match! But enough was enough and I started to tell her that "mummy's boobies are dirty!" and say other things like "bad boobies, juice is good" etc...... I know this is not the best approach and I was okay with my sons - they self weaned at 6 and 9 months but my daughter, what a temper!
    Posted: 02/12/2005 11:02

    It's amazing how different they all are. My son got to just under a year and then I was away on business for two days and when I got back we kind of naturally stopped. With my daughter, she just stopped being interested at 10 months. I have to say I was a little hurt as I wanted to carry in until her first birthday!
    My top tip is that, if you can, carry on breastfeeding in the morning and night even if you move to formula for the days if you are going back to work. My son started teething badly and being able to comfort him (though some babies hate breastfeeding when they are teething) at night rather than walk round the house half asleep with a crying baby, was great. Between 6 and 12 months, so much is going on with their mouths (eating, teething, chewing on their toys!) that the familiarity of breastfeeding just seemed to work. For us, at least.
    Posted: 05/01/2006 18:16

    Hello all - I'm new to the site but it looks good!
    I would definitely agree that Lanisoh cream is worth getting! My midwives assured me that the pain of breastfeeding woudl ease off and it did, but those first two weeks were agony!
    Am still feeding my little boy - Rufus.
    one tip I would say is - drink lots of water. Tap is fine, but I carry bottles around with me because then I know how much I've drunk, plus it's easier to avoid spillages when you're wrestling with a wriggling tot. Mama Fx
    Posted: 06/01/2006 12:05

    Just looking at my message again - with all its mistakes in! - and wondering if the cream is called Lasinoh or Lansinoh? I guess a chemist would know either way.
    Posted: 12/01/2006 15:16

    I can't wait to breastfeed again – it was one of my favourite parts of the first year with my first child! However, one of my friends said that even though you've done it all before, it still hurts like hell for the first two weeks.
    Someone please tell that's not true, I'd forgotten that bit?!
    Posted: 17/01/2006 18:01

    That nipple cream was a god send! I also found setting myself up before each feed like the tv remote, a drink and something to snack on and the phone in easy reaching distance. I also had a little "baby cup" to feed Freya in public as I was nervous to breast feed so I expressed and fed her with the cup without having to use a teat.
    Posted: 18/01/2006 16:03

    Hi Claire
    Sounds like you've got it well sorted. You're right, I'd forgotten all about the snacks and tv controls. Essential with Lloyd, who'd feed and snooze for the duration of an entire Bette Davis film on TCM. I wasn't complaining - so long as I had my snacks, telephone (I didn't have a mobile then) and bottle of Evian nearby.
    Posted: 18/01/2006 16:15

    Having it all makes it that much easier and in the first few weeks it doesn't seem painful at all while watching a good movie or programme. Also having my partner sit with me in the night and chat to keep me awake!
    Posted: 18/01/2006 19:04

    I found that the toughest time was between 8-10 weeks. my little boy must have been having a growth spurt and I just couldn't fill him. He and I got upset and he started pushing me away. I ended up giving in and buying some formula to top him up he had 1 oz and the rest I threw away. I felt I was letting him down and toyed with the idea of giving up. My top tip is to keep going through the tough times, as there will be one and it comes right very soon. It is worth it!
    Posted: 15/03/2006 09:06

    My son is 7 monthys old and now that he is eating 3 meals a day we are down to just 2 feeds a day, first thing in the morning and last thing at night which seems to be working just fine. The thought of not breast feeding makes me feel sad but I think that I will try to stop once he reaches 1 year old. I would also like to try for another baby soon and would rather not be breastfeeding whilst pregnant!
    Posted: 12/04/2006 13:58

    Hi,

    My daughter Imogen is 5 days old and I am desperately trying to perservere with the breast feeding. I have extremely cracked sore nipples which I am smothering in lansinoh cream. I have had some difficulty getting her to latch on and have found it really upsetting when I can't seem to do it right as I really want to be able to pacify her when she is screaming for a feed. I have started to express some milk so that I have some in the fridge just encase she can't latch on in the middle of the night and I'm getting stressed out, this has helped and my milk has really come in.

    It's hard to imagine this getting any easier and I dread each feed encase she can't latch on but I just hope I can make it through.

    Rachel.
    Posted: 27/05/2006 17:53

    Just keep on trying, you'll get there in the end. Have you tried the nipple shields? Perhaps every other feed just to give them a bit of healing time? I gave up after only five days and I felt awful about it, especially when I saw how easy it seemed for my best friend when she had her last baby! You can spend too much precious time feeling like a failure, so go easy on yourself, it's a lot to adjust to. Maybe try formula in the day and breast feed at night and in the mornings? Anythings worth a go for your own sanity!

    Emma x
    Posted: 14/04/2007 13:24

    Thanks Emma, not sure if you noticed but I posted that message in May last year and my daughter is now 11 months old!! I gave up breastfeeding after 6 days but hopefully if I have another baby I am going to try again. Thanks for the advice anyway. x
    Posted: 16/04/2007 07:54

    Hi everyone, i think the best tip i had from my midwife when i first started breastfeeding was if you have cracked or sore nippes try rubbing some breast milk into your nipples then letting it dry and it heals them up in no time plus its not greasy like creams that you can get. Also change breast pads frequently.
    I have four children and one on the way i breastfed the last to and had brilliant success, with my first baby though i had no support whatsoever and only lasted a day befor giving up. Then with my second baby i had a section and i was in so much pain i couldn't have possibly thought about breastfeedin which i was dissapointed about but it was just one of those things. Then with my third child i had a fantastic normal delivery and fantastic support from my midwives and breastfeeding was more or less an instant success, then the same again with my fourth. I am still breastfeeding him now and i'm nearly 30 weeks pregnant. I am going to try and stop in the next week though because im too tired to carry on not that he has very much any way i just want a rest before i start all over again.
    hope i've been of use. luv Gem
    Posted: 16/04/2007 11:21

    Doh! Sorry, didn't look at the date. If and when I get pregnant soon though, all of the tips and advice have been great. I had a c-section with Sophie, and the midwives weren't exactly over helpful with all of the problems I had breastfeeding. I had sore and cracked nipples, mastitis and huge lumps in my armpits. I also developed flu the day after my section and was in pain everytime I coughed and sneezed. It didn't really make for the bonding over breastfeeding experience I was expecting!
    However, it won't put me off for next time now I have all of the advice you girls have given under my belt, so many thanks!

    Emma x
    Posted: 19/04/2007 19:24

    Hi everyone,

    I'm really looking for some advise.  I have a 12 month old daughter and am 5 months pregnant with my 2nd child.  I tried to breastfeed Shannon but really struggled and gave up after 3 days due to the soreness, which I have since found out was due to Shannon not latching on properly.  I really want to give breastfeeding another go with baby no. 2 but am in two minds.  I think the thing that is putting me off is weather or not it will be practical and possible with a toddler of 16 months running about and weather or not it will cause jealousy.  Has anybody got any experience or advise about what I should do:  Try breast feeding or just use bottles?  Thanks. 


    Posted: 03/10/2007 22:36

    I would always try breastfeeding even if its just for a couple of days.

    I got really sore with my boy and no one seemed to know why as he was latched on good. Eventually i just used to express of the really sore side and it healed in about 3 days and was good again after that. Expressing is good though for convenience as i was too shy to feed in public.


    Posted: 08/10/2007 12:34

    you need top be dedicated and commited to doing it

    it is best it is easy peasy after the initial 6 weeks cracked sore nipple stage if you are unlucky to go through this some peole sail through and it is no reflection on pevious pregnancies as to the outcome of the nest attempt growth spurts happen they dont last longer than 48 hours before your body adjusts taje the excuse to go to bed with your baby for a few days snuggle skin to skin feed every hour for a few minutes and it will all quickly pass that is what maternity leave is for


    Posted: 08/10/2007 13:05

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