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Find Local Help ▶
Up to 90% of nursing parents experience nipple tenderness, but nipple pain that increases or lasts beyond the first couple weeks should be interpreted as a warning that something may be wrong.
Typical nipple pain (sometimes called transient soreness) includes:
Get help from a La Leche League Leader or IBCLC if you have:
Nipple pain can occur when baby does not grasp enough breast tissue or the tongue is positioned improperly. Baby must be able to compress your breast tissue with your nipple positioned deep in the mouth. First, check baby’s body position. Be sure their body is turned towards yours and their mouth opens very wide, like a yawn, before you offer your breast. If you gently pull down the corner of the baby’s mouth while nursing, you should see the underside of the tongue, which should extend over the lower gum line, cupping the breast. Find more info on positioning and latching on our Positioning and Latching page.
Sometimes babies latch deeply, but slide down the nipple during the feed—watch for more distance between your baby’s nose and your breast. If this happens, break the suction and re-latch your baby.
Tongue-tie can also cause sore nipples. When baby cries, can you see if the tongue is able to reach past the lower lip? If baby’s tongue appears heart-shaped, it could be a short or restricted frenulum (tongue-tie) that prevents a good latch. Contact a La Leche League Leader if your baby does not seem to be latching on well.
Flat or inverted nipples can make it difficult for baby to grasp your breast and properly latch on. With proper latch-on, your baby’s sucking can effectively draw out flat or inverted nipples. Gentle pumping or special exercises are sometimes recommended to draw the nipple out.
If you received IV fluids for several hours during the birth process, this can be a cause of edema (swelling) in the breast and nipple. Reverse Pressure Softening can help create a softer nipple/areola that baby can grasp. Reverse Pressure Softening involves using gentle finger pressure around the base of the nipple. This temporarily moves some of the swelling slightly backward and upward into the breast. This technique is also helpful in preventing sore nipples if your breasts become engorged (swollen and uncomfortable) when your milk supply comes in several days after birth, making it difficult for baby to latch on comfortably.
Be aware that more than one cause can be contributing to nipple soreness at the same time. Avoid limiting the length of nursing sessions, a practice that is mistakenly thought of as a way to avoid sore nipples. Instead, try to concentrate on correct positioning and latching while reaching out to a Leader for help.
TREATMENT OF SORE NIPPLES
It’s important to continue nursing while you work to correct the cause of sore nipples. You may want to try one or more of these comfort measures while the cause of your sore nipples is being corrected.
In most cases, sore or cracked nipples are no longer painful once good positioning and latch are achieved. It is rarely necessary to discontinue breastfeeding.
It is not typically recommended that you dry sore nipples with a hair dryer or use a sun lamp. These practices have been shown to dehydrate skin further and cause additional damage to tender nipple tissue.
Find more info on positioning and latching on our Positioning and Latching page.
Positioning and Latching, LLL USA
Attaching Your Baby at the Breast VIDEO, Global Health Media
Laid Back Breastfeeding (PDF), LLL Canada
Laid Back Breastfeeding Video, Biological Nurturing
Breastfeeding Pain, LLLI
Helping to Get Breastfeeding Off to a Good Start: Latch, LLL USA
Helping to Get Breastfeeding Off to a Good Start: Skin-to-Skin Contact, LLL USA
Helping to Get Breastfeeding Off to a Good Start: Frequent Access, LLL USA
Lie Back and Relax! A Look at Laid-Back Breastfeeding, LLL USA
Breastfeeding and Motor Development: Mutually Beneficial!, LLL USA
Reverse Pressure Softening, KellyMom
Sore Nipples, KellyMom
Nipple Pain, LLL Great Britain
Our Latching Story, LLL USA blog
Breastfeeding and Motor Development: Mutually Beneficial!, LLL USA blog
Katelyn’s Story: Overcoming mastitis and tongue-tie, LLL USA blog
Success! Latching On Luna, LLL USA blog
Annika’s Story: Overcoming Obstacles and Breastfeeding Advocacy, LLL USA blog
IS YOUR CONCERN OR QUESTION NOT COVERED HERE?
Please contact a local LLL Leader with your specific questions.
Medical questions and legal questions should be directed to appropriate health care and legal professionals.
Page updated January 2020
Resource adapted from LLLI materials.
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