Breastfeeding And Nipple Injuries: How To Manage The Pain


Feb 7, 2023


Breastfeeding is a natural and healthy way of feeding an infant, but it can also be a source of pain and discomfort for the mother. One of the most common issues faced by breastfeeding mothers is nipple injury. Several factors, such as poor latch, incorrect positioning, and overuse of pacifiers, can cause nipple injuries. The pain caused by these injuries can be significant and can even lead to mothers discontinuing breastfeeding.


Causes of Nipple Injuries

There are several ways to manage the pain associated with nipple injuries while breastfeeding. The first step is to ensure that the baby has a good latch. A good latch means that the baby’s mouth is positioned correctly on the nipple and areola, and the lips are flanged out. If the baby is not latching correctly, it can cause friction and rubbing on the nipple, leading to injury.


Ensuring a Good Latch

To ensure a good latch, mothers should hold the baby close to their body, support the back and neck, and bring the baby to the breast, rather than leaning over the baby. The baby’s mouth should be wide open, and the chin should touch the breast. The baby should be able to take a large portion of the areola into their mouth, not just the nipple. If the baby is not latching correctly, a lactation consultant can help.


Changing Breastfeeding Positions

In addition to ensuring a good latch, it is important to change the baby’s breastfeeding position regularly. This helps to distribute the pressure on different parts of the nipple and areola, reducing the risk of injury. Some recommended positions include the cradle hold, cross-cradle hold, football hold, and side-lying position.


Identifying the Cause of Pain

If a mother is experiencing pain while breastfeeding, she should first try to identify the cause. If the cause is nipple injury from breastfeeding, she should avoid further injuring the nipple by using creams and ointments and avoiding harsh soaps and alcohol-based products. She should also try to air dry the nipples after each feeding and avoid tight clothing that may rub against the nipple.


Managing the Pain

  • Temporary Stop from Breastfeeding. In some cases, mothers may need to temporarily stop breastfeeding on the affected side to allow the nipple to heal. During this time, they can express milk to maintain their milk supply and offer the expressed milk to the baby using a bottle or other feeding device.
  • Cold Compresses. Another effective way to manage the pain associated with nipple injuries is to use cold compresses. Cold compresses can help reduce swelling and numb the area, relieving the pain. A mother can use a cold compress made of a bag of frozen peas or a cold gel pack. She should place the compress on the affected area for 10 to 15 minutes after each feeding.
  • Pain-Relieving Creams and Ointments. Pain-relieving creams and ointments can also manage the pain associated with nipple injuries. Several creams and ointments are available over the counter, but choosing one safe for breastfeeding is important. Some popular options include lanolin, hydrogel pads, and hydrocortisone cream.
  • Pain-Relieving Techniques. Mothers can also use pain-relieving techniques such as deep breathing, visualization, and massage to manage the pain associated with nipple injuries. Deep breathing can help reduce stress and anxiety, making the pain feel worse. Visualization involves imagining a peaceful and relaxing scene, which can help to distract from the pain. Finally, massage can help to increase blood flow to the affected area and promote healing.


Taking Care of Yourself

In addition to managing the pain, mothers should also focus on caring for themselves during the breastfeeding journey. This includes getting enough sleep, eating a balanced diet, and staying hydrated. These simple steps can help to boost a mother’s overall health and well-being, making it easier for her to manage the pain associated with nipple injuries while breastfeeding.

Nipple injuries are a common problem faced by breastfeeding mothers, but they can be relieved with proper management. The key to managing the pain is to ensure a good latch, regularly change breastfeeding positions, identify the cause, and use cold compresses, pain-relieving creams and ointments, and pain-relieving techniques. It is also important for mothers to seek support from healthcare providers, lactation consultants, or support groups if needed.



It is important to remember that nipple pain is a normal part of breastfeeding and can be overcome with time and proper management. However, if the pain persists or becomes severe, mothers should seek medical attention to rule out any underlying medical conditions.

In conclusion, nipple injuries while breastfeeding can be a source of pain and discomfort for mothers, but with proper management, it can be relieved. The key is to ensure a good latch, regularly change breastfeeding positions, use pain-relieving methods, and seek support from healthcare providers if needed. With the proper support and care, mothers can overcome nipple injuries and breastfeed their infants successfully.

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