Chapter 23: It Hurts

In This Chapter

• Nipple tenderness versus nipple soreness
• The common causes of nipple soreness
• Basic comfort measures
• Remedies for sore nipples

What's Happened Here?

"…This nipple tenderness is seen in a majority of breastfeeding mothers between day three and day six. It is temporary, or transient, and should get to feeling better. The tenderness should always resolve and not be bothersome. …When someone complains beyond the first week that "it hurts," chances are that nipple tenderness has turned into nipple soreness. Nipple soreness that lasts beyond your first week and becomes painful is a warning that something is wrong."

"…A condition known as "tongue-tie" can sometimes be the cause of nipple soreness. With this condition, the tip of baby's tongue is held tightly to the floor of the mouth from a thick band of tissue known as the frenulum. With the frenulum attached too near the tip of the tongue, it can abrade the nipple and contribute to soreness. The tongue becomes heart shaped when the baby tries to lift and thrust it."

Product Relief

"…Lanolin is an ointment that has been used for hundreds of years to help heal skin. Lanolin is derived from sheepskin and offers properties of an emollient when applied to your skin. There are many mothers who will offer personal testimonials about the healing power of lanolin."

"…It is also possible to use a nipple shield to protect your sore nipples during breastfeeding. A nipple shield is a thin, elastic shaped like the human nipple. …A nipple shield should be used under the direct care of a lactation professional or a health care provider. …Consider a new product that's a hydrogel pad, worn against your breast and nipple for rapid wound healing."

Your Feeding Plan

"…If at any time you cannot tolerate breastfeeding because of the pain, you should seek help from an experienced health care professional or lactation professional. They will watch you breastfeed and try to help solve any problems you have experienced. Don't wait until it's too late to get professional help."

"…You should consider the use of an electric piston breast pump if you experience very painful soreness and want to stop. …A piston breast pump will be effective at maintaining your milk supply while you take a break. …You may also try to add shorter, more frequent feedings. Instead of eight, try to make it 10 feedings in 24 hours. …By adding more feedings, you offer your baby a plentiful buffet of food. And a buffet can keep anyone plenty full!"