For all its joys, breastfeeding can come with one major frustration: sore nipples. If your nipples are feeling raw, tender and sensitive, know you’re not alone. It’s actually quite common in the early weeks of breastfeeding as your body adjusts to this new experience.
However, if your pain still persists after a few weeks, there may be an underlying cause. Fortunately, there are lots of simple ways to treat nipple soreness during your breastfeeding journey. Let’s dive into what might be prolonging your pain and how you can find relief.
Causes of Nipple Soreness
Poor Latch
One of the most common causes of sore or painful nipples is a poor latch or incorrect attachment of the baby’s mouth onto the breast.
A poor latch affects your baby’s ability to get enough milk from your breast. They may try sucking harder, which puts a lot of harsh pressure on your nipples and makes them chafed and sore.A poor latch can also result in your breasts swelling. When your baby breastfeeds, your breasts get a signal to keep producing milk. If enough milk isn’t being removed, your breasts may struggle with milk production or become engorged. Milk stagnation can lead to painful inflammation, which results in sore nipples.
Why Does Poor Latch Happen?
If you’re struggling with poor latch, know it’s not your fault. Many mothers face this challenge for multiple reasons, such as:
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Flat or inverted nipples: Babies can have a hard time latching on properly to flat or inverted nipples. However, there are many techniques you and your lactation specialist can try to help your baby latch on properly, such as expressing or using a nipple shield.
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Tongue or lip ties: Some babies may have lip or tongue problems known as ties. A tongue tie involves a thin band of tissue connecting the bottom of the tongue’s tip to the floor of the mouth. A lip tie happens when there isn't enough space between a baby's upper and lower gums. Both ties restrict their ability to make a proper latch.
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Shallow latch: Sometimes babies will suck on just the nipple instead of covering the whole areola with their mouths. This is known as a shallow latch, and it causes your nipple to rub on the baby’s hard palate, leading to painful or sore nipples.
Wrong Size Flange
If you’re using a breast pump to help nourish your baby and are experiencing sore nipples, the problem may lie with your flange size.
A breast pump’s flanges pull against your nipple to extract milk. When flanges are too small, they can pinch and squeeze your nipples. When they’re too big, too much of your areola is drawn into the flange, which can also result in pain.