Sore/Cracked Nipples

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Cause:

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Usually occurs in the first few weeks of breastfeeding caused by poor breastfeeding latch.  Or a baby with a very strong suck can also cause sore or cracked nipples.

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Treatment and Tips:

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• Though tough, try to avoid skipping or shortening sessions as this will lead to reduced milk supply or engorgement which could lead to mastitis. 

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• Try to position baby properly, facing your breast making sure he has latched onto your areola (not just nipple).  If he doesn't latch correctly it will leave your nipple sore and leave him frustrated since he will not be getting much milk.  If engorgement makes it difficult to grasp, express a little milk manually or with a breast pump before nursing to reduce it a little and help with latching.

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• Vary the breastfeeding position so that your baby's mouth compresses different parts of the nipple at each feeding.  I found using both breasts at every feeding helped even if it's not too long. I used to nurse from the less sore one first, then the other.

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• Protect your nipples from clothing and other irritants with breast shells (hollow, lightweight plastic discs).  Avoid wearing it in the night as it aggravates sore nipples. If you wear nursing pads, avoid those with a plastic liner as it absorbs moisture and can irritate sore nipples.  Change nursing pads often especially if your breasts are leaking.

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• Expose your nipples to air briefly after each feeding.  One of my mates used to let her boobs 'breathe' at night by not using a bra which alleviated the pain.  She just changed her top when it soaked.  In that moment you will be willing to try anything....desperate times call for desperate measures!

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• Rub a few drops of expressed milk at the end of the feeding onto your nipples.  A few people I know found this very useful.  Make sure it is dry before putting your bra back on.

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• Avoid scented or fragrance soaps when having a shower as it can irritate the skin. Use warm water on nipples even when they are not sore. Avoid petroleum based products like vaseline. 

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Next...Mastitis